The skin disease on the hand has been around for many years! I hope the experts can help me solve it. Thank you!

There are many kinds of skin recorded in TCM classics, such as furuncle in Oracle Bone Inscriptions unearthed from Yin Ruins, and dozens of skin diseases recorded in Huangdi Neijing, such as acne, sores and carbuncle. Zhang Zhongjing of Han Dynasty described "Tribal Tiger Disease" (similar to Behcet's Syndrome) in detail. Skin diseases in traditional Chinese medicine are very complicated. Here can only introduce several kinds of skin diseases that can be treated with eight treasures and five gallbladder medicine ink, for reference only.

On the basis of TCM syndrome differentiation, Babao Wudan Ink can be used for a variety of dermatoses, such as viral dermatoses, dermatoses caused by cocci and bacilli infections, urticaria, dermatitis, eczema, neurodermatoses, erythematous dermatoses, vascular dermatoses and dermatoses. Classification is very complicated, but also depends on whether it meets the relevant indications of TCM syndrome differentiation.

Psoriasis (commonly called psoriasis)

Psoriasis was originally called "white furuncle" and "psoriasis" in TCM literature. The name of psoriasis was confirmed at 1966, and it was called "psoriasis" before. It is unscientific to call psoriasis. Western medicine believes that tinea is a dermatosis caused by fungal infection, and Chinese medicine also has psoriasis, which refers to neurodermatitis. Psoriasis can be divided into psoriasis vulgaris and psoriasis vulgaris (joint type, pustule type and erythroderma type).

Traditional Chinese medicine believes that the etiology and pathogenesis of psoriasis are: blood dryness causing heat, blood dryness causing wind toxicity, blood deficiency and blood stasis. In the treatment of syndrome differentiation, there are wind-heat syndrome, blood-heat syndrome, blood stasis syndrome, blood deficiency syndrome, blood dryness syndrome, damp-heat syndrome, damp-heat accumulation syndrome and heat-toxic injury syndrome. Psoriasis vulgaris and psoriasis vulgaris are different in the characteristics and symptoms of skin lesions, the site of onset and the morphology of skin lesions. The clinical manifestations of psoriasis are complex, presenting a variety of "syndromes". Here are some common ones:

1, blood-heat syndrome: seen in acute progressive psoriasis. The rash develops rapidly, with a flushed and dripping appearance. There are wax drops (wax drops on the surface), film phenomenon (reddish translucent film is exposed after scales are peeled off), sieve analysis points and isomorphism. The itching is obvious. Irritability, dry mouth, sore throat, constipation, short and red urine.

2, blood dryness syndrome: seen in the rest period and remission period. The original rash partially subsided, soaked obviously, and the systemic symptoms were not obvious.

3, blood stasis syndrome: the course of disease is long, long-term treatment does not heal, skin lesions are thick and infiltrated, scales are thick, covering erythema and itching.

4. Damp-heat syndrome: The skin lesions are erosive and eczema-like, and they often occur in axilla, axilla, breast and perineum. Scales are thin and sticky.

5. Heat toxin syndrome: tonsillitis or upper respiratory tract infection, fever, sore throat, discomfort, dry mouth and bitter taste, constipation and redness, generalized skin lesions or fusion into pieces.

6, sepsis syndrome: equivalent to pustular psoriasis, chestnut pustules appear, and the condition recurs periodically. Pustule aggregation with fever and dry mouth. Syndrome belongs to damp-heat accumulation for a long time, and it is also toxic and evil. When blood enters the camp, the heat and toxin are blazing, and both qi and blood are burnt.

Eight treasures and five gallbladder medicines ink has good effects of seeking toxin and expelling toxin, calming wind and clearing heat, cooling blood and removing blood stasis, and has obvious curative effect on psoriasis, especially psoriasis caused by blood heat, blood stasis, blood dryness, damp-heat accumulation and heat toxin injury. Due to the difference of individual constitution and illness, other drugs can be supplemented according to different situations when treating with eight treasures and five gallbladder drugs. Such as spleen deficiency and aversion to love, can be supplemented by spleen-strengthening and dehumidification drugs; Liver and kidney deficiency should be supplemented. I won't go into details here. In short, we should wait patiently under the guidance of an experienced doctor.

