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Clinical Application of 'Internal-External Therapy' in the Treatment of
Atopic Dermatitis
Frank S. Lin1,2,3,6
Du-Chun Tsai 2,4,6
Ping Xiang1,6
Zhi-Chiang Huang2,3
Maholida Amad1,5
1. Institute of Medical Science, Nanjing University of Traditional Chinese
Medicine, China
2. Institute of Traditional Medicine and Therapy, Taiwan Development and
Research Academy, Taiwan
3. Department of Medicine, Luhordong Clinic of Traditional Medicine Group,
Taipei, Taiwan
4. Department of Medical Research, Affiliated Hospital of Juntendou Medical
University, Japan
5. Institute Chuzhen de Medecine Chinoise, Paris, France
6. Department of Medicine, Care Remarks of TCM, Malaysia
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ABSTRACT: A new prescription or therapy for the treatment of atopic dermatitis
is expounded. Based on long years research by the Japanese doctor Tsai Du-Chun,
this prescription was put into clinical practice in 1996. During the 5 years ever
since, 5075 such patients have been treated by it, among whom 4669 were cured,
with the curative rate reaching 92%. For the various dermatosis such as dry
tinea, seborrheic dermatitis, eczema, and athlete's foot, this prescription can
give very good therapeutic results, with little side effect. The wonderful
therapeutic effect of this prescription has shaken both the western and Chinese
medical circles in Japan, and it has obtained the prize of social contributions
awarded by the Japanese imperial kinsmen. Dr. Tsai is, therefore, regarded by
the Japanese medical world as the contemporary combined expert of Chinese and
western medicine. The authors happened to have the fortune to follow Prof. Tsai
in the research work, and have written this report to encourage each other with
their senior colleagues. They sincerely hope that the prescription can be of
benefit the numerous Chinese dermatosis patients.
KEY WORDS: Internal-External Therapy; atopic dermatitis; action
Dermatosis is a time-honored nut for both Chinese and Western
physicians. The application of modern western medicine and western medicine
produced with high-tech and up-to-date medical instruments, in fact, can only
cure the symptoms, not the diseases. However, the old and excellent natural
therapy (or custom therapy, Chinese traditional treatment of today) has been
neglected for a long time.
The "traditional natural treatment" from our ancestors
contains oral medication treatment (A) and external application treatment (B).
it brings recovery with oral medication of decoction, pills, and external
application of adhesive plaster. Based on the therapy of this prescription, Dr.
Tsai has developed "Internal-External Therapy" under his long-time research and
clinical practice on "Atopic Dermatitis", which has achieved the same goal with
our ancestors' traditional ways of internal and external treatment. There are
hundreds of names of dermatosis classified by the names of diseases, while only
a few of dermatosis classified by the symptoms, such as blister, coarse rash,
red rash, ulceration. No dermatologist in the world has got any specific remedy
at present, all that they can do is prescribe Vitamin B, Vitamin C,
anti-histamine for oral medication and accessory renal cortex hormone ointment
for external application to temporarily control the change of skin cells. The
minor diseases should be treated mainly by means of natural resistance (immune
system) inside the human body. Regarding the treatment of the moderate and far
advanced diseases, ointment application seems to be effective to symptom, in
fact, it's null and void, and it makes the diseases advance and diffuse instead.
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1. |
Cause and treatment |
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It is refered before that the basic means of treatment rely most on the natural
cure ability inside the human body (auto-immune associated with metabolism
system). Nevertheless, the formation of auto-cure ability is closely connected
with good rest and sleep, which can't be guaranteed since the serious symptom of
itching occurs frequently at night, the only result can be a weakening natural
cure ability. The vicious circle makes the symptom become worse and worse with
time slipping by. Over the past decade, there was not any more effective drugs
or treatments available for these three intractable dermatosis: atopic
dermatitis, chronic eczema, and palmoplantar pustulosis. We have begun our work
from ten years ago to attempt to work out a traditional medicine-oriented way of
curing these three intractable dermatitis. Based on a long years research and
clinical trial, in Aug. 1996 we successfully discovered the prescription of
"medical herb compound dispensing with distinguished effect, we called it "PORON-PORON".
