Dermatrol (PS) ™
CLINICAL
APPLICATIONS
* Psoriasis,
parapsoriasis and other scaling diseases * Severe
acne with pus, abscesses and redness * Dermatological
disorders with
sores, abscesses, lesions, blisters, and severe itching WESTERN
THERAPEUTIC ACTIONS
* Antiproliferative action to
suppress proliferation of the psoriatic cells * Immunosuppressive and immunomodulatory
activities to control hyperactive immune system * Antipruritic effect to
inhibit scratching * Antiallergic effect to alleviate
allergies * Antihistamine effect to relieve
itching * Anti-inflammatory effect to
reduce tissue inflammation CHINESE
THERAPEUTIC ACTIONS
* Clears heat and detoxifies * Invigorates blood circulation and
nourishes blood DOSAGE
Take 3 to 4 capsules three times daily on an empty stomach with warm water. In acute conditions, dosage may be increased to 8 to 10 capsules three times daily for one week, or until symptoms subside. After relief of symptoms, dosage then can be reduced to 3 or 4 capsules daily. INGREDIENTS
Bai Hua She She Cao
(Herba Hedyotis) Bai Xian Pi (Cortex Dictamni) Ban Lan Gen (Radix Isatidis) Chan Tui (Periostracum Cicadae) Chi Shao (Radix Paeoniae Rubra) Da Qing Ye (Folium Isatidis) Feng Fang (Nidus Vespae) Gan Cao (Radix et Rhizoma Glycyrrhizae) Jin Yin Hua (Flos Lonicerae Japonicae) Ku Shen (Radix Sophorae Flavescentis) Mu Dan Pi (Cortex Moutan) Quan Xie (Scorpio) Wu Shao She (Zaocys) Zhi He Shou Wu (Radix Polygoni
Multiflori Praeparata) BACKGROUND
Psoriasis, parapsoriasis and other scaling diseases
are skin disorders with well-circumscribed, scaling papules or plaques without
wetness, crusts, and fissures. The cause is unclear but involves immune
stimulation of epidermal keratinocytes. Common triggers include emotional
stress, sunburn, infection and use of certain drugs (alcohol, beta-blockers,
lithium, ACE inhibitors, indomethacin, and interferon £\). FORMULA
EXPLANATION
Psoriasis and scaling diseases with severe itching in traditional Chinese medicine are amongst the most difficult disorders to treat since there may be various pathogenic factors involved. In addition, most conditions are chronic and may be complicated by the presence of both excess and deficient factors simultaneously, such as wind, toxic heat, dampness, and blood deficiency. To successfully treat such stubborn and complicated conditions, Dermatrol (PS) contains many strong and potent herbs to treat both the cause and the symptoms concurrently. Dermatrol (PS) contains many medicinal substances that have potent actions to eliminate the heat and toxins that contribute directly to psoriasis or other dermatological conditions. Wu Shao She (Zaocys) has excellent dispersing functions that enter the internal organs and travel to the skin to relieve itching. It disperses wind, which is the predominant cause for itching. To further relieve itching and disperse wind, Ku Shen (Radix Sophorae Flavescentis), Bai Xian Pi (Cortex Dictamni) and Chan Tui (Periostracum Cicadae) are used. Da Qing Ye (Folium Isatidis), Ban Lan Gen (Radix Isatidis) and Bai Hua She She Cao (Herba Hedyotis) are used to clear heat and detoxify. Jin Yin Hua (Flos Lonicerae Japonicae) is commonly used to treat toxic heat in the exterior characterized by all dermatological sores, lesions, ulcerations, warts, and furuncles. To cool the blood and prevent further spreading of lesions, Mu Dan Pi (Cortex Moutan) and Chi Shao (Radix Paeoniae Rubra) are used. Quan Xie (Scorpio) and Feng Fang (Nidus Vespae) are used together to relieve toxicity, dispel wind and relieve pain. The use of these two substances is effective because in traditional Chinese medicine, it is sometimes necessary to ¡§use toxin to attack toxin.