Clinical experience in treating psoriasis vulgaris in children based on TCM syndrome differentiation
Psoriasis is a chronic,recurrent,immune and systemic skin disease.The main clinical manifestations are erythema,papules and white scales.The disease is divided into four types:psoriasis vulgaris,psoriasis pustular,psoriasis erythroderma,and psoriasis arthropathica.Traditional Chinese medicine(TCM)commonly refers to this disease as"Baibi(白疕),Songpi xuan(松皮癣)",etc..TCM believes that its etiology and pathogenesis are closely related to blood heat and toxin,blood loss,blood stasis,dry skin,and skin dystrophy.Western medicine believes that the disease is closely related to genetics,environment,immune function and other factors.Psoriasis vulgaris in children occurs frequently,with drop like skin damage being the most common manifestation.The article points out that TCM should also consider the pathogenic factors of lung pathogen when exploring the etiology and pathogenesis,which is similar to the hemolytic streptococcus infection in western medicine.In the process of diagnosis and treatment of psoriasis vulgaris in children,we also need to pay attention to the particularity of children's physique.According to director WANG Jianqing,the main pathogenesis of psoriasis vulgaris in children is pulmonary heat toxicity,and the lesions are mainly at the superficial level.Mild medication and detoxification are the main therapeutic principles.Director WANG selected the modified Niubang Jieji decoction(牛蒡解肌汤),and achieved satisfactory curative effects in clinical application.
Psoriasis vulgaris in childrenSyndrome differentiation and treatmentClinical experience
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