Pediatric psoriasis therapy

Zhang Yingdong Shanxi Third People's Hospital of Jinzhong City

China's traditional Chinese medicine reported

        " Pediatric medicine straight formula," pointed out:" the original sequence ( pediatric ) organs weak, easy to empty is easy, Yi Hanyi hot." In fact, response to therapy, should also be added " Yi Chengyi defeats". If improper treatment, spread rapidly, the condition is easy to deteriorate; and if treated properly, as" King Yue book, children," said" the dirty air clear spirit, with the dial with should, but do have the book summarised take, is a can be more". The treatment of pediatric, should consider to get sick, a reason, "it was the", not be mistreatment; two should pay attention to is "one drug can be more", not be the medicine.

        From a children's medical records.

        Wu, male, 9 years old. From birth to 5 years of physical quality has been good, since the 5 annual measles seek medical attention after a 9 treatment everywhere. At the age of 5 due to fever, cough to intravenous drip, with 7 days of, children in remission, followed by 3 days, exacerbations. He admitted to a local hospital, eat antipyretics, enema, body temperature can only be maintained for 4 hours, and soon to 39 DEG c.. A total of half a month before and after infusion, high fever. A director of pediatric recommend stopping a night in the very next day, heat rash, fever. Since then, tonsillitis, sinusitis accompanied with. 5 years old to 7 years old in 2 years, colds, tonsil inflammation two or three times a year, each infusion 10 days can be good. 7 years of age due to mumps infusion, fourth days of allergy, the child with red spots, breathless. At the age of 8, at the age of 9 year after the Spring Festival children two hearts will appear little red place; in July 6, 2011, and similar rash; August 25th after swimming, the very next day noon thigh itch rash. Several rash are symptomatic treatment, 1 to February after slow fading, in which there is no clear role therapy. September 25, 2011 diagnosed as psoriasis, following the doctor recommended infusion, eat less fat food, treatment of January invalid. Each take a shower after red, itchy skin lesions, obvious.

        My thinking

        A disease from the wrong treatment initiation

        Children before the age of 5 good physique, constantly seeking began at the age of 5 when long time treatment. This case tells us about pediatric" not jump to the importance of medicine", which is the" organs weak, easy to empty is easy, Yi Hanyi hot" physiological characteristics of the decision. Most of the time, the doctor 's role should be to judge whether the risk, if there is no danger, let the human" self", giving the body heal itself a chance to exercise, is the best choice for children, is the long-term health of the most responsible medical attitude.

        To respect and comply with the child" fever" and" rash" therapeutic effect

        Pediatric fever, doctors and patients agreed that it should be according to the symptoms of fever, for" why fever" but little consideration. Fundamentally speaking, pediatric body responsive," Yi Hanyi"," hot" due to" evil"," hot" to" row of evil" therapeutic measures. Trying to suppress" heat", will influence the smooth line of evil, and it is easy to hurt the children" immature Yang " of the body. Pediatric" easy cold", for half a month of the infusion, cold and" immature Yang", is a child's physical damage, damage is long-term resistance. Stop medicine, fever, rash, self-healing results, should be seen in the" medicine".

        When it comes to rash rash, first make sure for the human body is favorable, is afraid of measles is not transparent, treatment should create conditions for rash out thoroughly, rather than set a barrier. Viral fever can be self-healing, points out,"" hot self-healing, treatment principle is" incurable" and cleared roadblocks, is not pressed.

        Another point to note is that, antipyretics direct antipyretic ineffective when, should think of a lesion need heating, on the premise of safety, keep the heat for a period of time of "doing nothing" is correct; and actively looking for a lesion, helping to evacuate the foci of depression is a more positive attitude. But if not explicitly found lesions when," doing nothing" is the only correct treatment scheme.

