作者資訊
邱柏瑄醫師的學術發表文章眾多，難得臨床為主的醫師願意花時間進修，發表整理學術論文，希望造福更多為這些困擾所苦的患者們。中醫並非專病專方，而是強調個人化體質的調整，許多疾病西醫西藥治療無效，改用中醫中草藥口服加上外用治療取得顯著效果，凸顯了中草藥等自然療法治療皮膚疾病的潛力。
中醫中藥不僅針對其症狀，並且藉由調整體質和內在平衡達到讓疾病痊癒的效果。特別是在傳統西藥治療無效的皮膚疾病，內科問題上，中醫藥能提供有效且安全的選擇並且是並且對比於一些特殊新藥，相對經濟便宜的替代療法。
作者資訊
Authors: Po-Hsuan Chiu 1,2, Ta-Chen Chen 1,3, Hui-Yu Chung 1, Peng-Yuan Li1, Shigeharu Tanei1 , Ichiro Arai1, Fu-Shih Chen 1*
1Graduate School of Pharmaceutical Sciences, Nihon Pharmaceutical University, Tokyo, Japan（日本藥科大學）
2Dr. Syuan Chinese Medicine Clinic, Kaohsiung, Taiwan
3Department of Pharmacy, Chia Nan University of Pharmacy & Science, Tainan, Taiwan
國際期刊發表：施打疫苗後乾癬全身爆發，中醫藥治療痊癒案例
摘要
本報告記載了一名28歲男性的病例，在2022年接種第二劑Pfizer–BioNTech COVID-19疫苗後，出現了大範圍的乾癬問題。儘管接受了半年的西藥治療，症狀未見好轉。於2023年尋求中醫治療，中醫初診見乾癬影響到了BSA面積17%，PASI分數16.4。中醫診斷為濕邪較盛且脾虛的狀態，使用柴胡桂枝乾薑湯、五苓散和外用青黛凝膠等的中藥內服加上外用治療方案。經過半年的治療，他的乾癬情況得到了顯著改善，PASI分數降至2.9。至2024年1月，病情已經痊癒。全球大約有1.25億成年人受乾癬的影響，疫苗接種後乾癬惡化或新發的案例有所增加。這一案例顯示，中醫和中藥在治療疫苗引起乾癬以及COVID-19相關的乾癬方面是有效的，也為中醫藥在現代醫學中的應用開闢了新的研究方向。
詳全文：https://drsyuan.tw/repotergbl/
Abstract
This report documents the case of a 28-year-old male who developed widespread psoriasis following the administration of the second dose of the Pfizer–BioNTech COVID-19 vaccine in 2022. Despite half a year of treatment with Western medicine, there was no improvement in symptoms. In 2023, the patient sought Traditional Chinese Medicine treatment. The initial examination by the Chinese medicine practitioner revealed that the psoriasis affected 17% of the Body Surface Area with a PASI (Psoriasis Area and Severity Index) score of 16.4. The Traditional Chinese Medicine diagnosis identified the condition as predominated by dampness with spleen deficiency. The treatment plan involved internal administration of Chinese herbal formulas, including Chai Hu Gui Zhi Gan Jiang Tang and Wu Ling San, along with the topical application of Indigo Naturalis gel. After six months of treatment, his psoriasis condition showed significant improvement, with the PASI score decreasing to 2.9. By January 2024, the condition had fully recovered. Globally, approximately 125 million adults are affected by psoriasis, and there has been an increase in cases of psoriasis worsening or emerging post-vaccination. This case demonstrates the effectiveness of Traditional Chinese Medicine and herbal treatments in managing vaccine-induced psoriasis and COVID-19-related psoriasis. It also opens new avenues for research into the application of Traditional Chinese Medicine in modern medical practices.
