Q I have had prurigo nodularis for a long time. Is a complete cure possible?
A Prurigo nodularis is a chronic neurodermatitis characterized by hard nodules with intense itching appearing repeatedly throughout the body, and it can take months to years to achieve complete remission. Since the act of scratching itself worsens the nodules in a vicious cycle, blocking the itch sensation is the key to treatment. Korean medicine treatment addresses blood deficiency and wind-dryness (血虛風燥) to fundamentally reduce itching.
Detailed Answer
Prurigo nodularis is a chronic dermatitis where the epidermis thickens due to persistent scratching stimulation and hard nodules (nodules) form. It is often accompanied by systemic diseases such as atopic dermatitis, renal failure, liver disease, and HIV, requiring simultaneous management of the causative condition. Central and peripheral nervous system hypersensitization (sensitization) causes intense itching, and if left untreated, the number of nodules can increase to dozens.
Korean Medicine Clinic Perspective
In Korean medicine, prurigo nodularis is viewed as a state of blood deficiency and wind-dryness (血虛風燥) where body fluids have been depleted by prolonged scratching and blood deficiency has deepened, cutting off the nutrient supply to the skin. Danggui Eumja (當歸飮子) and Samul-tang (四物湯) are used to replenish blood, and Sopung-san (消風散) to dispel wind and reduce itching. Acupuncture at Ashi points and moxibustion on the nodule areas improve local blood circulation and help soften nodules, and treatment for 6 months or more is recommended.
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