Ten questions and ten answers about psoriasis

  1.What is psoriasis?
  A: Commonly known as “psoriasis”, it is a very common and easily recurring skin disease that is considered to be a persistent skin disease because of its long course and easy recurrence.
  2.What are the main manifestations of psoriasis?
  A: The clinical manifestations of psoriasis are diverse and vary greatly in severity, and the main skin manifestations can be summarized as skin erythema and layers of flaking. According to its clinical characteristics, it is divided into common type, joint type, pustular type and erythrodermic type. The prevalence of the common type accounts for about 95% of psoriasis, so the majority of patients are of the common type. The joint type accounts for about 2% of psoriasis. In addition to the typical common skin lesions, it is also accompanied by arthritic lesions, and both large and small joints can be involved, most of which are swollen and painful in small joints of hands and feet. The pustular type accounts for about 0.69%, which is characterized by dense, pinpoint-sized sterile pustules that increase rapidly and can fuse to form a “pus lake”, and then peel off after the pustules dry up, and so on repeatedly. Erythrodermic type accounts for about 0.98%, which is commonly found in the phase of fading of common psoriasis improperly treated or generalized pustular psoriasis, manifesting as diffuse flushing, swelling and desquamation of the skin all over the body.
  3.Can psoriasis be hereditary?
  A: Psoriasis has a certain genetic tendency, and often has a family history of morbidity. Some domestic genetic epidemiological surveys show that the incidence of psoriasis is relatively high in people who are related to known psoriasis patients.
  However, genetic factors are only a small part of the causes of psoriasis, and it is mainly the acquired predisposing factors that lead to the onset of the disease. Therefore, even if a loved one has the disease, there is no need to worry too much.
  4.What are the common triggering factors?
  A: There are many triggering factors for psoriasis, and some of them are difficult to avoid completely. Flu, pharyngitis, tonsillitis, mental tension, accidental stimulation, spicy hair, skin trauma, perm dyeing, humid environment, etc. can trigger it.
  5.Is psoriasis contagious to each other?
  A: No. Psoriasis is not caused by infectious pathogenic microorganisms, so long-term close contact will not infect others.
  6.Can psoriasis be “rooted out”?
  A: Generally speaking, psoriasis is not easy to go to the root, and is prone to recurrence under the action of some triggers, and some advertisements promoting “psoriasis can go to the root” are not credible. However, psoriasis can be cured and the skin can be restored to normal. Some patients who are cured and pay attention to daily care can not relapse for more than ten or even twenty or thirty years. The goal and principle of psoriasis treatment should be to control the disease, reduce symptoms such as erythema and flaking, slow down the development of the disease to the whole body, reduce the frequency of recurrence, and improve the quality of life of patients. As long as reasonable treatment and pay attention to personal life care, the quality of life of the vast majority of psoriasis patients will not be affected.
  7.What are the advantages of Chinese medicine treatment?
  A: Chinese medicine treatment emphasizes the balance of yin and yang and overall regulation. This method can not only significantly improve the symptoms, take into account both the symptoms and the root cause, and have stable efficacy, but also prevent the recurrence of psoriasis more effectively. In addition, Chinese medicine has flexible and diverse drug delivery channels, which can be used internally, external washing, external rubbing, bathing, acupuncture, etc. The clinical efficacy is precise and the side effects are small, which is in line with the characteristics of psoriasis requiring long-term treatment.
  8.Is it necessary to kill all the skin lesions?
  A: Some psoriasis patients may have experienced that with the treatment, most of the skin lesions have faded, leaving one or two pieces, and there is little effect even if the treatment is continued for 1-2 months, so should we stick to the treatment or suspend the medication? In fact, most of the lesions have faded (more than 90%) and have reached the standard of clinical healing. On the other hand, the treatment of psoriasis does not simply pursue the complete fading of the lesions, but should weigh the clinical efficacy and safety of the drugs. “Three points of treatment, seven points of nourishment”, after the clinical results, then should focus on personal life care.
  9.What should psoriasis patients pay attention to in their lives?
  A: Quit drinking: alcohol not only induces psoriasis but also affects the course of the disease and the state of the disease. Drinking alcohol can worsen the pre-existing disease, and heavy drinkers may have more serious and extensive disease and heavier inflammation.
  Avoid the occurrence of colds, pharyngitis and tonsillitis: Streptococcus haemolyticus is one of the triggering factors of the disease, and attention should be paid to self-care in daily life to avoid the occurrence of these diseases, and once they occur, they should be actively treated.
  Maintain good mood: skin is one of the expression organs of the internal mental activities of the human body, and in a sense, we can think that psoriasis belongs to a kind of skin psychosomatic disease. Tension, irritability, depression, severe emotional stress, etc. may cause physiological dysfunction and induce or aggravate psoriasis lesions.
  Sunbathing: Proper sunbathing is beneficial to psoriasis, but there are also precautions: strong light exposure should be avoided during the progressive period of skin lesions; the morning or afternoon when sunlight is not too strong should be chosen; too long sunbathing should not be carried out, generally within half an hour.
  Do not scratch and scald the lesions, do not forcibly peel off the skin flakes, do not rub with a bath towel, do not use strong alkaline soap.
  10.How to prevent recurrence?
  A: In order to reduce the recurrence of psoriasis, the following points should be noted.
  (1) Prevent infection, especially in autumn, winter and spring, prevent upper respiratory tract infection such as cold, pharyngitis and tonsillitis, or take Chinese medicine in advance to prevent it, which can reduce the recurrence of psoriasis;
  (2) Live a regular life, rest on time, do not stay up late, avoid overworking, and keep a good state of mind;
  (3) Avoid spicy food, mutton and other hairy things, especially pay attention to quit smoking and alcohol;
  (4) to keep the bowels smooth, drink more water, and shoot the bowels regularly every day, so that the metabolic waste, damp heat and dampness of the evil out of the body in a timely manner;
  (5) away from chemical pollutants, avoid hair dyeing;
  (6) try to avoid skin trauma, to prevent dry skin in winter, you can apply emollient products.