What should I do about dry, peeling skin around the mouth?

In Traditional Chinese Medicine (TCM), peeling of the lips is generally attributed to “excess internal heat.” However, lip peeling can also be influenced by environmental factors—such as cold, windy weather during seasonal changes. Additionally, long-term consumption of spicy foods, chronic sleep deprivation, irregular eating habits, or prolonged selective eating may also contribute to localized desquamation.

Another common cause is allergic reactions, which frequently trigger inflammation around the lips—termed cheilitis. Clinical manifestations of cheilitis are varied and may include dryness, fissuring, localized swelling, erythema, scaling, cracking, exudation, and crusting. In severe cases, erosions may develop; therefore, timely treatment is essential. It is crucial to identify and eliminate underlying triggers and minimize exposure to external irritants.

During treatment for cheilitis, maintaining good hygiene is vital. Avoid licking the lips with your tongue. If dryness or minor bleeding occurs, topical antibiotic or corticosteroid ointments may be used—but only under a physician’s guidance. For cases involving exudation or crusting, professional medical evaluation and management—such as localized wet compresses—may be required at a hospital. Topical corticosteroids may also be prescribed to facilitate healing.

When significant lip swelling is present, physical therapies may be considered. Until full recovery is achieved, avoid applying lipstick and minimize late-night activities. Engaging in moderate outdoor exercise can help improve adaptation to dry climates and support overall recovery. During dry seasons, lip moisturization is especially important—using glycerin-based lip balms or similar emollients helps maintain lip hydration.