¡¨ These two herbs are used to treat a wide range of dermatological disorders ranging from toxic sores, mastitis, mumps, swellings and scrofula. Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata) tonifies blood and prevents flaring of wind associated with blood deficiency. Finally, Gan Cao (Radix et Rhizoma Glycyrrhizae) is used to harmonize the formula, reduce the toxicity of Quan Xie (Scorpio) and protect the stomach from the cold properties of the heat-clearing herbs. CAUTIONS
& CONTRAINDICATIONS * This formula is contraindicated
during pregnancy and nursing. * Patients with weak Spleen and
Stomach should take this formula with food to avoid stomach upset. * Patients with yang deficiency or
coldness should use this formula with caution. A yang tonic formula such as Kidney Tonic (Yang) is recommended to be taken with Dermatrol (PS) for
maximum effect. * According to most textbooks and contemporary references, the classic entry of "He Shou Wu" is now separated into two entries: the unprepared Sheng Shou Wu (Radix Polygoni Multiflori) and the prepared Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata), as they have significantly different therapeutic effects and side effects. Sheng Shou Wu (Radix Polygoni Multiflori) is a stimulant laxative that treats constipation, but may cause nausea, vomiting, abdominal pain, diarrhea, and in rare cases, liver disorder (dose- and time-dependent, and reversible upon discontinuation).[1] On the other hand, Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata) is a tonic herb that is safe and well-tolerated. The dramatic changes in the therapeutic effect and safety profile are attributed to the long and complicated processing of the root with Hei Dou (Semen Sojae) through repeated blending, cooking, and drying procedures. When properly processed, the chemical composition of the root changes significantly. Many new compounds are generated from the Maillard reaction (four furanones, two furans, two nitrogen compounds, one pyran, one alcohol and one sulfur compound). Furthermore, the preparation process causes changes in the composition of sugars and 16 kinds of amino acids; it also reduces the pH of the herb from 6.28 to 5.61.[2],[3],[4] In summary, these changes give rise to the tonic effects of the prepared roots, and eliminate the adverse reactions associated with the unprepared roots. Note: Due to medical risks and legal liabilities, it is prudent to exercise caution and not use this herb in either prepared or unprepared forms in patients with pre-existing or risk factors of liver diseases. CLINICAL
NOTES
* Because psoriasis is a difficult and stubborn disease, the treatment period is set at three months at a time, between intervals for evaluation and modification of the herbal formula(s). * After the condition has stabilized, it is recommended that the patient take 2 capsules per day of Dermatrol (PS). Furthermore, those with qi deficiency or blood deficiency should take Immune + or Schisandra ZZZ, respectively. Pulse
Diagnosis by Dr. Jimmy Wei-Yen Chang:
* Wet skin lesions due to damp-heat
accumulation: deep and forceful pulse on all three pulse positions (cun,
guan, chi) * Dry skin lesions due to dryness and
heat accumulation in the Lung and Large Intestine: floating and forceful pulse
on the right cun * Allergy lesions due to fire and dryness
in the Lung, Large Intestine and Liver: floating, forceful, and jumpy on the
right cun and left guan * Toxic lesions due to Liver fire: thick,