Neurodermatitis

Neurodermatitis is called "stubborn tinea", "dry tinea", "button wind", "collar sore" and "psoriasis" in traditional Chinese medicine. Its skin lesions are "like the skin of a cow collar", or oval or polygonal flat papules converge into pieces, and the more they scratch, the more itchy they become, and gradually become like leather. Its disease is due to damp heat and wind poisoning the skin; Emotional frustration, stagnation of liver qi, excessive liver fire, and exogenous rheumatism attacking the skin; Or sad spleen, overeating spicy food, drinking, eating seafood, transport and transformation disorders, endogenous damp heat, wind evil staying in the skin; Repeated attacks, both qi and yin injuries, blood deficiency leading to wind dryness, skin dystrophy, leading to lichenoid lesions of the skin. Among the eight-treasure gallnut, gallnut can clear away damp-heat in liver and gallbladder, clear away heat and promote diuresis, while antelope horn, buffalo horn, bezoar and pearl can calm liver and reduce fire, cool blood and detoxify, clear liver and heart fire, dispel wind and moisten dryness. Multi-effect treatment of neurodermatitis.

Herpes zoster (snake sore)

Herpes zoster is an acute herpetic dermatosis caused by virus infection. Its symptoms are clusters of blisters on the skin. It is banded and has a burning sensation (caused by the virus invading the peripheral nerve), similar to "waist-wrapped fire pill", "snake string sore" and "waist-wrapped dragon" recorded in traditional Chinese medicine literature. Its etiology and pathogenesis are:

1, infected with toxic pathogens or damp heat, qi and blood stagnated.

2, liver qi stagnation, long-term fire, fire poison invading the skin.

3, spleen loses health, damp heat accumulates, and damp heat attacks the skin.

Eight treasures and five gallbladder medicinal ink has the functions of clearing away heat and toxic materials, resisting virus, inhibiting virus replication, promoting blood circulation to remove blood stasis, relieving pain, clearing away heat and promoting diuresis. Has unique curative effect on herpes zoster. Especially when herpes zoster is not broken, it can be applied externally with medicinal ink to relieve pain quickly, which can make inflammation subside and prevent virus from damaging nerve fibers.

eczema

Eczema is an allergic skin disease, which is divided into acute eczema, subacute eczema and chronic eczema, which is equivalent to wet sores in traditional Chinese medicine. There are many diseases in Chinese medicine that mention eczema: for example, in Etiology, it is said that "there is a sore on the skin, which is very small when it is born, and it itches first and then boils", and other ancient books mention eczema in different parts. Acute eczema, the rash is polymorphic. Visible erythema, papules, papules, blisters with a little erosion and yellow water. After drying, a punctate transparent yellowish scab is formed. Subacute eczema is mainly papules and scabs, accompanied by papules and small blisters.

Chronic eczema is caused by repeated attacks of acute or subacute eczema. It is characterized by skin thickening, roughness, dryness and desquamation, pigmentation, itching, repeated attacks and even months and years without healing. Eczema mostly occurs in ears, breasts, umbilicus, scrotum, vulva, anus, armpits and hands.

Eczema is caused by allergic constitution, wind, humidity and heat. Some are damp-heat in the liver and gallbladder, which is influenced by damp-heat of external evil. Some spleen loses health, and dampness accumulates in the skin; Some are damp-heat mixed with wind evil, attacking fur and skin, some are long-term illness, yin and blood loss, wind dryness, skin dystrophy, some are damp-heat mixed with qi stagnation and blood stasis, and blood stasis and damp-heat entangle the skin.

