Aajonus defines eczema directly and simply: "ECZEMA is an inflammation of the skin accompanied by itching and scales. " The index of the same book confirms this cross-reference: "eczema. See dermatitis."

This definition means eczema is not treated as a standalone disease entity in his framework, but rather as one presentation within the broader category of dermatitis, an inflammatory skin condition. The presence of itching and scales are the hallmarks that identify it clinically.

In his workshops, he further characterizes eczema as a condition of extreme skin dryness that exists on a continuum with psoriasis. He states directly: "Your skin is really dry. So it's eczema right now. They'll move into psoriasis." This indicates that eczema, in his view, is not a fixed disease but a stage, one that worsens if the underlying deficiency is not corrected. The dryness, inflammation, and flaking are expressions of the body being unable to lubricate and maintain the skin properly, not a pathology in isolation.

In the workshop transcripts, he also contextualizes eczema within a broader discussion about skin disorders he encountered even among long-term Primal Diet followers: "There was still a lot of skin disorders that I couldn't control, especially in the area of cancer, when it's coming to the skin, melting the tissue away, and people with psoriasis, eczema. You know, the organs and everything, they feel better, but they look like hell. Skin disorders." This is a candid admission that even with dietary improvements, eczema and psoriasis were among the more stubborn conditions to resolve visually, they required a specific solution.

Additionally, Aajonus distinguishes eczema from other skin presentations. For example, when speaking to a client about skin toxicity passing through the skin, he clarifies: "it's not eczema or psoriasis, so what you do is just put butter." This shows he is actively differentiating eczema (a fat deficiency drying condition) from toxic-discharge skin conditions, which have a different character and different remedies.

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The root cause of eczema in Aajonus's framework is unambiguously and repeatedly stated as a butter deficiency, more specifically, a deficiency of the specific kind of raw animal fat that reaches and lubricates the skin from within.

He states this directly in response to a case of dry, itchy, scaling skin: "That's all butter deficiency."

He elaborates on why butter specifically is the required fat, not just any fat. In a passage about skin lubrication: "Only butter will do that, cream won't do that. Cream won't even get near the skin; cream is all absorbed by the glands and the organs, and the nervous system. Butter is the only thing that will get to the skin from ingesting, especially if you are using the lubrication/moisturizing formula, because it allows it to be slowly pre-digested with the lemon juice and the egg in it, so it allows the liver to handle it easily and get it to the skin."

This is a crucial distinction. Raw cream, while highly beneficial for the glands, organs, and nervous system, does not deliver fat to the skin in the same way butter does. Butter is the specific raw fat that reaches the dermal layers when consumed. Without adequate butter in the diet, the skin becomes starved of the fats it needs to remain supple, moist, and intact, and this manifests as eczema.

In a specific case assessment during a workshop, Aajonus identifies compounding factors: "You've got a history of very overactive adrenal glands, one of the widest adrenal gland areas that I've seen on both sides. So like I say, you have a lot of hormones, enough to keep you pumping. But this kind of dryness, 10 years you might find yourself in sores all over, if you weren't to change your diet."

Overactive adrenal glands produce excess adrenaline and stress hormones, which deplete fats from the skin rapidly. The combination of fat deficiency and hyperactive adrenals creates a condition where the skin cannot replenish its lipid content fast enough.

When assessing a person who had broken out in eczema before surgery, Aajonus states: "Well, you've got all this dehydrated tissue and lots of sugar by-products in there. See them always? They're trying to eat a yeast product, so they're trying to eat it. So that causes itching." This provides an additional dimension: the itching component of eczema is driven by yeast activity in dehydrated tissue with accumulated sugar by-products, the yeast consuming these by-products generates the itch sensation.

Aajonus draws directly on his own history to illustrate how medical treatment worsens the underlying deficiency. He recounts: "For over 10 years, the doctors, all they had to offer me, because the skin on my hands would become so dry and inflamed, it would crack and bleed. No, topical hydrocortisone creams. For 10 years while I was growing and developing, and I know that the skin on my hands, it looks like an old man."

He identifies the long-term consequences of hydrocortisone cream application: even years after stopping its use, the skin that was treated shows aged, damaged appearance. He observes: "The skin everywhere else on my body I think looks good, but the skin on my hands looks old." When examining a workshop attendee with similar symptoms, he confirms: "You get the same problem. Let me see the bottom. Same problem. You just need lots of cream. Raw fat. Raw, lots of cream. More cream than butter. You need cream." (Note: In this specific context he says more cream than butter, this is a case where cream is needed alongside butter, likely to address the damage from hydrocortisone; this is a contextual variation from the general protocol which emphasizes butter.)