long, wiry, forceful, and jumpy on both chi; and floating, forceful, and jumpy on the left guan * Skin problems due to stress: forceful
on the left guan SUPPLEMENTARY
FORMULAS
* For
itching due to wind-heat, add Silerex. * For acne with redness, pain and pus, add Dermatrol (Clear). * For
toxic heat with redness and pain, or skin infection, add Herbal ABX and Gardenia Complex. * For excess heat manifesting in redness, add Gardenia Complex. * For chronic skin condition with blood
stagnation, add Circulation (SJ) or Flex (NP). * For
blood or yin deficiency with dry skin, flaking, and dry throat, add Schisandra ZZZ and/or Nourish (Fluids). * For
yin deficiency with heat and dryness, add Nourish. * For
ulcerations and wet lesions on the skin due to damp-heat, add Gentiana Complex. * For
dry stools or constipation, add Gentle Lax (Excess) or Gentle Lax (Deficient). * For shingles, use Dermatrol (HZ) instead. * For
lupus, use LPS Support instead. * Use
Dermatrol (Dry) instead if desired effect is not obvious with
Dermatrol (PS). ACUPUNCTURE
TREATMENT Traditional
Points:
* Quchi (LI 11), Xuehai (SP 10), Zusanli (ST 36), Neiguan (PC 6), Shenmen (HT 7), Sanyinjiao (SP 6), Feiyang (BL 58) Classic
Master Tung's Points:
* Eczema: Simashang (T
88.18), Simazhong (T 88.17), Simaxia (T 88.19), Linggu (T 22.05), Minghuang
(T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Tianhuang (T 77.17), Dihuang
(T 77.19), Renhuang (T 77.21), Jinqianshang (T 88.24), Jinqianxia (T 88.23) * Atopic dermatitis: Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Linggu (T 22.05), Zhisima (T 11.07) * Herpes zoster: Linggu (T 22.05), Tianhuang
(T 88.13), Minghuang (T 88.12), Qihuang (T 88.14), Simashang (T 88.18), Simazhong
(T 88.17), Simaxia (T 88.19), Shuitong (T 1010.19), Shuijin (T 1010.20) * Tinea versicolor: Tianhuang (T 88.13), Minghuang (T 88.12), Qihuang (T 88.14), Simashang (T 88.18), Simaxia
(T 88.19), Simazhong (T 88.17), Shuijin (T 1010.20), Shuitong (T 1010.19). Bleed the LR area
T5 ¡V T9 and KI area T9 ¡V T12 on the
back with cupping. Bleed
before needling for best result. * Hives: Simashang (T
88.18), Simaxia (T 88.19), Simazhong (T 88.17), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Tianhuang
(T 88.13), Minghuang (T 88.12), Qihuang (T 88.14), Zhisima (T 11.07) Master
Tung¡¦s Points by Dr. Chuan-Min Wang:
* Psoriasis: Simazhong (T
88.17), Simashang (T 88.18), Simaxia (T 88.19) Balance
Method by Dr. Richard Tan:
* Left
side: Dadun
(LR 1),
Zhongfeng
(LR 4),
Shangyang
(LI 1),
Hegu
(LI 4) * Right
side: Zuqiaoyin
(GB 44),
Qiuxu
(GB 40),
Shaoshang (LU
11),
Jingqu
(LU 8) * Left
and right sides can be alternated from treatment to treatment. Ear
Acupuncture:
* Main
points:
Lung, Endocrine, Shenmen, Occipital * Adjunct
points: Adrenal Gland, Liver, Spleen, Brain Stem, Heart * Select
four to five points each time, and needle for 30 to 60
minutes every other day. Ear seeds can also be used. Alternate ears every three
to seven days. Auricular
Medicine by Dr. Li-Chun Huang:
* Psoriasis: corresponding
points (to the areas affected), Gallbladder, Liver, Spleen, Lung, Large
Intestine, Endocrine. Bleed Ear Apex and Helix 4. * Cutaneous pruritis: Shenmen, Occiput, Liver, Spleen, Lung,
Endocrine, Diaphragm, Allergic Area. Bleed Ear Apex. * Urticaria:
Liver, Lung, Spleen, Diaphragm, Shenmen,
Occiput, Allergic Area, Sympathetic, Endocrine, Adrenal Gland. Bleed Ear Apex. * Contact dermatitis:
Liver, Spleen, Lung, Endocrine, Sympathetic, Adrenal Gland, Allergic Area, corresponding
points (to the area affected). Bleed Ear Apex. * Eczema: Allergic Area, Lung,
Sympathetic, Spleen, Shenmen,
Endocrine, Occiput, Diaphragm, corresponding points (to the area affected).