        Medicine evil, evil can not suppress discharge

        Children 5 years old high back, evil, evil more than medicine to sinusitis, tonsillitis forms remained, needs the human body gradually recovered, in order to achieve" lustral do " target. " 5 to 7 years of age in 2 years, colds, tonsil inflammation, two or three times a year, each infusion 10 days can be good." Colds, tonsil inflammation is the human body to discharge more than evil, medicine evil launch campaign, frequently infusion can only influence to" evil" process, the surface is to alleviate the symptoms, but are essentially destroys the body by evil out offensive. Let the children proper heat resistance can be enhanced, the evil, to discharge, human blood over the world to pass, what is there against it? Of course, no harm to children, to convulsions, no severe vomiting as the premise.

        Allergy is in alarm

        " At the age of 7 in winter, due to mumps infusion, to lose fourth days, Qingkailing allergy, the child with red spots, breathless." For allergy, western medicine has a very complicated theory. But from the Chinese point of view, one for the evil Yu momentum, poised to strike; a positive imaginary evil V, not external disturbance. Both will have an incentive to immediately attack.

        For the children is concerned, are less likely to false, evil Yu momentum. Qingkailing is the cause, including the back again rash seasonal climate factors, or dietary factors, can be understood as allergy. Cause allergy triggers are accidental, but the onset of symptoms is inevitable, so the allergy is alarming, prompts the body" evil".

        In vivo are" evil" and" allergies", failed to turn in for too dramatic symptomatic treatment, given when inhibition is a must, but for human adjustment, restore homeostasis is the root of the problem.

        And seasonal climate related disease is essentially a self-healing, be an objective understanding of therapeutic effect

        There are many diseases have obvious seasonal, attack when no ground for blame for symptomatic treatment, but to recognize that the symptomatic treatment of the role is limited. Understanding the underlying mechanisms of pathogenesis, from seasonal contrast for treatment of the key, is more important. If the child coughs variability the asthma and exacerbation of psoriasis in winter more frequently. Why winter is seriously ill and summer ease? Because the winter surface barrier has stagnated heat, train of treatment may be in the nature of winter that was more" summer". " Summer" is characterized by a surface opens leak, no heat stagnation, increase the" summer" to treatment that is two, one for surface barrier, two for coke heat stagnation. Pro certificate when considering the ratio of the two, or a table to disperse stagnated heat or heat meter; since the flow; or outside thoroughly. In" 8 years, 9 year after the Spring Festival two hearts will appear little red place" is in fact every winter eruptive, already in the tip surface barrier and has stagnated heat, for behind the occurrence of psoriasis foreshadowing.

        Psoriasis is the essence of human" fire escape" enabled

        After all the mistreatment and neglect for human alarm, the children finally attack of psoriasis. Time of onset of the surface is substantially July 6, 2011, can be traced back to 4 years ago when long time infusion. For example, a fire, the fire causes are easy to find, and the fire before the danger accumulation Suyin but not easy to dig out.

        Also take the analogy of fire, the fire caused the daily passage impassable, so large amounts of fire personnel were selected through a fire escape. Fire protection channel is usually unused, but extreme when not only enabled a rapid, and excessive use of. Fire protection channel is enabled to deal with emergencies is favorable, timely evacuation is required. The fire channel congestion issues, to solve the strategy is to solve the fire itself and related problems, make daily channel gradually recovered, was never closed fire channel. " Block" and" Shu" two contrary treatment orientation, choice when not too difficult.

        Take a shower after redness itching is treated best time

        The lesions in the period and stable period, take a shower after redness, itching, children and families to see this much panic. In fact, in psoriatic lesions" do not", red and itchy make lesions easily flexible, is a homeopathic row evil favorable opportunity, in red and itchy when treated with help from evil more unobstructed, much can get twice the result with half the effort.

