From the point of view of traditional Chinese medicine, winter is the main season when dryness and evil invade the lungs and hurt the lung and body fluids. Loss of lung qi, loss of fur, and psoriasis are also prone to occur. Winter is the main command of the kidney, and the kidney is the main storage, so "defending qi and getting out of the lower energizer". When the climate is cold, the cold is depressed on the muscle surface, the yang is hidden, and the defensive surface is insufficient. Excessive cold pathogen will damage the muscle surface of human body, disharmony between ying and Wei, stagnation of qi and blood, and lead to illness. "Lingshu Wujiaojin Bie Ye": "Cold weather, qi stagnation and dampness", cold stagnation and qi stagnation and dampness are the important causes of psoriasis. In order to better control the basic occurrence and development, we need to strengthen management from the following aspects:
TCM syndrome differentiation treatment needs to follow a regular, safe and individualized scheme. In the acute stage, it is mainly to appease, or to eliminate evil or tonify deficiency. In the static period, it is required to keep appropriate in daily life, diet, emotion, coldness and temperature, and appropriately adjust qi, blood, yin and yang. In the treatment, the course of disease, region, time, location, characteristics of skin lesions, pulse condition of tongue coating and other factors should be comprehensively considered, which coincides with the holistic view of traditional Chinese medicine and syndrome differentiation and treatment. Under the guidance of holistic view and syndrome differentiation and treatment, Chinese medicine has the characteristics of safety, good curative effect and little toxic and side effects in treating psoriasis. Under the medical system model of traditional Chinese medicine, doctors have realized the individualized requirements in psoriasis treatment guidelines in the process of constantly adjusting prescriptions according to patients' symptoms. These characteristics are the advantages of traditional Chinese medicine in treating psoriasis.
For psoriasis in winter, we can adopt daylight therapy according to the time. Some studies believe that solar therapy is a natural and effective method to treat psoriasis. Ultraviolet rays in sunlight can reduce cell infiltration by inducing apoptosis or immunosuppression, which is beneficial to clear damaged skin tissue, improve psoriasis lesions, and reduce the incidence of vitamin D deficiency in psoriasis patients by inducing vitamin D synthesis. Therefore, patients with psoriasis can appropriately adopt solar therapy to stimulate the anti-inflammatory response of the skin and adjust the immunosuppressive pathway, thus reducing the recurrence of psoriasis.
3. 1 Do a good job of moisturizing: the climate in winter is relatively dry, so patients with psoriasis should pay attention to moisturizing. Drink water in time and keep the humidity of the living environment. Frequent wet compress and bathing can soften skin lesions and improve local blood circulation. But don't bathe with strong alkaline soap. Pay attention to the use of moisturizing agent to protect skin and moisturize after bathing, and use skin care agent reasonably. When the concentration of urea is 10% 40%, it can moisturize skin and dissolve keratin, and can be used to treat psoriasis hyperkeratosis.
3.2 Adjustment of living habits: Life and rest should be good, and excessive mental stress can also induce the recurrence of psoriasis. There is also a good eating habit, you can eat more nutritious and digestible food. Be careful not to eat spicy food and stay away from alcohol and tobacco.
3.3 Strengthen physical exercise: Although the weather is cold, human limbs are stiff. But active physical exercise can increase resistance, enhance cold resistance and prevent the development of diseases, such as walking, jogging, Tai Ji Chuan and gymnastics. Because it is cold in winter, everyone will put on more clothes. Improper wearing can easily cause itching or pain. Try to choose pure cotton or silk as your personal clothing in winter, so as not to irritate your skin.
3.4 Diet management Nutritional support therapy plays a key role in the prevention and treatment of psoriasis. Eat more fruits and vegetables, beans, cereals and fish; Use vegetable oil, especially olive oil, when cooking; Avoid spicy food; Reduce the intake of dairy products and meat, especially red meat such as beef and mutton.
3.5 Bad living habits: Metabolic syndrome, such as obesity, hypertension, insulin resistance, dyslipidemia, etc., can lead to the recurrence or aggravation of psoriasis. Smoking and drinking are important factors causing metabolic syndrome. Research shows that psoriasis patients who smoke are more serious than non-smokers, so they need to quit smoking and drinking.
3.6 Develop good sleep habits and ensure adequate sleep. In the early stage of psoriasis, lack of sleep may lead to the aggravation of inflammatory reaction, mainly manifested as difficulty in falling asleep and short sleep time, and patients often feel pain and depression. Psoriasis patients should develop good sleep habits, improve sleep quality through self-relaxation training and reduce the recurrence rate of the disease.
3.7 Emotional management: Psychological comfort and guidance according to patients' different psychological states and stages of illness will help shorten the course of disease, promote patients' rehabilitation and reduce recurrence. Psoriasis patients should find appropriate ways to vent their emotions, improve their emotional adjustment ability and reduce the harm caused by bad emotions.
In winter, patients with psoriasis often have poor control of risk factors due to improper self-management of diseases (such as long-term inability to adhere to medication and unhealthy lifestyle). ), leading to repeated attacks and aggravation of the disease, making the treatment of the disease more complicated and difficult. Therefore, patients with psoriasis in winter should take warm measures to reduce the risk of disease recurrence. Guide patients with psoriasis to master the knowledge and methods of disease self-management according to seasons, improve their self-management ability in medication, diet, exercise, lifestyle and emotional management, ensure the continuity and integrity of treatment, and promote the improvement of patients' quality of life.
Han Xianwei, director of dermatology department of Shenyang Seventh People's Hospital, doctor of traditional Chinese medicine, postdoctoral fellow of integrated traditional Chinese and western medicine, doctor of dermatology. He studied under Professor Wang Yuxi, a famous old Chinese doctor in China. Member of Dermatology Branch and Beauty Branch of Chinese Medical Association. He is good at treating facial dermatitis such as hormone-dependent dermatitis and allergic dermatitis, vitiligo, chloasma, acne and other diseases that damage the beauty by combining traditional Chinese and western medicine; And the treatment and long-term maintenance treatment of difficult, rare and critical skin diseases such as psoriasis, eczema, urticaria, herpes zoster, lupus erythematosus and various bullous skin diseases.