Bleed Ear Apex. NUTRITION
* Successful
treatment of psoriasis or any dermatological disorders with herbs is highly
dependent on the patient¡¦s cooperation in maintaining a proper diet. During the
treatment period, alcohol, spicy food, seafood and anything that may be
stimulating, or that may cause allergies should be avoided completely. * Fish
oil, flax seed oil, and primrose oil help to reduce inflammation, and are
beneficial for the treatment of psoriasis. * Make
sure the diet contains adequate amount of fruits, vegetables, whole grains, and
dietary fiber. * Avoid
citrus fruits, fried foods, processed foods, and saturated fats. The
Tao of Nutrition by Dr. Maoshing Ni and Cathy McNease:
* Psoriasis ¡± Recommendations:
Chinese prunes, guava skin, pearl barley, vinegar, garlic, walnuts, cucumber,
beet tops, dandelions, squash, and mung beans. ¡± Take 15 peeled and
sliced water chestnuts and 1 cup of vinegar (preferably aged rice vinegar), slowly simmer in a non-metal pot for 20 minutes until
water chestnuts absorb most of the vinegar. Then mash into a paste and seal in
a jar. Spread evenly on a gauze pad and apply to affected area, changing daily for
mild to moderate condition, and three times daily for serious condition. Mild
cases should show improvement within five days, but serious conditions may take
up to two weeks. ¡± Take peels from guava,
char and powder it, mix with sesame oil into a paste and apply twice daily for
one week. ¡± Apply mashed garlic to
the affected area, changing twice daily for one week. ¡± Avoid spicy food,
stimulating food, alcohol, caffeine, smoking, and excessive sun exposure. * Acne ¡± Recommendations: squash,
cucumbers, watermelon, winter melon, celery, carrots, cabbage, beet tops,
dandelions, aloe vera, mulberry leaf, carrot tops, lettuce, potato, cherries,
papaya, pear, persimmon, raspberries, buckwheat, alfalfa sprouts, millet, brown
rice, mung beans, and plenty of water. ¡± Apply plain, low-fat,
no chemical yogurt to the affected area. Leave on for 20 minutes then wash off. ¡± Rub watermelon rind on
the acne. ¡± Apply aloe vera. ¡± Eat watermelon or drink
watermelon juice. ¡± Roast buckwheat, grind
to powder and mix with rice vinegar into a paste, then apply to area. ¡± For oozing acne
condition, cover area with pearl barley powder over night, wash off with water. ¡± For infected acne,
apply a dandelion poultice to the area. ¡± Avoid fried foods,
fatty or oily foods, spicy foods, coffee, alcohol, sugar, smoking, stress,
constipation, make-up, washing with chemicals, chocolate, ice cream, soft
drinks, and emotional stress. LIFESTYLE
INSTRUCTIONS
* Prevention
of respiratory infections is also important. Adequate rest is essential. * Do
not scratch the affected area, which increase risk of infection and scarring. * Avoid
factors that trigger psoriasis outbreak whenever possible: alcohol consumption,
emotional stress, sunburn, infection and drugs (beta-blockers, lithium, ACE
inhibitors, indomethacin, and interferon £\). CASE
STUDIES
* D.D.,
a 45-year-old business owner, who is a single mom and received less than four
hours of sleep for herself each night, presented with chronic eczema and itchy
skin. Objective findings were red and heavy eyes and the location of her rash
was mainly on her hands and feet. She had recently lost over 50 pounds and was
still trying to lose more weight. The practitioner diagnosed this condition as
damp-heat and Liver disharmony. Dermatrol (PS) was prescribed at
three capsules three times daily along with Liver DTX at the same
dosage. The results were positive; she experienced less itching and her rashes
were less. However, during times of stress and lack of sleep the rash and
itching symptoms would return. The patient¡¦s compliance with her lifestyle was
needed for prolonged results. Submitted by L.W.,
Arroyo Grande, California. * A.K.,
a 13-year-old male, presented with acne, consisting of red and purulent appearance
along with irritable sensation. The practitioner diagnosed this condition as
Liver qi stagnation. Liver yang rising and dampness were also present. Dermatrol (PS) was prescribed for treatment. After taking the herbs, the acne had
cleared more than 50% with minimal pus and redness; itching was no longer
present. He was also receiving acupuncture twice a week. Submitted by A.D., Phoenix, Arizona. * M.Z.,
a 15-year-old male, presented with a large amount of pimples over his face.
Objective findings included blemishes and dark discoloration on the cheeks,
forehead, and chin. It was mentioned that he had already tried Western topical
creams and antibiotics. The practitioner diagnosed this condition as damp-heat.
For treatment, Lonicera Complex and Dermatrol (PS) were both prescribed.
