Table 2 Treatment process and prescriptions of typical cases treated from Viscera
From: A review of Chinese medicine for the treatment of psoriasis: principles, methods and analysis
Viscera | Treatment process | References |
|---|---|---|
Lung | Initial diagnosis: The whole body has plaque like, drop like and map like tinea in varying degrees; There are silver white scales with uneven thickness on the surface, and scales fall off, especially on the back; Bleeding is common at the scratch of skin lesions.; The finger skin is dry and wrinkled, with thick scales and unbearable pain; Itching all over the body and more severe at night; The tongue coating is light red Initial prescription: Platycodonis Radix1 90 g, Dictamni Cortex5 60 g, 30 g of Angelicae Sinensis Radix3, Paeoniae Radix Alba3, Rehmanniae Radix Praeparata3, and Rehmanniae Radix4 respectively, Paeoniae Radix Rubra4 20 g, Chuanxiong Rhizoma3 20 g, 10 g of Bombyx Batryticatus, Scorpio5, Zaocys5, Mori Cortex2 respectively. Decoct in water and take 10 doses Second diagnosis: Pruritus is significantly reduced, scales are also gradually falling off, skin lesions become thinner, the color of the base of some skin lesions changes from red to light, punctate skin lesions basically subside, finger cracks are reduced, dry dandruff falls off more, and local skin is bright in color Second prescription: Continue to take 14 doses of the above prescription Third diagnosis: The skin lesions of the whole body return to normal, the finger cracks heal, and the skin is moist | [36] |
Large Intestine | Initial diagnosis: The whole body is covered with red spots ranging from soybeans to copper coins, with severe itching; The edge of the patch is clear, and the surface is covered with silver white scales; After scraping off the scales, the film and punctate bleeding can be seen; The rash is mainly on the head, chest, back and limbs; The tongue is dark, the tip and edge of the tongue are red, and the tongue coating is thin and yellow Initial prescription: Smilacis Glabrae Rhizoma 20 g, Angelicae Sinensis Radix, 15 g of Moutan Cortex, Salviae Miltiorrhizae Radix et Rhizoma, Rehmanniae Radix, Atractylodis Macrocephalae Rhizoma respectively, 6 g of Chuanxiong Rhizoma, Schizonepetae Herba, Glycyrrhizae Radix et Rhizoma respectively, Paeoniae Radix Alba 30 g, Armeniacae Semen Amarum 10 g. Decoct in water and take 3 doses Bombyx Batryticatus 10 g, 2 Bungarus Parvus, Scorpio 10 g. Grind the drug into powder and divide it into 30 bags. Take 1 pack each time, twice a day Second diagnosis: The itching was relieved, but the skin lesions did not subside significantly Second prescription: Continue to take 3 doses of the above prescription Third diagnoses: the skin lesions still did not subside significantly Third prescription: Add 10 g of Rhei Radix et Rhizoma and 10 g of Cooked Rhei Radix et Rhizoma to the above prescription and take 3 doses Forth diagnoses: most of the skin lesions subsided, but the patient had slight abdominal pain, bowel ringing and the stool is thin and twice a day Forth prescription: Add 5 jujubes to the third prescription, and take 3 doses Fifty diagnoses: the skin lesions have basically subsided, the abdomen is no longer painful, and the stool is thin and once a day Fifty prescription: Continue to take the forth prescription Finally: the patient was basically cured (Note: after the patient recovered, the doctor instructed the patient to dry three times the amount of the four diagnostic prescriptions in the oven, grind them into powder and take them, 9 g each time, twice a day, two consecutive doses. Then to the next spring and winter, there was no recurrence.) | [39] |
