Psoriasis is a skin disease that appears internally and externally. In the traditional textbooks, psoriasis was mostly discussed as “heat” and “poison”, and it was proposed from the cold Not many, including cold on the outside and cold on the inside, I don’t think I didn’t realize it at the time, but the disease spectrum is slowly changing. Not only psoriasis, but many other diseases, including acne, eczema, and urticaria, are now treated clinically with the method of dispelling wind and cold or warming yang and dispelling cold, which can achieve good curative effect because of the current spectrum of diseases, etiology and pathogenesis Changes have taken place, and this change is due to changes in our lifestyles, changes in diet structure, etc. It is not only the cause of disease, but also an important factor that causes poor treatment by conventional methods. Therefore, the treatment of psoriasis should jump out of traditional thinking, so that psoriasis will not have a “cow” temper. Here is a case to share with you:
Wang Moumou, female, 35 years old, first visit on January 9, 2022. The patient suffered from psoriasis for more than 6 years, and it was severe in winter and light in summer. After many years of treatment, the curative effect is not good, engraved: scalp, trunk, extremities pimples are red in color, covered with silvery white scales. The patient is obese and does not sweat easily. If he sweats freely, the rash will improve, he will be very tired, and his limbs will feel cold. Pale tongue with scalloped edges, thin white fur, stringy pulse. Although the patient has new erythema and scales, it belongs to the advanced stage of psoriasis, and it is by no means pure blood heat. This is all due to the decline of less yin and yang, the excess of yin and cold, the stagnation of cold evil for a long time, and the evil has no source. This syndrome should belong to yang deficiency and exogenous cold. Add Zhongjing Mahuang Fuzi Xixin Decoction to warm the yang and dissipate the cold, agitate the atmosphere to rotate, and release the Xinsan, the blood stasis and heat can be removed, and the skin lesions will disappear quickly. Add Zicao to promote blood circulation and remove blood stasis, and Tripterygium wilfordii to relax tendons, activate blood circulation and resist immunity. Poria cocos, tangerine peel, and Alisma invigorate the spleen and dampness. Guizhi and Baishao harmonize Yingwei. The combination of various medicines warms the yang and dispels the cold, promotes blood circulation and removes blood stasis, and can be scattered and absorbed, eliminating pathogenic factors without harming righteousness. The above prescription was changed before and after, and it was taken for more than two months. The rash completely subsided and was clinically cured.