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									Journal of Chinese Medicine • Number 92 • February 2010             The Clinical Use of Dr. Li Ke’s Wu She Rong Pi Tang: Case Histories and Thoughts   59

The Clinical Use of Dr. Li Ke’s Wu
She Rong Pi Tang: Case Histories and
Abstract                                                                                                                                 By: Dr Ouyang
In this article the author, a dermatologist at the Guangdong Provincial Hospital of TCM, recounts his experience                         Weiquan;
of using Dr. Li Ke’s wu she rong pi tang (Zaocys Skin‑Enhancing Decoction) in the treatment of a wide range of                           translated
dermatological diseases including chronic eczema, pityriasis rosea and allergic dermatitis. nine different case                          by Henry A.
histories are presented, with detailed analysis of the underlying pathology from the perspective of Chinese                              Buchtel

             y teacher Dr. Li Ke has spent decades            • Chi Shao (Paeoniae Radix rubra), Mu Dan Pi                               Dr. Li Ke, wu
             treating acute and life‑threatening internal       (Moutan Cortex), Zi Cao (Arnebiae/Lithospermi                            she rong pi
             medicine diseases and has gained much              Radix) 15g each.                                                         tang, Zaocys
recognition for the excellent results obtained with           • Da Zao (Jujubae Fructus) 10 pieces.                                      Skin‑Enhancing
his rule‑breaking usage of high doses of Fu Zi                                                                                           Decoction,
(Aconiti Radix lateralis). In addition to this, Dr. Li        The above dosages comprise one day’s medicine,                             dermatology,
has considerable experience treating challenging              which is normally decocted and taken twice, once in                        eczema,
and stubborn skin conditions and drew from this               the morning and once in the evening.                                       dermatitis.
experience to create wu she rong pi tang (Zaocys
Skin‑Enhancing Decoction). The use of this formula in         1. Chronic eczema of the hands (stubborn
the treatment of 15 different dermatological diseases         goose‑foot wind)
is detailed in his book Li Ke Lao Zhong Yi Ji Wei Zhong       Li XX, Female, 23. Initial consultation: July 8th 2004.
Zheng Yi Nan Bing Jing Yan Zhuan Ji (Collection of            The patient had had ‘goose‑foot wind’ eczema on both
Dr. Li Ke’s Experience with Acute, Critical, Severe, and      hands for two years. Examination showed erythema,
Challenging Diseases). Besides these 15 diseases, I have      peeling skin, keratinisation, hypertrophy and severe
used this ‘experience formula’ to treat a number of           itching on both hands. Chapping and pain were
difficult and serious dermatological diseases, and            present during the dry winter season. A potassium
have found that the formula also has a mysterious             hydroxide (KOH) test of the skin lesions carried out
efficacy in treating severe drug‑induced rash,                at another clinic to check for the presence of fungal
pityriasis rosea, severe erythema nodosum, Behçet’s           infection was negative. The patient had already been
syndrome, erythrodermic psoriasis and various types           prescribed several Chinese herbal formulas but these
of dermatitis. This article consists of a series of brief     had had no effect on her condition. Her tongue was
case histories illustrating the use of wu she rong pi tang,   pale red and slightly dark with a thin coating; the
followed by comments on its clinical application in           pulse was fine (xì). She was prescribed four doses of
each case. These examples represent one individual’s          the formula wu she rong pi tang with the addition of
experience and understanding, and the comments of             10g each of Zao Jiao Ci (Gleditsiae Spina), Pao Shan
fellow clinicians are welcomed.                               Jia (Manitis Squama) and Jing Jie (Shizonepetae
   The components of wu she rong pi tang (Zaocys              Herba), to be taken internally. No external ointments
Skin‑Enhancing Decoction) are as follows:                     were used. When she attended for her follow‑up
• Sheng Di Huang (Rehmanniae Radix) (steeped in               appointment, the improvement was remarkable: the
   alcohol), Dang Gui (Angelicae Sinensis Radix), Bai         itching had ceased, there was less peeling and the
   Xian Pi (Dictamni Cortex), Wu She (Zaocys), Sheng          skin on her palms appeared moist. Such a rapid effect
   He Shou Wu (Polygoni multiflori Radix), Bai Ji Li          defied all expectations.
   (Tribuli Fructus) 30g each.
• Gui Zhi (Cinnamomi Ramulus) 10g.                            Discussion: In the case of long‑term scabs (jiè), lichen
• Chuan Xiong (Chuanxiong Rhizoma), Tao Ren                   (xiān) and damp sores (shī chuāng), damp heat will
   (Persicae Semen), Hong Hua (Carthami Flos), Zhi            accumulate internally, obstructing constructive and
   Gan Cao (Glycyrrhizae Radix preparata), Sheng              defensive qi. The four limbs lack luxuriance and
   Jiang (Zingiberis Rhizoma recens) 10g each.                the skin becomes fat, thick and coarse like the bark
60   The Clinical Use of Dr. Li Ke’s Wu She Rong Pi Tang: Case Histories and Thoughts                    Journal of Chinese Medicine • Number 92 • February 2010

        of a tree, developing into ‘goose‑foot wind’. Wu she rong                       difficult to cure the disease. For this reason, Dr. Li advised
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