External Therapy Handbook About Dermatology-M

EXTERNAL THERAPY HANDBOOK ABOUT DERMATOLOGY-M

Dermatology M is an exclusive range of carefully designed topicals and cosmetic skincare creams, ointments and tinctures, developed by world-renowned dermatologist Mazin Al-Khafaji.

Mazin is recognised as one of the leading experts in the field of dermatology and Chinese medicine, and for three decades has treated unusual and difficult skin, auto-immune and allergic diseases with great success. He is also an authority on the toxicity and authentication of herbs, often cooperating with experts in the field at Kew Gardens, London.

He runs the Avicenna Dispensary the unique TCM pharmacy where he makes his products from raw herbs imported directly from trusted suppliers in China. The dispensary, in England, now attracts professional praise and visitors from all over the world, even from Taiwan and China itself!

FORMULATED TO PROTECT AND CONDITION SKIN

Our topical products are designed for skin conditions including Acne, Eczema, Psoriasis, Fungal Infection and Rosacea. The majority should be used in addition to internal herbal therapy.

The cosmetic range includes moisturisers for the face, skin creams for the delicate eye area and neck line, lip balms, hand and foot creams as well as body lotions.

Formulated from herbal ingredients known to improve the condition of skin, they are made on our own premises by hand and in small batches only, using organic ingredients wherever possible. Our products do not contain artificial colours or preservatives, petrochemical substances or steroids.

PRODUCT WARNINGS

Ensure to do a patch test before using any new product. In case of any adverse reaction, discontinue use of product immediately.

For external use only. Keep out of reach of children.

As with all natural products, it is inherent that appearance and consistency may vary. This does not affect the quality of the product.

Product statements have not been evaluated by the Food and Drug Administration. These products and statements are not intended to diagnose, treat, cure or prevent disease.

1. Acne...... 1 2. Allergic Rhinitis & Sinusitis...... 2 3. Alopecia Areata...... 3 4. Impetigo...... 4 5. Eczema (Dermatitis)...... 5 6. Fungal & Yeast Infection...... 9 7. Lichen Planus...... 11 8. Lichen Sclerosis...... 12 9. Lichen Simplex...... 13 10. Melasma & Chloasma...... 14 11. Peri Oral Dermatitis...... 15 12. Psoriasis...... 16 13. Rosacea...... 19 14. Scarring...... 20 15. Urticaria...... 21 16. Viral Infections...... 22 17. Vitiligo...... 23 18. Ear Infections...... 24

FOR ALL ORDERS VISIT: www.dermatology-m.com (US & CANADA) www.dermatology-m.co.uk (REST OF THE WORLD)

1. ACNE TREATMENT

To enhance treatment, use Jin Yin Hua Face Wash daily and Xiao Overview Cuo Mian Mo face mask 2-3 times a week.

Jin Yin Hua Face Wash (Honeysuckle Wash) Use daily to wash affected areas on the skin before using other creams, gels or masks.

Ji Xue Cao Gao (Cream) DAY TIME Apply 2-3 times a day to affected area. Since its not coloured its (All Skin Types) particularly suitable for lesions on the face and neck. Fei Zi Shui (Gel) Apply several times a day to affected skin. Xiao Cuo Mian Mo (Cleanse & Clear Face Mask) Use this face mask 2-3 times a week, leave on for 15 minutes before washing off.

NIGHT TIME Both Dian Dao Shui Gao & Fei Zi Dian Dao Shui leave a yellow Overview mark on the skin that can be washed off in the morning.

Dian Dao Shui Gao (Gel) Apply to affected area and leave on overnight. Dry & Ji Xue Cao Gao (Cream) Combination Skin Apply 2-3 times a day to affected area. Since its not coloured its particularly suitable for lesions on the face and neck.

Fei Zi Dian Dao Shui (Gel) Apply to affected area and leave on overnight. Greasy Skin Ji Xue Cao Gao (Cream) Apply 2-3 times a day to affected area. Since its not coloured its particularly suitable for lesions on the face and neck.

