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Effect of Chinese herbal medicine combined with acitretin capsule in treating psoriasis of blood-heat syndrome type
  
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KeyWord:psoriasis  acitretin capsule  Chinese herbal medicine
Author NameAffiliationE-mail
Li-xin Zhang Department of Dermatology, China-Japan Friendship Hospital, Beijing, 100029, China dongyan3211@163.com 
Yan-ping Bai Department of Dermatology, China-Japan Friendship Hospital, Beijing, 100029, China  
Pei-hua Song Department of Dermatology, China-Japan Friendship Hospital, Beijing, 100029, China  
Li-ping You Department of Dermatology, China-Japan Friendship Hospital, Beijing, 100029, China  
Ding-quan Yang Department of Dermatology, China-Japan Friendship Hospital, Beijing, 100029, China  
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Abstract:
      Objective  To observe the clinical curative effect of Chinese herbal medicine combined with acitretin capsule in treating psoriasis of blood-heat syndrome (P-BH). Methods  Eighty patients of P-BH were randomly assigned to two groups, 39 in Group A and 41 in Group B. Both was treated with Chinese herbal medicines for clearing heat, cooling blood and removing toxic substance, and acitretin capsule was given to Group A additionally, with 8 weeks as one therapeutic course. The clinical curative effect was compared between groups, and the change of psoriasis activity severe index (PASI) scores before and after treatment was observed. Results  The total effective rate in Group A was 84.2% and that in Group B 68.2%, also showing significance between groups (P<0.01). PASI score lowered significantly after treatment in both groups, showing statistical significance (P<0.01), but no significant difference between groups. Little adverse reaction was found in Group B, while in Group A, the adverse reaction was of even milder degree, which could be alleviated by adjusting the herbal medicine and symptomatic treatment administration. Conclusions  The effect of Chinese herbal medicine combined with acitretin capsule was superior to Chinese herbal medicine alone in treating P-BH, but the adverse reaction of acitretin capsule could be alleviated by adjusting the herbs used. However, the result is waiting to be verified further by larger samples.
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