Treatment of Psoriasis with Qi Deficiency : Two Cases Report

Jieun Yang; Kihoon Lee; Gyu Tae Chang; Yang, Jieun; Lee, Kihoon; Chang, Gyu Tae

doi:10.13048/jkm.16015

JKM > Volume 37(1); 2016 > Article

Yang, Lee, and Chang: Treatment of Psoriasis with Qi Deficiency : Two Cases Report

Case Report

The Journal of Korean Oriental Medicine 2016; 37(1): 158-168.

Published online: March 31, 2016

DOI: https://doi.org/10.13048/jkm.16015

Treatment of Psoriasis with Qi Deficiency : Two Cases Report

Jieun Yang¹, Kihoon Lee¹, Gyu Tae Chang²

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 February 26, 2015 Revised March 15, 2016 Accepted March 22, 2016

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.

Keywords: Psoriasis, Herbal medicine, Bojungikgi-tang, Qi Deficiency; PASI

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

참고문헌

1.. Korean Dermatology Association. Dermatology. 5th 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 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 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 ed. Seoul: Koonja Publishing Inc;2012. p. 58p. 93p. 94p. 108p. 127p. 128p. 129p. 130p. 140p. 146