In eczema, it is very effective to use eight treasures and five gallbladder medicine ink for blood heat syndrome, damp-heat syndrome, blood dryness syndrome and blood deficiency and wind dryness. Buffalo horn, antelope horn and gallnut have the functions of clearing away heat, cooling blood and detoxifying, especially for damp-heat in liver and gallbladder. Antelope horn and buffalo horn play an outstanding role. Galla chinensis can dry and wet, and eczema skin drops yellow water, which takes effect quickly. Eight treasures and five gallbladder medicine ink can promote blood circulation, remove blood stasis, dispel wind and relieve itching, and has obvious effect on eczema with thick skin. For eczema with ulcerous papules and yellow water, eight treasures and five gallbladder medicine ink can only be taken orally, not externally. Portulaca oleracea, Cortex Phellodendri and Radix Sophorae Flavescentis can be decocted in water and washed.

In addition, Eight Treasures and Five Gallbladder Medicine Ink has a good effect on pityriasis rosea, pityriasis pilosa, allergic purpura, pigmented purpura lichenoid dermatitis and erythema nodosum. It should be noted that it should be treated on the basis of TCM syndrome differentiation.

Responder: Lan★ Yu-Trainee Magician II1-3119:12.

The questioner's evaluation of the answer:

Thank you very much It looks very effective!

We will give it a try!

Other answers *** 3

Kind of like psoriasis.

Psoriasis, called psoriasis in modern medicine, is a common and recurrent chronic skin disease. In recent years, its incidence has shown an obvious upward trend. According to the survey, the incidence of the disease in the population is obviously higher for whites than for yellow people, followed by blacks. For example, according to recent surveys in the United States, its incidence rate is 2.6%, with 6-7 million patients, much higher than that in China. Because the disease is intractable, it is still listed as an important research topic in the field of dermatology in today's world. At the national cooperation conference on psoriasis prevention and treatment held in recent years, the participating experts agreed that "the combination of traditional Chinese and western medicine is the direction of psoriasis prevention and treatment, and the side effects of western anticancer drugs and hormone drugs are serious and should be avoided as much as possible."

First, the classification and clinical characteristics of psoriasis.

Clinically, it is generally divided into four types: common type, pustule type, arthropathy type and erythroderma type.

(a) psoriasis vulgaris (psoriasis) psoriasis atlas

Psoriasis vulgaris is the most common type in clinic. At first, it was red papules or maculopapules, and then it gradually expanded or merged with each other to form a well-defined plaque. The surface is covered with silvery white scales, and a smooth film is exposed after gently scraping off the scales. After scraping again, many tiny bleeding spots can appear. The above scales, patches and punctate bleeding are the three major clinical features of the disease. The disease can occur in any part of the body, symmetrically distributed, mainly in the knee joint, elbow extension and head, and a few patients have punctate (apical needle) nail depression. Clinically, there are acute progressive stage, quiescent stage and regression stage.

Progressive stage: the rash is mostly in the form of drops, bright red in color, developing rapidly, with more scales, easy to fall off and itchy. If normal skin is stimulated by trauma, psoriasis can be secondary, which is called isomorphic reaction in medicine.

Resting stage: the disease is still in a resting stage, no new rash appears, and the old rash does not fade.

Degeneration: the rash shrinks and gradually disappears. After the rash subsides, temporary hypopigmentation or spots may be left behind.

(2) Pustular psoriasis can be divided into generalized psoriasis and localized psoriasis.

1. Generalized pustular psoriasis is rare in clinic. This type has an acute onset and general malaise, accompanied by general symptoms, such as flaccid high fever and leukocytosis. The initial lesion is acute inflammatory erythema, and there are many yellow-white sterile superficial pustules with dense needles to millet size on the surface. Pustules can expand and fuse to form a "pus paste" shape. It often involves the vast skin surface and even extends to the whole body. Most of the causes are related to psoriasis vulgaris after taking corticosteroids for a long time and suddenly stopping taking them, or to infection and drug stimulation. The disease is serious, often recurs periodically, and the prognosis is poor.

