The Treatment of Modern Western - Biblio.nhat-nam.ru

64PSORIATIC ARTHRITISPsoriatic arthritis refers to arthritis associated with psoriasis ofthe skin or nails. This type of arthritis occurs in 5-7% of psoriasispatients. In these cases, psoriasis of the skin or nails mayeither precede or follow joint involvement. Typically, it is thedistal interphalangeal joints of the fingers and toes which areprimarily affected. However, there may be asymmetric involvementof both large and small joints, including the sacroiliac andspine. Exacerbations and remissions of joint and skin symptomsoften coincide. The etiology of psoriasis is unknown inWestern medicine, although it is known that emotional stress,skin trauma, cold weather, infections, and certain drugs maytrigger attacks in susceptible individuals. Western medicineoffers no curative therapy for either the skin or joint lesions.What treatment exists is merely directed at controlling the skinlesions and joint inflammation, and this type of arthritis mayprogress to become chronic and crippling. In addition, manyWestern treatments for psoriasis carry some patient risk. Forinstance, phototherapy with ultraviolet light increases the riskof developing many types of skin cancer, while the chemotherapeuticagent methotrexate may adversely affect, liver, kidney,and lung function as well as hemopoesis.wind, dampness, heat, and cold, the four types of evil qiwhich may cause impediment conditions resulting in jointpain. If loss of free flow endures for a long time, eventuallythere will also be blood stasis engendered in the network vessels.Because static blood hinders the engenderment of newor fresh blood, this development creates a self-reinforcingloop, making this condition difficult to heal.TREATMENT BASED ON PATTERN DISCRIMINATION:1. YIN VACUITY WITH CONCOMITANT WIND DAMP HEATIMPEDIMENT PATTERNMAIN SYMPTOMS: A normally warm body or low-grade fever,dry skin, a red base around their skin lesions, red, swollenjoints, atrophic, shrunken flesh and muscles, a dry mouthand thirst, yellow urine, a red tongue, and a fine rapid pulseindicating a tendency to yin vacuity and blood drynessTREATMENT PRINCIPLES: Nourish the blood and enrich yin,clear heat, eliminate dampness, and free the flow of impedimentCHINESE DISEASE CATEGORIZATION: In Chinese medicine,psoriasis is categorized as niu pi xian, oxhide lichen.The joint pain associated with this condition is categorizedas bi zheng, impediment condition.DISEASE CAUSES: External contraction of wind evils andyin vacuity-blood drynessDISEASE MECHANISMS: If wind evils lodge in the skinand blood dryness is not able to construct and nourish theskin, then the skin may become dry, lichenified, and scaley.If the skin dries out so much that it cracks, there is bleedingand pain. Because of the wind and dryness, there is itching.In terms of the accompanying arthritis, this as a species ofimpediment condition and, therefore, due to the evils ofRX: Unnamed empirical formulaINGREDIENTS:Bai Hua She She Cao (Herba Hedyotis Diffusae)Tu Fu Ling (Rhizoma Smilacis Glabrae)Jin Yin Hua (Flos Lonicerae)Ban Zhi Lian (Herba Scutellariae Barbatae)Sheng Di (uncooked Radix Rehmanniae)Dang Gui (Radix Angelicae Sinensis)Hei Zhi Ma (black Semen Sesami)Bai Xian Pi (Cortex Dictamni)Xuan Shen (Radix Scrophulariae)Qin Jiao (Radix Gentianae Macrophyllae)Qiang Huo (Radix Et Rhizoma Notopterygii)Du Huo (Radix Angelicae Pubescentis)60g60g30g30g30g30g30g30g15g15g12g12g