Psoriasis retraces Zhao Bingna from blood treatment 
 
 
Dong-mei zhou Beijing Chinese medicine hospital affiliated capital medical university 
 
 
China's traditional Chinese medicine to 

    For XieReXing, appropriate heat cure cold invigorate the circulation of blood and party with cold blood huoxue soup; Blood dry permit, should raise blood to treat skin, invigorate the circulation of the wind, with nourishing blood jiedu decoction. Form the basic mentality of "from the blood treatment.
 
    Psoriasis main syndrome of blood heat, blood dryness syndrome and blood stasis type 3, in which blood heat syndrome is the most common. Three kinds of syndrome distribution when there is a photograph sex, are closely associated with the illness, namely active stage is given priority to with blood heat syndrome, retrograde period is given priority to with blood dryness syndrome, stationary phase is given priority to with blood stasis.
 
    Psoriasis is relatively difficult to cure
 
    Psoriasis is a common chronic erythema dermatology clinical scales sex skin disease, psoriasis incidence between 0% ~ 0% in different populations. In our country, there are about 6 million patients with psoriasis. According to statistics, 87.6% ~ 93.4% of the patients with recurrent. Who officials pointed out that health related quality of life of the patients with psoriasis had a profound impact, including the influence of body function, sexual function, mental function.
 
    The erythema of the clinical characteristics of patients with psoriasis is visible to the naked eye, overlying layers of easy removal of silvery white scales, removing scales visible film phenomenon and dotted hemorrhage. Can occur in the body, is used in the place such as the scalp, limbs stretch side, trunk, but also accumulated nails, joints, etc. Conscious patients with different degree of pruritus. Long duration of lifelong, even break out repeatedly.
 
    The exact pathogenesis is not fully clear psoriasis, western medicine therapy, though many, but can only get more recent curative effect, it is lack of psoriasis to safe, effective, economical and practical treatment measures.
 
    Traditional Chinese medicine as a treatment for psoriasis is effective method, improve the condition, the characteristics of the extended remission, small side effects. Treatment for the disease treatment based on syndrome differentiation of traditional Chinese medicine is given priority to, complementary with the ointment, the medicinal bath therapy, acupuncture thereof, with its characteristics of safe and effective, has won the acceptance of patients.
 
    During the long process of clinical practice, TCM deep and rich understanding of the disease gradually, to the disease syndrome differentiation thinking is in constant development. Today, represented by Zhao Bingna from blood treatment psoriasis ideas to get the majority of Chinese medicine dermatology fellow recognition.
 
    Back from blood differentiation theory
 
    The study of psoriasis has a long history of traditional Chinese medicine, "psoriasis" recorded in ancient literature "white 疕" "tick" snake "loose skin tinea" "white shell boils" are similar with the disease. And "white 疕" name in use today, as the disease of disease of TCM. For the cause of disease pathogenesis and syndrome differentiation treatment increasingly rich content, used to think beyond the disease causes for Ming, think with wind, cold, wet, heat, dryness, poison, such as sui "on the pathogenic hou" first puts forward the etiology and pathogenesis of psoriasis, "all is rheumatism pathogens guest in the cou justified, complex and dampness, and blood gas phase stroke." Ming, think the disease for internal exogenous pathogenic. Internal cause is associated with blood dryness, blood deficiency. Such as the surgical authentic Ming proposed wind dense tinea, tinea, tinea, psoriasis, etc "such total all blood dry wind poison guest in spleen and lungs." Clear the YiZong Jin Jian "pointed out that white 疕" solid by wind evil skin, also from outside blood dry hard to honor ". Qing "surgical card for encyclopedia" said: white 疕 "due to the age of gold too, to the autumn deep dry golden head, is this card, to develop more in blood deficiency of thin body." Treatment functions, dryness, nourishing blood. Thus it can be seen that due to the disease has obvious silvery white scales, therefore think that have the closest relations with the wind, dry.
 
    In ancient documents, there are also records of blood heat, such as the fact of blood Sao: tinea scabies spot knot in one's blood, and all flesh red itch, color is different, today a general designation of blood Sao, both by blood for the wind to fire. Fire red painful, very cool blood rehmannia tonga herba schizonepetae, cicada, safflower, almond rule; Wind is very urticant, and blood letting the wind scattered rule. Blood Sao recorded here include a variety of diseases of modern medicine, psoriasis is one of them.
 