Aajonus also identifies the use of pressed oils, either topically or consumed without sufficient butter, as a cause of skin dryness resembling eczema. In a Q&A response: "Sounds as if you are butter deficient and using too much pressed oils that dry the skin rather than lubricate it." The pressed oils, in his view, do not provide the same lubrication function as butter; rather, they contribute to dryness when used in excess or in place of butter.

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Eczema in Aajonus's framework sits primarily within several overlapping philosophical categories:

Root Cause / Terrain Theory: The foundational cause is fat deficiency, specifically a lack of utilizable raw butter reaching the skin. The body's terrain (the skin tissue) becomes deficient in the fats necessary to maintain cellular integrity, moisture, and function. This is a terrain failure, not a pathogen problem.

Cooked Food: Cooked and processed fats cannot be properly utilized by the body for skin lubrication. Aajonus states that skin cancer (and by implication other skin deficiency conditions) "develops in people who are especially deficient in utilizable fat in the skin. The fat deficiency is from not eating fat, especially raw fat, or the inability to utilize cooked and processed fat." This same logic applies to eczema, cooked fat is metabolically unavailable for skin lubrication.

Raw Food: The resolution of eczema is entirely dependent on raw foods, specifically raw butter, raw eggs, raw cream, raw lemon juice, and raw honey in the Moisturizing/Lubrication Formula. The healing does not occur without these raw food inputs.

Detoxification: The itching and scaling of eczema may have a detoxification component, yeast and other agents clearing sugar by-products and damaged cellular material from the skin. This places eczema partly in Detoxification.

How to Eat: The specific protocols, the Moisturizing/Lubrication Formula, quantities, timing, eating raw butter daily, fall within the practical guidance of how to eat on the Primal Diet.

How to Live: Aajonus's personal history with severe allergic dermatitis and his use of hydrocortisone cream for ten years, and how his diet changed the trajectory of his skin health, represents the "How to Live" dimension.

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The itching of eczema is reframed as the result of yeast activity in dehydrated tissue consuming accumulated sugar by-products. Aajonus states: "you've got all this dehydrated tissue and lots of sugar by-products in there. See them always? They're trying to eat a yeast product, so they're trying to eat it. So that causes itching." The itch is not a pathological problem but a biological process of yeast attempting to clear cellular debris.

He also offers a general remedy for itching from any skin problem, including eczema: "You make that [Primal Facial Body Care Cream], apply that to any itchy area, no matter what your problem is, no matter your skin problem, drying of the face, anywhere. You put that anywhere on your skin, anywhere on your body, itching goes away in five minutes and you don't have to reapply it until you take a bath or a shower."

The scales of eczema are reframed as the inevitable result of skin cells that are unable to maintain their integrity due to fat starvation. Without raw butter reaching the skin, cells dry out, die prematurely, and cannot be properly maintained or discarded by the body. The scales are dead cells the body cannot properly process because it lacks the fat to keep the skin's metabolic activity running.

Aajonus describes his own experience: "the skin on my hands would become so dry and inflamed, it would crack and bleed." This is understood as the endpoint of butter deficiency, the skin becomes so desiccated that it loses physical integrity entirely. It is not an infection, not an immune dysfunction, but structural failure of the skin due to fat starvation.

The inflammation accompanying eczema is understood as the body's attempt to increase circulation to the affected area in order to deliver whatever nutrients it can, and to facilitate the clearance of dead material. Aajonus notes that swelling in skin conditions generally "is the result of increased nutrient circulation to the swollen area(s) for proper cleansing and healing."

Aajonus explicitly states that eczema, if left without dietary correction, will progress to psoriasis: "Your skin is really dry. So it's eczema right now. They'll move into psoriasis." He differentiates the two: "psoriasis is lacking the fat, so everything dries out and cracks and breaks." Both are fat deficiency conditions, but psoriasis represents a more advanced and severe stage of the same underlying deficiency.

He draws a clear distinction between eczema-type dryness and dehydration: "If your skin is so dry, that it's flaking all layers, and it's not psoriasis, or eczema, you're not dehydrated. Ninety percent, of the people that, the hospital says, oh you're dehydrated, you're not dehydrated." This clarifies that the medical system's response of IV fluids for apparent dehydration is a misunderstanding, the real problem is fat deficiency, not fluid deficiency.

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This is Aajonus's primary and most emphasized remedy for eczema. He developed or co-developed this formula specifically in response to persistent skin disorders including eczema and psoriasis.

The formula:

• 1 to 2 raw eggs
• 2 to 4 ounces unsalted raw butter or coconut cream
• 1 to 2 tablespoons lemon juice
• 1 to 2 teaspoons unheated honey

Preparation: All ingredients should be room temperature. Warm all ingredients in an 8- or 12-ounce jar, capped with a blender lid. Blend until warm to the touch (the blending action generates sufficient warmth).