國際期刊發表：確診後乾癬爆發 中醫治療2個月痊癒案例
摘要
本報告記述一名37歲男性，於2023年3月新冠確診後出現嚴重乾癬，西藥治療半年無效。9月轉中醫治療，初診時乾癬影響BSA面積22%，PASI分數12.6。中醫診斷為濕邪較盛，脾虛類型，治療方案包括柴胡桂枝乾薑湯、五苓散、外用青黛凝膠等中藥。一週後，乾癬改善，BSA降至17%，PASI分數降至3.9。三週後乾癬消失，三月追蹤未復發。全球成人約0.5-11.4%受乾癬影響，COVID-19後乾癬惡化或新發案例增多。本案例顯示中醫中藥治療COVID-19相關乾癬有效，中草藥成為治療乾癬有效的替代療法，為中醫藥現代醫學應用提供研究契機。
詳全文：
https://drsyuan.tw/covid-paper/
Abstract
This report describes a 37-year-old male who developed severe psoriasis after being diagnosed with COVID-19 in March 2023. Western medicine treatment proved ineffective over six months. In September, he switched to Traditional Chinese Medicine (TCM) treatment. At the initial assessment, psoriasis affected 22% of his Body Surface Area (BSA), with a Psoriasis Area Severity Index (PASI) score of 1.32. TCM diagnosis indicated a predominance of dampness and spleen deficiency. The treatment plan included Chai Hu Gui Zhi Gan Jiang Tang, Wu Ling San, and topical application of Indigo Naturalis gel, among other Chinese herbal therapies. One week later, there was improvement with a decrease in BSA to 17% and a PASI score of 0.51. Three weeks into treatment, the psoriasis disappeared, and no relapse occurred during the three-month follow-up period.
Globally, psoriasis affects approximately 0.5-11.4% of adults, with increased cases of worsening or new-onset psoriasis following COVID-19. TCM has emerged as a new option for treating psoriasis, especially in cases where Western medicine has proven ineffective. This case demonstrates the effectiveness of TCM in treating COVID-19-related psoriasis, offering a research opportunity for the modern application of traditional Chinese medicine in healthcare.
20年慢性耳鳴 中醫一個月痊癒
耳鳴在現代無論是中西醫都屬於難治之症，本病歷有幸能讓20年飽受耳鳴所苦的患者，一個月痊癒，效果實屬經驗，因而寫成論文分享！
詳全文：
國際期刊發表：15年脂漏性皮膚炎，中醫治療一個月痊癒
本病例報告展示了一位27歲女性，從12歲起患有脂漏性皮膚炎（SD），經過多年的西醫治療無效後，轉向中醫治療取得了顯著改善。中醫初診，她的頭皮和面部受到嚴重影響，表現出紅斑、脫屑、角質增厚以及皮膚萎縮，微血管擴張等症狀。治療包括口服中藥和外用中藥膏，主要成分包括茵陳蒿湯、麻杏甘石湯、蒲公英、雞血藤和板藍葉等，以及青黛凝膠外用。經過三週的治療，頭皮和面部病灶顯著減少，症狀大幅改善。此案例強調了中醫中草藥治療SD的潛力，特別是對於傳統西藥治療無效的情況。
This case report presents a 27-year-old female who has been suffering from Seborrheic Dermatitis (SD) since the age of 12. After years of ineffective treatment with Western medicine, she turned to traditional Chinese medicine and achieved significant improvement. Upon initial examination in traditional Chinese medicine, her scalp and face were severely affected, exhibiting symptoms such as ery- thema, desquamation, hyperkeratosis, and skin atrophy, along withtelangiectasia. The treatment included oral administration of tradi- tional Chinese medicine and the topical application of Chinese herb- al gel. The primary components consisted of Yin Chen Hao Tang (Virgate Wormwood Decoction), Ma Xing Gan Shi Tang (Ephedra, Apricot Kernel, Licorice and Gypsum Decoction), along with the external application of Qing Dai (Indigo Naturalis) gel. After three weeks of treatment, there was a significant reduction in the lesions on the scalp and face, with substantial improvement in symptoms. This case highlights the potential of traditional Chinese herbal medi- cine in treating SD, especially in instances where conventional West- ern medicine has been ineffective.
詳全文
國際期刊發表：15年脂漏性皮膚炎，中醫治療一個月痊癒
皮膚病治療紀錄
影片分享：中醫談根治乾癬、異位性皮膚炎，皮膚搔癢蕁麻疹，脂漏與其他皮膚病
