TCM Eczema Singapore

Eczema, also referred to as atopic dermatitis, is the most common skin condition in Singapore. This chronic and inflammatory skin condition is characterised by red, itchy, and irritated patches, which can be a source of discomfort and frustration for those who experience it. This skin disorder can weaken the skin’s barrier function, which is responsible for helping your skin retain moisture and safeguarding your body from external elements.

What causes eczema?

The exact cause of eczema varies from person to person, with various factors behind the formation of this skin condition. Genes, in particular, play a pivotal role as eczema often runs in the family. However, other elements (internal and external), such as skin barrier defects, immune dysfunction, and the environment, can contribute to an overactive inflammatory response in the skin, causing eczema.

In the field of Traditional Chinese Medicine (TCM), eczema is believed to be caused by a combination of dampness, heat, and wind accompanied by deficiencies in the liver, kidney, and spleen, which play essential roles in maintaining skin health. Excess wind in the liver is often linked to hormonal changes and stress, resulting in flare-ups.

Meanwhile, dampness in the spleen can be caused by poor eating habits, such as consuming too much spicy, oily food or cold beverages, which weakens the spleen and stomach. Internal heat can also worsen eczema symptoms, while deficiencies in the kidney exacerbate dryness, inflammation, and itching. These imbalances accumulate and result in an outbreak of itchy rashes.

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Signs and symptoms of eczema

Eczema presents a diverse array of signs and symptoms, which can vary in severity from mild to severe. Common symptoms include:

Bumps on the skin
Dry skin
Flaky, scaly, or crusty skin
Itchy skin
Skin rash
Swelling
Thick, leathery patches of skin

TCM Approaches Commonly Used for Eczema Care

Traditional Chinese Medicine approaches eczema by considering both visible skin symptoms and underlying body patterns. In TCM theory, eczema may be associated with factors such as internal heat, dampness, dryness, or imbalances that affect the skin over time.

Depending on the individual assessment, practitioners may recommend different therapies to support skin comfort and overall balance as part of a TCM treatment for eczema.

Acupuncture

Acupuncture involves the insertion of fine needles at selected points on the body. In TCM, this approach is commonly used to support circulation, regulate internal balance, and address patterns associated with itchiness, redness, or skin discomfort.

Treatment frequency may vary depending on the severity and duration of symptoms.

Moxibustion

Moxibustion is a traditional therapy that uses heat generated from burning mugwort near specific acupuncture points. In TCM, it is sometimes used when eczema patterns are associated with coldness, dryness, or weakened circulation.

The suitability of moxibustion depends on the individual’s skin condition and overall TCM assessment.

Non-Bleeding Dry Cupping

Non-bleeding dry cupping uses suction cups placed on the skin to stimulate circulation and release muscle tension. Within TCM practice, it may be used to support overall circulation and balance in certain eczema-related presentations.

This therapy is generally applied to body areas that are not affected by active eczema lesions.

Dietary Guidance

Dietary habits are often discussed during TCM consultations, as certain foods may be associated with internal heat or dampness according to TCM theory.

Practitioners may provide guidance on eating patterns and food choices based on the individual’s symptoms, constitution, and lifestyle habits.

1. Chinese Medicine for Eczema

Herbal medicine plays a vital role in managing and relieving eczema symptoms, with specific formulas tailored to address different imbalances. These remedies work synergistically to address the underlying cause, offering longer-lasting external results.

Depending on the severity of the condition, different medications will be prescribed. For acute-stage eczema, which is equivalent to the dampness heat syndrome in TCM, herbs that can help clear heat, eliminate dampness, and relieve itch are typically used.

However, when eczema reaches the subacute stage, it usually represents spleen deficiency and dampness syndrome. As such, herbs meant to eliminate dampness, tonify the spleen, and relieve itch are necessary.

Meanwhile, blood-tonifying and wind-dispelling herbs are used for chronic stage eczema, as this condition is usually symptomatic of blood deficiency and wind syndrome.

2. Topical medications

In addition to internal therapies, topical applications such as creams, ointments, or lotions may be prescribed to help manage visible skin discomfort associated with eczema. These applications are typically selected based on factors such as the severity of irritation, the condition of the skin barrier, and whether symptoms appear dry, inflamed, or weepy.

During consultation, the TCM physician assesses both the affected skin areas and the individual’s overall presentation before recommending suitable topical support as part of a TCM treatment for eczema. Guidance may also be provided on how and when to apply these medications alongside other TCM therapies and daily skincare practices.

3. Foods that trigger eczema

Things to avoid:

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Frequently Asked Questions

What is TCM eczema treatment in Singapore?

TCM eczema treatment in Singapore refers to managing eczema using Traditional Chinese Medicine approaches such as herbal medicine, acupuncture, and dietary adjustments. It focuses on identifying internal imbalances like “heat,” “dampness,” or “wind” rather than only treating surface symptoms. Treatment plans are typically individualised based on body constitution and symptom patterns.

How does TCM approach the root cause of eczema?

TCM views eczema as a result of internal imbalances affecting the skin. Practitioners assess factors such as digestion, immunity, and circulation to determine underlying patterns like damp-heat or blood deficiency. By addressing these root causes, TCM aims to reduce flare-ups over time rather than providing only temporary relief.

How long does TCM eczema treatment take to show results?

TCM eczema treatment timelines vary depending on severity and individual response. Some people notice improvements in itching or redness within a few weeks, while chronic cases may take several months of consistent care. Progress is typically gradual, as treatment works to rebalance the body rather than suppress symptoms quickly.

What treatments are commonly used in TCM for eczema?

Common TCM treatments for eczema include customised herbal prescriptions, acupuncture, and topical herbal creams or washes. Herbal medicine is often used to clear heat, reduce inflammation, and support skin recovery from within. External applications may help soothe irritation and support the healing process.

Is TCM eczema treatment suitable for children and adults?

TCM eczema treatment is generally suitable for both children and adults, with adjustments made based on age and condition. Practitioners typically use milder herbs and gentler methods for children. A proper consultation is important to ensure the treatment approach is safe and appropriate for each individual.

What foods should I avoid or include when managing eczema with TCM?

Diet plays an important role in TCM eczema management, especially in reducing triggers linked to “heat” and “dampness.” Common recommendations include limiting spicy, fried, and overly sweet foods while incorporating lighter options such as vegetables and cooling ingredients. Dietary advice is usually tailored to the individual’s body constitution.

What is the difference between eczema and psoriasis in TCM?

In TCM, eczema and psoriasis are seen as distinct conditions with different underlying patterns. Eczema is often associated with dampness and heat, leading to itching and oozing, while psoriasis is linked to blood heat and dryness, resulting in thicker, scaly patches. Differentiating the condition helps guide the appropriate treatment approach.

Are TCM creams effective for eczema symptoms?

TCM creams may help relieve eczema symptoms such as itching, redness, and dryness. They are usually formulated with herbal ingredients that aim to calm irritation and support skin repair. However, they are often used alongside internal treatments for more sustained improvement.