Frequency: At minimum one Moisturizing/Lubrication Formula per day. He states: "that usually takes at least one moisturizing formula a day. To relieve it, usually in 30 days or less in children." The timeline depends on the rest of the diet.

Why it works: The lemon juice partially pre-digests the butter, allowing the liver to process it more easily and route it to the skin. The egg provides binding proteins. The honey sweetens and helps with palatability, especially in children, Aajonus suggests "you can put more honey in it to get him to eat it first. And then lower the amount of honey in it." This is a practical escalation strategy for children or reluctant eaters.

Historical context: Aajonus recounts: "When I came up with this lubrication formula... I started experimenting with it. It was wonderful. The skin started glowing within 10 days of eating it once a day. So, it's getting where I want it to go to. You can eat the same amount of butter even more without that mixture when it never gets to [the skin]." This confirms the formula is not simply about butter quantity, the combination with lemon juice and egg changes how the butter is metabolized and where it goes in the body.

Raw unsalted butter is the single most critical food for eczema. Aajonus is unequivocal: "That's all butter deficiency." He distinguishes it clearly from cream: butter reaches the skin; cream reaches the organs, glands, and nervous system. Both are needed, but butter is irreplaceable for the skin specifically.

For the individual with hydrocortisone-damaged skin, he says: "You just need lots of cream. Raw fat. Raw, lots of cream. More cream than butter. You need cream.", this appears to be a specific variation for persons whose skin was damaged by topical steroid application, where something more than butter alone is needed to restore function. This represents a contextual variation in the protocol.

For eczema associated with acidity and itching: "if you have enough cream and tomatoes, you'll be fine. You'll be fine. You'll be sure to have your juice, even if it makes you a little sleepy." This pairing appears to address the acidic tissue state that contributes to itching. The tomatoes neutralize acid; the cream lubricates.

For cases where eczema appears associated with over-acidity from eating too much red meat: "What I'm going to suggest is that you have, every time you have red meat, you have some seafood with it. So you don't get too acid, too irritable. And lots of tomatoes." The seafood helps balance the acidity of red meat and prevents the skin irritability that can exacerbate eczema-type conditions.

Aajonus recommends vegetable juice be continued even if it causes sleepiness, in the context of eczema management. He says: "you'll be sure to have your juice, even if it makes you a little sleepy."

While not exclusively for eczema, Aajonus discusses bone marrow as a topical application for skin disorders including dry skin conditions. He recounts: "I went to Asia for two months, and I came back, and this one girl with this dry skin, this hairdresser, her skin was completely different. She lost 10 years off of her face. She's almost 50 years old now. Now she looks like she's 40, just from using the bone marrow on the skin directly." This is presented as an alternative or supplement to eating enough fat to lubricate the whole body properly.

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The most specific timeline given is for children: "that usually takes at least one moisturizing formula a day. To relieve it, usually in 30 days or less in children." This is qualified with: "Depends upon what the rest of his diet is like." The 30-day figure is a benchmark, it assumes the child is on a good overall diet with adequate animal fat, not just the lubrication formula alone.

Aajonus's own case of severe allergic dermatitis (which he describes in terms consistent with eczema, extreme dryness, cracking, bleeding, scaling of the hands) was treated with hydrocortisone for ten years during his youth. Even after years on the Primal Diet, the damage to his hands from the hydrocortisone was still visible: "the skin on my hands, it looks like an old man." This suggests that when eczema has been treated long-term with corticosteroids, the recovery timeline is significantly extended, potentially years or indefinite for the oldest damage.

He notes that for dry skin conditions generally, in the context of someone with cirrhosed tissue: "a person with cirrhosed tissue could take thirty-five years to get to optimum." While this refers to cirrhosis rather than eczema specifically, it establishes that deeply damaged tissue requires very long-term nutritional support.

He states that the lubrication formula produces visible improvements quickly: "The skin started glowing within 10 days of eating it once a day." This early response, within 10 days, suggests that even if full resolution of eczema takes longer, the formula produces noticeable changes in skin quality rapidly.

If eczema is not addressed, Aajonus warns of progression: "Your skin is really dry. So it's eczema right now. They'll move into psoriasis." And for someone with very overactive adrenal glands and extreme skin dryness: "this kind of dryness, 10 years you might find yourself in sores all over, if you weren't to change your diet." This establishes a 10-year deterioration timeline if the condition is untreated.

One woman with severe dry skin used bone marrow topically daily for approximately two months (the duration of Aajonus's trip to Asia): "she lost 10 years off of her face. She's almost 50 years old now. Now she looks like she's 40." This is a dramatic improvement in dry skin condition, not eczema specifically, but the same category of fat-deficient skin, achieved in approximately two months of daily topical bone marrow application.

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