The Enrichment And Development Of Psoriasis Vulgaris Based On Treatment From Blood Aspect
In addition, understanding the pathogenesis of blood aspect got improved and was supplanted with considering different physical states. If the disease exacerbated in winter, complicated with lassitude, lack of qi and no desire to speak, spontaneous perspiration, drowsiness, thin and weak pulse, cold limbs, low back cold, tastelessness and lusterless complexion, it should be treated by warming yang based on treatment from blood aspect to improve the curative effect. If chronic plaque psoriasis with skin lesions, less sweat and feeling oppressed was accompanied by physical obesity, dizziness, drowsiness, heavy body fat, elevated blood lipids and other characteristics, except the existence of blood stasis symptoms, the patients had phlegm blocking and disharmony between Ying and Wei, with phlegm and blood stasis. Here, Warming Yang and harmony Ying, cooling blood and improving blood circulation therapy should be applied under the guidance of cold and hot medicine equivalence.
Treatment Found For Psoriasis In Traditional Chinese Medicine
According to a study published in the November issue of Archives of Dermatology, an effective treatment for plaque-type psoriasis can be found in traditional Chinese medicine. Yin-Ku Lin, M.D. and colleagues found that an ointment based on the dark-blue, plant-based powder indigo naturalis can be used treat the skin condition.
No cure exists for the chronic skin disease known as psoriasis, but there are therapies that lead to remission of the condition. Lin and colleagues write that, Traditional Chinese medicine is one of the most frequently chosen alternative therapies in China and Taiwan, and psoriasis has been treated for centuries with topical and oral herbal preparations. They add that, Indigo naturalis is one of the Chinese herbal remedies that has been reported to exhibit potential antipsoriatic efficacy. However, long-term systemic use has been occasionally associated with irritation of the gastrointestinal tract and adverse hepatic effects.
Thirty-four patients completed the study, and none experienced worsening psoriasis conditions in the areas that received the indigo naturalis ointment. In fact, 75% of these patients had complete or near complete clearings of the psoriasis in the treated areas. Although no patients experienced serious adverse effects, four patients reported some itching in the area of the indigo naturalis ointment that last for a few days at the beginning of treatment.
Chinese Herbal Medicine For Psoriasis: Evidence From 11 High
- 1Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
- 2Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai, China
- 3Shanghai Dermatology Hospital, Tongji University, Shanghai, China
Background: Chinese herbal medicine provides a theoretical basis for the treatment of psoriasis with considerable benefits and a low toxicity. The purpose of this quantitative study was to show high-quality evidence of the efficacy and safety of CHM for the treatment of psoriasis to promote its clinical application.
Methods: Several databases were systematically searched including PubMed, Embase, Cochrane Central Register of Controlled Trials, China Network Knowledge Infrastructure, Chinese Scientific Journals Database, and Wan Fang Database. High-quality randomized controlled trials that compared CHM with non-CHM interventions were included. The RevMan5.3 software was used to calculate risk ratios at 95% confidence intervals and conduct the meta-analysis.
CHM appears safe and effective in the treatment of psoriasis and has a great positive impact on the DQLI of patients however, CHM could not completely eliminate skin lesions, improve pruritus severity, and reduce the recurrence rate.
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Characteristics Of Included Studies
Characteristics of included studies are summarized in table 1. One study was conducted in Sweden , and the remaining were conducted in China. All RCTs adopted a parallel-group design with 2 arms. The reported studies included 287 males and 237 females, although inconsistency was noted in the study by Yin and Zheng where the total number of males and females was greater than the number randomized patients . Age ranged from 27 to 49 years . One study recruited participants in the progressive stage of psoriasis and 1 in the stable stage In the remaining studies, psoriasis stage was not specified. The sample size ranged from 54 to 148 .
Table 1
Characteristics of included studies
The included interventions were diverse , comprising bloodletting combined with cupping , electroacupuncture , point application therapy , acupuncture plus moxibustion , and point injection . Treatment duration ranged from 4 weeks to 12 weeks . 3 studies included follow-up assessments after treatment had ceased .
