Psoriasis
What is Psoriasis?
Psoriasis is a chronic inflammatory skin disease in which immune dysregulation causes skin cells to proliferate abnormally fast, resulting in red patches covered with thick silvery-white scales. It is not contagious, and typically follows a chronic, relapsing–remitting course.
- Genetic predisposition + immune abnormality (T-cell-mediated inflammation)
- Stress, overwork, and sleep loss
- Onset or flare after tonsillitis or upper respiratory infection
- Dry seasons and low UV exposure
- Alcohol, smoking, and certain medications (e.g., beta-blockers)
Main Types of Psoriasis
Plaque Psoriasis
The most common form. Sharply demarcated red plaques with silvery scales on the scalp, elbows, knees, and sacrum.
Guttate Psoriasis
Sudden appearance of small, drop-shaped lesions on the trunk and limbs after infections such as tonsillitis. More common in children and young adults.
Nail & Scalp Psoriasis
Nail pitting and discoloration, or thick scaling and itch on the scalp. Diagnosis is often delayed.
Main Symptoms
- Silvery-white scales on red patches
- Scales come off in powdery flakes when scratched
- Well-defined plaques
- Symmetrical involvement of scalp, elbows, knees, and sacrum
- Itch is often present but usually less severe than in atopy
- Nail pitting or discoloration
- Joint pain and swelling (psoriatic arthritis)
- Increased risk of metabolic syndrome
- Fatigue and emotional distress
- Notable worsening under stress
The Korean Medicine View of Psoriasis
In Korean medicine, psoriasis is understood in terms of the state of the blood (血), including patterns such as blood-heat (血熱), blood-dryness (血燥), and blood-stasis (血瘀). It is approached with the view that internal heat and circulation, digestion, immunity, and stress response, not just the skin surface, all play a role.
Osundosun's Approach to Psoriasis
The approach differs between acute inflammatory phases and chronic phases marked by dryness and thickened skin.
Based on Vice-Director Oh Eun-jeong's 35 years of constitutional care, we prepare herbal formulas considering both constitution and disease phase in our on-site herbal dispensary, combined with acupuncture or pharmacopuncture when needed.
Helpful Daily Care
Moderate Sunlight
Moderate natural sun exposure can be helpful for psoriasis.
Moisturizing
Scaling weakens the skin barrier, so consistent moisturizing is essential.
Stress Management
Stress is a clear aggravator. Prioritize sleep and rest.
Limit Alcohol & Tobacco
Both are well-known aggravators of psoriasis.
With psoriasis, patience beats haste.
Psoriasis is a condition to be managed over time.
A comprehensive approach — constitution and lifestyle together — aims for a more stable skin state.
For long-standing psoriasis, Osundosun Korean Medicine Clinic is with you.