Treatment of Psoriasis Based on Theory of Ascending and Descending of Center Qi
10.13288/j.11-2166/r.2023.23.018
- VernacularTitle:基于中气升降理论辨治银屑病
- Author:
Fan YI
1
;
Bowen LIU
2
;
Linchang LI
1
;
Yubing LIU
1
;
Guangzhong ZHANG
1
Author Information
1. Beijing Hospital of Traditional Chinese Medicine，Capital Medical University， Beijing， 100010
2. Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
psoriasis;
ascending and descending of center qi;
yang depletion;
phlegm dampness;
combination of cold and warm medicinals
- From:
Journal of Traditional Chinese Medicine
2023;64(23):2476-2479
- CountryChina
- Language:Chinese
-
Abstract:
Based on the theory of ascending and descending of center qi， it is believed that yang deficiency and water dampness， as well as abnormal circulation of center qi， are the core pathogenesis of psoriasis. The common pathogenic evolution of psoriasis includes wood constraint and blood stagnation， lung metal fluid exhaustion. In the later stage of psoriasis， a mixture of deficiency and excess patterns， as well as cold and heat in complexity， are often observed. Treatment focuses on warming yang and resolving dampness to restore proper qi ascending and descending， and the therapeutic formulas such as Ganjiang Lingzhu Decoction （甘姜苓术汤）， Zexie Decoction （泽泻汤）， Zhenwu Decoction （真武汤）， and Linggui Zhugan Decoction （苓桂术甘汤） are suggested based on the nature and location of the disease. To unblock the qi movement through discharging the liver and rectifying the lung， Xiaochaihu Decoction （小柴胡汤） and Danzhi Xiaoyao Powder （丹栀逍遥散） are commonly used as the foundation with modifications. To balance yin and yang through clearing the heart and nourishing the kidneys， a self-designed Changzhong Decoction （畅中汤） is utilized. Following the theory of ascending and descending of center qi， it is suggested to combine cold and warm medicinals and mediate the center earth， so as to promote the circulation of the center qi， restore the clear and the turbid， and keep four-dimensional smooth flow of qi， providing a reference for traditional Chinese medicine treatment for psoriasis.
