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Last reviewed: 06.07.2025

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Erysipelas, or erysipelas, is an anthroponotic infection caused by group A hemolytic streptococcus. This disease is quite difficult to cure, often becomes chronic - especially in cases where the patient does not consult a doctor immediately after the first symptoms appear. However, successful treatment of erysipelas is possible - for this, you need to follow all the advice and instructions of the dermatologist.
When prescribing medications for the treatment of erysipelas, the doctor will take into account the degree of clinical manifestations, the severity of the disease. However, any treatment of erysipelas is impossible without the use of antibiotics, with an integrated approach to the problem.
Antibiotics are necessary because erysipelas is of infectious origin. To enhance the effect, antiallergic drugs, vitamins, and mineral complexes will be added to antibiotics.
Often, already at the recovery stage, physiotherapy is added to the main treatment:
- ultraviolet radiation;
- magnetic therapy;
- laser treatment.
How does treatment differ for erysipelas on the leg, arm, and face?
There are no differences in the treatment of erysipelas depending on the localization of the pathological process. Treatment of erysipelas is carried out according to the same principles, regardless of which part of the body is affected.
Treatment of bullous erysipelas
In bullous erysipelas, detachments and inflamed blisters appear at the sites of damage. This is not a very good sign, since such inflammation can be complicated by the formation of phlegmon or abscess, as well as trophic ulcers.
Treatment of this form of erysipelas is often accompanied by surgical intervention: the doctor opens the abscesses and cleans them. The wound is not sutured, but drains are installed for the free outflow of liquid discharge. During the operation, all dead tissue is removed. To prevent infectious complications, the wound is treated with antiseptic solutions. It is appropriate to use chlorhexidine solution.
The operation itself is not complicated and lasts about 35 minutes.
Treatment of erythematous erysipelas
With erythematous inflammation, erythema appears on the painful skin, the tissues swell and become inflamed. The erythema is bright, clearly defined, slightly raised above the rest of the skin. This form of the disease can be considered the mildest - its treatment is simple, it lasts about 15-20 days. Antibiotics help stop local inflammation and suppress the development of streptococci, as a result of which the affected skin is renewed.
After the redness has subsided, a specific film remains on the affected area, which is the "old" skin that is being rejected. When this film comes off completely, it will need to be easily removed. Underneath it, renewed epithelial tissue will be exposed, which may peel off for some time - this is considered one of the signs of recovery.
Treatment of recurrent erysipelas
If erysipelas occurs several times on the same skin area, then we speak of a recurrent form of the disease. Why does this happen? The fact is that the causative agent of erysipelas suppresses the immune defense in the body: this is what causes repeated damage. Unfortunately, specialists have not yet developed specific preventive measures. Treatment of erysipelas is carried out according to the standard scheme, but special "emphasis" is recommended to be placed on maintaining immunity - this is the only way to prevent the recurrence of the problem.
Principles of treatment of uncomplicated erysipelas
In uncomplicated cases of erysipelas, standard conservative therapy is prescribed, most often on an outpatient basis.
The basic principles of the treatment regimen are:
- Antibiotic therapy – medications from the group of protected penicillins (for example, Amoxiclav) and sulfanilamide agents (for example, Sulfadimethoxine or Sulfadiazine) are optimally prescribed. In more complex cases, the use of Ceftriaxone is indicated. The usual course of antibiotic therapy lasts 1.5-2 weeks.
- Antiallergic treatment of erysipelas is necessary to support the immune system, as streptococci can lead to the development of reactions similar to allergic ones. The optimal use of antihistamines is Loratadine or Desloratadine, or cheaper Suprastin or Diazolin.
- Taking analgesics is necessary to relieve pain. Non-steroidal anti-inflammatory drugs are usually used to treat erysipelas - for example, Nimesil, Meloxicam, Ibuprofen. They are taken only in cases where there are no problems with the digestive tract, since these drugs can negatively affect the gastrointestinal mucosa.
- External treatment of erysipelas includes regular dressings. The use of ointments is not recommended; the optimal drug is considered to be a 0.005% chlorhexidine solution.
Treatment of erysipelas in diabetes mellitus
Erysipelas in patients with diabetes is a consequence of the processes of death and destruction of the capillary network. This leads to the fact that the treatment of erysipelas is greatly complicated. Against the background of standard antibiotic therapy and antihistamine treatment, the patient will necessarily be prescribed vascular-strengthening and cardiovascular drugs, and detoxification therapy will be carried out. Unfortunately, the prognosis in such a situation is not in favor of the patient: erysipelas often develops into gangrene.
