Psoriasis #4

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Paeoniae Rubra	Chi Shao	4.5-15g	Activates Blood, Clears Heat, Clears Liver Fire, Cools the Blood, Dispels Blood Stasis.
Rz. Anemarrhenae	Zhi Mu	6-12g	Clears Heat from the Qi Stage, clears Heat from the Lung and Stomach, drains Fire, nourishes Yin, moistens Dryness and generates fluids. With Shi Gao, for epidemic diseases.
Raw Rx. Rehmanniae	Sheng Di Huang	5-30g	Clears Heat. cools the Blood, nourishes Yin and Generates fluids
Cx. Moutan	Mu Dan Pi	5-12g	Clears Heat., cools and harmonizes the Blood, clears Deficiency Fire, activates Blood, dispels Blood Stasis, clears Liver Fire, drains pus and reduces swelling. With Chi Shao, for purpuric rash, hematemesis, and Heat injuring the Ying and Xue levels.
Hb. Lophatheri	Dan Zhu Ye	6-16g	Clears Heat, eliminates irritability, promotes urination and clears Damp-Heat. With Shi Gao, for late stage febrile disease with residual fever, sensations of Heat in the chest, desire for cold drinks, and a red tongue with a thin coat. With Shi Gao and Zhi Mu, for febrile disease with irritability and thirst.
Fr. Forsythiae	Lian Qiao	6-30g	Clears Heat, especially in the Upper Jiao, relieves toxicity, reduces abscesses and dissipates clumps. With Jin Yin Hua, for initial stage Wind-Heat.
Fr. Gardeniae	Zhi Zi	3-12g	Activates Blood, Clears Heat, Cools Blood, Drains Damp-Heat, Eliminates irritability, Reduces Fire, Reduces swelling, Relieves toxicity.
Flos Lonicerae	Jin Yin Hua	6-20g	Clears Heat, resolves Fire toxicity, vents and disperses External Wind-Heat and clears Damp-Heat from the Lower Jiao. With Shi Gao and Zhi Mu, for Qi Stage Heat. With Gan Cao, for toxic swelling and sores.
Gypsum	Shi Gao	9-60g	Clears Heat in the Qi Stage, drains Fire and heals eczema, burns and ulcerated sores and wounds. With Zhi Mu, for high fever from Wind-Heat or Qi Stage Heat or Yang Ming Heat with irritability and extreme thirst.
Rx. Platycodi	Jie Geng	3-9g	Spreads Lung Qi, expels Phlegm, expels pus and directs the effects of other herbs to the upper body.
Rx. Glycyrrhizae	Gan Cao	2-12g	Clears Heat, detoxifies and moderates and harmonizes the effects of the other herbs. With JIn Yin Hua, for Damp rashes or acne.

Formula Actions

• Clears the Ying
• Clears fever
• Eliminates toxins
• Reduces spots

Syndromes

• Ying Stage Heat induced psoriasis

Clinical Manifestations

Small coin sized red maculae located on the scalp, body, extremities, and other areas that increase rapidly There is a covered scale Removing the scale reveals a light pink shining membrane Most severe during the summer 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 covered by fine scales or pitting of the nail plate Itching may be intense Aversion to Heat Restlessness Dry stools Yellow, scanty urine

Intense fever Strong thirst Dry heaves Severe, stabbing headache Extreme irritability Delirious speech (severe) Rash (severe) Epistaxis (severe) Macula Mania Lips chapped, dark and scorched Coma Hematemesis Spasms or convulsions Coldness of the extremities T: Dark red, dry or prickly C: Thin yellow or white P: Deep, thin and rapid or Floating, large and rapid or Slippery and rapid

Treats

Psoriasis due to Ying Stage Heat

Contraindications And Herb/Drug Interactions

Notes

Modifications

For recent dry skin:		For long term dry skin:
+ Flos Sophorae	Huai Hua Mi	+ Rz. Sparganii	San Leng
+ Rx. Lithospermi	Zi Cao	+ Rx. Curcumae Zedoariae	E Zhu
+ Rx. Puerariae	Ge Gen	+ Rz. Anemarrhenae	Zhi Mu
+ Flos Chrysanthemi	Ju Hua	+ Cx. Phellodendri	Huang Bai
For high fever:
+ Cornu Saigae Tataricae	Ling Yang Jiao
+ Carapax Eretmochelydis	Dai Mao