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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 Thoughts 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 medicine. Keywords: M 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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