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Tinea Versicolor

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I have a patient who is coming in to treat a skin rash he has. His

skin lesion has been diagnosed as tinea / Pityriasis versicolor. I

looked tinea versicolor in the Beijing press' english-chinese

encyclopedias of TCM and there are some external treatments only, no

etiologies. The patient has no pain, no itching, no sensation of

feverishness etc.. he just doesn't like the look of it. One of the

treatments in the Beijing books has a note that the lesion, in most

cases, will be healed in 1-2 weeks. Some of the derm texts I've

looked at said that TX can take 6 months, at which point the rash

would have naturally gone away on it's own. This rash only comes

out in the spring and goes away in the autumn/winter. I would

imagine that since the rash comes out in the spring and it's on the

surface of the skin, the etiology likely includes

Wind. If anyone here has any other ideas, or experience using

externalwashes for fungal infections, please let me know.

 

The wash is a fine powder of:

 

Lithargyrum (Mi Tuo Seng) 30g

Sulphur (Liu Huang) 15g

Os Sepeilla (Hai Piao Xiao) 15g

Pericarpium Zanthoxyli (Chuan Jiao) 15g

 

Apply BID by dipping a slice of ginger into the powder and rubbing

the lesion until it turns red, do not wash with water after

application, cure should be in 1-2wk, and continue 3-6 days after

lesion is gone to prevent reoccurrence.

 

 

Thanks,

Geoff

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