26/03/2026
Yesterday during my lecture, I mentioned that PubMed has almost no case reports on the treatment of psoriasis with Traditional Chinese Medicine (TCM) — there is only one published paper. What is special about it? I would like to share it with everyone here.
A clinical case report published in the journal Medicine (2024) documented in detail the course of a 32-year-old male patient with severe plaque psoriasis who achieved significant improvement after receiving pure TCM treatment.
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1. Case Background and Challenges
Patient condition:
A 32-year-old male hospital pharmacist presented with recurrent erythema and scaling over the entire body (face, chest, back, abdomen, and limbs) for approximately one year.
Psychological and social impact:
Due to his appearance, the patient received complaints at work and experienced feelings of low self-esteem and anxiety.
Comorbidities:
The patient also had metabolic abnormalities (elevated low-density lipoprotein and uric acid) along with considerable psychological stress.
Previous treatment:
Topical steroids and petroleum jelly had been used with unsatisfactory results. Physicians recommended immunosuppressants or biologic agents, but the patient declined because of concerns about potential side effects and instead chose TCM therapy.
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2. TCM Diagnosis and Treatment Strategy
The research team summarized the pathogenesis into three major aspects:
• Yin–Yang imbalance:
Manifested as upper heat (facial erythema, thirst) and lower cold (cold abdomen and limbs, loose stools).
• Excess heat-toxicity:
Evidenced by bright-red plaques on the skin.
• Wind invasion:
Pruritus occurred in shifting locations, reflecting the TCM concept that “wind is characterized by movement and frequent change.”
Main prescriptions:
• Wumei Pill (WMW):
Used as the core formula to harmonize Yin and Yang, warm the lower body while clearing heat from the upper body, and tonify Yang-Qi.
• Simiao Yong’an Decoction:
Administered in relatively high dosage to cool the blood and resolve toxicity.
• Wind-dispelling herbs:
Such as Saposhnikovia (Fangfeng) and Schizonepeta (Jingjie) to relieve itching.
• Modifications according to symptoms:
In the later stage, Astragalus (Huangqi) and Schisandra (Wuweizi) were added to tonify Lung and Spleen Qi, and Bupleurum (Chaihu) to soothe Liver Qi and relieve emotional constraint.
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3. Treatment Outcomes
Skin recovery:
Within just one week, itching and erythema had already decreased. After three months (September 2023), the patient’s skin had completely returned to normal, with no recurrence during an 8-month follow-up.
Metabolic improvement:
Without using Western medications, LDL cholesterol decreased from 5.00 to 4.12 mmol/L, uric acid returned to normal, and even a previously noted renal calcification lesion unexpectedly disappeared.
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In clinical practice, we occasionally encounter patients presenting with Jueyin-pattern disorders. When syndrome differentiation is accurate and herbal prescriptions are used precisely, pure Chinese herbal treatment can often achieve very encouraging results.
Clinical Case of Skin Disease from Dr Syuan in Taiwan