Psoriasis, commonly known as “psoriasis”, is a common chronic recurrent inflammatory skin disease, as the exact cause of psoriasis is not yet known, there is no special therapy to control its recurrence, it is recognized as one of the medical community’s difficult diseases, and some people jokingly say that it is a skin disease that “can’t be cured, can’t die “For a few patients, psoriasis is a stubborn skin disease that requires lifelong treatment, but the vast majority of patients with psoriasis can be clinically cured through drug treatment and their own conditioning, the author found through a large number of clinical observations.
There are many patients who have a few years of hair once, or a dozen hair once, and some patients even have only one lifetime, and about 70% of patients have a satisfactory prognosis after treatment, and only about 30% of patients have recurrent attacks, and these patients who are prone to recurrence generally have mood swings, uncontrolled life, uncontrolled diet, drug abuse and other phenomena that promote the aggravation of psoriasis. This shows that psoriasis is not as stubborn and difficult to treat as people think, and the clinical results of most patients are relatively satisfactory. It is quite important to pay attention to conditioning in ordinary life in order to reduce the recurrence of psoriasis.
1, set the right mindset and establish the optimism to overcome the disease
Psoriasis is recognized as a psychosomatic skin disease, a large number of psychological studies show that 30% to 46% of patients with psoriasis, the development process is often related to mental and neurological factors, short-term high incidence of mental stress, the burden of thought can trigger or aggravate psoriasis, long-term worry and depression can cause psoriasis delayed, so psoriasis patients must put down the baggage, lift the mind concerns, set the right attitude, establish The correct view of the disease and the optimism of overcoming the disease, firm determination to fight a protracted war with it, cultivate confidence, patience and persistence in treating and overcoming the disease, learn to get along with friends, relatives and colleagues around, and avoid excessive emotional excitement, tension and anxiety.
Psoriasis is not contagious, and some scholars have found no evidence of psoriasis infection in nearly 1,000 cases of couples with one side suffering from psoriasis through long-term tracking surveys. Patients’ relatives, friends and colleagues should have more understanding and care in life, study and work, and avoid discrimination and snickering. Dermatologists should make necessary psychological interventions for patients with excessive psychological pressure, conduct health knowledge propaganda about the small danger of psoriasis to the organism’s health, create a good medical atmosphere for patients to treat the disease, and provide opportunities for mutual communication between patients and patients, which will help the early recovery of psoriasis.
2.Prevent upper respiratory tract infection
The literature reports that 6% of patients have a history of upper respiratory tract infection, especially drippy psoriasis, erythrodermic type and arthritic psoriasis are often accompanied by upper respiratory tract infection or tonsillitis and other diseases, and their anti-“O” value is increased, while the proportion of pediatric psoriasis with upper respiratory tract infection or acute tonsillitis is 10%-20%, which is generally considered to be a reaction to It is generally believed that the metamorphic reaction to bacteriostin and viruses leads to the occurrence of psoriasis, so psoriasis patients should pay attention to their daily lives, strengthen the rational way of fitness, prevent colds, and once the cold should be actively treated.
3.Rational diet, eliminate bad habits
Chinese medicine believes that psoriasis patients are “blood heat”, “blood dry” body, 1 to 3 steamed eggs or boiled eggs, eat more legumes rich in vegetable protein. Many patients have hyperlipidemia, and a high sugar and high fat diet should be avoided. Psoriasis patients lack a variety of microbiotin, and should eat more vegetables and fruits rich in microbiotin A and microbiotin C, such as red and white radish, tomato, winter melon, loofah, bitter melon, cucumber, pumpkin, apple, grapefruit, pear, banana, etc.
4.Immunosuppressants should not be used
Certain immunosuppressants (most of them are antitumor drugs) such as bismorpholine, ethylimine, methotrexate, hydroxyurea can effectively inhibit DNA synthesis and prevent mitosis of the cell nucleus to achieve therapeutic effect, although the recent efficacy is good, but the relapse rate is extremely high after stopping the drug, and can induce erythrodermic and pustular psoriasis which are more harmful to the organism The treatment is effective in the near future, but the relapse rate is extremely high after stopping the drug, and it can induce erythrodermic and pustular psoriasis which are more harmful to the body. In October 2002, the State Drug Administration (SDA) banned the clinical use of etidiumorphine.
According to the newspaper, 15 years, only one hospital in Harbin, there are more than 100 people died from etidiumorphine, before the ban on the drug, etidiumorphine was widely used in the treatment of psoriasis, so the projection, the country does not know how many people died from etidiumorphine! There are reports of irreversible bone marrow suppression and death after taking aminoglutethimide (leucovorin) in small oral doses for a short period of time. Therefore, the toxic side effects caused by the use of immunosuppressants to the patient’s muscles are far greater than the harm of psoriasis itself, and this kind of treatment method, which is more than worth the loss and quenches the thirst, is not the direction of our treatment of psoriasis. The common type of psoriasis itself is not harmful to the body, so we should fully weigh the “advantages” and “disadvantages” of the medication to the patient while using it for the psoriasis patient.
