(240) Vitiligo

[HB KIM]

VITILIGO, or leukoderma, is a chronic skin condition that causes loss of pigment which results in irregular pale patches of skin. The precise cause of vitiligo is not fully understood. There is some evidence suggesting it is caused by a combination of auto-immune, genetic, and environmental factors. The population incidence worldwide is considered to be between 1% and 2%.

PATTERNS AND HERBAL FORMULAS

1. Wind-Damp + Qi and Blood disharmony: localized white discolorations on the face, neck, and back of the hand; round, oval, or irregular shape discolorations with a smooth suface
Tu Fu Ling  30-60g
Jin Yin Hua  12g
Wei Ling Xian  9g
Sheng Gan Cao  6g
Cang Er Zi  15g
Fu Ping  6g
Xi Xian Cao  6g
Bai Ji Li  6g
Wu Shao She  6g (Zaocys)

2. Wind pathogen: Wind attacks the pores and causes Qi & Blood stagnation, which closes the pores and prevent Blood from nourishing the skin
Han Lian Cao  9g
Bai Zhi  6g
He Shou Wu  6g
Bai Ji Li (fried)  6g
Bai Ji Li  6g
Zi Cao  4.5g
Zao Xiu  3g (Rhizoma Paridis)
Dan Shen  3g
Ku Shen  3g
Cang Zhu  2.5g


EMPIRICAL FORMULAS

Formula 1: Activate Blood, expel Wind, harmonize Qi & Blood
He Shou Wu  30g
Sang Shen  30g
Bai Ji Li  18g
Bai Jiang Chan  12g
Chi Shao  12g
Chuan Xiong  12g
San Leng  15g
E Zhu  15g
Fang Feng  15g

Formula 2: Harmonize Qi & Blood
Sheng Di  12g
Dan Shen  12g
Gou Teng  12g
Bai Ji Li  12g
Dang Gui  6g
Fu Ping  6g
Ji Xue Teng  3g
Ye Jiao Teng  9g


EXTERNAL FORMULAS:
Actions: Harmonize Qi & Blood, activate Blood, open the collaterals
Method: Soak the herbs in 600ml of 70% alcohol for 7 days before applying to the skin

External 1
Bai Fan  80g
Wu Bei Zi  80g
Fu Zi  80g
Bu Gu Zhi  80g

External 2
Bai Fan  80g
Bai Bu  80g
Fu Zi  80g
Bu Gu Zhi  80g

External 3
Bu Gu Zhi  300g


ACUPUNCTURE

TCM STYLE
1. By Patterns
Qi/Blood disharmony: SP10, SP6, ST36, LI11
LV/KD deficiency: UB18, UB23, DU4, LV3, KD3, SP6
Blood stasis: SP6, SP10, LV2, GB31, UB17
2. By Locations
Head/face: LI4, GB20
Abdomen: RN12
Chest: RN17
Upper limb: LI11
Lower limb: SP10, SP6

KOREAN STYLE (4 needle technique)
RIGHT SIDE: TONIFY LV (Tonify KD10, LV8 & Sedate LU8, LV4)
LEFT SIDE: SEDATE LU (Tonify HT8, LU10 & Sedate KD10, LU5)