Male, ear psoriasis for 2 years
冯某，男，22岁，2012年12月13日就诊。
Feng * , male, 22 years old. On December 13, 2012, this patient visited our hospital.
现病史：患者患银屑病2年。病症开始出现的时候，患者偶然觉得耳根后面发痒，便抓挠，结果发现少许鳞屑脱落，皮损状况不是很严重。后来，在身体的其他部位也出现的一样的红斑，上面覆盖着一层白色鳞屑，伴有瘙痒，患者随即去了社区医院看了医生，开了一些内服药和外用的药膏，病情稍微得到了一些控制。后期患者身上的红斑有加重的趋势，红斑扩大并蔓延，瘙痒也加重了。加大了药量，没有效果。经朋友介绍来我院就诊。
Present Illness: This patient had a psoriasis for 2 years. At the beginning, he felt an itching on the back of ear root, and a few squama were shed upon the scratching, but the skin injury is not very serious. Later, the same erythema appeared at other sites, and was covered with a layer of white squama with concomitant itching. Then, he visited a community hospital, and was prescribed with some oral medicines and external ointments, which slightly controlled the illness. Later, the erythema tended to exacerbate as expansion/spreading and the itching was also exacerbated, which could not be effectively treated by a dose increase. At the introduction of a certain friend, he visited our hospital.
检查：申淑华主任在经过对患者以及患处的望闻问切后，发现患者自身微循环出现中度异常，体内微量元素下降
Examination: Through the diagnosis via inspection, listening/smelling, inquiry and palpation/pulse-taking for this patient and lesion site, Director Shen Shuhua found a moderate abnormality in the micro-circulation and a decrease in the internal micro-elements.
诊断：银屑病
Diagnosis: Psoriasis
治疗：
Treatment:
由于患者自身微循环中度异常，导致身体的其他部位也出现了银屑病症状。为了改善患者自身的微循环，申淑华主任对患者采用中药药浴疗法，药浴治疗银屑病有活血化瘀、改善微循环、调节免疫、退热解毒的作用。
Due to the moderate abnormality in the micro-circulation, psoriasis symptoms also appeared at other sites. In order to improve the micro-circulation, TCM medicinal bathing therapy was given through the medicines of following effects: blood circulation invigorating, blood stasis dissipation, micro-circulation improvement, immunity regulation, fever relief and toxin removal.
为更好的调节局部受损部位的微循环，申淑华主任对患者病灶处采用针灸疗法，对局部毛细血管的功能起到良性调节作用，促进皮损的修复。
In order to better regulate the local micro-circulation at the injured site, a acu-moxibustion therapy was given at the foci, so as to well regulate the local blood capillary and promote the repair of injured skin.
鉴于患者体内的微量元素下降，所以在对患者进行物理治疗的同时，采用了中医食疗，用以调整人体的内环境，从而提高人体防病抗病的能力，从根本上抵制了疾病的复发。
Due to the decrease in the internal micro-elements, a TCM dietary therapy was given at the same time of physiotherapy, so as to regulate the internal environment, improve the ability of disease prevention/resistance, and fundamentally prevent the recurrence.
专家点评：
Expert comment:
由于体质低下的原因，常常导致各种疾病的发生。为了更好的防止银屑病的出现，日常生活中一定要注意饮食规律，加强锻炼，增强自身抵抗力。一旦发生身体皮肤出现异常，要及时选择专业正规的医疗机构进行检查和治疗。
Due to the poor constitution, various diseases often emerge. In order to better prevent the psoriasis, various measures should be taken in the daily life, i.e. regular dieting, exercise strengthening and immunity improvement. At any skin abnormality, the patient should visit the professional formal medical institutions in time for examination and treatment.