2.1. ALLERGIC RHINITIS & SINUSITIS TREATMENT

Bi Yan Ling (Nasal Spray) RHINITIS 1-2 sprays in each nostril 2-3 times a day.

Cang Er Zi You (Nasal Drops) SINUSITIS 1-2 drops in each nostril 2-3 times a day.

3. ALOPECIA AREATA TREATMENT

ALOPECIA Ce Bai Ye Ding (Enriching Hair Tincture) AREATA Apply to affected bald area twice a day.

4. IMPETIGO TREATMENT

CRUSTED FORMS San Huang Shui Gao (Three Yellow Cream).

DRYER FORMS Chuan Xin Lian Shui Gao (Skin Calming Cream)

WIDE SPREAD Huang Lian Shui (Gel). FORMS

Qing Feng San or Qing Dai San (Powders) ERODED OR Sprinkle on until Impetigo becomes a dryer form and then use WEEPY WITH creams as above. DISCHARGE Alternatively (once crusting forms) mix the powder with a little sesame oil and apply to the area.

WITH MILD Shi Zhen Gao (Ointment). ECZEMA

5. ECZEMA (DERMATITIS) TREATMENT

Patients with Eczema tend to vary in their response to different topical products, and are very sensitive. If a patient is not getting the desired result from a particular topical product, they should try another one from the list. There are several different types of Eczema but for most types of Eczema you can follow the differentiation below. However, there are a few exceptions where different topicals for different forms Overview of eczema (see headings below under Sun- Forms of Eczema) are more suitable, notably in Ear canal Eczema, Hand Eczema, Lip Eczema, Seborrhoeic Eczema, and Scalp Eczema. 5.1 Hot Blood 5.2 Damp Heat 5.3 Dry Blood 5.4 Sub Forms of Eczema

5.1. HOT BLOOD Red, ill-defined lesion, scaly and itchy. Overview

Shi Zhen Shui Gao (Cream) Smaller Affected Huang Lian Gao (Ointment) Areas Zi Cao Shui Gao (Cream)

Hu Zhang Shui (Gel) Widespread Huang Lian Shui (Gel) Lesions Zi Cao Shui Gao (Cream)

With Infection Chuan Xin Lian Shui Gao (Cream).

5.2. DAMP HEAT Red, Swollen, itchy, eroded, weepy or crusted lesions. Overview

Shi Zhen Gao (Cream) Smaller Affected Areas Once absorbed, use the emollient to moisturise the skin if dry; Zi Cao Shui Gao (Cream)

Huang Lian Shui (Gel) Widespread Lesions Once absorbed use: Zi Cao Shui Gao (Cream)

Sprinkle one of the following powders on area until the area is less weepy; Qing Feng San (Powder) Erosion of the Top Qing Dai San (Powder) Layer of Skin Then Apply: Shi Zhen Gao (Ointment)

With Infection San Huang Shui Gao (Cream)

5.3. DRY BLOOD Pale, little inflammation, mostly dry or fissured. Overview

Gan Cao Shui Gao (Cream) All Types Zi Cao Shui Gao (Cream)

5.4. SUB-FORMS

5.4.1 ATOPIC ECZEMA Differentiate according to the three main morphological Overview subtypes. (See under main title of eczema).

5.4.2. EAR CANAL Huang Lian Di (Ear Drops) ECZEMA 2-3 drops 2-3 times a day.

5.4.3. HAND Two main types of hand eczema exist: ECZEMA Pompholyx and Fingertip. Overview

Blistering dermatitis of the palms, sides of fingers, and POMPHOLYX sometimes soles of feet. ECZEMA This dermatitis typically has two phases: first the blistering phase, then after a week or so the dry phase manifests.

San Bai San (Powder) Empty the contents of a packet of powder into a bowl of just Blistering Phase boiled water and stir. Steam the affected area over the bowl - this will help reduce the itching. When the liquid is cool enough, soak the affected area for 15–20 minutes.

