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Traditional Chinese Medicine principles in the ethiopathogenesis and treatment of psoriasis vulgaris Emil Iliev, MD. Valentina Broshtilova, MD Department of Dermatology and Venereology, Faculty of Medicine, Sofia 1 St Georgi Sofiisky str Sofia, Bulgaria Tel: Psoriasis is a chronic relapsing skin disease, known to people for thousands of years.
The practitioners of traditional Chinese medicine describe psoriasis some years ago. The precise etiology and pathogenesis of psoriasis are not known although there are many hypotheses. There are several commonly accepted points of view in TCM as for etiopathogenesis of psoriasis: In all cases Tomaten essen Psoriasis kann physician should pay attention to the color of psoriatic lesions.
While suffering from psoriasis Liver and Kidneys are specifically affected and the traditionelle Medizin in Psoriasis-Arthritis of these two organs is reflected on the level of Blood and nourishment.
Physiotherapy is traditionelle Medizin in Psoriasis-Arthritis main therapeutic method of TCM for treatment of psoriasis and is directed to elimination of stagnation and activation of Blood. Several methods for treatment http://larpring.de/ob-es-moeglich-ist-bananen-bei-psoriasis-zu-essen.php psoriasis with acupuncture are described- choosing points according to the syndromes; according to the location of lesions; points, which should be treated in all patients suffering from psoriasis; bloodletting from the root of ear and from the three kui points; application of plum-blossom needle and cupping therapy.
The important place of auriculotherapy in the treatment of psoriasis is reviewed. In ancient times it was thought to be a kind of leprosy; in fact, it was regarded as leprosy even in the Bible.
Although Celsus 25 BC- 45AD was the first to describe psoriatic lesions, it was not until the 19th century that Willan and Hebra were able to classify it as an independent disease. Many centuries later, inBaichuang from Chen Shi Gong in his study Wai Ke Zheng Zong The real origin of surgery tried to explain the pathogenesis of the disease.
Bai bi white dagger traditionelle Medizin in Psoriasis-ArthritisShe shi snake lice and Song pi xuan pine skin tinea. There are several commonly accepted points of view in TCM as for etiopathogenesis of psoriasis. Over years ago, TCM developed the physiological theories of Zang and Fu visceraJing Luo channels and collateralsQi, Xue blood and body fluids. Qi exists in every part of the body: Zong-Qi pectoral Qi is gathered in the chest, Yuan-Qi originates from the Kidney, Ying-Qi circulates through traditionelle Medizin in Psoriasis-Arthritis blood vessels, while Wei-Qi protects the superficial portion of the body against external pathogenic factors warming up the in ner organs and moistening the skin.
Controversially, the deficiency of Wei-Qi causes skin dryness, muscle weakness and greater liability to the external pathogenic factors. Physiologically, the channels and collaterals Jing Luo perform the role of transporting Qi and Blood, connecting the interior and exterior, resisting exogenous factors and safeguarding the functions of the organs.
Since the channels and collaterals connect the viscera inwardly and the body surface outwardly, pathogenic factors can move between the viscera and the body surface. In this respect, by judging the particular area of the certain skin lesion and examining the route and network of channels and collaterals in the body, it is possible to decide which inner organ the diseased area belongs to. Dermatoses are of great variety, but in terms of pathological changes, there are several external factors that can cause the disease: Wind, Dampness, Heat, Poison, Dryness, Blood Stasis, and Deficiency of the Liver-Qi and Kidney-Qi.
Dryness leads to skin xerosis, rhagades, squamae, atrophia trichoxerosis, and trichomadesis, usually accompanied by severe itching. The skin damage under the category of Blood Stasis is manifested by petechia, ecchymosis, violet red or dark red spots, pigmented spots, thickened and hardened skin, verrucous vegetations.
These changes may be accompanied by purple traditionelle Medizin in Psoriasis-Arthritis, tongue ecchymosis, and menstrual disorders as well. The subjective symptoms include pain, numbness, and bradyesthesia. Blood and Wind Heat. The excessive Blood Heat is an internal factor for causing psoriasis. Erythema and spreading of lesions depend on the predominance of Heat in the Blood. The disease is often due to the invasion of Wind- click at this page external pathogenic factor, which dries the Blood and increases the inner temperature.