        " Classified Case" is a piece of fruit and case, to identify treatment time, homeopathic exorcism did specific specification: a woman of fifteen, two strands of wet tinea long four inch, down to the knee, itchy when Pasao, Tang Huo all puzzled. Itch set yellow red water, and unbearably painful. Various treatment is not effective. Their parents to child and administration. The son and beryllium needle to sharpen, when the itch, ringworm of the thorn needle to more than 100, its blood as Tang Xizhi, fry salt. So four times, serious side except. " When the itch" acupuncture, homeopathy is the timing of treatment

        Treatment measures and results

        Through the above analysis, we found, pediatric psoriasis have some common problems: a cold medication ( anti-inflammatory drugs and traditional Chinese medicine of clearing away heat and hot and cold food abuse ), and home furnishing or life, learning environment in cold, wet; the second doctor does not know how to identify the body" symptoms " active meaning that mistreatment" medicine evil" damage; three for moving details and core of neglect ( such as with Wu at noon in summer sweat after swimming in cold. Movement of the core meaning is cold, and sweating in lead is not. ). Thus to determine the children therapeutic strategies for: making the Khan for general. Treatment of specific details are as follows.

        November 7, 2011 newly diagnosed visible lesions not red head, dander and more. His pulse is fine and smooth, sublingual dark, sleep can be, will be. Rash before being easy to get angry state, from the skin problem, get angry less. Dialectical Yu, supplemented by the heat, oral Ma GUI Bantang combined lifting powder modified small hair the Khan, in order to evacuate as purpose. Medicinal ephedra Guizhi 6 grams, 9 grams, 6 grams of peony, licorice 6 grams, 6 grams of 6 grams of Bombyx Batryticatus, cicada, patchouli 3 grams, 30 grams motherwort, 3 pieces of ginger, jujube 1, daily 1 agent, decocting 1 times, 6 times in washing clothes, taking time for post-lesional red the best medicine, temperature coating. External washing with oriental arborvitae leaf 60 grams, 15 grams of Polygonum multiflorum of ephedra, 60 grams, 15 grams of licorice. Daily 1 agent. After washing, apply Angelica 30 grams, 10 grams of Licorice Decoction sesame oil. Ask leave to workout at home, try eating things.

        After the 1 dose sweating slightly more, dander overall thinning reduced slightly, itch, new. After the 2 dose to relieve itching, tongue is red. The front of the lower leg, arm lateral sweating slightly worse, told local thickening of clothing. Emphasizing the best effect for the day are maintained in a state of sweating slightly

        In November 14th the examination left pulse string slide, the right vein of slow slip, red tongue, moss Bo Bai, sublingual eau. Recently started school, exercise less, bathing to reduce time, reduce sweat, who began to itch. Treated by cooling, open be supplemented by medical students, 15 grams, 12 grams of peony, peony 12 grams, 15 grams, 9 grams of black cohosh, ephedra, apricot 6 grams, 6 grams of cassia twig, licorice 6. 7 agent, water simmer in water.

        In November 21st the examination left the pulse string, the right vein of slow slip, pale tongue red, moss thin greasy, skin lesions have several hypertrophic changes slowly, stool 1 times a day, sticky. Recently day cold sweat will eat less, nonvolatile, with its humid, form Yu as a supplement, oral earthy tuckahoe 30 grams, 2 grams of rhubarb, Clematis 9 grams, 9 grams, 6 grams of ephedra, apricot kernel, unripe barley 30 grams, 6 grams licorice 6, herb. 7 agent, water simmer in water. At the same time too made a big adjustment, give priority to sulfur ointment.

        November 28th return, Tom Lee stool, the upper body skin lesions disappeared leaving only the lower body skin depigmentation of patches, the red color of skin, less. Sweating, burp, irritable, eat less easy to hungry abdominal distension, both pulse string, the tip of the tongue is small red, thin greasy tongue. As the spleen weak liver qi depression, fire, medicinal Danzhi Xiaoyao Powder in the medicine each 6 grams, plus Radix cyathulae 9 grams, 6 grams of cyperus. 3 agent, water simmer in water.

        December 1st withdrawal treatment of psoriasis medicine, topical sulfur ointment, will adhere to self consolidating effect.
The follow-up in January 20, 2012, the spirit of good, sweating, skin lesions without.