It was reported after three weeks that his condition had improved; the
blemishes and purple patches had vanished. He continued taking the Dermatrol (PS) at two capsules daily for maintenance. Submitted
by G.G., East Lansing, Michigan. * S.W.,
a 54-year-old female, presented with psoriasis in which she had been
experiencing since she was a child. It consisted of patches that were scaly,
dry, red, and itchy on different parts of her body. It was noted that gluten
would aggravate her condition. The patient had restricted her diet by avoiding
excess sugar, spicy food, and alcohol. Objective findings included pale face
and agitated demeanor. The practitioner diagnosed this condition as blood heat,
blood deficiency, and Liver qi stagnation. Dermatrol (PS) was prescribed at 6
capsules two times per day. Within two weeks of taking the herbs and receiving
acupuncture, her skin had cleared. After four months of continuing, it was free
of all signs of psoriasis. Submitted by N.V.,
Muir Beach,
California. * A
33-year-old female presented with eczema on localized areas of the hands,
wrists and face. The affected skin was itchy and dry, and appeared thicker and
paler than surrounding areas. The woman had tried steroid creams and
prescription drugs for four years without satisfactory results. The Western
diagnosis was eczema and atopic dermatitis; the TCM diagnosis was blood
deficiency leading to blood dryness and wind. After taking Dermatrol (PS),
the patient reported complete resolution of eczema on the face and arms. The
skin on the wrists and hands may remain discolored. Overall, Dermatrol (PS) helped tremendously. [Note: This formula should be used with
caution in patients with yin deficiency as it may cause hot flashes.] Submitted
by M.M., Randolph, New Jersey. * L.W.,
a 22-year-old male, presented with septic facial acne. Very depressed, he did
not want to be seen in public. The TCM diagnosis was damp-heat with Liver qi
stagnation. After one week of taking Dermatrol (PS) and Shine,
the acne was 80% resolved and the depression was improving. After washing his
face with a mild soap, the patient applied a topical skin wash [Yin Care] diluted with tea tree oil. The
acne was gone in 28 days. The patient now socializes happily with family and
friends. Submitted by H.C., Stephens City, Virginia. * A
26-year-old farmer with a history of alcohol consumption reported a rash and
itchiness of the body without any obvious cause. He was initially diagnosed
with a skin rash, and treated with topical steroids without success. As the
condition continued to deteriorate, with formation of white skin flakes, the
diagnosis was changed to psoriasis. After three months of unsuccessful
treatment with drugs, the patient then sought herbal treatment. The patient
subsequently presented with severe itching, thirst, irritability, constipation,
dysuria, and the presence of psoriatic flakes throughout his head and body.
Open lesions resulted as a consequence of constant scratching. The tongue was
red with a yellow, greasy coat, while the pulse was thready and rapid. The TCM
diagnosis was accumulation of heat and toxins. After two weeks of herbal
treatment with Dermatrol (PS),
the patient reported marked improvement with reduction of itching and skin
irritation, healing of skin lesions, and less psoriatic flakes. The patient was
advised to continue with the herbs for another week until the psoriasis
resolved completely. Submitted by C.S., Jilin, China. * A
31-year-old female presented with a family history of chronic psoriasis, and
outbreaks mainly on her elbows, knees and sacrum. She also suffered from vaginal
itching and burning sensations. The TCM diagnosis was toxic damp-heat in the
Liver. V-Support and Dermatrol (PS) were
prescribed. A topical wash, Yin Care,
was prescribed for external application for the psoriasis and vaginally for
local itching. The patient had acupuncture treatments and was on the herbal
formulas for two years. The patient was advised to stop smoking, eat less spicy
food, and refrain from alcohol intake, but was unable to change her lifestyle.
Nonetheless, her condition continued to improve, and she noticed that if she
did not take the herbs, the symptoms would return. Submitted by M.C., Sarasota,
Florida. PHARMACOLOGICAL
AND CLINICAL RESEARCH
Psoriasis
is defined as a chronic and recurrent disease characterized by dry,
