Identification and Treatment

(1) Prophase
Main Manifestations: White patches varying in size, shape
and numbers, with clear border, erythema, blisters and burning heat sensation after exposure to sunlight. Red or normal tongue, rapid or normal pulse.

Therapeutic Method: Promote blood circulation and expel
wind.

Decoction: Chinese angelica root 12 g, peach kernel 9 g,
safflower 9 g, chuanxiong rhizome 9 g, red peony root 15 g, tribulus fruit 12 g, whole scorpion 9 g, xanthium 9 g, and licorice root 6 g.

Chinese Patent Medicine: Composite Tribulus Tablet (Fufang Jill Pian). Take 10 tablets each time, three times a day. External Treatment: Soak 30 g of psoralea fruit in 100 ml of
95 % alcohol and have the dregs filtered out after seven days. Apply the tincture directly to the affected part with brushpen, three times daily.

(2) Anaphase
Main Manifestations: Pigmentation around the white patches,
stable and unchangeable condition. No obvious signs in the tongue and the pulse.
Therapeutic Method: Nourish the kidney and promote blood
circulation.

Decoction: Dried rehmannia root 12 g, prepared rehmangia
root 12 g, red peony root 9 g, white peony root 9 g, multiflower
knotweed root 15g, black sesame seed 15 g, red sege root 12g,
flatstem astragalus seed 12 g, polygala root 9 g, and prepared licorice
root 6 g.

External Treatment: Realgar 5 g, sulphur 5 g, giant typho/fiumtuber 5 g, litharge 2 g, cnidium fruit 15 g; and calomel 0.5 g. Grind the above drugs into fine powder and use ginger to dip the powder to rub the diseased part, three times daily.

Aeupunctnare and Moxibustion

(1) Body Acupuncture
Main Points: Hegu (LI4), Geshu (BL14), Ganshu (BL18),
Yinbai (SP1), and Renying (ST9).
Complementary Points: Add Quchi (LIll) and Fengchi (GB
20) for prophase of the disease;add Taichong (LR3) and Sanyinjiao
(SP6) for anaphase.
Method: Use the filiform needles with even movement, retain
the needles for 15 minutes and manipulate them 2-3 times in interval.

(2) Ear Acupuncture
Prescribed Points: Lung, Spleen, Heart, Ear-Shenmen, and
Endocrine.
Method: Select 2-3 points each time. Use the filiform needles
with strong stimulation anct retain the needles for 20 minutes. The
seed-embedding method is also applicable.

Diet Therapy
Put 30 g of psoralea fruit and 30 g of epimedium in a gauze
bag. Soak it in 500 ml of plain spirits and seal the container for three days. Take it at bedtime, 10 ml each time.