OBJECTIVE: To investigate the application of traditional Chinese medicine decoction pieces in the treatment of eczema in the hospital

so as to explore the medication pattern of traditional Chinese medicine in the treatment of eczema. METHODS: From 2018 to 2021

3 401 prescriptions of traditional Chinese medicine decoction pieces diagnosed as eczema were extracted from the outpatients of the hospital

and patients’ age

gender and frequency of using single traditional Chinese medicine decoction pieces were investigated and analyzed. RESULTS: Of the 3 401 prescriptions of traditional Chinese medicine decoction pieces in the treatment of eczema

there were 1 213 prescriptions for males（35.67%） and 2 188 prescriptions for females（64.33%）

with more females than males. Patients ranged from 4 to 96 years

with an average of 50 years

and most patients were from 30 to <70 years. Totally 432 kinds of traditional Chinese medicine were included. The drug categories of the top 50 Chinese herbal medicines in the order of use frequency were antipyretic drugs

deficiency tonics

dampness-relieving drugs

Qi-regulating drugs

dampness-transforming drugs

coughing and asthma-relieving drugs

blood-stasis-activating drugs

epithelial-relieving drugs

liver-suppressing and Yang-suppressing drugs

laxative drugs

and rheumatism-eliminating drugs. CONCLUSIONS: In the treatment of young patients with eczema

traditional Chinese medicine is mainly used to clear dampness and heat

invigorate spleen and reduce dampness. For elderly patients

according to the body characteristics

drugs are mostly in nourishing blood

moistening the skin and removing dryness

dispelling wind and relieving itching

and additionally combining with blood activating

damp dispelling and spleen strengthening drugs can prevent elderly patients from intolerating the bitter cold

slippery and seepage of damp-heat clearing drugs. Through the application of individualized treatment of traditional Chinese medicine syndrome differentiation and treatment

according to the different conditions of eczema medication

its curative effect is precise and has unique advantages

which is worthy of clinical application and promotion.