Treatment of Psoriasis with Qi Deficiency : Two Cases Report

Article information

J Korean Med. 2016;37(1):158-168
Publication date (electronic) : 2016 March 31
doi : https://doi.org/10.13048/jkm.16015
1Gangnam Dongyak Korean Medical Clinic.
2Department of Pediatrics. College of Koreanl Medicine, Kyung Hee University
Correspondence to : 장규태, 서울시 강동구 동남로 892, 강동경희대학교병원 한방소아과, Tel: +82-2-440-6231, Fax: +82-2-440-6074, E-mail: gtchang@khu.ac.kr
Received 2015 February 26; Revised 2016 March 15; Accepted 2016 March 22.

Abstract

Objectives:

The purpose of this study is to present two case reports on the treatments of psoriasis with qi deficiency.

Methods:

We administered herbal medicine to two patients who showed psoriasis with overwork and evaluated the results by Psoriasis Area and Severity Index(PASI).

Results:

After the treatment two patients showed improvements in PASI. PASI of patient 1 changed from 11 to 1.6; patient 2 from 10.8 to 1.

Conclusions:

The results suggest that herbal medicine can be an effective treatment for psoriasis who has overwork.

Fig. 1-A.

Before treatment:upper lim (2014-11-15)

Fig. 1-B.

Before treatment:abdomen (2014-11-15)

Fig. 1-C.

Before treatment:lower lim 1 (2014-11-15)

Fig. 1-D.

Before treatment:lower lim 2 (2014-11-15)

Fig. 1-E.

Before treatment:Lower lim 3 (2014-11-15)

Fig. 1-F.

Before treatment:back (2014-11-15)

Fig. 1-G.

Before treatment:lower lim 4 (2014-11-15)

Fig. 2-A.

During treatment:upper lim (2014-11-29)

Fig. 2-B.

During treatment:abdomen (2014-11-29)

Fig. 2-C.

During treatment:lower lim 1 (2014-11-29)

Fig. 2-D.

During treatment:lower lim 2 (2014-11-29)

Fig. 2-E.

During treatment:lower lim 3 (2014-11-29)

Fig. 2-F.

During treatment:back (2014-11-29)

Fig. 2-G.

During treatment:lower lim 4 (2014-11-29)

Fig. 3-A.

After treatment:upper lim (2015-03-27)

Fig. 3-B.

After treatment:abdomen (2015-03-27)

Fig. 3-C.

After treatment:lower lim 1 (2015-03-27)

Fig. 3-D.

After treatment:lowe lim 2 (2015-03-27)

Fig. 3-E.

After treatment:lower lim 3 (2015-03-27)

Fig. 3-F.

After treatment:back (2015-03-27)

Fig. 3-G.

After treatment:lower lim 4 (2015-03-27)

Fig. 4-A.

Before treatment:upper lim 1 (2015-03-12)

Fig. 4-B.

Before treatment:upper lim 2 (2015-03-12)

Fig. 4-C.

Before treatment:abdomen (2015-03-12)

Fig. 4-D.

Before treatment:lower lim 1 (2015-03-12)

Fig. 4-E.

Before treatment:lower lim 2 (2015-03-12)

Fig. 4-F.

Before treatment:back (2015-03-12)

Fig. 4-G.

Before treatment:lower lim 3 (2015-03-12)

Fig. 5-A.

During treatment:upper lim 1 (2015-03-26)

Fig. 5-B.

During treatment:upper lim 2 (2015-03-26)

Fig. 5-C.

During treatment:abdomen (2015-03-26)

Fig. 5-D.

During treatment:lower lim 1 (2015-03-26)

Fig. 5-E.

During treatment:lower lim 2 (2015-03-26)

Fig. 5-F.

During treatment:back (2015-03-26)

Fig. 5-G.

During treatment:lower lim 3 (2015-03-26)

Fig. 6-A.

After treatment:upper lim 1 (2015-08-27)

Fig. 6-B.

After treatment:upper lim 2 (2015-08-27)

Fig. 6-C.

After treatment:abdomen (2015-08-27)

Fig. 6-D.

After treatment:lower lim 1 (2015-08-27)

Fig. 6-E.

After treatment:lower lim 2 (2015-08-27)

Fig. 6-F.

After treatment:back (2015-08-27)

Fig. 6-G.

After treatment:lower lim 3 (2015-08-27)

PASI Changes of Case 1

PASI Changes of Case 2

References

1. Korean Dermatology Association. Dermatology 5th edth ed. Seoul: Ryo Moon Gak P. Co; 2008. p. 241.
2. Park YH, Cheong SH, Lee JS, Kim SS, Shin HD. A Literatual Study of Psoriasis. The journal of K.O.M.S 1989;9(1):131–6.
3. Kim NK, Hwang CY, Lim GS. The Oriental and Occidental bibliographic Study of Psoriasis. J Korean Med Ophthalmol Otolaryngol Dermatol 1999;12(1):171.
4. The Korean Society of Oriental Pathology. Oriental Pathology 2nd edth ed. Seoul: Jungdam P. Co; 2002. p. 218–9.
5. Hwang DY. Bangyakhappyun Seoul: Namsandang P. Co; 1992. p. 145–6.
6. Li C, Xue Ru Men Yi. Seoul: Bubin P. Co; 1999. p. 1218.
7. Mizuno S. Internal Kampo Medicine 1st edth ed. Seoul: Shinheung Medscience Inc; 2009. p. 732.
8. Fredriksson T, Pettersson U. Severe psoriasis-oral therapy with a new retinoid. Dermatologica 1978;157(4):238–44.
9. Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW. Cognitive behavior therapy and pharmacotherapy for insomnia. Arch InternMed 2004;164:1888–96.
10. Ninomiya F. Zukai shorei atopisei hifuen no kanpo chiryo 1st edth ed. Seoul: Koonja Publishing Inc; 2012. p. 58. p. 93. p. 94. p. 108. p. 127. p. 128. p. 129. p. 130. p. 140. p. 146.