The clinical trials carried out from Oct. 1996 to Nov. 1997 on 150 cases showed
that this prescription is effective not only to the three diseases
above-mentioned, but also to any process of these diseases-minor, moderate and
far advanced, with the curative ratio reaching 92%.
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2. |
Method and Material |
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After a long years of research, Dr. Tsai developed this secret recipe-a medical
compound of 35 kinds of Chinese medical herb produced with the process of
dry-curing baking, decocting and refining, we called it "PORON-PORON" or "FuLang"
in Chinese. It serves as positive "internal" chemical treatment-its mechanism of
action is by oral medication to eliminate internal toxin, eject internal foreign
protein and metabolize organic toxin outside the body to enhance the auto-immune
ability, promote endocrine circulation and metabolism (promote the ability of
ejecting toxin), improve the blood circulation on cutis. The "external therapy"
includes two categories: (A) adopt vacuum-absorbing instruments to absorb the
polluted blood and polluted fluid (foreign protein, organic toxin and the side
effects pollutant of the chemical remains on cutis). (B) medicated bath-adding
water to the "herb sack of Dr. Tsai and boiling it for 15 minutes, then pulling
it all into bath-tub, adding some warm water again and then use the towel to
polish the affected part which would result in eliminating the cuticula,
improving the cortices and resume the function of body surface skin.
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3. |
Ingredient and analysis of PORON-PORON |
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"PORON-PORON" is synthesized mainly with Japan medical herbs and western medical
herbs, the choice of Japan medicinal herb is based on the basic theories of
Chinese traditional medicine of 5000 years as well as the clinical experience of
the modern science, its main subject is weeds foods with the effect of combating
inflammation. While the weeds and foods that with affinity to human body and can
fit each other are the main choice of western medical herb. The clinical reports
on over 150 cases in more than one year shows that the composition of these 35
kinds of weeds are really effective, with effective rate reaching over 90%
PORON-PORON's function of combating inflammation is more natural and mild, which
is different from the mechanism of anti-inflammation (i.e, Antihistamine or
steroid) on the concept of modern medicine.
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RESULT |
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From early 1996 when this therapy was put into clinical practice by Dr. Tsai, the
application of "internal-external therapy" has cured more than 5000 cases, which
includes Atopic Dermatitis, dry tinea, eczema, beatle acne, athlete's foot,
acne, etc. During the period of internal treatment by oral medicating "FuLang"
associated with the "External treatment" by absorbing polluted blood and liquid
from cortex, the western medicine is by no means adopted simultaneously, such as
antibiotic injection, taking antibiotic, vitamin pills and application of
steroid, immune inhibitor, analgesic, antianaphylaxis, antipruritic, in some
cases, even the light treatment must be forbidden. No matter men and women, old
young, the diseases are expected to be cured within 6-18 months, while the
resuming courses are varied because of the varied course of different cases,
but for the patients who have been affected for 20 or more than 30 years, the
course of treatment should be prolonged to about 30 months.
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DISCUSSION
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5.1 |
On research |
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There are many different opinions on the reasons of causing dermatosis, such as
the imbalance of (internal secretion) endocrine, the influence of microorganism
and so on. Through his long-time research, Dr. Tsai holds that the more
directive course should be: |
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(1) over-intaking of heat.
(2) Invisible pressure in mind.
(3) Real pressure on career and working.
(4) Pressure from family life.
(5) Storage of too much intracorporeal foreign protein (such as accumulation
waste of the cell)
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But why do people have different dermatosis, Dr. Tsai thinks that varied dermatosis happened on the people with varied constitutions. Although the course
is the same, the varied constitutions results in varied pathogenic process and
symptom.
