Psoriasis #2

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Pubescentis	Du Huo	3-9g	Alleviates pain, Dispels Wind-Dampness, Disperses Wind-Cold-Dampness, Opens the channels, Releases the exterior, Vitalizes the vessels. With Fang Feng, for numbness in the legs.
Rx. Saposhnikoviae	Fang Feng	3-10g	Releases the exterior., expels External Wind-Cold and Dampness and alleviates pain. With Qin Jiao, for pain due to Wind-Dampness in patients with Blood Deficiency.
Fol. Mori	Sang Ye	4.5-15g	Clears Heat from the Lungs, Clears the Liver and eyes, Disperses Wind-Heat, Moistens Dryness.
Rx. Clematidis	Wei Ling Xian	3-12g	Dispels Wind-Dampness, opens the channels and alleviates pain. With Niu Xi, for Wind-Damp Bi causing joint pain, especially in the lower joints.
Rz. Smilacis Glabrae	Tu Fu Ling	15-60g	Relieves toxicity, eliminates Dampness, benefits joints, clears Damp-Heat from the skin and Removes Wind. With Bai Xian Pi, for skin lesions associated with Damp-Heat.
Cx. Dictamni	Bai Xian Pi	4-15g	Clears Damp-Heat, Clears Heat, Dries Dampness, Expels Wind, Resolves Fire-toxicity, Stops itching.
Ram. Taxilli	Sang Ji Sheng	9-30g	Strengthens sinews and bones, tonifies Liver and Kidney Yin, expels Wind-Dampness, nourishes the Blood and benefits the skin. With Du Huo and Niu Xi, for Kidney and Liver Yin Deficiencies and Wind-Dampness causing low back and leg pain, stiffness and soreness.
Rx. Paeoniae Rubra	Chi Shao	4.5-15g	Activates Blood, Clears Heat, Cools the Blood, Dispels Blood Stasis, Eliminates pain.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Disperses Cold, Invigorates and harmonizes Blood, Regulates menses, Tonifies Blood.
Caul. Spatholobi	Ji Xue Teng	9-15g	Invigorates Blood, Invigorates the channels, Relaxes the sinews, Tonifies Blood.
Rx. Achyranthis Bidentatae	Niu Xi	6-15g	Invigorates the Blood, expels Blood Stasis, strengthens the sinews and bones, nourishes the Liver and Kidney Yin and benefits the joints.
Rx. Gentianae	Qin Jiao	4.5-12g	Expels Wind-Dampness and relaxes sinews.

Formula Actions

• Dispels Wind
• 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

For lesions on the head:		For lesions on the extremities:
+ Rx. Puerariae	Ge Gen	+ Rz. Anemarrhenae	Zhi Mu
+ Flos Chrysanthemi	Ju Hua	+ Cx. Phellodendri	Huang Bai
+ Flos Lonicerae	Jin Yin Hua	+ Gypsum	Shi Gao
For joint stiffness and pain:		For joint swelling:
+ Caul et Fol. Lonicerae	Ren Dong Teng	+ Rz. Atractylodis	Cang Zhu
For psoriasis due to Wind-Damp-Bi:
- Ram. Taxilli	Sang Ji Sheng
- Rz. Smilacis Glabrae	Tu Fu Ling
- Rx. Paeoniae Rubra	Chi Shao
+ 9g Rx. Paeoniae Alba	Bai Shao
- Rx. Achyranthis Bidentatae	Niu Xi
+ 9g Rx. Cyathulae	Chuan Niu Xi
+ 15g Poria	Fu Ling