Of course, if the application of conventional therapy is not effective in certain severe psoriasis, under the guidance of dermatologists in regular hospitals, the use of certain immunosuppressive drugs with relatively few toxic effects, such as methotrexate and cyclosporine, is also possible, but the indications must be strictly mastered and the harm caused by the drugs to patients reduced to a minimum.
5, should not systematically apply glucocorticoids
Glucocorticoids have good anti-inflammatory and immune suppressing effects, so the systematic application (such as oral and injectable) of glucocorticoids for the treatment of common psoriasis has “good” recent efficacy on the surface, but the rash quickly recurs and spreads after stopping the drug, and even induces erythrodermic and pustular psoriasis, which brings life-threatening effects to patients. At present, systemic glucocorticoid therapy is only considered in cases of erythrodermic, arthritic or generalized pustular psoriasis with systemic symptoms. Topical hormone ointment for a short period of time is clinically permissible and most widely used with reliable efficacy, nevertheless, it should be used with caution under the guidance of a doctor, and patients should not purchase their own treatment.
6, should not be used externally heavy metal preparations and highly toxic Chinese medicine
Some people mistakenly believe that psoriasis is toxic to the blood, and that the treatment method of “attacking poison with poison” should be adopted in order to be effective. So a large number of heavy metal preparations and highly toxic Chinese medicine, mercury, light powder, huangdan, xiong huang, spotted cypress, toadstool, aconite and other highly toxic drugs are formulated into a variety of tinctures, creams, used for external treatment of psoriasis, and even more, close the door to the room, with these highly toxic drugs placed in the charcoal stove smoked skin, in order to cure the root. The long-term use of these drugs in a large area will cause damage to the liver and kidney function and blood system of the patients, the consequence is that these patients either induce severe psoriasis, or get drug hepatitis, or cause arsenic keratosis or even squamous cell carcinoma, or the rash spreads and aggravates. These treatments are tantamount to quenching thirst! Clinical caution should be exercised!
7.Avoid the use of irritating drugs
The use of irritating drugs during the progression of psoriasis vulgaris can aggravate the disease, cause irritating dermatitis and even induce severe psoriasis, so the following drugs should be used with caution during the progression of psoriasis: 1/10000 mustard gas ointment, 0.1% tazarotene gel, 10% salicylic acid ointment, 10% sulfur ointment, 15% camptothecin ointment, 10% white mercury ointment, 0.5% anthralin ointment.
8.Avoid various physical and chemical injuries
During the progression of certain common psoriasis, if various physical and chemical injuries occur, psoriasis rash will occur at the injury site, and this reaction is called “isomorphic reaction” in medical science. Therefore, patients should avoid violent scratching, burns, needles, contusions, tattoos, hair dyeing and mosquito bites as much as possible during the disease progression. Patients should keep their hands to themselves as much as possible and give antihistamines to stop itching at the same time.
9.Avoid using drugs that induce or aggravate psoriasis
Some clinical studies have found that β-blockers (such as insulin, insulin); anti-malarial drugs (such as chloroquine, primaquine); lithium metal-containing drugs (such as lithium carbonate, lithium acetate); non-steroidal anti-inflammatory drugs (such as anti-inflammatory pain, pautazone, ibuprofen); cardiovascular drugs (such as digoxin, amiodarone) can induce or worsen psoriasis, making psoriasis stubborn and difficult to treat. Therefore, when the psoriasis patients with other diseases are combined with clinical medication, the above drugs should be avoided.
10.Avoid the use of hair-spreading, fire-supplementing and aphrodisiac Chinese medicines
Chinese medicine believes that the etiology and pathogenesis of psoriasis is mostly dry and hot skin, and that the long-standing blood heat, blood dryness, and yin depletion and the onset of the disease, treatment should be to clear heat and detoxify, cool the blood and invigorate the blood, nourish the yin and moisten dryness as the main method, where the pungent and warm dispersing products (such as ephedra, cinnamon, pungent, qiangwu, Elsholtzia), supplemental fire and warm li and strong yang products (such as sapodilla, cinnamon, deer antler, dry ginger, Wu Juju, Epimedium, lock yang) should be avoided or used with caution. The author found several cases of adverse reactions such as headache, dizziness, nausea, irritability, abnormal liver and kidney function and urine routine after 1-6 months of use. The above two drugs should be used cautiously by clinicians in strict compliance with the principles of diagnosis and treatment in Chinese medicine.