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(Miao Xiao Er Shi Zhen Tang)

This formula is a slight modification of a formula created by Wang Ping recorded in his article “Experiential Understanding in Treating Pediatric Eczema & Atopic Eczema,” published on page 620 of issue #11, 1998 of Shi Yong Zhong Xi Yi Jie He Za Zhi (Journal of Practical Integrated Chinese-Western Medicine). Bob Flaws has added one ingredient to Wang’s formula to make it more effective for treating damp heat without damaging the spleen and stomach. Our version is a 10:1 extract in a glycerin base.

Ingredients:
Fu Ling (Poria)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Bai Bian Dou (Semen Dolichoris)
Yi Yi Ren (Semen Coicis)
Chen Pi (Pericarpium Citri Reticulatae)
Ren Dong Teng (Caulis Lonicerae)
Ma Chi Xian (Herba Portulacae)
Bai Mao Gen (Rhizoma Imperatae)
Dan Pi (Cortex Moutan)
scorched Shan Zha (Fructus Crataegi)
scorched Shen Qu (Massa Medica Fermentata)
scorched Mai Ya (Fructus Germinatus Hordei)
 

Concentration ratio:
10:1 extract in a glycerin base in a 2 oz bottle with a dropper

This formula is for use with eczema (i.e., dermatitis), including atopic eczema, in infants and young children. Eczema often starts on the cheeks at 2 to 6 months of age. The rash is most commonly found in the creases of the elbows, wrists, and knees. Sometimes eczema also occurs on the neck, ankles and feet. The rash is red and itchy. If scratched, the rash becomes raw and weepy. This is a chronic condition commonly characterized by periods of remission and relapse. It usually goes away during adolescence.

Therapeutic actions:
Fortifies the spleen and gently seeps dampness. Clears heat and abducts stagnation.

Pediatric eczema is also called seborrheic eczema and atopic eczema. It is a common problem in infants and children. It usually begins between two and six months of age with very dry and sensitive skin that will then become red and extremely itchy. It often starts on the forehead, cheeks and scalp and spreads to the trunk, creases of the elbows, knees, and wrists. With scratching the rash may become raw, crusted and weepy. Up to 17 percent of all Americans have eczema and of those, 90 percent had their first and possibly worst cases by five years of age. From a Western medical point of view, it is not yet known what causes pediatric eczema, but it  seems to run in families that have a history of asthma, allergies or atopic dermatitis. In terms of Chinese medicine, pediatric eczema is mostly of the damp heat variety. In infants and small children, this damp heat is typically associated with the endemic spleen vacuity of young childhood. Because of vacuous, weak spleen movement and transformation, there is both a tendency to food stagnation and damp accumulation. Because of children’s pure yang constitution, food stagnation and dampness easily cause depressive heat. When this depressive heat mixes with dampness, it forms damp heat which then stews and steams the blood, causing damp heat eczema. Within this formula, Fu Ling, Bai Zhu, Bai Bian Dou, Yi Yi Ren, and Chen Pi fortify the spleen and both transform and seep dampness. Chen Pi also rectifies the qi and frees the flow of the qi mechanism. Ren Dong Teng, Ma Chi Xian, Bai Mao Gen, and Dan Pi clear heat and resolve toxins, eliminate dampness and treat sores. Bai Mao Gen clears heat but does not damage the stomach. It enters the lung channel, and the skin corresponds to lung metal. According to Zhang Xi-chun, it also out-thrusts internal heat, drawing out the toxicity of pox and rashes to the exterior. Thus this ingredient is commonly used in pediatric eczema formulas for both damp heat and fetal toxins. Ma Chi Xian and Ren Dong Teng also resolve toxins and are commonly used in pediatric eczema formulas. Dan Pi also quickens the blood to help treat stubborn, lingering conditions which may have entered the network vessels. Scorched Shan Zha (Fructus Crataegi), Shen Qu, and Mai Ya, the so-called Three Immortals, disperse food and abduct stagnation. They also help the spleen-supplementing medicinals fortify the spleen. Because this formula is well balanced, it should fit the majority of pediatric eczema cases.

Dosage:

Children 2-6 months of age should initially be treated with 1-2 droppers, 2-3 times per day. At two to three-years of age, consider using 3-4 droppers, 2-3 times per day. For older children, increase this dose based proportionally or as indicated by response to treatment. In other words, increase the dose until it shows effect and decrease the dose if there are side effects. 2 droppers full = 2 grams of Chinese herbs in decoction.

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