Psoriasis Flashcards
YinXie Bing
The following is a disease that is commonly and frequently encountered in chronic
inflammatory dermal disease.
Psoriasis
True or False?
In Psoriasis, the duration is comparatively longer, and it occurs mostly in young adults.
True, especially in young adults
Which body area does psoriasis usually occur in?
Scalp + around the neck
Extensor aspect of 4 Limbs (SJ + GB yang side)
Elbows + knee joints
How does Psoriasis manifest as?
Red, inflammatory papules
Start small and continue to cover with layers of silver-white scales
What shapes can Psoriasis can manifest as?
Fish-scaled shape
Coin
Circle
Map
Conch-shaped
The _________ scales can be scratched away easily, then _____ semi-transparent thin membrane w/drip-shaped bloody ooze can be seen
Silver-white
Red
In the clinical manifestation of Psoriasis on the scalp, there will be _______hairs present
Fascicular hairs
In the clinical manifestation of Psoriasis on nails, there is a _______depression
Pitted
What differentiation of itching is seen with Psoriasis?
Skin is dry + thickened, scaling + itching, rarely eroding + oozes
Treatment principle for Psoriasis due to Fire Toxin
In TCM, _________ is caused by Qi moving to the affected area and growing but there is no blood to nourish the skin so it falls or flakes off
Psoriasis
Reasons why Blood doesn’t follow the Qi?
Blood Stasis
Blood heat makes the blood dense + consumes Yin
Cold makes Blood constrict
Phlegm blocks the movement of Qi
Lung controls (restrict) _______?
Liver
Symmetrical erythema (redness of the skin or mucous membranes) seen on the ______ aspect of palms
Plantar or Yang
The following are patterns of _______?
Wind-Cold
Wind-Heat + Blood Heat
Damp-Heat
Blood Xu w/ Wind + Dryness
Blood Stasis
LR + KI Xu
Fire Toxin
Psoriasis
The follwing are S/sx of Psoriasis due to _________?
Seen in children in or initial stage
Dull colour (Blood is congealed)
Worse in Winter (more susceptible In cold)
Better in summer
Soreness + pain in joints
Slightly itchy
T: w/ thin (wind) white (cold) coating
P: Soggy + Tight
Wind-Cold
The follwing are S/sx of Psoriasis due to _________?
Skin lesion increasing gradually, fresh red, bloody drip (Qi moving faster because of Heat + Wind)
(Blood heat is underlining-body condition)
Worse in Summer (triggered by heat)
Aversion to heat,
Dry stool + dark urine
T: Red w/ thin-yellow coating
P: Rapid + Slippery
Wind-Heat + Blood Heat
The follwing are S/sx of Psoriasis due to _________?
Often occurs on flexor aspects of the axilla, groin, erythema, erosion w/ oozing fluid, itching pustules on plantar or palm
Worse in rainy/damp season
Stuffy chest, poor appetite, lassitude, fatigue, heavy sensation of lower limbs, increased leukorrhea
T: Greasy, yellow coating
P: Rapid + Slippery
(Dampness block Qi + Blood)
(Can be more Damp or more Heat, depending on body condition, cardiovascular issues, LR Yang Rising)
Damp-Heat
The follwing are S/sx of Psoriasis due to _________?
Small size of lesion, seldom development
Dry skin, lichenoid change, chapped + painful lesion on elbows + knees
Dizziness, blurred vision, pale complexion
T: Pale w/ thin coating
P: Thready + Soggy
(Body condition of Blood Xu, not enough Xu to go with the Qi, Blood Xu generates internal wind, no external wind*)
Blood Xu w/ Wind-Dryness
The follwing are S/sx of Psoriasis due to _________?
Prolonged duration, recurrence, skin lesions are dark purple, pigmentated, thick scale in conch-shape, difficulty in moving joints (Blood cant nourish joints)
T: Purple w/ petechiae
P: Thready + Choppy
Blood Stasis
The following are S/sx of Psoriasis due to __________?
Pale erythema (redness or skin), little scaling, greasy-white colour (Qi is not strong, Blood is Xu)
Soreness + weakness of lumbar + knees
Dizziness, tinnitus, impotence + nocturnal emission
T: Swollen w/ teeth marks (KI Yang Xu)
P: Thready
(Body condition of LR + KI Xu,weakness)
LR + KI Xu
Acute + whole body presentation, red or dark red colour of skin, swollen, little scaling, burning sensation of skin, fever, thirst, dry stool, dark urine
T: Dark red w/ thin coating
P: Rapid + Wiry + Slippery (obstruction of thick Blood)
Heat thickens Blood
Fire Toxin
Treatment principle for Psoriasis due to Wind-Cold
Expel Wind + Cold
Nourish Blood
Moisten Dryness
Treatment principle for Psoriasis due to Wind-Heat + Blood Heat
Eliminate wind
Cool Blood
Moisten Dryness
Treatment principle for Psoriasis due to Damp-Heat
Clear Heat
Resolve Dampness
Harmonize Ying (Wen Bing theory to thin Blood
Treatment principle for Psoriasis due to Blood Xu w/ Wind-Dryness
Nourish Blood
Eliminate Wind
Moisten Dryness
Treatment principle for Psoriasis due to Blood Stasis
Activate Blood
Remove Stasis
Eliminate Internal Wind
Moisten Dryness
Main points for Psoriasis due to Wind-Cold
LI-4 + LU-7
BL-12
Treatment principle for Psoriasis due to Fire Toxin
Cool Blood
Clear Heat
Resolve Toxins
Main points for Psoriasis due to Wind-Cold
LI-4 + LU-7
BL-12
Main points for Psoriasis due to Wind-Heat + Heat Blood
LI-4 + LU-7
GB-20
PC-7 + LR-2: Clear Blood Heat
SP-10
BL-17
LI-11
BL-40: Clear heat in lower limb
PC-3: Clears Blood Heat on upper limb
SP-6: Nourishing Yin + REgulate blood + Moisten dryness
KI-6: Moisten dyrness
Main points for Psoriasis due to Damp-Heat
SP-9: Resolves Dampness
LI-11: Clears whole body’s heat
ST-36: Tonify SP + ST
SP-6: Resolves dampness
SP-3: Tonifys SP
SP-10: Cool Blood
BL-17: Nourish Blood
PC-3 + PC-5: Harmonize Ying + Wei
Main points for Psoriasis due to Blood Xu w/ Wind-Dryness
SP-10
BL-17
SP-6
KI-3:
KI-6: Moisten dryness
GB-20
LR-3
LR-8: Soothe + nourish LR
GB-20:
Main points for Psoriasis due to Blood Stasis
LR-3 + LI-4: Moves Qi
SP-10
BL-17
SP-6:
KI-3:
LR-3: Regulates Blood
GB-20: Eliminates internal Wind
KI-6: Moisten Yin
Main points for Psoriasis due to LR + KI Xu
LR-3
LR-8
KI-3
KI-6
KI-7
Ren-4 Ki Yin + Yang
Sp 1
BL-17
Main points to treat Psoriasis due to Fire Toxin
SP-10
LI-11
PC-7 + Lr-2
Bl-17
BL-40: Heat in lower limb
PC-3: Upper limb Cools Heat in Blood
SP-6:
Bloodletting