Table 2
Details of the interventions
The average number of points used was 9, although this varied from 1 to 20 . Overall, the most frequently used acupuncture points were Geshu BL17, Pishu BL20 , followed by Quchi LI11, Feishu BL13, Ganshu BL18, Xuechai SP10, and Dazhui GV14 . Geshu BL17 and Pishu BL20 were the acupuncture points most often selected as main points , and Quchi LI11 was the point most often selected as an additional point .
Search Strategy And Selection Criteria
PubMed, Embase, the Cochrane Central Register of Controlled Trials , Cumulative Index to Nursing and Allied Health Literature , the Allied and Complementary Medicine Database , China National Knowledge Infrastructure , Chongqing VIP Information Company , Chinese BioMedical Literature , and Wanfang databases were searched from inceptions to May 2013. No language limitations were applied. Free text and MeSH terms, including acupuncture’, acupressure’, acupoint’, electroacupuncture’, moxibustion’, auricular therapy’, psoriasis’, psoriasi*’, and psoriases’ were used.
Studies were included if they were prospective randomized controlled trials reporting on the primary and secondary outcomes . Eligible studies evaluated acupuncture therapies methods of point stimulation) compared with sham or placebo acupuncture, Western medicine, or no treatment. Articles reporting on erythrodermic psoriasis, psoriatic arthritis, and guttate psoriasis were excluded, as were those combining acupuncture therapies with other forms of CM not involving point stimulation, e.g. Chinese herbal medicine. J.D. and J.Y. independently screened articles for inclusion. Disagreement was resolved by consulting a third author . The primary outcome was Psoriasis Area and Severity Index score reduction or lesion reduction, and secondary outcomes included PASI score, relapse rate, health-related quality of life, and adverse events.
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Inclusion And Exclusion Criteria
The inclusion criteria were as follows: 1) patients presenting specific diagnostic criteria of psoriasis regardless of age, gender, or ethnicity 2) RCTs that compared CHM with non-CHM interventions 3) high-quality RCTs with a Jadad score 4 in efficacy and safety analysis and 4) trials must meet the criteria of double blindness. Studies were excluded if they met the following exclusion criteria: 1) participants with comorbidities 2) different drug forms used in the experimental and control group and 3) co-interventions that used anti-psoriatic drugs other than CHM.
Psoriasis Was The Reason For My Family Problems
I almost started to get used to my disease. However, I had problems with my sexual potency , which according to the doctors, were caused by psoriasis and occur in the 90% of men who suffer from the disease. At first, the erections were difficult to achieve, but then I had no erections at all. It was so scary! I was only 47 years old and the absence of sexual life was something really undesirable.
Psoriasis caused me problems with my second wife and we were fighting all the time. She is much younger than me and we dont have children , so I started worrying that she could leave me and find someone else. I knew it could happen sooner or later. My body was covered by disgusting red spots and my wife didnt want to have sex with me , if I had an erection When a man is not able to satisfy a woman, their relationship gets worse with the time and at the end, she cheats on him. This is natures law. Hopefully, I was lucky enough, because I found a way to correct everything.
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Ological Quality Of Included Srs
present an overview of methodological quality of the SRs included. The AMSTAR-2 instrument was used for the evaluation of methodological quality, which is developed from AMSTAR and contains 16 items. Items 2, 4, 7, 9, 11, 13, and 15 were used to critically evaluate the effectiveness of an SR. Considering that several critical items of the included SRs/MAs were not met, the final evaluation of methodological quality was critically low for seven SR/MAs.
Is Yiganerjing Cream Safe
No. Yiganerjing cream is not safe at all, and should be avoided at all costs.
Yiganerjing cream, or more specifically the active ingredients in this cream, has been linked to severe side effects in patients who use the product.
Reports of kidney failure, as well as heart problems, have been on the rise due to the prolonged use of Yiganerjing cream products on various parts of the body.
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You Can Get Rid Of Psoriasis And Live A Full Life
In my case, psoriasis made its appearance 8 years ago. I was working outside, at a construction site. Weather conditions were bad. Due to the fact that my immune is not so strong, the signs of psoriasis started to appear. After this, I had also problems with my sexual potency . Moreover, this was a difficult period in my life. I broke up with my wife and I was very nervous and irritable. All these affected my health. My immune got worse, as well as the psoriasis. My skin was amazingly itchy, I had blisters, red spots and other unpleasant symptoms . I went to a dermatologist and the diagnosis was clear enough psoriasis. And the battle against the disease started
In these 8 years, I tried almost everything procedures, pills, ointments, folk remedies and more. I also visited many specialists. I had some results the signs seemed decreased, but the chronic psoriasis didnt leave me . When I was getting a cold or drinking alcohol, psoriasis was always back.
