足癣是由红色毛癣菌、须毛癣菌等皮肤癣菌所引起的足部浅表皮肤真菌感染，俗称“脚气”。 其病变常发生在足趾间、足跟、足跖、足部侧缘等部位，出现水疱、脱屑等表现，并伴有一定瘙痒。

足癣具有一定传染性，致病菌可以在人与人之间、人与动物、污染物与人之间传播。患者感染足癣前常有在公共浴室、游泳池、健身房等公共区域中裸足行走、共用毛巾或误穿足癣患者鞋袜的经历，直接或间接接触致病菌而被感染。

足癣的全球自然人群发病率在10%以上，以成年男性多见，往往年龄越大发病率越高。然而今天来诊的患者是个不到10岁的孩子。

01小小年纪就得了足癣

来诊时，孩子的右脚发红脱皮已有2月余，部位主要集中于前脚掌及脚趾处，脱皮处皮肤疼痛、瘙痒，临睡前、不活动的时候瘙痒明显，活动时不感觉痒。平素胃纳佳，睡眠可，大便1-2天一次，软硬适中，小便正常。

湿热环境是足癣的促发因素，例如足部多汗、经常着不透气的鞋子。我经过详细的询问得知，孩子上的是寄宿学校，学习生活都托给了学校老师。这个季节因担心孩子感冒着凉，所以统一让孩子们晚上时穿着袜子，加上白天孩子跑跑跳跳的出汗了自己也不会注意，逐渐发病。

家长注意到孩子的不适后，曾予艾叶水泡脚，涂抹艾灰均无效，遂改用苦参散外洗，稍有改善。

我将孩子的症状转化为词条录入中医大脑，考虑到孩子目前最难受的症状为“皮肤痒”，我将“皮肤痒”推高为主症，中医大脑推荐处方如下：

▲ 中医大脑

中医人工智能辅助诊疗系统

同时，针对局部皮肤的问题，我给孩子配了问止精心研制的特效药——问止太乙膏，每日外涂，按需使用。

02一诊显效

1周后家长反馈孩子的右脚除了早上起来脚趾缝有些痒，其他时间不痒了，脱皮处皮肤已不再疼痛，服药期间胃口很好，但大便还是黏。

效不更方，于是我选择守方，给孩子继续开了一周的汤药。

03病人不忌嘴大夫跑断腿

服药的第十天，我回访时家长告诉我孩子病情不轻反重，不仅右脚反复，左脚仅也出现了病变。

根据我多年的经验，小孩子的病，病情反复，八成是忌口这一环节出现了问题！

一询问，果不其然，就是花甲惹的祸！

04严格忌口，快速好转

随后，孩子家长开始重视忌口的问题。果不其然，孩子的病情快速得到了控制，6天的药后，基本痊愈。

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