Part I Basic concepts
Psoriasis: a skin disease characterized by the appearance of red papules or plaques on the skin covered with silvery-white scales. Common name: psoriasis. Chinese medicine: Bai H.
Characteristics: Mostly chronic & recurrent. It tends to recur or worsen in spring and winter, and remits more often in summer and autumn. The exact cause of psoriasis is not yet known. It is currently believed that immune-mediated is its main mechanism of occurrence.
Clinical typology
1.Common type
(1) Progressive phase: bright red color and more scales.
(2) Stationary phase: basically no new rash appears, the original rash is dark red in color and does not expand or fade.
(3) Degenerative phase: the lesions leave temporary hypopigmentation or hyperpigmentation spots.
2. Pustular type
3.Arthritic type
4. Erythrodermic type
I. Internal treatment
1.Blood-heat internalized evidence: mostly seen in the progressive stage. The skin lesions are bright red, and the lesions keep appearing and the erythema increases.
Main formula: Rhizoma Rhizoma Dihuang Tang (“The Secret of Wai Tai”) plus or minus. Prescription: Compound Qing Dai capsule, 4 capsules per dose, 3 times daily. Ke-Yin Pill, 10g once, 2 times a day.
2. Blood deficiency and wind dryness: Mostly seen in the stationary phase. The skin lesions are light in color, mostly in the form of patches, partially fading, with more scales.
Main formula: Angelica Drinking Son (“Revision of Yan’s Jisheng Formula”) plus reduction.
Prescription: Anti-silver tablets, 5-7 tablets per serving, 3 times a day; or moistening and anti-itching capsules, 4 capsules per serving, 3 times a day.
3. Qi and blood stagnation evidence: mostly seen in the stationary or regressive stage. The lesions are mostly plaque-like, hypertrophic and infiltrative, with thick scales and dark red color.
Main formula: Tao Hong Si Wu Tang (Medical Jinguan) plus or minus.
Prescription: Yujin silver dandruff tablets, 3 to 6 tablets per dose, 3 times a day. Or Danshen tablets, 4 tablets per serving, 3 times a day.
4.Dampness and toxicity contain the evidence: mostly seen in pustular psoriasis.
Main formula: Dioscorea Z Dampness Infiltration Soup (疡科心得集) plus or minus.
Medicine: Dampness and toxicity capsule, 4 capsules per dose, 3 times a day.
Zyrtec – Pyrithione Zinc Aerosol. Use 2-3 times a day in the lesion area, spraying 1-3 seconds at a time.
5.Fire and poison incandescence evidence: mostly seen in erythrodermic type psoriasis.
Main formula: Clear the plague and defeat the poison drink (“Epidemic rash a get”) plus or minus.
Prescription: Lianjiao Defeat Poison Pill, 6g per dose, 2 times a day. Or Compound Qing Dai Capsules, 4 capsules per dose, 3 times a day.
Fang Xi – Avia capsule 10mg/capsule , for: erythrodermic psoriasis, pustular psoriasis. 25mg-50mg, daily.
Fang Xi adverse reactions.
(1) Dry skin reaction.
(2) Abnormal liver function.
(3) Abnormal musculoskeletal reactions.
(4) Abnormal reactions of the nervous system.
(5) Gastrointestinal reactions.
Part II What to do after the disease?
I. Properly face
It is necessary to maintain a good and stable psychological state, learn the basic knowledge about psoriasis, treat psoriasis correctly, eliminate mental tension factors, avoid excessive fatigue, and pay attention to rest. The actual fact is that you will be able to get a good deal on your own.
Second, active treatment
The most important thing is to make a proper diagnosis with the help of a doctor, analyze the causes of the disease, understand the relevant knowledge, and develop a reasonable treatment plan. Insist on treatment is also the right attitude to take.
Third, avoid unfavorable factors
It is important to avoid wind and cold, prevent upper respiratory tract infection, prevent and timely treat various infections (including cold, tonsillitis, pharyngitis, upper respiratory tract infection of the nasopharynx, periodontitis, dental caries, tinea pedis, etc.), and actively treat other concurrent diseases (such as diabetes) to avoid triggering aggravation of psoriasis.
In particular, do not listen to false advertisements and the words of charlatans to avoid being deceived.
Fourth, the regimen care
The most important thing is to have a regular diet and to take part in sports and exercise, and to regulate yourself to avoid persistent tension that can cause low immune function.
1, to keep the skin clean, regular bathing, the water should not be too hot. It is advisable to take a bath with warm water, prohibit strong alkaline soap, shampoo bath.
2, need to keep the indoor air fresh and circulation
3, need to wear clean and soft clothes, change underwear and bed sheets regularly to prevent skin infections. After autumn, the temperature difference between day and night, should not bare shoulders, should not wear too much, too warm. Autumn health, timely increase and decrease clothing.
4, avoid trauma, prevent scratching and strong stimulation, rubbing the skin lesions to prevent the occurrence of erosion and prevent secondary infection, the production of new skin lesions.
5. Quit smoking.
V. Reasonable meals
It is advisable to have light meals, balanced nutrition, limited salt, limited oil, eat well in the morning, eat full at noon, eat less at night, eight or nine points full, eat more fresh vegetables and fruits.