    "Zhao Bingna clinical experience set" recorded in the 11 cases of psoriasis basis, we can sort out Zhao Bingna treating psoriasis. He surgery of traditional Chinese medicine (TCM) to follow the principle of Yin and Yang, inherited the predecessors of view such as drying, heat, wind, the disease can be divided into blood heat and blood dryness syndrome. He thinks that the pathogenesis of blood heat is. The formation of blood heat, is related to many factors. Can because medicial, qi activity indicates lag, YuJiu fire, so that the heart KangCheng; Heart main veins, heart KangCheng hot blood to camp. Or because of diet dishonor, overeating xing launch of the wind, taste estrangement, poor person, YuJiu hot, because the spleen for the water of the sea, and the source of qi and blood, the function system of blood and moisten the limbs skeleton, if its cardinal disadvantageous indicates lag and internal heat is born. Combined with the outside by the wind or mixed hot and dry evil guest in the skin, internal and external evil and illness. Heat indicates blood is red, hot wind drying sheng alongwith the skin, skin rashes, scratch, since the crumbs that color white and itchy.
 
    While blood dry more consumed by the disease long Yin blood, or by the good-matured wind evil hot and dry for a long time, Yin blood, the duo jin burning liquid blood is boring and difficult to glory in the outside.
 
    For XieReXing, appropriate heat cure cold invigorate the circulation of blood and party with cold blood huoxue soup (sophora japonica, glabrous greenbrier rhizome, radix paeoniae rubra, salvia miltiorrhiza, caulis spatholobi, radix arnebiae seu lithospermi, couchgrass root); Blood dry permit, appropriate embellish of nourishing blood, invigorate the circulation of the wind, with nourishing blood jiedu decoction (angelica, caulis spatholobi, radix clematidis, glabrous greenbrier rhizome, hives, yam, radix rehmanniae). Form the basic mentality of "from the blood treatment.
 
    Analysis of the two type of basic party, Zhao Bing SMW support the use of the invigorate the circulation of drugs used by the cold blood or blood drug, also with blood. Visible Zhao Bingna think the disease pathogenesis of blood stasis. Because blood heat syndrome is given priority to with heat and blood stasis, blood wind-cold, burnt burning blood, heat and blood stasis. The course of the day for a long time, consumption of qi and blood, no blood gas, cause the meridians block, blood coagulation, this is due to dry, caused by deficiency blood stasis. In clinic and often see skin color is dark, thick infiltration, stubborn difficult cases, blood stasis as the main pathological changes. In subsequent concise Chinese medicine dermatology, increased the blood stasis, party with blood stasis soup (rhizoma sparganii, rhizoma zedoariae, peach kernel, safflower, spreading hedyotis herb, dried tangerine or orange peel, winged euonymus twig, etc.), developed from blood differentiation white 疕 syndrome differentiation system.
 
    From the connotation of blood treatment
 
    "From the blood treatment" is the main method of treatment based on syndrome differentiation treatment of psoriasis. Qi-blood syndrome differentiation of disease with blood syndrome differentiation as the main method of syndrome differentiation. Form for "disease differentiation" blood syndromes and treatment principle and treatment methods.
 
    The "blood" here means the "blood" of qi-blood. Main clinical signs in patients with psoriasis to lupus, the erythema is characterized by easy appear haemorrhage after scratching, the certificate of surgery for the book "the load:" white 疕 dry itchy skin, such as rash itch and color white, scratch chip set up, gradually to body dry bran blood out of pain..." , modern medicine psoriasis skin tissue pathology showed: dermal papilla delayed, the blood capillary expansion. Clinical manifestations for film phenomenon and dotted hemorrhage. Conform to the pathological changes of blood of traditional Chinese medicine.
 
    The pathological changes of qi and blood can be caused by external six vessel gas, can also be caused by internal viscera dysfunction. Heart main veins; The liver storing blood. The source of the postnatal spleen, qi and blood biochemical; The kidneys, Tibetan essence JingXie homology; Lung main gas, the waterway, affecting the operation of qi and blood. So the change of the "blood" is also reflected the viscera function is normal or not. Because of the change of qi and blood can be intuitive to reflect on, so from the change of qi and blood to analyze the cause of disease pathogenesis, the surgery of traditional Chinese medicine (TCM) is the commonly used method.
     
    On the basis of the theory of blood heat, blood dryness syndrome and blood stasis are the basic syndrome types of psoriasis.
 
    Of early onset of blood heat, see more blood dry permit, mid course of the day for a long time, are based on blood stasis syndrome differentiation, including blood heat syndrome is the beginning of disease, and can be key to transformation of illness.
 
    Blood from the differentiation of syndrome according to mainly through skin syndrome differentiation. Psoriasis skin for scales sex erythema, it is through distinguishing from blood differentiation erythema, the characteristics of the scales, distinguish different syndrome types.
 
 
 
 
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