Adding Auricular Acupuncture to Xiao-Feng-San Decoction for Treating Atopic Dermatitis

Inclusion Criteria: * Diagnosed with atopic dermatitis (AD) according to the American Academy of Dermatology guidelines and classified as mild to moderate. * Classified under Traditional Medicine as exhibiting wind-dampness-heat manifestations and prescribed Xiao-Feng-San decoction. * Voluntary informed consent. Exclusion Criteria: * Presence of other active skin diseases or skin infections requiring systemic treatment within the past four weeks or that would interfere with the proper assessment of atopic dermatitis lesions. * Use of systemic therapy for AD, including but not limited to corticosteroids, methotrexate, cyclosporine, azathioprine, phosphodiesterase type 4 (PDE4) inhibitors, interferon-gamma (IFN-γ), and mycophenolate mofetil within the past four weeks. * Use of targeted biologic treatments within the past five half-lives (if known) or within the past 12 weeks, whichever is longer. * Use of phototherapy treatment, laser therapy, tanning booth sessions, or extended sun exposure that could affect disease severity or interfere with disease assessments within the past four weeks. * Use of systemic anti-infectives within the past four weeks. * Use of herbal medicine within the past 12 weeks. * Use of topical treatments for AD, including but not limited to topical corticosteroids (TCS), topical calcineurin inhibitors (TCIs), or topical phosphodiesterase-4 (PDE-4) inhibitors within the past one week. * History of alcohol or substance addiction within the past six mon…