Psoriasis #1

English:

Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ram. Cinnamomi	Gui Zhi	3g	Adjusts the Ying and Wei, Disperses Cold, Releases the exterior, Transforms Qi and releases the muscle layer, Unblocks Yang, Warms the channels and collaterals to relieve pain.
Rx. Glycyrrhizae (fried)	Zhi Gan Cao	3g	Resolves Phlegm, stops cough, clears Heat and moderates and harmonizes the properties of the other herbs. With Ma Huang and Xing Ren, for coughing or wheezing due to Wind-Cold Attacks the Lungs.
Rx. et Rz. Notopterygii	Qiang Huo	3g	Releases the exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks Painful Obstruction and alleviates pain. With Chuan Xiong, for headache and generalized body aches and pains associated with the common cold or painful obstruction. With Fang Feng, for pain due to External Wind-Dampness.
Rx. Saposhnikoviae/ Ledebouriellae	Fang Feng	3g	Releases the exterior., expels External Wind-Cold and Dampness and alleviates pain. With Qiang Huo and Dang Gui, for Wind-Cold-Damp Bi.
Rx. Paeoniae Rubra	Chi Shao Yao	12g	Activates Blood, Clears Heat, Cools the Blood, Dispels Blood Stasis, Eliminates pain.
Cx. Dictamni	Bai Xian Pi	12g	Clears Damp-Heat, Clears Heat, Dries Dampness, Expels Wind, Resolves Fire-toxicity, Stops itching.
Rx. Angelicae Sinensis	Dang Gui	12g	Disperses Cold, Invigorates and harmonizes Blood, Regulates menses, Tonifies Blood.
Rx. Ligustici Chuanxiong	Chuan Xiong	6g	Activates Blood, regulates Qi, expels Wind-Cold and alleviates pain. With Dang Gui, for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis.
Hb. Ephedrae	Ma Huang	6g	Releases the exterior and disperses Cold.
Sm. Armeniacae	Xing Ren	6g	Stops cough and wheezing. With Ma Huang, for cough and wheezing due to Excess.

Formula Actions

• Dispel Winds
• Scatters Cold
• Nourishes the Blood
• Moistens Dryness

Syndromes

• Wind-Cold-Damp Bi Syndrome in association with psoriasis

Clinical Manifestations

Small coin sized white plaque located on the scalp, body, extremities, and other areas There is a covered scale Removing the scale reveals a light pink shining membrane Most commonly seen in winter and spring Chronic patients may see it in any season Beneath the membrane are petechiae The lesions heal without scarring There may be nail involvement with stippling Rarely presents as diffuse redness of the skin or pitting of the nail plate covered by fine scales The psoriasis may precede or follow joint inflammation Pustular psoriasis occurs following a sudden onset of high fever

Sterile pustules can be found everywhere including the palms and soles Wind-Cold is usually seen in children, early cases or psoriatic arthritis The lesions are pale red. The scales are white and thick and easily shed on scratching Minimal itching Recurs or is exacerbated in the winter or cold weather Improves or disappears during summer Aversion to Cold Joint soreness or pain T: Pale C: Thin and soggy P: Slippery

Treats

Psoriasis associated with Wind-Cold-Bi Syndrome

Contraindications And Herb/Drug Interactions

Notes

Modifications