Hu XX, a forty-five-year-old male, suffered from psoriasis for more than ten years and was referred to our clinic for treatment in December last year. The characteristics of his disease are as follows: ① The rash becomes thicker in winter and lighter in summer, and he prefers heat to cold. The rash is patchy, not very red, scattered on the extremities and abdomen and back, with both lower extremities being the heaviest. He was given the internal remedy Huangqi Sihui Tang with extra flavor. After one week of follow-up, there was a new rash of droplets on the forearm, which is a common symptom after using warming and dispersing medicine, and it disappeared after one week of continued treatment. After there was no new rash, the patient was instructed to add moxibustion to the large rash on the body. The key points are as follows: ① Try it on one place first, if there is no obvious discomfort after moxibustion, then apply it on the whole body. If there is no significant discomfort after moxibustion, then apply it to the whole body. ② Select only the large area to moxibustion, after the large area is relieved, the surrounding small pieces tend to follow and even disappear. ③ once a day, each place from 10 minutes, gradually increase, can be moxibustion to more than half an hour, comfortable as degree. After 2 months of moxibustion with Chinese herbal medicine, I found that the rash on the patient’s legs had reduced significantly, and the abdomen had also improved, but not as much as the legs. The patient said that he usually moxibutated his legs, and it was not convenient to moxibutate his abdomen, so he did not moxibutate much. He also provided me with an important piece of information: moxibustion jars are not only more convenient, but also localized and easy to sweat, while the skin is drier after moxibustion with moxa. Sweating is a necessary and very good phenomenon in psoriasis treatment. Chinese medicine says micro sweating is Yang Qi reaching the skin and fluids to also, while western medicine says it is the improvement of skin microcirculation and elimination of toxins. This shows that moxibustion plays an important role in the treatment. For scalp type psoriasis, if the rash is not well scattered in moxibustion, you can moxibustion only the Baihui point on the top of the head, which also has a good effect. I often combine moxibustion in the treatment of plaque psoriasis. For punctate psoriasis, I usually give oral Chinese medicine, and most of them are quickly cured clinically, without trying to add moxibustion to the treatment. It is important to note that moxibustion treatment is generally not used for the progressive stage, but only for the stable and fading stages. The experience of staging comes from a friend of mine who has suffered from psoriasis for many years and is known as a “special expert” in the dermatology department of the provincial central hospital. The doctors encounter psoriasis patients who love to ask questions, and when they get annoyed they let the patients consult this buddy, and every time they get a satisfactory answer. The way he treats psoriasis is: progressive period regardless of it, stable period on the body baking lamp, head with Mengfu, each relapse surprisingly can basically get. The experience of moxibustion for psoriasis comes from old Mr. Ma Shaoqun, a famous old Chinese doctor in Tianjin. The following are two typical cases of Mr. Ma, both of which are pre-1965 cases, excerpted as follows: Case 1: Li XX, male, 49 years old, living in Wangzhuang Street, Hedong District, Tianjin, first diagnosed on September 20, 1965. (1) Medical history and symptoms: The patient developed a piece of psoriasis on each wrist three years ago, which was diagnosed as neurodermatitis by the dermatology department of a hospital and was ineffective after treatment. Now both lesions are about 9×150px in area, thick and solid, with unbearable prickly itch. (2) Treatment: (moxibustion by Zhang Shengren), only the affected area, moxibustion three times, the prickly itch reduced. Later, the affected skin becomes softer, thinner, and gradually changed to normal skin. A total of 40 days of moxibustion, basically cured. Case 2: Liu XX, male, 49 years old. He lived in Shuangjiekou, Hongqiao District, Tianjin, China. (1) History and symptoms: the left knee has been suffering from neurodermatitis for 15 years, going to the hospital every day for infrared local heat therapy, otherwise the itching is unbearable, now the lesion area has reached about 24 × 225px, purple-black, thick as cowhide, itching. (2) Treatment: He was instructed to moxibustion Quchi, Blood Sea for 25 minutes and the affected area for 30 minutes, twice a day. After one month of moxibustion, the prickly itchy feeling was reduced, and the patient compared that warm moxibustion was more effective than infrared heat therapy; after one year of moxibustion, the skin of the damaged area had subsided, but the rash still started for several days without moxibustion, and there was still mild itching; moxibustion to a year and a half of itching at the lesions, and no new lesions would appear without moxibustion. In order to consolidate the efficacy, he was asked to moxibustion for another six months, and has not returned to the disease after stopping moxibustion. Clinical experience: neurodermatitis, the short duration of the disease, the rash range is small, only moxibustion can be effective in the affected area. If the lesions are chronic and hard for years, moxibustion must be applied for a long time to eradicate the disease. Moxibustion jar diagram