Eruption and white scales result from excessive Wind Heat while the subsequent drying may cause nutritional the bestellen Creme gesunde Psoriasis Trials and skin deficiency, and severe itching. More often Blood Heat type affects young people, under the age of This syndrome is a clinical equivalent of the traditional Western medicine guttate and nummular psoriasis.
The lesions are numerous, punctiform or oval, intensively red, with plenty of thin silver squames and tiny bleeding points. New lesions continue to appear. Some patients complain of thirst, dryness of the tongue, constipation and deep traditionelle Medizin in Psoriasis-Arthritis urine. Anxiety and excitability are often symptoms. The tongue is covered with yellow or yellowish grimy coating.
The pulse is rapid and thin. The therapeutic approach tries to clear the Heat and cold the Blood by activating it.
An external mechanism, which causes rapid course of the disease with intensive erythema and excess of new lesions, often covered with thick, yellow scales. The form is therapeutically traditionelle Medizin in Psoriasis-Arthritis. It comes from the stagnation of Heat in the Blood, which traditionelle Medizin in Psoriasis-Arthritis not allow the Fire and Toxins to be expelled from the body heating them to extreme temperature.
The syndrome corresponds to psoriatic erythroderma, pustular and palmo-plantar psoriasis. The lesions are red plaques, covered with thick yellow or yellowish-brown scales. There is a tendency of forming tiny pustules. The nails are severely affected. The patients often suffer inflammatory traditionelle Medizin in Psoriasis-Arthritis of the upper respiratory tract such as tonsillitis and laryngitis.
They complain of graveolent feces, constipation and arthralgia. Most of them have strong burning sensation. As to lingual diagnosis, there may be redness of the tongue and a thin white coating.
The pulse is rapid. This hypothesis which is brought to view in the recent decades, greatly facilitates the various therapeutic approaches. According to it, psoriasis is attributed to Wind traditionelle Medizin in Psoriasis-Arthritis Heat, which are traditionelle Medizin in Psoriasis-Arthritis kept in the body to cause imbalance of Yin and Blood, leading to meridian and collateral obstruction and stagnation.
Squames, Auspitz phenomenon, a purple tongue and arthralgia are signs of Blood Stasis. It corresponds to a chronic relapsing form of nummular, geographic or gyrate psoriasis. The course is usually prolonged. The disease ceases to extend or extends slowly.
Some lesions may resolve traditionelle Medizin in Psoriasis-Arthritis. The lesions are dark-red, thick, indurative, scaly traditionelle Medizin in Psoriasis-Arthritis dry, not itchy.
The most important symptom is xerostomia. The tongue is dark-red to purple in color with plenty of petechiae. The pulse is hard. The therapeutic approach requires elimination of Stasis and activation of Blood. In the opinion of Gu Buo Hua, a famous TCM practitioner, the deficiency of Yin and Blood, transformed in the muscles and skin as Wind-Dryness, trigger psoriasis.
At the initiation of the disease, Wind-Heat and Wind-Cold cause imbalance of Yin and Blood, leading to stagnation of Qi and a blockade of Blood with formation of eruptions in the skin. This is the classical chronic- relapsing form of psoriasis. The lesions are pale-red, thin, with no tendency to extend or resolve. They are usually covered with silver squames.
Itching could be severe. The patients complain of vertigo, insomnia and constipation. They have asthenic constitution. The tongue is pinkish in color, covered with a thin, white coating. The pulse is moderate and loose.
The principle of treatment consists of enriching the blood and Yin and moistening the dryness. This syndrome is rarely seen. It corresponds to psoriatic arthritis and is a consequence of the invasion of Wind traditionelle Medizin in Psoriasis-Arthritis Dampness in the joints. The most significant symptom is arthralgia, as the metacarpal and metatarsal joints are worst injured. If the skin is affected, it forms small, pale-red lesions with tiny pustule on top.
The lingual diagnosis points out intensively red tongue with a greasy coating. The pulse is rapid and filiform.
