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

 

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.
 
 

1. Cause and treatment
 

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%.
 

2. Method and Material
 

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.
 

3. Ingredient and analysis of PORON-PORON
 

"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.
 

4. RESULT
 

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.
 

5. DISCUSSION
 
 
5.1 On research
 

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:

   
(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)
 
 

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:

 
   
(1) Classification of constitution: pustular constitution, chronic eczema constitution, alphosis constitution, athlete's foot constitution, acne constitution, Atopic constitution.
(2) Classification of skin quality: oil skin, neutral skin (standard skin), dry quality.
(3) Characterization of dermatosis: chronic eczema, tinea pedis, acne, eczema, blister, Atropic, rich and powerful hands, athlete's foot.
(4) Identifying the type of dermatosis by the patients' age
 
   
1.> The dermatosis on the patients under 20 years old are most probably Atopic Dermatitis.
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.
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.   
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.
 
5.2 On clinical practice
 

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.
 

5.3 Contraindication
 

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.
 

6. CONCLUSION
 

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".
 


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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