Guidelines For Getting Acupuncture
To get psoriasis flares under control, some acupuncturists recommend getting treatment once per week for a total of four to eight sessions, depending on your progress.
When you go for your acupuncture appointment, wear loose clothing. Some of it may need to be adjusted or removed during your treatment.
Its advised that you shouldnt to wear perfume or strong-smelling deodorant so you wont affect anyone else who may have chemical sensitivities.
You should also try to avoid scheduling your appointment before or after something stressful.
Its important to eat an hour or so before you go, as acupuncture can otherwise leave you feeling low on energy and a little light-headed. Avoid caffeine and alcohol before the appointment.
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Benefits And Safety Of Chinese Herbal Medicine In Treating Psoriasis: An Overview Of Systematic Reviews
- 1Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
- 2Chengdu University of Traditional Chinese Medicine, Chengdu, China
- 3Chengdu Integrated TCM and Western Medicine Hospital, Chengdu, China
Background: In recent years, systematic reviews/meta-analyses of Chinese herbal medicine for psoriasis have continuously emerged. Their methods and evidence quality, however, are yet to be evaluated, and whether their conclusions can provide clinicians with reliable evidence is still debatable.
Objectives: This overview aims to evaluate the methodological quality, risk of bias, and reporting quality of relevant SRs/MAs, as well as the current evidence of CHM for treating psoriasis.
Methods: We searched nine electronic databases from their respective time of establishment to January 20, 2021, as well as the reference lists of the included SRs/MAs, protocol registries, and gray literature. Two reviewers independently used the following: A Measurement Tool to Assess Systematic Reviews 2, Risk of Bias in Systematic Reviews , the Preferred Reporting Items for Systematic Reviews and Meta-analyses , and Grades of Recommendations, Assessment, Development and Evaluation to evaluate the methodological quality, risk of bias, reporting quality, and evidence quality of the included SRs/MAs.
Risk Of Bias Assessment And Quality Assessment
The risk of bias was assessed by two researchers independently. Any inconsistencies between the two experts were resolved by discussion or arbitration with a third expert. In this study, the recommendations of the National Institute of Clinical Excellence for quality evaluation were applied. The specific items of the quality evaluation are shown in Table 1. The score for each item was 1 point, and the score range was 0 to 8 points. A score of 68 was indicated as high-quality research, 36 referred to medium-quality research, and 02 indicated low-quality research. The quality evaluation was conducted by two researchers separately, and the consistency evaluation was obtained through discussion when the opinions were inconsistent. The above items were judged as high-risk bias, low-risk bias, and unclear risk, respectively.
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Made From Chinese Medicine From Psoriasis: Quickly Get Rid Of The Symptoms Of The Disease
Its been a year since I got rid of my psoriasis . I dont need anymore drugs or time-consuming procedures. Its not necessary for you to go to many doctors, who care for your money rather than your health. I made it alone and only two months were necessary to get rid of my chronic psoriasis. Additionally, my health improved significantly. I treated myself and I will now share with you my experience. Hard to believe? Definitely yes. However, I will reveal you a secret which will open your eyes.
Risk Bias Assessment Of The Included Articles
The software RevMan 5.3 was used to map the evaluation results of multiple risk biases in the included articles. The evaluation results were entered into the software to generate a bias risk evaluation chart. In this experimental study, there were a total of 2,005 cases in 13 articles, including 1,009 cases in the experimental group and 996 cases in the control group. In the 13 RCTs, 4 articles mentioned the randomization, accounting for 38.46%. The results of the risk of deviation are shown in Figures 3,4.