In summary, in TCM Blood Heat is considered the most important pathogenic factor for psoriasis. When Blood Heat is blocked in the superficial skin layers, xerosis develops. The causal basis of psoriasis is pre-existing deficiency at the nutritive and blood levels that provokes wind and dryness, such that the skin loses its nourishment. These are the internal predisposing factors. External factors, such as seasonal changes, psychosomatical stress, improper diet, infections, mechanical traumas, etc.
Expelling of Heat seems a proper therapeutic approach. Remission periods require elimination Psoriasis-Arthritis von Behandlung krym stasis, enforcement of Qi and activation of Blood. Phytotherapy is considered the most effective TCM psoriatic treatment. It is directed towards elimination of stagnation and activation of Blood-Xue.
Radix salivae Miltiorrhizae, Semen Persiace, Rhizoma sparganii, Gummi Olibanum, Radix Rubiae, Radix Angelicae Sinensis, and Rhizoma Ligustici herbal continue reading as tinctures and decocts are most commonly used.
Huang lian jie du tang wu wei xiao du yin he cai Herba Taraxaci Mongolici cum Radice 15g Flos Lonicerae Japonicae 15g Herba cum Radice Violae Yedoensitis 15g Rhizoma Coptidis 6g Radix Scutellariae Baicalensis 6g Cortex Phellodendri 6g Charred Fructus Gardeniae Jasminoidis 6g Radix Rehmanniae Glutinosae 10g Radix Paeniae rubrae 10g.
Huo xue san yu tang Lignum Sappan g Radix Paeniae rubrae g Radix Paeniae lactiflorae g Flos Carthami tinctorii g Semen Persicae g Herba Buchnerae cruciatae g Rhizoma Sparganii stoloniferi g Rhizoma Curcumae ezhu g Radix Aucklandiae lappae g Pericarpium Citri reticulatae g.
Ke yin fang Radix Rehmanniae Glutinosae 30g Juckreiz nervösen Ursprungs Scrophulariae ningpoensis 30g Semen Cannabis sativae 10g Rhizoma Menisperi daurici 10g Radix Sophorae flavescentis Psoriasis reopoligljukin. Several methods for treatment of psoriasis with acupuncture are described.
In addition, Sp 10 Xue Hai and Sp 6 San Yin Jiao can be used. Greater affection of skin requires treatment in two more points- Li 20 Ying Xiang and GV 25 Su Liao.
The major points used in the treatment of low extremity involving, are Sp 10 Xue HaiSp 6 San Yin Jiao and St 36 Zu San Li. TW6 Zhi Gou traditionelle Medizin in Psoriasis-Arthritis Li 11 Qu Chi are additional points. Disseminated over the body lesions are treated in GV 14 Traditionelle Medizin in Psoriasis-Arthritis ZhuiLi 11 Qu ChiLi 4 He GuSp 10 Xue Hai and Sp 6 San Yin Jiao points.
Bl 40 Wei Zhong is a coordinating point that is appropriate for all forms of psoriasis. The orthodox pinning technique requires a proper De-Qi effect and performing of the procedure twice or three times daily in a minute interval. One treatment course includes 10 days and is followed traditionelle Medizin in Psoriasis-Arthritis a ten-day break.
Then the course can be repeated with a maximum of four times according to the dermatological status of the patient. According to other scientific sources 15 the major psoriatic acupuctural points are GV 14 Psoriasis Teebaumöl ZhuiBl 13 Fei ShuLi 4 He GuLi 11 Qu ChiSp 10 Xue Haiand Sp 6 San Yin Jiao.
As additional points for facial and head lesions GB traditionelle Medizin in Psoriasis-Arthritis Feng Chi and St 9 Ren Ying can be used, TW traditionelle Medizin in Psoriasis-Arthritis Zhi Gou is appropriate for upper extremity involvement and St 40 Feng Long can be taken in consideration in lower extremity lesions. The major auricular points are Lung, Shen men, Endocrine, Ren and Adrenal. Heart http://larpring.de/psoriasis-fersen-foto.php Colon are considered additional.
Bloodletting from the root of ear and from the three-kui points is performed. The this web page side of the middle finger proximal interphalangeal joint possesses three major bloodletting source called the inner middle Kui. The proper technique requires letting of few drops once daily, preferably in the morning.
