Ma, who has suffered from psoriasis for more than 30 years, was a patient referred to me by Master Li, the property manager of the family home. Master Li’s father suffered from plaque psoriasis on both legs for decades and was cured by me and has not had any flare-ups since. The old man introduced me to many patients with psoriasis, and Ma is undoubtedly the heaviest. To what extent was Ma serious? In addition to hands and feet face, psoriasis on the body like a map, a piece even a piece. The person who loves Ma said that sometimes Ma squatted and heard a “rip” sound, like clothes bursting, in fact, the skin split, underwear are blood …… Ma’s psoriasis Chinese medicine identification, there is a characteristic, is the surface of the internal heat is very heavy. The actual fact is that you can find a lot of people who are not afraid of heat and cold, and you have to sleep with your arms and legs outside the quilt at night in winter, and you have to blow the air conditioner in summer. ② can not eat mutton, even onions and ginger and garlic stir-fry vegetables put too much, will feel dry mouth and itchy body. ③ like to eat fruit, drink cold drinks, what cold to eat what, said a Chinese medicine expert told him to eat cold can lower the fire. ④The Chinese medicine prescribed to him by that expert are all heat-clearing and blood-cooling products, and after eating them for more than a year, he is still afraid of heat and not afraid of cold. However, there are two contradictory points: ① facial skin is dark and watery, the body is psoriasis can not see the original skin color. ②Tummy is very big, and I have to cover my stomach when I sleep, otherwise I will have loose stools. ③Tiredness around the body, standing want to sit, sitting want to lie down. ④After eating so many heat-clearing and blood-cooling products, the more I eat, the more fire I get. Then look at his tongue and pulse: light fat tongue with white greasy yellowish coating and sunken and strong pulse in both hands. This is a typical case of true cold and false heat evidence, the stomach is wrapped in a large ice cube, Yang Qi is blocked outside the circulation, so the head, face, limbs and chest are afraid of heat. A big ice lump in the stomach, the body will grow meat to make the stomach warmer, this is a self-protective unconscious behavior of the body. The more you eat cold, the bigger the ice lump, the bigger the fire. The more you have to do, the more you’ll be able to get your hands on a new one. The human body is inside and outside the two layers of skin, the stomach has an ice pimple, the outside of the skin will naturally react, so the hair all over the psoriasis. The reason for this is that Taiyin cold and damp ice ambush is that the face is dark and the abdomen is large and susceptible to cold; the Yang Qi of the heart meridian of Shaoyin is stagnant, so the head, face and chest of the upper limbs are hot; the Yang Qi of the heart meridian of Shaoyin is stagnant, so the lower limbs and feet are hot. The skin is dry and cracked because of the loss of harmony between the wind and wood of the sympathetic yin and the dryness of the outer phase. Treatment to warm through the method of dispersal, the formula with Huang Qi four reverse soup, four reverse to break the cold dampness of the ice volcano, reuse Huang Qi to solve the table of Taiyin. Astragalus used in Taiyin is like ephedra used in the sun, dispersing cold and dispelling dampness and relieving the power of the table without drugs can replace. Then combined with Zhen Wu Tang to warm down the cold dampness, Angelica Si Wei Tang Shu Da Jue Yin wind wood, three yin and treatment. After taking the medicine for one week, the frequency of urination increased and black smelly stools were dipped several times a day, and the plaque psoriasis was no longer easy to crack. After taking the medicine for one month, the plaques on his body became thinner, although in September, he needed to sleep with a thick blanket at night and was more afraid of cold than his lover. After three months, most of the plaques on the body were eliminated, but a new change occurred. Ma originally had only scattered psoriasis on his hands and feet, but now it suddenly worsened, and when he came to our office, he wore plastic gloves on his hands and a plastic bag on his feet. The hands and feet are full of psoriasis, the skin is dry and cracked, it is difficult to walk, life is more inconvenient than before. Ma, because he wanted to focus on healing, the leaders are not appropriate, early retirement, making me a lot of pressure. After careful consideration, I concluded that it was too much drainage of wind and wood in the sympathetic yin, and gave treatment with roasted licorice soup, which was ineffective for 2 weeks. It dawned on me that I gave Hunyuan Huangqi 100 grams, raw Radix Astragali gradually increased to 30 grams, and after a week the dryness and cracking of the hands and feet was significantly reduced, so I entered a straight path. Ma has been treated for nearly six months, only a small amount of rash in the ear, the rest are fading. At a later stage, Ma was also given meat, drinking mutton soup first and then eating mutton. The first thing you need to do is to have some lamb. At the end of last year, Ma was renovating his home and his psoriasis came back on his body, and his condition was not heavy. Due to go to Inner Mongolia to do business, the topical use of Darex and clinical cure, so far no occurrence. It seems that Ma’s physique has been greatly improved. The “Treatise on Typhoid” has Ginseng Si-reverse Tang used to return Yang to save rebellion, here Huang Qi Si-reverse Tang is used to break cold and remove dampness, both to manage Tai Yin. Ginseng is used for internal collection and Huang Qi is used for external dispersal, each taking what it needs. In my clinical practice, I often use it in conjunction with self-moxibustion for plaque psoriasis, and I have had many miraculous results.