well-circumscribed, silvery, scaling papules and plaques of varying sizes.[5] Areas
commonly affected by psoriasis include the scalp, sacral area,
extensor surface of the extremities, buttocks, and penis. The exact cause of
psoriasis is unknown, but the lesions are characterized by increased epidermal
cell proliferation and inflammation involving immune stimulation. Therefore,
optimal treatment must focus on controlling the immune system, suppressing cell
proliferation and reducing tissue inflammation. Psoriasis is directly associated with hyperactivity of the immune system. Therefore, successful treatment of psoriasis must include use of herbs to control and regulate the immune system. Bai Xian Pi (Cortex Dictamni) is an excellent herb with remarkable immunosuppressive activity to inhibit the proliferation of T-cells.[6] In addition, Bai Hua She She Cao (Herba Hedyotis) is also used in this formula for its immunomodulatory effect.[7] Dermatrol (PS) contains many herbs with marked characteristics to treat psoriasis by suppressing the proliferation of cells. The inhibitory effect of these herbs slows or stops the abnormally high rate cell proliferation, as in cases of psoriasis. Herbs with this inhibitory effect include Ku Shen (Radix Sophorae Flavescentis),[8],[9],[10],[11] Da Qing Ye (Folium Isatidis),[12] Bai Hua She She Cao (Herba Hedyotis),[13],[14] and Fang Feng (Radix Saposhnikoviae).[15] Dermatrol (PS) also employs many herbs with marked traits for treatment of psoriasis by suppressing the inflammation of tissue. The anti-inflammatory effect of the herbs helps to reduce swelling and facilitate recovery. Herbs with this anti-inflammatory activity include Bai Xian Pi (Cortex Dictamni),[16] Da Qing Ye (Folium Isatidis),[17] Jin Yin Hua (Flos Lonicerae Japonicae),[18] Ku Shen (Radix Sophorae Flavescentis),[19] Mu Dan Pi (Cortex Moutan),[20] and Gan Cao (Radix et Rhizoma Glycyrrhizae).[21] These herbs have excellent anti-inflammatory influences with differing mechanisms of action. Some reduce inflammation by inhibiting prostaglandin synthesis and decreasing the permeability of the blood vessels.[22] Others reduce swelling by stimulating the release of glucocorticoids and delaying their breakdown. 17 In
addition to herbs that suppress cell proliferation and tissue inflammation, Dermatrol (PS) contains many herbs that have excellent effects to treat general
dermatological disorders. Pharmacologically, Ku Shen (Radix
Sophorae Flavescentis) has an antipruritic
effect to
inhibit scratching in a dose-dependent manner.[23] The
antipruritic effect is attributed in part to its effect to reduce several
eicosanoid-related skin inflammation, such as atopic
dermatitis.[24]
Bai Xian Pi (Cortex Dictamni) has an antiallergic
effect. It inhibits the scratching behavior in subjects with
artificially-induced allergic atopic dermatitis and other allergy-related
diseases in a dose-dependent manner.[25] Mu Dan Pi (Cortex
Moutan) has an antihistamine effect to significantly
suppress histamine release and prostaglandin D(2)
synthesis from mast cells.[26]
Indolinone, an alkaloid isolated from Da Qing Ye
(Folium Isatidis), has been shown to block mast cell
degranulation in vitro.[27]
Clinically, according to one study, the use of Chan
Tui
(Periostracum Cicadae) was successful in treating 27 out of 30
patients with chronic urticaria.[28] In another study, use of Ku Shen (Radix Sophorae
Flavescentis) was found to have a 79% effective rate in
treating 148 patients with dermatological disorders, such as rash, itching and
eczema.[29] Furthermore, topical application of Bai Xian Pi (Cortex Dictamni)
was found to be 100% effective in treating 33 cases of suppurative
dermatological disorders.[30] Lastly, 56 patients with pustular psoriasis of the palms
were treated with great success (10 had complete recovery, 24 had significant
improvement, 13 had moderate improvement, and 9 had no effect) using an herbal
formula with Da
Qing Ye
(Folium Isatidis), Ban
Lan Gen
(Radix Isatidis), Bai
Hua She She Cao (Herba Hedyotis), Bai Xian Pi (Cortex
Dictamni), Chi Shao (Radix Paeoniae Rubra), and others.[31] In summary, Dermatrol (PS) is a
well-balanced formula that addresses multiple aspects of psoriasis and other
scaling diseases or dermatological disorders with severe itching. Dermatrol (PS) contains herbs that suppress the proliferation of cells, reduce