2. Localized pustular psoriasis (psoriasis), also known as palmoplantar pustulosis, is mostly confined to palmoplantar. Most pustules with light yellow needles to millet size often appear in batches on the soles of feet or soles, with flushing at the base. After about 1 ~ 2 weeks, pustules burst, scabbed and fell off. Later, small pustules appeared under the scales, sometimes light and sometimes heavy. Feel itchy or painful. Can involve nails, manifested as turbidity, hypertrophy, ridged uplift. Psoriasis lesions are common in other parts of patients' bodies. It also occurs in the palms and soles of the feet first, and then turns into systemic after repeated attacks.

3. Acropustulosis is a rare psoriasis, which is characterized by its predilection at the distal ends of fingers and toes. Acropustulosis is often secondary to local skin trauma and infection. The patient has pain and dysfunction, the toenails can be deformed, and in severe cases, there is bone destruction. The treatment of this type of psoriasis has always been difficult. Coal tar preparation, oral tretinoin and other drugs are sometimes effective for acromegaly.

(3) Arthropathic psoriasis (psoriasis), also known as psoriatic arthritis, is often secondary to psoriasis vulgaris or psoriasis after repeated deterioration, and may also have joint symptoms or be complicated with pustular psoriasis and erythrodermic psoriasis. There is a parallel relationship between joint symptoms and psoriasis lesions, which is more common in men. The main clinical features are psoriasis history or asymmetric peripheral polyarthritis complicated with psoriasis, involving distal facet joints, accompanied by nail damage, and negative rheumatoid factor. In addition, you can refer to the results of X-ray examination. It should be differentiated from rheumatoid arthritis. Rheumatoid arthritis mostly invades small joints near the heart, but it is not accompanied by psoriasis, and rheumatoid factor is positive. The disease can be prolonged for a long time and the treatment is difficult.

(4) Erythrodermic psoriasis (psoriasis) is mostly caused by the use of irritating drugs in the acute stage of psoriasis vulgaris or the long-term use of corticosteroids, as well as improper methods of stopping or reducing drugs. In addition, pustular psoriasis can also appear erythroderma in the process of pustule regression. The disease accounts for about 1% of psoriasis.

At first, flushing appeared in the original psoriasis lesions, which quickly expanded to a large area, and finally diffuse flushing infiltration appeared throughout the body. In diffuse flushing infiltration, normal "skin islands" often appear in patches, which is one of the characteristics of this disease. Often accompanied by fever, chills, headache, general malaise and so on. It should be differentiated from erythroderma caused by other reasons, such as drug eruption and pityriasis rubra. ), no history of psoriasis. Psoriasis atlas

Second, the latest research on the pathogenesis and mechanism of psoriasis.

At present, there are many theories about the etiology of psoriasis, such as heredity, immune dysfunction, mental stimulation, traumatic infection and so on, but there is no clear conclusion so far. Clinically, the cytotoxic anticancer drugs such as Baixuening, ethirimol, ethyldimorpholine and cyclophosphamide, as well as hormonal drugs such as dexamethasone, prednisone, betamethasone, and imported Kangning Ke Tong for injection were used for treatment. Because of the above drugs and their various preparations, it has serious damage to the liver, kidney and immune function of the body; Although some patients have a short-term effect after taking it, their condition rebounds after stopping taking it, which aggravates the worsening side effects and makes many patients suffer greatly. At the national cooperation conference on psoriasis prevention and treatment held in recent years, the participating experts agreed that "the combination of traditional Chinese and western medicine is the direction to prevent psoriasis, and western anticancer drugs and hormone drugs have great toxic and side effects and should be avoided as far as possible".