Liver | Initial diagnosis: Dense, coin shaped erythema and papules can be seen on the head, face, trunk and limbs, and covered with white scales. After scraping off the scales, the membrane and bleeding spots can be seen. The tongue color is red, and the tongue coating is thin and yellow Initial prescription: 30 g of Bubali Cornu1 (Decoct in advance), Rehmanniae Radix1, Isatidis Radix3, Imperatae Rhizoma3, Smilacis Glabrae Rhizoma5 respectively, 9 g of Paeoniae Radix Rubra, Moutan Cortex1, Bupleuri Radix2, Scutellariae Radix2 respectively, 15 g of Arnebiae Radix3, Rubiae Radix et Rhizoma4, Dictamni Cortex5, Scutellariae Barbatae Herba3, massa medicata fermentata6 () respectively, Sophorae Flavescentis Radix 10 g, Glycyrrhizae Radix et Rhizoma 6 g. Decoct in water and take 14 doses Topical Chinese medicine ointment Second diagnosis: There are few new rashes and less itching, but the scales are still thick. Defecate unobstructed, insomnia has also been improved Second prescription: The above prescriptions remove 5 and add Salviae Miltiorrhizae Radix et Rhizoma730g, Sappan Lignum7 9 g and Polygoni Cuspidati Rhizoma et Radix7 30 g. Take 14 doses Third diagnosis: The rash began to fade, the color turned pale red, the scales became thinner, and the symptoms of poor appetite were improved Third prescription: Add Spatholobi Caulis8 30 g to the prescription of the second diagnosis. Take 28 doses Forth diagnoses: The rash basically subsided, and only light brown pigmentation spots could be seen on the trunk and limbs, with almost no symptoms of pruritus Forth prescription: Remove Bubali Cornu, Imperatae Rhizoma, Scutellariae Barbatae Herba and add Rehmanniae Radix Praeparata9, Cooked Polygonati Rhizoma9 in the three diagnostic prescriptions. Take it for 2 weeks Finally: the patient was basically cured | [40] |
Heart | Initial diagnosis: severe papules and erythema on limbs, trunk and scalp covered with scales. After scraping off the scales, the film and bleeding spots can be seen, and the itching is severe and aggravated at night. The complexion is red and the body is thin. The tongue color is dark, and the tongue coating is thin and yellow Initial prescription: 30 g of Rehmanniae Radix 1, Salviae Miltiorrhizae Radix et Rhizoma1, Forsythiae Fructus,Hedyotis Diffusa, Lonice Raejaponicae Caulis, Polygoni Multiflori Caulis respectively, 20 g of Scrophulariae Radix1, Ophiopogonis Radix, Zaocys3, Sophorae Flavescentis Radix,SpatholobiCaulis respectively,15 g of Bubali Cornu silk (Decoct in advance)1, Lonicerae Japonicae Flos,Bolbostemmatis Rhizoma, Rumex madaio MakinoR. daiwoo Makino., Bombyx Batryticatus 3, Piperis Kadsurae Caulis, Gleditsiae Spina, Astragali Radix,Curcumae Rhizoma,Sparganii Rhizoma respectively, 10 g of Coptidis Rhizoma,Lophatheri Herba 2,Cicadae Periostracum 3, Pinelliae Rhizoma Praeparatum respectively. Decoct in water and take 21 doses Second diagnosis: the symptoms have improved significantly, but the rash is still red, and the itching symptoms have not been improved. And the mouth is bitter, the tongue color is dark, and the tongue coating is slightly yellow Second prescription: Remove Coptidis Rhizoma,Lophatheri Herba,Cicadae Periostracum,Sophorae Flavescentis Radix,Spatholobi Caulis, Polygoni Multiflori Caulis, Gleditsiae Spina, Pinelliae Rhizoma Praeparatum, Astragali Radix,Curcumae Rhizoma, Sparganii Rhizoma,and change Scrophulariae Radix 30 g, Bubali Cornu silk (Decoct in advance) 30 g,Ophiopogonis Radix 15 g, and add Vespae Nidus 36 g, Gastrodiae Rhizoma 410 g, Dictamni Cortex 315 g,Tribuli Fructus 420 g,Saigae Tataricae Cornu Powder5 (take after mixing it with water) 0.6 g. Decoct in water and take 21 doses Third diagnosis: The skin lesions of limbs and head were significantly