Methods of treating erysipelas
As already mentioned above, the main point of the complex approach to the treatment of erysipelas is antibiotic therapy. If the treatment of erysipelas with antibiotics is carried out on an outpatient basis, then oral medications are prescribed. In a hospital setting, injection of drugs is possible.
- Treatment of erysipelas with Penicillin leads to binding of enzymes of the cellular microbial membrane and, as a result, to the death of the bacteria. Penicillin causes the destruction and death of the microbe. To enhance the effect of Penicillin, Furazolidone and Sulfadimethoxine can be added to the treatment.
Penicillin injections are administered intramuscularly or subcutaneously in the affected area. Before the injection, the limb is compressed over the painful area. 250 thousand - 500 thousand units of benzylpenicillin are administered in the morning and evening. The duration of therapy is from one to three weeks.
Treatment of erysipelas with Bicillin 5 is carried out to prevent repeated episodes of the disease. One injection is prescribed once a month for two or three years.
- Treatment of erysipelas with Amoxiclav is carried out at 1 g in the morning and evening (for adult patients). It is also possible to use it in children, in an amount of up to 20-40 mg per kg of weight (daily amount, which is divided into three doses). For the treatment of erysipelas in the elderly, the functionality of the liver is examined in advance, since Amoxiclav can cause the development of side effects from this organ.
- Treatment of erysipelas with Erythromycin helps stop bacterial growth, and at high levels of the drug in the blood, the microbes die. Erythromycin is usually taken orally at 0.25 g, up to five times a day 60 minutes before meals.
- Ceftriaxone is extremely effective in treating erysipelas, so it is prescribed only in extremely difficult cases when other drugs become ineffective. Ceftriaxone is a third-generation cephalosporin, it is well tolerated by most patients and even pregnant women. This drug is contraindicated in diseases of the hepatobiliary system.
Ceftriaxone is taken 1 g in the morning and evening (adults), and children - 50-70 mg per kg of weight in two parenteral administrations.
- Treatment of erysipelas with ointments during an exacerbation is strictly prohibited. It is strictly forbidden to use Vishnevsky ointment, any antimicrobial ointments and preparations with ichthyol. External treatment usually consists of applying wet compresses with chlorhexidine, 0.02% furacilin, hydrogen peroxide.
For example, many people are interested in whether it is possible to treat erysipelas with Biodermin, a complex remedy for skin restoration and strengthening. Experts are sure that this cream should not be used in the acute and subacute periods of erysipelas. Theoretically, its use is possible only after the affected skin area has completely healed.
- External treatment of erysipelas with Dimexide involves treating the affected areas with a 30% solution three times a day. To apply the solution, use a cotton swab or a special spray nozzle. The course of Dimexide use is no more than 1.5–2 weeks. In rare cases, doctors use the solution until the painful symptoms are completely eliminated.
Before using Dimexide for the first time, it is essential to conduct an allergy test.
- A course of treatment with Prednisolone is prescribed if erysipelas is severe, for example, with bullous hemorrhagic erysipelas, with recurrent lesions with the development of lymphostasis (the so-called elephantiasis). Prednisolone is used at 60-90 mg, against the background of detoxification therapy (infusion of hemodez, polyglucin, glucose solution, saline) and the introduction of 5-10 ml of a 5% solution of vitamin C.
After completion of the general treatment, the patient must undergo a course of preventive intake of B vitamins and drugs to restore intestinal flora.
If the inflammatory process has affected the lower limbs, then further use of elastic bandages is recommended to reduce the likelihood of congestion in the venous and lymphatic vessels.
Home Treatment for Erysipelas
Most patients suffering from erysipelas undergo treatment at home. And the first thing the specialist advises them is to change their diet. For example, to conduct a conditional fast for 5-7 days to cleanse the body. This type of fasting involves abstaining from food, but water, lemon and orange juice are allowed. After a few days, when the condition normalizes, you can gradually eat the following vegetables and fruits:
- apples;
- pears;
- apricots;
- peaches;
- citrus fruits;
- carrot.
It is allowed to include fresh milk and kefir, as well as natural honey, in the menu. This type of diet should be maintained for about 10-14 days (longer is not recommended). It is permissible to eat a small amount of dried fruits, pre-soaked in water. Any baked goods and meat products are prohibited. You can drink regular water or warm green tea, up to two liters per day, as well as whey.