Zi Cao Shui Gao (Cream) Gan Cao Shui Gao (Cream) Most useful for atrophied skin caused by damage to hands from Dry Phase long term use of topical steroid, which is the common treatment in Western Medicine. Run Zu Shui Gao (Cream) Most useful for hypertrophic thick skin of palms or soles.

Hot Inflamed Areas Shi Zhen Shui Gao (Cream)

FINGERTIP Dry and fissured skin of fingers and occasionally palms. Unlike ECZEMA most dermatitis, this type is not usually itchy or red.

DAY TIME

Dry Skin Zi Cao Shui Gao (Cream)

Dry And Hypertrophic Skin Run Zu Shui Gao (Cream)

NIGHT TIME Bai Ji Gao (Ointment) Dry, Fissured Skin Apply and occlude with mittens or vinyl gloves. (not red) Da Huang Gao (Ointment) Fissured And Red Apply and occlude with mittens or vinyl gloves. Skin

This is a nummular (well defined) round or oval dermatitis typically seen on the limbs and body. 5.4.4. LIP ECZEMA Most types are Damp Heat (blistering) though Dry Hot types also occur. Once the condition is in resolving stage, it becomes Dry Blood.

This is a nummular (well defined) round or oval dermatitis typically seen on the limbs and body. 5.4.5. NUMMULAR Most types are Damp Heat (blistering) though Dry Hot types also / DISCOID ECZEMA occur. Once the condition is in resolving stage, it becomes Dry Blood.

Shampoo S (Shampoo) Wash hair with this shampoo 3-4 times a week. 5.4.6. SCALP ECZEMA Run Fa Jing You (Oil) Apply to scalp at night (2-3 times a week) and cover with shower cap. Wash oil off in the morning.

5.4.7. Most types are Hot & Dry and will present with dry, red and scaly SEBRRHOEIC skin. DERMATITITS Occasionally Damp Heat types are seen, presenting with weepy, crusty and eroded skin, often intertriginous areas are affected Overview (armpits, groins, below the breasts in women).

Wu Shi Gao (Ointment) All Types Once absorbed apply: Zi Cao Shui Gao (Cream)

This type of Eczema (Dermatitis) is secondary to varicose veins 5.4.8. and is seen typically around the inner shins. If not treated in a STATSIS ECZEMA timely fashion it can develop into ulcers. Overview As with most Dermatitis three main forms exist (Differentiate according to three main morphological subtypes).

6. FUNGAL & YEAST INFECTION TREATMENT

San Bai San (Powder) Pour boiling water onto the contents of one sachet of San Bai San and stir. Then first steam affected area (this will help to reduce itching). When liquid is cool enough, place affected area in the liquid and soak for 20-30 minutes. Do this twice a day. 6.1. HAND & FOOT (Athletes Foot) When blisters are dry, use: Cu Pao Fang (Vinegar soak) Blistering Types Soak for 15-20 minutes a day (you can re-use vinegar soak over a period of 2 weeks or so, but make sure to pour it back into the bottle and seal firmly)

Then Apply: Ti Xuan Gao (T Ointment)

Cu Pao Fang (Vinegar soak) Soak for 15-20 minutes a day (you can re-use vinegar soak over a period of 2 weeks or so, but make sure to pour it back into the Dry Type bottle and seal firmly).

Then Apply; Ti Xuan Gao (T-Ointment)

Ti Xuan Ding (T- Tincture) 6.2. BODY, SCALP & GROIN TINEA Apply tincture to affected area, when dried apply; Ti Xuan Gao (T-Ointment)

6.3. ECZEMA COMPLICATE WITH Shi Zhen Gao (Ointment) FUNGAL INFECTION

Cu Pao Fang (Vinegar Soak)

After soaking the nail for 15 minutes, apply either: Feng Xian Hua Gao (Ointment) or Ya Dan Zi You (Oil) After application of either of the above, occlude the nail with a 6.4. NAILS water tight dressing (cling-film/saran wrap). Leave on for 24 - 48 hours before removing, then clean the nail (cut off as much of the fungal nail as possible without injuring the nail bed or surrounding tissue), then repeat the procedure. Continue until the nail is clear.