improved, and the pruritus was significantly reduced, but there were symptoms of diarrhea and yellow urine. The tongue color is dim, and the tongue coating is yellow and greasy Third prescription: Change the dose of some medicines in the second prescription: Bubali Cornu silk (Decoct in advance) 30 g, Bolbostemmatis Rhizoma 20 g, Vespae Nidus 10 g Add Scutellariae Radix 115 g, Talcum (Packed separately)120 g Decoct in water and take 21 doses Forth diagnoses: The symptoms of skin lesions and pruritus basically disappeared, only a few scattered punctate rashes, occasional diarrhea and yellow urine. The tongue color is dim, and the tongue coating is yellow, greasy and slightly rough. The patient's mental state improved greatly and his confidence increased Forth prescription: Remove Lonicerae Japonicae Flos1 and add Fried Atractylodis Macrocephalae Rhizoma615 g, Paridis Rhizoma612 g in third prescriptions. Decoct in water and take 21 doses | [49] |
Kidney | Initial diagnosis: thick skin lesions on the head, more desquamation and severe pruritus. Scattered patchy skin lesions appear on the trunk and small limbs, with white dandruff, most scratches and blood scabs on the surface. The base of the lesion is thick and dark red. The larger one is the size of a palm and the smaller one is the size of a coin. The skin lesions and tongue are dark red with ecchymosis, and the tongue coating is thin and white Initial prescription: Angelicae Sinensis Radix2 12 g, Paeoniae Radix Rubra2 12 g, Chuanxiong Rhizoma2 10 g, 15 g of Persicae Semen2, Carthami Flos2, Ginseng Radix Et Rhizoma 1, Citri Reticulatae Pericarpium respectively, 30 g of Aconiti Lateralis Radix Praeparata 19 g, Spatholobi Caulis2, Cinnamomi Cortex 1, Glycyrrhizae Radix et Rhizoma respectively. Decoct in water and take 4 weeks Second diagnosis: The skin lesions basically subsided, with only a few papules on the back, only brown pigment spots left at the regression, and sometimes dry mouth Second prescription: Remove Ginseng Radix et Rhizoma, Aconiti Lateralis Radix Praeparata and add 15 g of Zingiberis Rhizoma3, Pseudostellariae Radix3, Ophiopogonis Radix4 in above predcription. Decoct in water and take more than 20 doses Third diagnosis: The skin lesions obviously subsided to normal, with only a small of pigmented spots left Third prescription: Take the pills prepared by the two prescriptions until you recover | [43] |
Spleen and stomach | Initial diagnosis: The patient has a strong body, a drop of desquamation on his chest, back and abdomen, slight itching, red and swollen lips, red tongue, yellow and thick tongue coating, yellow urine, dry stool and once every 3 ~ 4 day Initial prescription: Pogostemonis Herba 430 g, Lilii Bulbus 530 g, Fried Gardeniae Fructus 115 g,Rhei Radix et Rhizoma 115 g, Saposhnikoviae Radix 275 g,Gypsum Fibrosum 145 g, Glycyrrhizae Radix et Rhizoma 645 g,Moutan Cortex 345 g。Except for 3, the other drugs were crushed into coarse powder and fried with yellow rice wine; 3 grind and mix with the coarse powder of other drugs. Take 10 g daily, fry into half a bowl with water, and take it twice in the morning and evening Cassitol ointment was reduced from twice a day to once a day. It was stopped after one week Second diagnosis: After a week, the stool is unobstructed, twice a day. The symptoms of lip swelling disappeared, and desquamation and pruritus were not aggravated Second prescription: Discontinue Cassitol ointment and continue to take the above Decoction for one month Third diagnosis: The skin desquamation completely disappeared without pruritus, and only scattered hypopigmentation spots were seen Finally: the patient was followed up for half a year and the condition was stable | [50] |