This is a big problem, and there are many doctors talking about it, I am a clinician a doctor, I just want to talk about my experience from the perspective of a clinician, probably immature, please reserve my right to continue to modify: First: do not overly believe in the effectiveness of topical drugs, topical drugs for psoriasis many varieties, especially super-potent glucocorticoids combined with retinoids, in the early stage of disease treatment, often The treatment is effective, but the remission time is very short, and long-term use, will gradually fail, a viewpoint that the available weak effect gradually replace the strong effect, but only the theory, in practice, may not be good to use. There is another point of view, is the application of tacrolimus, but this drug is so expensive, not to mention the effect, the large area of application, the general price of patients can not afford, even if they can afford, whether it is really safe, there is no large sample data to support. The reason why you can’t use topical drugs alone is clear when you think about it, psoriasis is a physical and mental disease, attention should be paid to the whole body conditioning, rather than “skin” treatment “skin”. Only one situation can be used alone, the late stage of treatment, the disease is basically controlled, only need to maintain the topical drugs available. The second: blindly believe in prescriptions, because the disease is prone to relapse, patients often do not die, and seek medical advice around, many “old Chinese doctors” “old military doctors” “ancestral secret recipes” came into being, there are more There are even irresponsible ones who, under the banner of traditional Chinese medicine, add drugs containing “hormones” or “immunosuppressants” to the patients’ herbal drinks. I sometimes tell patients: We have been studying this disease for decades and graduated from a regular course, but we are still no match for a charlatan. Some patients also argue: so-and-so patients were once cured by him, I will say: just curing a patient can show that his level is high, now the medical market is very complicated, tell first-time patients a shortcut, ask more about the feelings of old patients who have been suffering from the disease for decades, they have taken a detour, now think, why patients will take a detour, is it just the patient’s own reasons, I think the doctor’s I think the doctor’s “popular science” is far from enough, just busy seeing patients and prescribing drugs, who will be obliged to bring patients together to do a little popular science publicity, over the years, we are gradually aware of this aspect of the problem, the great doctor to cure the disease, prevention is more important than treatment, next year when appropriate, we will be the local patients, free of charge to carry out popular science lectures, is planning In the planning stage. The third: biased Chinese medicine or biased Western medicine, years of treatment experience, the best results is a combination of Chinese and Western medicine, blind bias is inappropriate, now some simply engaged in Western medicine, said that Chinese medicine is toxic, indeed some Chinese medicine is toxic, such as the often said Mouton, but Chinese doctors have a number of drugs, toxic drugs will not be prescribed, at least for the treatment of skin diseases, there is no need to prescribe toxic drugs. There are many who believe in Chinese medicine alone, but many serious illnesses, such as erythrodermic psoriasis, pustular psoriasis, large plaque psoriasis, the effect of Chinese medicine alone, may not be ideal, so it is best to combine Chinese medicine and Western medicine, the difficulty of this combination is that the doctor must both fine Chinese medicine and understand Western medicine. Fourth: Many patients seek treatment and lose confidence in treatment. I believe that although psoriasis is prone to recurrence, the frequency of attacks will be reduced and the intensity will be weakened through the combination of Chinese and Western medicine. Finally, I hope that patients reading this article can find a good local doctor who combines Chinese and Western medicine, pay for treatment abroad, not a long-term solution, to be honest, I would prefer local patients to read this article, I hope it will help you. Some patients may ask, what are the characteristics of your hospital for psoriasis, my side has all the features, light therapy, all the Chinese and Western drugs, including internal drugs, external lotions, creams are available, but unfortunately not yet carried out spa, is in the planning, will soon be carried out, the essence of Chinese medicine treatment is dialectical treatment, we have been exploring for many years, the formation of a set of agreement formula, the effect can still be.