Through more than 20 years of clinical research and analysis of a large number of clinical data, we believe that the onset of psoriasis is caused by blood heat, blood dryness and hyperproliferative lesions of epidermal cells under the comprehensive effects of congenital susceptible genes, qi-blood imbalance, external environment and climate, rheumatism, cold and heat, mental stimulation and traumatic infection. Long-term illness impairs the kidney, accompanied by repeated and improper use of cytotoxic anticancer drugs and hormonal drugs such as baixuening, ethirimide, ethyldimorpholine, etc.; And the disease is often stubborn and difficult to cure.

Thirdly, the research progress and mechanism of Yinxiekang in treating psoriasis.

According to our opinions above, based on the traditional Chinese medicine theory of tonifying kidney and nourishing blood, clearing away heat and cooling blood, removing blood stasis and detoxifying, and focusing on adjusting the balance of yin and yang and qi and blood in the body, we have chosen the series of "Yinxiekang" and "Xie Ping Decoction" composed of Chinese herbal medicines which have been studied by modern pharmacology and have the functions of regulating immunity, improving blood microcirculation and inhibiting epithelial cell hyperproliferation, and have received unique effects in treating psoriasis. In 1990, the expert appraisal committee headed by Professor Qin, director of China Dermatology Committee of Integrated Traditional Chinese and Western Medicine, said: "Compared with today's better western medicine and traditional Chinese medicine, this study has the advantages of good curative effect, low recurrence rate, small side effects and being able to withstand repeated curative effects". This research ranked first in the selection of 1998 "Secret Recipe of Traditional Chinese Medicine for the Treatment of Psoriasis (40 Years after the Founding of the People's Republic of China)", and was included in the topics of "Psoriasis of China Secret Recipe of Traditional Chinese Medicine" and "Clinical Observation and Research of Prescription for the Treatment of Psoriasis" edited by Professor Hu, Vice Minister of Health and Director of state administration of traditional chinese medicine, and won the Science and Technology of Shandong Provincial Health Department19/kloc-0. 1993 won the gold medal of China Edison Cup, 1996 won the international outstanding achievement award of traditional Chinese medicine, 1998 won the approval recommendation certificate of the Medical Promotion Association of the Ministry of Health, and 1999 won the third prize of the World Traditional Health Organization (WTHO) Santa Monica Science and Technology Progress Award, which was listed as 200 international promotion achievements of the World Traditional Health Organization. And income "world famous doctor literature library". This research achievement was once again praised by experts and scholars at home and abroad at the Second World Conference on Integrated Traditional Chinese and Western Medicine (Beijing) in 2002. Many news organizations, such as China Health Information News, Hongkong Post and World Information News, reported on this.

Four. How to take Yinxiekang

Yinxiekang is a concentrated granule oral preparation made of pure Chinese herbal medicine, which is taken once every night before going to bed. Has the advantages of convenient administration, mild curative effect and no toxic and side effects after long-term administration. 30-60 days is a course of treatment, and the average patient takes effect within 3 weeks. Most newly diagnosed patients were cured within 1-2 courses of treatment. Patients with long-term illness, serious illness, improper use of cytotoxic drugs or hormone drugs for many times, and certain damage to immune function will take longer to take effect and cure, and generally it takes more than 3 months to recover. In order to prevent recurrence, cured patients should insist on taking a course of drugs for consolidation treatment. Patients with pustular psoriasis, arthropathy psoriasis and erythrodermic psoriasis can be treated with Yinxiekang and decoction according to clinical syndrome differentiation.

typical case

Example 1: Su, male, a farmer from Liangshui Town, Liaocheng City, suffered from psoriasis for a long time before 15, and 1984 recovered after taking Yinxiekang for two courses. 15 was followed up without recurrence.

