1.Scleroderma punctata: Zhao X, female, 28 years old, worker was seen on February 25, 1993. The patient reported the appearance of small, stiff, soybean-sized spots on the neck and shoulders for six months. After dermatological examination by the dermatology department of a hospital in Xi’an, she was diagnosed with punctate scleroderma and was referred to our hospital for treatment. Examination: There were five scattered yellow bean-sized hard spots on the back and sides of the neck, with ivory color and deepened skin pigmentation around the spots, and one spot on each shoulder. The tongue is dull red, with thin white fur and thin pulse. The evidence belongs to wind and dampness attacking the skin, stagnation of qi and blood, and paralysis of the vasculature. Treatment is to dispel wind and dampness, invigorate blood and promote blood circulation. The formula is selected from “The Golden Book of Medicine”. Prescription: 12g each of Xia Ku Cao, Safflower, Turmeric and Xiang Shen, 18g of Salviae Miltiorrhiza, 15g of Chuanxiong, 9g each of Panax quinquefolium, Sclerotium, Puerariae, Gui Zhi and Qiang Wu, and 3g of roasted licorice. After 50 doses, the skin lesions had become significantly softer and the color of the lesion area was gradually normalized. After 2 months of treatment with the above formula, the skin lesions basically returned to normal. 2. Scleroderma zoster: Wang X, male, 9 years old, student, was seen on February 8, 1989. The patient reported scar-like lesions on the forehead, which were hard to the touch for 3 years, and had been diagnosed as scleroderma in a hospital in Lanzhou. He had been diagnosed with scleroderma in a hospital in Lanzhou. He had been treated with multiple treatments with poor results. Examination: The lesion extends from the middle of the forehead to the scalp, about 6 cm long, hard to the touch, with obvious depressions, skin atrophy and thinness, and hair loss at the damaged area of the scalp. The tongue is dull, with thin white coating and astringent pulse. Western medicine diagnosed as scleroderma zoster. The evidence belongs to wind-dampness fighting in the skin, paralysis of the veins and veins, and paralysis of the head. Treatment is to remove blood stasis, open the channels and dispel wind-dampness. This formula is based on the formula of Tongkang and Blood circulation Tang. Prescription: 9g each of red peony, peach kernel, Chuanxiong and Huangqi, 6g each of safflower and qiangwu, 1 slice of ginger, 1 old onion, 2 jujubes, 0.1g of musk (punch), decoction in water, 1 dose daily. After 60 doses, the skin lesions improved significantly and the depressions of the skin lesions subsided slightly. Because of the high price of musk, 9g of Angelica dahurica and 6g of Shi Cao Pu were used instead of musk, and the skin lesions basically returned to normal after taking Chinese medicine for 5 months. 3. patchy scleroderma: Sun X, female, 32 years old, cadre, was seen on June 5, 1992. l and a half years ago, a light red patch of about 3 cm in diameter appeared on the patient’s abdomen, slightly higher than the skin surface, a doctor treated it as “inflammation” with little effect, and the lesion continued to expand, followed by hardening of the affected skin. Current symptoms: There is a sclerotic skin area of about 4.5cm x 6cm on the abdomen, dark brown, dry surface, hard as leather when touched, no sweat secretion in the lesion area. The skin pathology examination showed that it was consistent with scleroderma. The tongue was light with petechiae, thin white coating, and sunken pulse. The diagnosis of Western medicine is patchy scleroderma. The evidence belongs to cold and dampness fighting against skin, meridian paralysis, stasis in the abdomen. The treatment is to invigorate blood circulation, resolve blood stasis, disperse cold and remove dampness. Prescription: 6g of cumin, 12g each of ginger, cinnamon and yanhuosuo, 15g each of angelica and chuanxiong, 9g each of myrrh, panax quinquefolium, red peony, pu huang, wuling fat and wei ling xian. Decoction with water, 1 dose daily. After 1.5 months of taking the medicine, the skin has been significantly softened, followed by taking the above 3 months later, the skin basically returned to normal. 4, pancystic scleroderma: Zhou X, female, 45 years old, a teacher, was seen on August 10, 1993. The patient reported that the skin on the extremities and chest and back had been hard for 2 years, and was diagnosed as scleroderma after skin pathology examination in a hospital in Xi’an. He was diagnosed with scleroderma after skin pathology examination in a hospital in Xi’an. Present symptoms: skin hardening at the ends of the limbs without Raynaud’s phenomenon, large sclerotic skin area on the chest, abdomen and waist, dark brown skin color, smooth and dry surface, no sweat secretion at the affected area. There is no abnormality in the examination of the systems. The tongue is pale, with thin white coating and thin pulse. The diagnosis of Western medicine is generalized scleroderma. The evidence is attributed to a deficiency of the body’s external guard and the external invasion of wind, cold and dampness. The skin is pulsating, paralyzing the meridians, and blood stagnation is stasis. The treatment is to dissipate cold from the muscle, resolve blood stasis and clear the channels. This formula is based on the addition and subtraction of Jing Fang Defeat Poison San. Prescription:Jing Hu, Fang Feng, Qiang Wu, Dou Wu, Fu Ling 9g each, Huang Qi, Chuan Xiong 15g each, Radix Platycodon, Citrus Aurantium, Chai Hu, Roasted Licorice 6g each, Radix Angelicae Sinensis, Salviae Miltiorrhizae, Ginseng 12g each, Turtle, Cicadelle, Wu Jia Pi, Lodder 10g each. 1 dose daily with water decoction. After taking the medicine for 2 months, most of the skin became softer and the skin color decreased. There was slight sweating in the skin lesion area. After taking the above medicine for 3 months, the skin basically returned to normal.