The reasons are as follows: |
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(1) |
Classification of constitution: pustular constitution, chronic eczema
constitution, alphosis constitution, athlete's foot constitution, acne
constitution, Atopic constitution. |
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(2) |
Classification of skin quality: oil skin, neutral skin (standard skin),
dry
quality. |
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(3) |
Characterization of dermatosis: chronic eczema, tinea pedis, acne, eczema,
blister, Atropic, rich and powerful hands, athlete's foot. |
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(4) |
Identifying the type of dermatosis by the patients' age |
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1.> |
The dermatosis on the patients under 20 years old are most
probably Atopic Dermatitis. |
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2.> |
The dermatosis on the patients under 40 years old are very
likely athlete's foot, the cases needing a long period of treatment in hospital
is alphosis dermatitis. |
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3.> |
The dermatosis on the patients under 60 years old are most
probably chronic eczema; during the long period treatment in hospital, all kinds
of complications would take place; such as chronic eczema, palmoplantar
pustulosis.
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4.> |
The dermatosis on the patients over 60 years old,
generally speaking, are senile skin and external diseases. It must take place on
the people who went to the hospital from now and then to get some ointment for
application in the past 60 years. They would probably be affected by senile skin
and external diseases when they get old.
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5.2
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On clinical practice |
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Over the past two decades in Japan, the clinical research on Dr. Tsai's
"Internal-External therapy" showed that more than 92 percent patients affected
with dermatosis can be cured. The only thing that all the patients worry about
is that this therapy needs a certain treating process, discontinuing taking
western medicine would result in rebound action (rebound action-the favorable
mechanism of biochemical dizziness action), which will causes the deterioration
of skin-edema, itch, lymph effluenting to the skin surface in a short period. In
addition, there will be two or three minor actions after this rebound action,
only in this way, can the toxin inside the body be metabolized completed out of
the body, and can the patients be restored to health.
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Contraindication |
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During the period of treatment, the patients should absolutely observe the
physicians' advice. In order to enhance the speed of treatment, the following
foods are forbidden:
Ginger, The garlic, hot pepper, the roe, the egg, chocolate, the cake, Raw
cream, wine, the spring onions. Pig's trotter, Fragrant-flowered garlic, beef,
mutton. fried, venison, coffee.
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6.
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CONCLUSION |
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The ever-changing dermatosis has cause enough headache to the physicians from
all over the world, but their causes have no difference. The above clinical
experience shows that more than 92 percent dermatosis patients can be cured by
this therapy. The diseases such as eczema, acne, xerosis cutis, atopic
dermatitis, chronic eczema, pustula, blister, athlete's foot are expected to be
cured with a cure rate reaching 90% within 6 months.
All of us knows that the application of steroid, antipruritic, antianaphylaxis
can only temporarily prevent the top layer of dermatitis from worsening. The
longer the treat course is, the more the side effects. In fact, these medicine
cure the symptoms, not the disease. What's more, the difficulty of treating dermatosis and its disgusting symptoms of dirty, foul and ugly performance will
cause other related influence: (A) physiological factor—abnormal physiological
function, intolerable hot itch. (B) Psychological factor—lack of confidence,
self—abased, drooping spirits. (C) Social performance—unable to work, have no
social intercourse, bad public relations and ritual figure, infavorable to
promote, etc. (D) Family and martial life—unable to take normal work and rest,
the symptom of dirty and foul may cause some problems such as unable or dare not
to get married or be divorced, its influence is deep and tremendous. With "the
spirit of bringing comfort to the common people kindly of the Dr. Huatuo" in
mind, we hope that more and more dermatitis patients can recover
soon under the help of "internal-external therapy".
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Notes: The word of "FuLang" originated from "PORON-PORON", which means "health
and beauty" in language of the former Taiwan compatriots.
专题演讲论文/第五届世界中医药学术研讨会暨第二届欧洲中医药学术论坛联合研讨会
•
巴黎
• 法国
The 5th
International Congress on Traditional Chinese Medicine, Sept.30 - Oct.2, 2005 in
Paris, France. |
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