- The healing process is accelerated by applying lotions with an infusion of rose hips and raspberries. One spoon of flowers is brewed with a glass of boiling water and infused. Lotions are used six times a day.
- Compresses of fresh yellow water lily leaves help relieve inflammation. However, such treatment of erysipelas is only available in the summer.
- A good effect is achieved by such a compress: a mixture of dark flour, elderberry leaves and honey is prepared. The mass should be mushy and easy to apply.
- You can make this powder: grind dry chamomile and coltsfoot flowers in a coffee grinder. If you add honey to this powder and take the medicine 1 teaspoon three times a day, the pain and itching will go away in a few days.
- Grated raw potato is spread over a cotton cloth and used as a compress to heal the wound.
- An ointment based on propolis, which can be purchased at a pharmacy, helps well. They say that propolis allows you to cure erysipelas in four days.
Folk treatment of erysipelas
- A medicine is prepared from the rhizome of the burnet: 1 tbsp. of the ready-made pharmacy tincture is diluted in 100 ml of clean water, used for compresses on the affected areas. The compress will relieve the burning sensation in a short time, stop the development of the inflammatory process, and improve the well-being of the patient. If there is no tincture of this plant, then it can be replaced with an aqueous infusion.
- Apply a thick layer of fresh homemade cottage cheese to the affected area, changing it as it dries. This method will help to restore damaged tissues faster.
- Grind the rhizome of medicinal black root in a meat grinder. Spread the mass on a gauze napkin and apply to the affected skin. This method can quickly relieve pain, swelling and fever.
- Squeeze the juice from chamomile and yarrow plants. Mix a tablespoon of the resulting juice with 4 tablespoons of quality butter. Apply the mixture to the affected skin three times a day.
- Grind the celery tops in a meat grinder, wrap the resulting mass in gauze and apply to the painful area of the skin for at least half an hour. If you don’t have celery, you can replace it with fresh white cabbage leaves.
- The bean pods are ground into powder, which is then sprinkled onto the wound surface.
- The first stage: place black elderberry leaves in a saucepan and pour boiling water over them so that the water level is 2 cm higher than the raw material. Boil the decoction for a quarter of an hour, then let it brew for about an hour. The second stage: roast unwashed raw millet in a frying pan, grind it into powder and sprinkle it on the wound surface. Put a cloth soaked in elderberry decoction on top. It is better to do this bandage before going to bed. The next morning, remove the bandage and wipe the skin with the decoction. They say that three such bandages are enough to treat erysipelas.
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Treatment of erysipelas with burdock and sour cream
A fresh burdock leaf, selected according to the size of the affected area of skin, is smeared with "old" village sour cream: the product should be thick, rancid - so to speak, spoiled. The smeared leaf is bandaged to the affected area, the bandage is changed two or three times a day. Additionally, you can sprinkle the wound with dry powder from burdock leaves or coltsfoot. This method allows you to cure erysipelas within a few weeks.
Treatment of erysipelas with red cloth
Among folk methods of influencing erysipelas, red fabric is widely used. Why exactly red is unknown, but this method is very popular and, what is important, effective. Its essence is as follows: the affected limb is wrapped in red fabric, tow is spread over the fabric, which is then set on fire.
An alternative method can also be used: wrap the affected area in a red cloth and move a hot stream of air from a hair dryer over it (until it starts to burn). After the procedure, it is recommended to apply a saline dressing to the wound.
Treating erysipelas with chalk and red cloth also helps. Take a cloth, sprinkle it with crushed chalk (regular, without dyes), and tie it tightly to the affected limb. You can simply sprinkle the wound with chalk and bandage it with cloth. The bandage should be done twice a day. When the redness passes, you can additionally treat the affected area with homemade apple cider vinegar.
Plasmolifting in the treatment of erysipelas
The main stimulating antibacterial treatment may be autohemotherapy, infusion of blood substitutes, blood transfusion in severe toxemia, administration of gamma globulin, antistreptococcal vaccine or staphylococcal anatoxin. As for plasma lifting - a modern therapeutic method - its use in the acute stage of the disease is contraindicated. Erysipelas is an infectious disease, so the main point in treatment should be antibiotic therapy.
Plasmolifting involves subcutaneous injections of platelet-rich plasma from the patient's own blood. Since platelets contain growth factors, such a procedure should provoke the restoration and growth of young skin tissue.
In what cases can treatment of erysipelas using plasma lifting be justified? Only when the inflammatory process is stopped, the infection is completely stopped, but there are still unsightly marks on the skin that the patient wants to get rid of. In such a situation, plasma lifting can help.