| Objective:1The use of traditional Chinese medicine "is not ill prevention first" cure is not ill, the theory of psoriasis happened in internal and external factors, take Chinese traditional medicine joint psychological intervention means, to prevent a recurrence of psoriasis study method.2Observe the traditional Chinese medicine combined, psychological intervention (adjust gentle disposition) to extend with psoriasis vulgaris recurrence are effective.3Study the psychological intervention (adjust gentle disposition) before and after various mental test whether have change.4Oserve whether Chinese medicine can improve patients with various with symptoms.5Traditional Chinese medicine and modern medicine from two Angle discusses the psychological intervention (gentle disposition regulation) and Chinese medicine is how to prevent recurrence of psoriasis play the role in the process.6Seek a can maximum psoriasis recurrence of it.Method:1Medical records of selected choose60patients are from between2009and in hebei province hospital dermatological early outpatient clinic in my hair first and department after treatment to the eruption completely retreat of patients with psoriasis vulgaris. These patients with psoriasis vulgaris are in line with the diagnosis standard, and accord with Chinese medicine diagnosis and classification of XieReXing belongs to the standard, before treatment for clinical lesions scalp department, the trunk of a cover limbs of the size of the red papules, patches, attached in silver scaly skin and scrape off the scale have thin film phenomena and mesh bleeding; Complained of thirsty, move bowels dry, urinate yellow; Tongue performance of red tongue pulse, thin coating on the yellow, pulse string slide or number. After treatment, the whole body skin rash all faded, with some of the dark pigmentation spot or pale white pigment loss spot.2The group will be60patients were randomly divided into two groups30cases. The experimental group with self-made Chinese medicine (improved cool blood jiedu decoction) joint psychological intervention therapy; The control group, not use any intervention measures. Two groups of patients in the age, sex, and the course, along with the symptoms no significant difference (P>0.05) than the balance.3record results before and after treatment in lesions of the record patients total curative effect, psychology, along with the index is more symptoms.Results:1The total curative effect in lesions of comparison:record results with reference to the Chinese herbal medicine new medicine clinical research guiding principle (try out)"(May2002edition) western medicine diagnosis standard and curative effect judgment standard. Clinical cure:her lesions basic subsidise, clinical symptom disappears, PASI rating reduce the frequency of95%. Diagnosis and treatment of psoriasis standard PASS grading methods standards, observation follow-up time is3years, in three years with no skin rash appear, and rash appear the most severe cases than5%total area of body surface area for effective record,>5%record invalid, to judge the curative effect. In the observation of three years, the experimental group:effective25cases effectiveness and for5cases of effective rate of83.3%; The experimental group, effective number is7cases effectiveness and number23cases was23.3%. The experimental data show that traditional Chinese medicine combined, psychological intervention to extend effective psoriasis recurrence. A chi-square test P<0.05have statistical significance, the experimental group was better than control effect.2psychology index comparison:anxiety from review table (S A S), depression self assessment form (S D S), skin disease life quality index (D L Q I)(including physiological, psychological, and daily activities, social, entertainment, family and treatment of six aspects L0A problem, and each problem is using the level4evaluation method, the total score0-3-0points, the higher the score, the more poor quality of life) and symptoms since the rating scale (Symptom Checklist90, SCL A90) four groups psychological outcome scale, the experimental group and control group before treatment, respectively for18months and treatment on36comparison. The results show that the experimental group and control group before treatment each index comparison results (P>0.05) no statistical significance can think the experimental group and in contrast to the various mental index before therapy did not differ.18months and36months the various mental index is the control group (P<0.005), with a statistical significance. The experimental group and control group that on the treatment and index have a difference. Show that psychological intervention (adjust gentle disposition) can actually change the characteristic is the poor patients.3with symptoms improved more:the30patients with treatment, from3months to open with the symptoms appear obvious improvement. Thirsty, move bowels dry, urinate yellow symptoms as the treatment of gradually disappear. The control group of30patients with symptoms without obvious improvement. Traditional Chinese medicine that can improve the patients with psoriasis with symptoms.Conclusion:Psoriasis is a common chronic recalcitrant skin disease, the delay of the disease, easy relapse is aggravating, drug treatment is different from person to person, although can be clinically make a more satisfactory curative effect, but still can’t solve problems relapse, these are directly affect the person’s physical and mental health. How to prevent the recurrence of psoriasis or prolong the recurrence time? We use of traditional Chinese medicine "cure is not ill" from psoriasis pathogenic factors to begin using the method of traditional Chinese medicine combined, psychological intervention prolong the recurrence of patients with psoriasis and time. TCM holds that the occurrence of psoriasis "blood hot" is the foundation. The cause of the heat generated blood can be divided into the external cause and internal cause cause disease. External cause is to point to the wind, cold, heat, dampness, dryness and fire of pathogenic factors, etc. Internal cause is to point to, ferrite blood hot, gentle disposition lacks eating unclean, etc. Seven emotions that happiness, anger, sorrow, to think, sad, fear, surprised seven emotions activities, are not normally causes disease, abnormal characteristic is a polarization fire heat causes blood heat generation, psychological intervention can effectively block had a sentiment, is to prevent a recurrence of psoriasis an important aspects. Patients after treatment with the rash already heal, but YuDu not completely, so in the cool blood at the same time to clear YuDu drugs. Cool blood detoxification in patients with blood ferrite is hot, and late YuDu all did not. TCM holds that "evil do not save as in","evil have gather together the gas will virtual" permanently protect the body can effectively prevent the attacks from, blocking the external cause disease. Psychological intervention now (adjust gentle disposition) point of view and the medical said social mental state-medical model completely. Western medicine is also the psychological factors as a treatment for psoriasis a new ideas and methods. Based on these, we put the prevention of psoriasis compound methods are reduced to two aspects, the first is the gentle disposition namely, psychological intervention, the second is Chinese traditional medicine, use cool blood detoxification centralizer of traditional Chinese medicine. Since psoriasis is difficult to cure, then can maximize the extension of the recurrence of psoriasis long time appear promising important and feasible. Traditional Chinese medicine (improved cool blood disinfection soup) joint, psychological intervention to extend effective recurrence with psoriasis vulgaris, give intervention than control group has obvious superiority. It also embodies the principle of heal is not ill, worth clinical promotion. |
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