the inflammation of tissue, and relieve itching and discomfort. It is one of
the most effective formulas for the treatment of the challenging and stubborn
disorder of psoriasis. COMPARATIVE ANALYSIS Successful
treatment of psoriasis is one of the most challenging conditions for both Western
and traditional Chinese medicine. There is no cure in Western medicine, and
only a few effective treatments to control symptoms. Drug options include
lubricants, keratolytics and corticosteroids. Lubricating cream is usually
combined with coal tar, followed by exposure to ultraviolet (UV) light. Though
this method may be effective, excessive exposure to UV light may cause sunburn
and induce exacerbations. Keratolytics such as anthralin may be beneficial, but
it is irritating and should not be used in intertriginous areas. Lastly,
topical corticosteroids help to reduce itching and inflammation. However, they
cause local side effects such as atrophy and telangiectases. Furthermore,
continuous use of topical corticosteroids for just one to two weeks results in
loss of steroid effectiveness. Herbs are effective to
treat both the causes and the symptoms of psoriasis. However, despite both
short- and long-term improvements, herbs do not cure psoriasis. Therefore, it
is necessary to periodically re-initiate herbal therapy to control psoriasis
and prevent flare-ups. With persistent prevention and aggressive treatments, it
will be possible to control psoriasis by reducing the frequency and severity of
recurrences. [1] Lei X1, et al. Liver Damage Associated with Polygonum
multiflorum Thunb.: A Systematic Review of Case
Reports and Case Series. Evid Based Complement Alternat Med. 2015;2015:459749. doi:
10.1155/2015/459749. [2] Liu Z, Chao Z, Liu Y, Song Z, Lu A. Maillard reaction
involved in the steaming process of the root of Polygonum multiflorum. Institution of Basic [3] Liu Z, et al. In vitro antioxidant activities of
maillard reaction products produced in the steaming process of Polygonum multiflorum
root. Nat Prod Commun. 2011 Jan;6(1):55-8. [4] Liu Z, et al. Comparative analyses of chromatographic fingerprints of the roots of Polygonum multiflorum Thunb. and their processed products using RRLC/DAD/ESI-MS(n). Planta Med. 2011 Nov;77(16):1855-60. doi: 10.1055/s-0030-1271200. [5] Beers, M. and Berkow, R.
The Merck Manual of
Diagnosis and Therapy 17th Edition. 1999. [6] Chang J, Xuan LJ, Xu YM,
Zhang JS. Cytotoxic terpenoid and
immunosuppressive phenolic glycosides from the root bark of Dictamnus dasycarpus.
Planta Med. 2002 May;68(5):425-9. [7] Shi Y, Wang CH, Gong XG. Apoptosis-inducing
effects of two anthraquinones from Hedyotis diffusa WILLD. Biol Pharm
Bull. 2008 Jun;31(6):1075-8. [8] [9] Bei
Jing Yi Ke Da Xue Xue Bao (Journal
of [10] Zhong
Hua Xue Yi Xue Za Zhi (Chinese
Journal on Study of Hematology), 1991; 12(2):89. [11] Zhong
Guo Zhong [12] Zhi
Wu [13] Zhong
Yao Xue (Chinese Herbology), 1998;
204:205. [14] Liu Z, Liu M, Liu M, Li J. Methylanthraquinone from
Hedyotis diffusa WILLD induces Ca(2+)-mediated apoptosis in human breast cancer
cells. Toxicol In Vitro. 2010 Feb;24(1):142-7.
[15] Tai J, Cheung S. Anti-proliferative
and antioxidant activities of Saposhnikovia divaricata. Oncol Rep. 2007
Jul;18(1):227-34. [16] Kim JH, Park YM, Shin JS, Park SJ, Choi JH, Jung HJ,
Park HJ, Lee KT. Fraxinellone inhibits lipopolysaccharide-induced inducible
nitric oxide synthase and cyclooxygenase-2 expression by negatively regulating
nuclear factor-kappa B in RAW 264.7 macrophages cells. Biol Pharm Bull. 2009
Jun;32(6):1062-8. [17] Recio MC, Cerdá-Nicolás M, Potterat
O, Hamburger M, Ríos JL. Anti-inflammatory and antiallergic activity in
vivo of lipophilic Isatis tinctoria extracts and tryptanthrin. Planta Med. 2006
May;72(6):539-46. [18] Shan Xi [19] Jiang H, Meng F, Li J, Sun X. Anti-apoptosis effects
of oxymatrine protect the liver from warm ischemia
reperfusion injury in rats. World J Surg. 2005 Nov;29(11):1397-401. [20] Sheng
[21] Zhong Yao Zhi (Chinese Herbology Journal), 1993; 358. [22] Zhong
Guo [23] Yamaguchi-Miyamoto T, Kawasuji T, Kuraishi Y, Suzuki
H. Antipruritic effects of Sophora flavescens on acute and chronic itch-related
responses in mice. Japan Society for the Promotion of Science, Domestic
Research Fellow, Hon-machi, [24] Kim DW, Chi YS, Son KH, Chang HW, Kim JS, Kang SS, Kim
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