A yeast infection typically affecting the upper back and chest. 6.5. PITYTIASIS It may be brown or white in colour with fine scaling, VERSICOLOR accompanied by mild or no itching.

Overview San Huang Ding (Tincture) Apply 2-3 times a day.

7. LICHEN PLANUS TREATMENT

Four main morphological sub-types of Lichen Planus:

7.1. Lichen planus of the skin – Papular form (not mouth) Overview 7.2. Scalp Lesions (Lichen Planopilaris) 7.3. Pigmented 7.4. Hypertrophic forms (typically thick lesions on shins)

7.1. LICHEN Hua Jiao Ding (Tincture) PLANUS OF THE SKIN Apply to affected area then apply: (PAPULAR FORM, Huang Lian Gao (Ointment) or Hu Zhang Shui (Gel) NOT MOUTH)

Hua Jiao Ding (Tincture) 7.2. SCALP LESIONS Apply to affected area then apply: Huang Lian Gao (Ointment) or Hu Zhang Shui (Gel)

7.3. DRY SKIN Zi Cao Shui Gao (Cream)

Hei Bu Yao Gao (Thick Ointment) 7.4. If the Ointment is hard (for example in winter time), place jar in HYPERTROPHIC hot water to partially melt the ointment. Apply product to FORMS affected area and allow to form a skin (it will form a black film). Wash off and reapply every 24 hours.

8. LICHEN SCLEROSIS TREATMENT

Huang Lian Gao (Ointment)

Cang Zhu Shui (Gel) (Request to order)

Apply 2-3 times a day. Once absorbed, apply: Zi Cao Shui Gao

9. LICHEN SIMPLEX TREATMENT

She Chuang Zi Ding (Tincture)

Apply to affected area whenever there is a desire to itch. Do not expose treated area to sunlight.

10. MELASMA & CLOASMA TREATMENT

This common condition that mostly affects women. It is typically characterised by dark patches of skin on the cheeks, forehead Overview and chin When it occurs in pregnancy it is called “mask of pregnancy”.

Qu Ban Ding (Tincture) Apply to affected areas, allow to dry naturally then apply:

Qu Ban Shui Gao (Cream) Qu Ban Mian Mo (Face mask) Can be used 2-3 times a week. Leave on for 30-60 minutes before washing off. If prescribed as such, follow this with;

Qu Ban Ding (Tincture)

Allow this to dry and then apply; Qu Ban Shui Gao (Cream)

11. PERI ORAL DERMATITIS TREATMENT

Wu Shi Gao (Cream) Ji Xue Cao Gao (Cream)

Follow by:

Rejuvenating Face cream (Cream) Zi Cao Shui Gao (Cream)

12. PSORIASIS TREATMENT

Most cases of psoriasis can be divided primarily into two main types:

12.1. Active Type (Hot Blood) 12.2. Resolving Type (Dry Blood) Overview Two other types that are less commonly seen in practice are:

12.3. Hyperkeratotic (thick skin) type of the hands & feet 12.4. Pustular (pustular lesions on a red background) type of the palms and soles.

95 % of cases of psoriasis are hot type.

12.1. ACTIVE TYPE Despite the fact that the topicals for psoriasis are strongly (HOT TYPE) pigmented and leave some blue-black discolouring of the skin, this washes off easily and the results makes the minor inconvenience worth it.