Article information Continued

Fig. 1-A.

Before treatment:upper lim (2014-11-15)

Fig. 1-B.

Before treatment:abdomen (2014-11-15)

Fig. 1-C.

Before treatment:lower lim 1 (2014-11-15)

Fig. 1-D.

Before treatment:lower lim 2 (2014-11-15)

Fig. 1-E.

Before treatment:Lower lim 3 (2014-11-15)

Fig. 1-F.

Before treatment:back (2014-11-15)

Fig. 1-G.

Before treatment:lower lim 4 (2014-11-15)

Fig. 2-A.

During treatment:upper lim (2014-11-29)

Fig. 2-B.

During treatment:abdomen (2014-11-29)

Fig. 2-C.

During treatment:lower lim 1 (2014-11-29)

Fig. 2-D.

During treatment:lower lim 2 (2014-11-29)

Fig. 2-E.

During treatment:lower lim 3 (2014-11-29)

Fig. 2-F.

During treatment:back (2014-11-29)

Fig. 2-G.

During treatment:lower lim 4 (2014-11-29)

Fig. 3-A.

After treatment:upper lim (2015-03-27)

Fig. 3-B.

After treatment:abdomen (2015-03-27)

Fig. 3-C.

After treatment:lower lim 1 (2015-03-27)

Fig. 3-D.

After treatment:lowe lim 2 (2015-03-27)

Fig. 3-E.

After treatment:lower lim 3 (2015-03-27)

Fig. 3-F.

After treatment:back (2015-03-27)

Fig. 3-G.

After treatment:lower lim 4 (2015-03-27)

Fig. 4-A.

Before treatment:upper lim 1 (2015-03-12)

Fig. 4-B.

Before treatment:upper lim 2 (2015-03-12)

Fig. 4-C.

Before treatment:abdomen (2015-03-12)

Fig. 4-D.

Before treatment:lower lim 1 (2015-03-12)

Fig. 4-E.

Before treatment:lower lim 2 (2015-03-12)

Fig. 4-F.

Before treatment:back (2015-03-12)

Fig. 4-G.

Before treatment:lower lim 3 (2015-03-12)

Fig. 5-A.

During treatment:upper lim 1 (2015-03-26)

Fig. 5-B.

During treatment:upper lim 2 (2015-03-26)

Fig. 5-C.

During treatment:abdomen (2015-03-26)

Fig. 5-D.

During treatment:lower lim 1 (2015-03-26)

Fig. 5-E.

During treatment:lower lim 2 (2015-03-26)

Fig. 5-F.

During treatment:back (2015-03-26)

Fig. 5-G.

During treatment:lower lim 3 (2015-03-26)

Fig. 6-A.

After treatment:upper lim 1 (2015-08-27)

Fig. 6-B.

After treatment:upper lim 2 (2015-08-27)

Fig. 6-C.

After treatment:abdomen (2015-08-27)

Fig. 6-D.

After treatment:lower lim 1 (2015-08-27)

Fig. 6-E.

After treatment:lower lim 2 (2015-08-27)

Fig. 6-F.

After treatment:back (2015-08-27)

Fig. 6-G.

After treatment:lower lim 3 (2015-08-27)

Table 1.

PASI Changes of Case 1

Before Treatment During Treatment After Treatment
Head 3×(1+1+0)×0.1=0.6 4×(2+1+0)×0.1=1.2 0×(0+0+0)×0.1=0
Trunk 4×(3+3+1)×0.3=7.2 4×(3+1+1)×0.3=6.0 2×(2+0+0)×0.3=1.2
Upper L. 2×(1+1+0)×0.2=0.8 2×(2+1+0)×0.2=1.2 0×(0+0+0)×0.2=0
Lower L. 2×(1+2+0)×0.4=2.4 3×(2+1+1)×0.4=4.8 1×(1+0+0)×0.4=0.4
PASI Score 11 13.2 1.6

Table 2.

PASI Changes of Case 2

Before Treatment During Treatment After Treatment
Head 3×(1+1+0)×0.1=0.6 1×(1+0+0)×0.1=0.1 0×(0+0+0)×0.1=0
Trunk 4×(2+1+0)×0.3=3.6 4×(3+1+0)×0.3=4.8 2×(1+0+0)×0.3=0.6
Upper L. 3×(2+1+0)×0.2=1.8 3×(2+3+2)×0.2=4.2 0×(0+0+0)×0.2=0
Lower L. 3×(2+1+1)×0.4=4.8 4×(3+3+2)×0.4=12.8 1×(1+0+0)×0.4=0.4
PASI Score 10.8 21.9 1