Once daily the lesions are tapped persistently with a sterilized plum-blossom needle circling from the edge to the center until minor blood drops appear. In case Psoriasis von Sauerkrautsaft many lesions, they could be traditionelle Medizin in Psoriasis-Arthritis by turns. Cupping therapy and acupuncture.
A needle can be cupped in the major GV 14 Da ZhuiGV 10 Ling Tai and the additional Bl 13 Fei ShuBl 15 Xin ShuBl 18 Gan ShuBl 21 Wei Shu and Bl 23 Shen Shu points. Disseminated over the body lesions are treated in the GV 14 Da Zhui and GV 13 Tao Dao points. Si traditionelle Medizin in Psoriasis-Arthritis Qian Gu is mostly used in the treatment of lesions on the upper extremities. Sp 10 Xue HaiSt 34 Liang Qiu and GB 34 Yang Ling Quan play role in the treatment of lesions on the groins, while GV 14 Da Traditionelle Medizin in Psoriasis-ArthritisGV 13 Tao DaoBl 18 Gan Shu and Bl 20 Pi Shu are used for thoracic and abdominal lesions.
Lesions on the neck are preferably treated traditionelle Medizin in Psoriasis-Arthritis TW 17 Yi Feng. The procedure traditionelle Medizin in Psoriasis-Arthritis performed every second day. Traditional Chinese Medicine is an alternative der an Plaque Ferse psoriatische of therapy that can be administered in oral, topical, or injectable forms. Among some patients it has become increasingly popular as a mode for treating dermatologic diseases.
Intuitively sensible, the various TCM approaches in treatment are proven beneficial in the therapy of many complex, chronic inflammatory skin diseases as flexible in use, highly efficient and safe.
Traditionelle Medizin in Psoriasis-Arthritis is our hope that traditionelle Medizin in Psoriasis-Arthritis the future more systemic and precise analysis would be conducted for better understanding the efficacy, mechanism of action and adverse effects of the various TCM treatment options. On the th birthday of Ferdinand von Hebra. Lin L, Zhaohui L.
Treatment of psoriasis with TCM. Li I, Feng H. The English- Chinese encyclopedia of practical TCM. Higher educational press, Beijing Lin L, Tai W. Practical traditional Chinese dermatology.
Peace Book, Hong Kong Focks C, Puede Haar Psoriasis habe N. Jiang- Hui L, Ting-Liang Z, Flaws B. A Handbook of TCM Dermatology. Blue Poppy Press, Boulder, De- Hui S, Traditionelle Medizin in Psoriasis-Arthritis Feu W, Wang N.
Handbuch der Dermatologie in der Chinesischen Medizin. J dermatol ; Iliev E, Stoyanov P. Psoriasis vulgaris from the view of TCM- etiopathogenesis and treatment. De-Hui S, Xiu- Fen W, Wang N.
Manual of Dermatology in Chinese Medicine. Koo J, Arain S. TCM for the treatment of dermatologic disorders. Arch Dermatol ; Plum-blossom Needling combined with medicinal fumigation in the treatment of traditionelle Medizin in Psoriasis-Arthritis. J New Chinese Med ; 20 1: Zhong Xi Yi Jie He Za Zhi ; 5 3: Presentation of diagnostic criteria for the blood stasis symptom complex in dermatology.
Zhong Xi Yi Jie He Za Zhi ; 8: Li GY, Liu HC, Yin GP. Relationship between syndrome-differentiation typing and expression of platelet-activation molecule CD62P and CD63 on platelets in psoriatic patients. Zhongguo Zhong Xi Yi Jie He Za Zhi ; 17 7: Zhang H, Qu X. Advances in experimental studies on treatment of psoriasis by TCM. J Traditional Chin Med ; 22 1: Correlation between types of syndrome differentiation and erythrocyte deformability and membrane ATPase activity in psoriatic patients. Zhongguo Zhong Xi Yi Jie He Za Zhi ; 14 Silber in mit psoriasis Salbe Determination of cyclic nucleotide and sialic acid in patients with symptoms of blood stasis and its value in assessing the therapeutic effect of drugs for activating blood circulation and removing stasis.
The Medical Acupuncture Web Page. The Web-Journal of Acupuncture Return to main page.
Traditionelle Medizin in Psoriasis-Arthritis
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