Itchy inner thighs in overweight individuals, worsening with scratching, accompanied by small red bumps.

In general, itching on the inner thighs of overweight individuals, which worsens with scratching and is accompanied by small red bumps, may be related to yin deficiency with damp-heat, elephantiasis, allergies, herpes, or rheumatic skin diseases. Patients are advised to follow medical guidance for symptomatic treatment. Specific analyses are as follows:

1. Yin Deficiency with Damp-Heat

This usually refers to insufficient yin in the body combined with external invasion of damp-heat pathogens, leading to accumulation of dampness in the body and triggering various symptoms and illnesses. Yin deficiency with damp-heat can cause symptoms in multiple areas of the body, including itching on the inner thighs along with small red bumps. Patients are advised to keep the skin dry, avoid moisture, wear breathable clothing, and maintain good ventilation.

2. Elephantiasis

Elephantiasis is a skin disease caused by infection with filarial parasites, typically affecting the skin of the hands and legs. Symptoms include red patches, blisters, itching, and pain. Patients may use medications such as compound ketoconazole cream or miconazole nitrate cream under medical supervision.

3. Allergy

Certain substances, such as laundry detergents or cosmetics, may trigger allergic reactions, causing itching and small red bumps on the inner thighs of overweight individuals. Patients should avoid contact with allergens and may use medications such as compound acetic acid dexamethasone cream or tacrolimus ointment as directed by a physician.

4. Herpes

Herpes is a common infectious disease caused by the herpes virus, primarily manifesting as blisters on the skin or mucous membranes, accompanied by symptoms such as itching and pain. Patients may take ribavirin tablets or acyclovir tablets as prescribed by their doctor.

5. Rheumatic Skin Diseases

This category includes skin conditions associated with rheumatic diseases, such as rheumatoid arthritis, systemic lupus erythematosus, and scleroderma. These diseases are often accompanied by skin lesions, including erythema, plaques, scaling, and blisters. Patients may take medications such as aspirin tablets or ibuprofen sustained-release capsules under medical guidance.

Patients are advised to seek timely medical attention when experiencing discomfort and to undergo standardized treatment under a doctor's supervision, which helps promote recovery.