Figure 3Figure 4
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Description Of The Chinese Herbal Medicines
Fifty-four herbs were included in the 11 studies. The top eight most frequently used herbs were used more than 5 times and included the following: Rhizoma Smilacis Glabrae , Radix Paeoniae Rubra , Rhizoma Curcumae Aeruginosae , Radix Salviae Miltiorrhizae , Radix Rehmanniae , Caulis Spatholobi , Radix Arnebiae , Chinese angelica .
Inclusion And Exclusion Criteria Of The Articles
The inclusion criteria were defined as follows: articles which were randomized controlled trial articles including patients clinically confirmed as psoriasis vulgaris without other skin disease history as participants articles with pathological control analysis with a reliable index comparison in the 95% confidence interval and articles involving patients with TCM bath treatment of psoriasis as the experimental group.
The exclusion criteria were as follows: articles including elderly and children as participants articles which were meta-analysis on relevant conference speeches and review literature articles taking animals as participants articles with unavailable complete data articles researching other types of psoriasis and articles researching other diseases of the circulatory system, such as hypertension.
The titles, abstracts, and full texts of the articles were independently screened by two senior experts and three preliminary operations were performed before the final screening. Any inconsistencies between the two experts were resolved by discussion or arbitration with a third expert.
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Reporting Quality Of Included Srs
The reporting quality of the included SRs using the PRISMA-A tool is summarized in . Generally, the reports were relatively comprehensive, but there were still some defects. In the âMethodsâ section, only one SRs/MAs reported on the protocol and registration. Three SRs/MAs presented detailed search, risk of bias across studies was presented in four SRs/MAs , and only two SRs/Mas presented additional analyses. In the âDiscussionâ section, limitations were presented in four SRs/MAs . Funding information was presented in five SRs/MAs .
A Systematic Review And Meta
Hua Lei1,2#, Minghui Chen1,2#, Nan Zhang1,2, Xiaojuan Guo1,2, Xiaohui Yuan1,2, Lina Tang1,2, Chuanpeng Ying1,2, Jun Xie1,2
1 Institute of Dermatology and Venereology, Sichuan Provincial Peoples Hospital , University of Electronic Science and Technology of China , Chinese Academy of Sciences Sichuan Translational Medicine Research Hospital , , China
Contributions: Conception and design: H Lei, M Chen, C Ying, J Xie Administrative support: N Zhang, X Guo Provision of study materials or patients: H Lei, M Chen, X Guo, X Yuan, L Tang Collection and assembly of data: All authors Data analysis and interpretation: H Lei, N Zhang, C Ying, J Xie Manuscript writing: All authors Final approval of manuscript: All authors.
#These authors contributed equally to this work.
Correspondence to:
Background: To clarify the efficacy and safety of traditional Chinese medicine bath in the treatment of psoriasis vulgaris, meta-analysis and systematic evaluation were adopted to comprehensively evaluate the published articles.
Methods: Combing the terms traditional Chinese medicine bath and psoriasis vulgaris, the articles were searched for in the databases of China Knowledge Network , Baidu scholar, Wanfang, Chinese Biomedical Literature Database , Weipu Database, Medline, Embase, Chinese Medical Citation Index , and PubMed. The quality of articles was evaluated using the RevMan 5.3 software provided by the Cochrane system.
Submitted Aug 08, 2021. Accepted for publication Sep 24, 2021.
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Current Clinical Practice Of Anti
Various remedies used to treat psoriasis were recorded in Chinese medicinal classics, like TaiPingShengHui Formulas and PuJi Formulas, which can be divided into two parts as formulas for topical or for oral use, respectively. Topical remedies involve preparations manufactured into traditional dosage forms, like creams, oils, unguentum, plaster and lotion decoctions, while oral drugs involve those prepared into decoctions, tablets and pulvis, etc. The use of traditional herbal compound prescriptions for psoriasis treatment is under the guideline of treatment from blood aspect, Therefore, herbs that are targeted to blood and detoxification are usually used. A clinical study on 675 cases made a comparison between Yinxieling Ointment, a topical prescription and Dichlorodiethyl sulfide, and they found comparatively equal efficacy. For oral prescriptions, the clinical efficacy of HuoXueSanYu Decoction were found to be comparable to acitretin , for the treatment of psoriasis vulgaris. JiaWeiHuangLianJieDu Decoction was reported to alleviate the symptoms in 45 of 50 psoriatic subjects.