As Winter Winds Rise, Atopic Dermatitis Patients Battle Endless Itch and Sleepless Nights

[Physician's Column] By Inmi Son, Director of Misoro Korean Medicine Clinic, Cheonan Branch

Healthcare | 2025-10-27 18:14:12
[medi K / HEALTH IN NEWS] Relentless itching day and night robs patients of sleep, leaving scratched skin oozing and scarred in a cycle of repeated suffering. Often dismissed as a mere skin condition, atopic dermatitis is in fact a chronic disorder rooted in immune dysregulation and impaired internal circulation.

The disease weakens the skin barrier, rendering it hypersensitive to external irritants, while disrupted flow of heat and moisture inside the body exacerbates inflammation. Though visible on the surface, its core lies in blocked internal pathways. Central to recovery is restoring balance in the san jiao—or triple burner—a Traditional Chinese Medicine concept describing the interconnected channels that regulate water and energy metabolism across the upper, middle, and lower body.

Inmi Son, Director of Misoro Korean Medicine Clinic, Cheonan Branch
Inmi Son, Director of Misoro Korean Medicine Clinic, Cheonan Branch


When san jiao circulation functions smoothly, immune responses stabilize and the skin regains its innate healing capacity. Stress, sleep deprivation, and poor diet impair this system, causing heat to surge upward and leaving skin dry and pruritic in a vicious loop. San jiao modulation therapy targets these internal stagnations, normalizing heat and fluid dynamics so the skin can self-soothe.

Even as circulation improves and inflammation gradually subsides, the symptom patients dread most remains incessant itching. Far more than discomfort, it signals barrier collapse and undermines sleep quality. Fatigue and stress from sleepless nights then worsen flares. An effective adjunct is wet dressing, which maintains consistent moisture to optimize the regenerative milieu.

By preventing excessive desiccation—which heightens nerve sensitivity and pruritus—wet dressing preserves hydration, shields damaged areas, curbs inflammatory spread, and directly mitigates itch. It is particularly valuable in curbing nocturnal scratching.

Atopic dermatitis management thus extends beyond pharmacologic suppression of inflammation. Restoring systemic circulation to rebalance immunity and creating an ideal environment for epidermal repair are essential. Combining san jiao modulation with wet dressing interrupts the itch-inflammation cycle and supports barrier restoration.

Long-term control, not quick fixes, is the cornerstone of care. Once internal flow is reestablished and the skin regains self-healing capacity, the inflammatory-pruritic loop steadily breaks. Prioritizing equilibrium over urgency allows the skin to return to homeostasis.

Lim Hye Jung / press@themedik.kr
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