Main Signs and Symptoms
Long history of Hashimoto’s thyroiditis and treatment with thyroid hormone supplement. In the last 3 years severe psoriasis has developed (diagnosed as psoriasis vulgaris), which has not responded to medical treatment. Recently the rashes have become worse and he also has arthritic pain.
On inspection: chronically ill appearance, skin is generally dry and dull, large psoriatic plaque on his trunk. Patient kept scratching during the consultation. When the scaling skin is peeled off there are bleeding spots underneath (Auspitz sign). Patient feels very distressed.
After this he came for a consultation: the itching had completely resolved, and the skin lesions were barely visible.
This is a successful treatment, and I advised him to stop taking the herbal medicines.
Tongue: Deep red tongue, dark purplish discoloration around the edges, scanty coat.
Pulse: Deep-thready-wiry pulse.
Diagnosis and Treatment
Heat Toxin flourishing; Blood stasis blockage. Long term stasis transforming into Heat; Heat toxin lodged under the skin.
Treatment Principle
First stage: treat the acute symptoms and alleviate itching (acute stage treatment for Biao, branches).
Drain the Fire and resolve the Toxin; activate the Blood and dispel stasis
Treatment formulas
a) Long Dan Xie Gan Tang (Gentiana Formula)
Plus
Huo Luo Xiao Ling Dan (Salvia & Boswellia Formula)
b) Xiao Feng San (Danggui & Arctium Formula)
Plus
Huo Luo Xiao Ling Dan (Salvia & Boswellia Formula)
Alternate the two above two protocols: two weeks for each. Continue for three months.