The autumn breeze is sluggish and the paulownia tree is withering. As the season changes from hot to cool, it is time for psoriasis patients to have an aggravation or relapse. The layers of psoriasis scales fall off, just like the falling leaves in autumn. Psoriasis is a common chronic recurrent inflammatory skin disease. The incidence of the disease is high, and according to statistics, there are at least 5 to 6 million people suffering from the disease in China. The cause of psoriasis is unknown, and so far there are no special treatment drugs and methods, and it is easy to relapse after healing and is chronic, sometimes often accompanying patients throughout their lives, bringing endless physical and mental pain to patients. Psoriasis is clinically divided into four types: common type, joint type, erythrodermic type and pustular type, among which common type psoriasis is the most common. The treatment of common psoriasis with traditional Chinese medicine has better efficacy and relatively less side effects. The following is a brief introduction of my experience in the treatment of common psoriasis in Chinese medicine.
I. Clinical manifestations
The main manifestation of common psoriasis is symmetrical erythema on the extremities, covered with multiple layers of silvery-white scales that can be easily scraped off, and there is thin film phenomenon and punctate bleeding when scraping off the scales. Psoriasis vulgaris can be divided into three stages: progressive, quiescent and regressive.
Chinese medicine treatment
1.Internal treatment
(1) Lung (Wei) Yin deficiency and dry heat evidence
Main evidence: skin droplet erythema or red papules, itchy skin, often accompanied by sore throat; or see scaly erythema of scalp, itchy scalp, red tongue, thin yellow coating, floating pulse.
Treatment: Nourishing Yin, moistening the lung, removing wind and clearing heat.
Prescription: Yin nourishing and clearing the lung with silver dandruff (Experienced formula)
Drugs: Radix Rehmanniae, Mai Dong, Radix et Rhizoma Ginseng, Rhizoma Polygonati, Radix Polygonati, Radix gypsum, etc.
(2) Incendiary evidence of dryness and heat (blood heat evidence)
Main symptoms: The rash keeps appearing and developing rapidly, with bright red color, red skin over most of the body, increased scaling and intense itching; accompanied by dry mouth and tongue, sore throat, irritability, dry stools, yellow and red urine; red tongue, thin yellow coating, smooth or numbered pulse.
Treatment: Cool the blood and clear heat to remove spots.
Formula: Cool the Blood, penetrate the surface (Experienced formula)
Effects: Clearing the blood and removing heat from spots.
(3) Liver and kidney yin deficiency evidence
Main manifestations: Prolonged illness with soreness and weakness of the waist and knees, dizziness, deafness, dry mouth, constipation, red urine, red tongue, little coating, thin pulse.
Treatment: Nourishing Yin, clearing heat and quenching wind
Recipe: Nourishing water and clearing liver drink
Drugs: raw gardenia, angelica, raw earth, shamrock, dampi, poria, zedoary, huai shan, etc.
(4) Qi and blood stagnation evidence
Main symptoms: repeatedly unhealed skin lesions, rash in the form of patches, thick scales, dark red color, purple and dark tongue with petechiae, petechiae, astringent or slow pulse.
Treatment: Promote blood circulation, resolve blood stasis, detoxify and promote circulation.
Recipe: Revitalize the ligament and effect the elixir
Drugs: Salvia, angelica, frankincense, myrrh, peach kernel, safflower, etc.
(5) Dampness and heat accumulation evidence
Main symptoms: Skin lesions mostly occurring in the axillae, groin and other folds, erythema vesiculosum, scabs sticky and thick, intense itching; or palmoplantar erythema, pustules, peeling skin; or with joint pain, swelling, heavy lower limbs; red tongue, yellow greasy coating, slippery pulse.
Treatment: Clearing damp-heat, detoxifying and promoting circulation.
Formulation: Clearing heat and removing dampness soup (experienced formula)
Drug: Fu Ling, Atractylodes, Atractylodes, Bitter Ginseng, Salvia, Qiang Wu, Dou Wu, etc.
2.External treatment
(1) Chinese herbal medicinal bath: Pai Huang lotion (empirical formula) medicinal bath: the formula consists of 17 herbs such as Phellodendron leaf, Radix et Rhizoma, Xuan Shen, Scutellaria baicalensis, etc. to clear heat and detoxify, nourish yin and moisten dryness, dispel wind and relieve itching, which is suitable for common and erythrodermic psoriasis.
(2) Chinese medicine vapor therapy: Chinese medicine vapor therapy is for patients to lie in the Chinese medicine vapor therapy cabin and achieve the purpose of treating skin diseases through the action of drug steam.
Prevention and care
(1) Exercise and prevent colds: autumn and winter are prone to colds, and upper respiratory infections often lead to aggravation or recurrence of psoriasis. Usually should pay attention to exercise, enhance physical fitness, prevent the occurrence of colds, so as to reduce psoriasis recurrence.
(2) Regulate emotions and relax: psoriasis is a psychogenic skin disease, patients maintain a good state of mind and stable emotions play an important role in the recovery of psoriasis. On the basis of drug treatment to strengthen the psychological guidance of patients can often receive twice the effect with half the effort. To enable patients to lift all kinds of misunderstandings and concerns about psoriasis, enhance confidence to fight with the disease.
(3) dietary taboos: avoid spicy stimulating food such as chili, ginger, pepper, pepper, wine and so on; try not to eat beef and mutton, some scholars have proposed to eat beef and mutton can make the body leukotriene increase, aggravating the itchy skin disease.
To sum up, after proper treatment and active prevention of common psoriasis, most of them can achieve clinical cure and even no recurrence for many years.