濕疹反覆，手掌的皮變厚、變硬？中醫皮膚科＋系統還原針法

简单回答：湿疹反覆很多年，有些地方的皮会变厚、变粗、摸起来硬硬的，医学上叫「苔藓化」。这时候除了处理发炎和体质，还有一件常被忽略的事：那块皮已经不能动了。醫道閣的做法是两边一起来：中医皮肤科用中药调理体质和发炎；SRM 的 SRA 系统还原针法用很细的针、很浅地，一层一层把卡死的皮和皮下组织松开，让它重新可以滑动、慢慢变软。

Short answer: after years of eczema, some patches of skin become thick, rough and hard, which doctors call lichenification. Besides calming inflammation and working on your constitution, there is one thing that is often missed: that skin can no longer move. At Virtue TCM we work on both: TCM dermatology uses herbs for the constitution and the inflammation, and SRA (Systemic Resilience Acupuncture), part of SRM, uses very fine, very shallow needles to release the stuck skin and the layer beneath it, so it can slide again and gradually soften.

為什麼皮會變厚、變硬？

长期抓、长期发炎，皮肤会一直增厚来保护自己。从 SRM 的角度还多看一层：那一块的皮和底下的组织黏在一起、绷得很紧，层次之间没有「缓冲空间」，深浅层都乱了。我们常看到两只手一只比较严重，往往是用得比较多、被带歪的那一只；另一只比较轻，是被拉着的。皮绷得越紧，越容易一点刺激就发作。

Constant scratching and inflammation make skin thicken to protect itself. SRM adds another layer of reading: the skin and the tissue underneath are stuck together and stretched tight, with no buffer space between layers. Often one hand is clearly worse, usually the one used more and pulled out of line, while the other is milder because it is being dragged along. The tighter the skin, the more easily a small trigger sets it off.

你是不是也這樣？

・手掌或手指的皮变厚、粗、纹路很深，摸起来像皮革。
・手指弯不太下去、握拳很紧，或伸不直。
・两只手一只比较严重。
・脚底、脚跟也有一片硬皮，怎么磨都会回来。
・擦药膏红痒会退，但那块厚皮一直在。

Thick, rough, leathery skin on the palms or fingers with deep lines; fingers that will not bend or straighten fully, or a tight fist; one hand clearly worse than the other; hard patches on the soles or heels that come back however much you file them; cream calms the itch and redness, but the thick patch stays.

系統還原針法怎麼處理厚皮？

先松旁边，再松最硬的地方。完全不能动的那一块不会先碰，而是先把周围松开，让层次之间稍微可以滑动。
很细、很浅。用极细的针，只穿过那层硬皮，碰到就退，一进一出，不深扎进肌肉。
一层一层。表层松了，再处理底下黏住的筋膜；手指会一根一根摆在对的角度，让它们各自分开。
做完马上看。皮能不能推得动、手指能不能弯得比较顺，当场就检查。
多数人只觉得刺刺的，比想像中不痛，因为针是在层次之间滑进去的。

Around first, then the hardest spot. The patch that cannot move at all is not touched first; the area around it is released so the layers can start to slide. Very fine, very shallow. An extremely fine needle passes just through the hard layer and comes straight out. Layer by layer. Once the surface releases, the stuck fascia beneath follows; fingers are placed one by one at the right angle so each can separate. Checked straight away. Whether the skin slides and the fingers bend more easily is checked on the spot. Most people feel only a slight prickle, because the needle slides between layers.

从皮肤到骨架：SRM 一层一层怎么调 →

中藥還是要吃嗎？

要。针法处理的是「皮卡住了」，中药处理的是「为什么一直发炎、一直痒」：体质偏热、偏湿、偏燥，睡眠、消化、压力。两边一起做，效果比较稳。目前使用的西药或药膏，不需要自行停用，请告诉医师。

Yes. The needling deals with skin that has become stuck; herbs deal with why it keeps flaring and itching: a tendency to heat, damp or dryness, sleep, digestion and stress. Working on both is steadier. Do not stop medicines or creams on your own; tell your practitioner what you use.

什麼情況不適合，或要先看醫生？

皮肤破损、渗液、化脓或感染正在扩散；发烧；大面积急性发作；正在吃抗凝血药或有凝血问题（请先告知）。急性发作期会先以中药和照护为主，等稳定了再处理厚皮。

Broken, weeping or infected skin, or infection spreading; fever; a large acute flare; blood thinners or a bleeding disorder (tell us first). During an acute flare we start with herbs and care, and work on thickened skin once it settles.

在醫道閣

第一次先在中医皮肤科问诊（RM60），医师会看皮肤、舌脉和生活作息，再决定中药，以及哪些地方适合加上系统还原针法。Bangsar、Mont Kiara 和槟城都可以看。

Start with a TCM dermatology consultation (RM60). Your practitioner looks at your skin, tongue, pulse and routine, then decides on herbs and where SR Acupuncture may help. Available in Bangsar, Mont Kiara and Penang.

中医皮肤科 TCM Dermatology →

延伸閱讀

湿疹一直复发：擦了药膏会好，停了又回来

针灸页：我们的针有两种

体质小测验

个人情况因人而异，疗程建议需经问诊与医师评估后决定。
Individual conditions vary. Recommendations follow consultation and practitioner assessment.

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