Example 2: Wang Jinsheng, male, 465,438+0 years old, a coal miner in Shuangyashan Coal Mine, Heilongjiang Province, was caught in the rain after sweating 65,438+05 years ago, with red pimples all over his body, itching and peeling, which gradually expanded into lumps. He has been treated with oral and external drugs such as Baixuening and ethyldimorpholine, which are light and heavy. Two months ago, due to mental stimulation and a cold, the skin lesions worsened, and the base of the rash was bright red and covered with scales. 1982 After taking Yinxiekang for 3 weeks on February 7th, the rash became thinner and lighter. After 30 days of follow-up, most of them returned to normal and recovered after 30 days of administration. Follow-up for 9 years showed no recurrence.

Case 3: Xiang Junfeng, a retired cadre in Wenshang County, Shandong Province, 10 systemic psoriasis. Because of repeated use of imine, bimorpholine and other cytotoxic drugs, how to induce right lung bronchial squamous cell carcinoma. Although it was surgically removed, the toxic side effects of chemotherapy drugs caused him to have psoriasis all over his body. 1987 When I came to the clinic in September, I was very weak and my white blood cell dropped to 3300. After 3 months of treatment with Yinxiekang, she recovered, and there was no recurrence after follow-up 10 years.

Example 4: Zhou of Changbai Mountain Forest Management Bureau in Jilin Province suffered from psoriasis for more than 20 years, which led to his separation from his wife for many years and loss of confidence in life. From 65438 to 0987, he saw the news report of Wu Mengping's treatment of psoriasis from Volkswagen Daily. After seeking treatment for 3 months, she recovered, and there was no recurrence after follow-up 10 years.

Example 5: Ms. Liu from Hong Kong suffered from psoriasis 15 years, and the treatment effect was not good after many hospitals in the United States and Japan. After reading the paper published by Wu Mengping on 1988 psoriasis bulletin, it was cured after three courses of treatment, and there was no recurrence after a follow-up of 10 years.

During the period of 1998, the reputation investigation Committee of Chinese Medical Association of the Ministry of Health conducted a long-term follow-up investigation on the psoriasis cases I treated. Hundreds of patients, including Sun from Anshan Iron and Steel Plant in Liaoning Province, Sun from Kailuan Coal Mine in Tangshan, Hebei Province, Yu Huanling from Qiankou Town West Village in Nanle County, Henan Province, Wang Dexiang from Da Qiao Town Government in Jinan City, Chen Yanshui from Yao Qiang Town in Licheng District, Gao Yuxing from Jinan Automobile Factory, Wang Shoushen, a retired teacher from Wangzhuangji in Shenxian County, Zhang Suying from Yulianghai Village, and Subei Mountain in Zhuang Ji Village of Liangshui Town in Liaocheng City, were all cured with Yinxie Kang. Therefore, it obtained the verification recommendation certificate issued by the credibility investigation Committee of Chinese Medical Association.

Five, psoriasis (psoriasis) protective measures and matters needing attention

Because the etiology of the disease is complex, patients should not only insist on correct treatment, but also avoid bad stimulation to the condition, which is also very important to prevent recurrence and recovery. Patients should do: First, pay attention to climate change and avoid colds and upper respiratory tract infections. Second, do not eat properly, do not eat spicy fish and shrimp, seafood and other allergic fishy hair. Third, the water temperature should not be too high or too low when taking a bath, generally 30-37 degrees is appropriate. Fourth, keep cheerful, emotionally stable, not stimulated, and avoid overwork. Fifth, the choice of therapeutic drugs should be moderate, and the abuse of cytotoxic drugs and hormonal drugs is prohibited. The use of highly irritating drugs for external use should be avoided in acute progression.

Cytotoxic drugs mainly include Baixuening, ethirimol, bimorpholine, cyclophosphamide, Calomelas, mercury and so on. Hormone drugs mainly include dexamethasone, prednisone, betamethasone and imported Corning Ke Tong -A for injection. Although these drugs have short-term short-term effects on some patients, they have serious toxic and side effects on the body. After stopping taking drugs, the condition can rebound and worsen stubbornly. It brings some difficulties to the patient's complete recovery and should be avoided as far as possible.