DAY TIME Bai Bi Shui Gao (Cream) E Zhu Gao (Cream - especially useful for lesions on exposed Body Lesions areas such as the face neck and hands as it is colourless)

Bai Bi Ding (Tincture) Face And Scalp Bai Bi Er Hao Shui Gao (Cream) Lesions E Zhu Gao (Cream - especially useful for lesions on exposed areas such as the face neck and hands as it is colourless)

Scalp Lesions Shampoo S (Shampoo)

Bai Bi Gao (Ointment) Use at night. After application of the ointment, occlude the area NIGHT TIME with cling film/saran wrap. This will increase the absorption many fold and prevent the ointment from rubbing off on sheets. Body Lesions Very rarely occluding the skin in this way will lead to red, itchy, sore skin - if so, apply the ointment without occlusion or if redness is pronounced discontinue it use and rather use an topical alternative such as E Zhu Gao or Bai Bi Shui Gao.

Face And Scalp Bai Bi Gao (Ointment) Lesions Bai Bi Shui Gao (Cream)

In the very rare case that presentation is Erythrodermic Psoriasis (Red, very widespread lesions, covering 90% of body, NOTE actively growing red lesions) do not use Bai Bi Gao or Bai Bi Shui Gao in such instances, but rather treat topically as Resolving Psoriasis.

Starts off as Hot Type but as it clears it becomes pale and dry. 12.2. RESOLVING TYPE Zi Cao Shui Gao (Cream) Gan Cao Shui Gao (Cream) Overview Bai Bi Er Hao Shui Gao (Cream) E Zhu Gao (Cream)

12.3. HYPERKERATOTIC (LESIONS OF PALMS & SOLES)

DAY TIME Run Zu Shui Gao (Cream)

12.4. LESIONS OF SCALP OR FACE Bai Bi Er Hao Shui Gao (Cream) DAY TIME Bai Bi Ding (Tincture) E Zhu Gao (Cream)

Bai Bi Gao (Ointment) Bai Bi Shui Gao (Cream) NIGHT TIME Best used at night due to the products colour which will discolour the skin.

SCALP PSORIASIS Shampoo S (Shampoo)

13. ROSACEA TREATMENT

Jiu Zha Ding (Tincture)

DAY TIME Apply first, allow to dry naturally and then apply: Jiu Zha Shui Gao (Cream) Apply twice a day to affected area.

Dian Dao Shui Gao (Cream) Use at night in active phase if pustules are plentiful. NIGHT TIME Fei Zi Dian Dao Shui (Gel) Apply to affected area and leave on overnight.

14. SCAR TREATMENT

Qu Ba You (Scar Oil) SIMPLE Apply 2-3 times a day

Hei Bu Yao Gao (Thick Ointment) If the Ointment is hard (for example in winter time), place jar in hot water to partially melt the ointment. Apply product to keloid KELOID scar and allow to form a black film. After 24 hours, wash off and reapply.

15. URTICARIA TREATMENT

Hu Zhang Shui (Gel) DAY TIME Apply to affected areas to ease itching.

16. VIRAL INFECTIONS TREATMENT

These conditions include: 16.1 Common Warts Overview 16.2 Verruca 16.3 Molluscum Contagiosum 16.4 Herpes Simplex and Herpes Zoster

Ya Dan Zi You (Oil) Apply a drop or two to the warts and occlude with a strong tape 16.1. such as duct tape. After 24 hours, remove the tape and wash off COMMON WARTS the remaining oil, scrub off the loose skin and then re-apply. Repeat this process daily until the warts clear (usually 2-4 weeks).

Ya Dan Zi You (Oil) 16.2. MOLLUSCUM Dip a wooden toothpick into the oil and use it to prick the largest CONTAGIOSUM papule.

Yu Xing Gao (Ointment) 16.3. HERPES Use 2-3 times a day on all stages of Herpes Simplex, whether SIMPLEX blistering, eroded or dry.

Re Dai Chuang Gao (Ointment) 16.4. HERPES Use 2-3 times a day on all stages of Herpes Zoster, whether blis- ZOSTER tering, eroded or dry.

17. VITILIGO TREATMENT

Wu Mei Ding Apply to all areas where there is loss of pigment.

18. EAR INFECTION TREATMENT

Huang Lian Di (Ear Drops) 2-3 drops 2-3 times a day.