Psoriasis: An Integrated Natural Approach
by Thomas Bayne, DC
Published in "Townsend Letter for Doctors &
Patients" - October 2000
Psoriasis is an common inflammatory skin condition affecting
approximately three million Americans, or slightly over 1% of population. It is usually
characterized by a gradual onset of redness and scaling of the skin, most commonly in
plaques. The condition appears between the ages of 10 and 40 in those with a family
history. The most common areas for plaques are the elbows, knees, gluteal cleft and scalp.
Fingernails are affected in about half of the patients. The condition can vary enormously
in area affected, severity of symptoms and association with other conditions.
Psoriasis is linked to heredity. It is an immunological condition with
dermal inflammation linked to angiogenesis and hyperkeratosis caused by accelerated
epidermal turnovers. Flare-ups have been associated with prescription medication use,
viral and bacterial infections, excessive alcohol consumption, obesity, lack of or
overexposure to sunlight, stress, general poor health, and cold weather.(1)
Angiogenesis or neovascularization, the process, of new blood vessel
formation, is a very tightly controlled process that rarely occurs under normal
conditions, except for instances of wound healing, embryonic development and development
of the corpus luteum.(2-6)
Psoriasis is associated with dilation of capillaries in its earliest
stages, and in developed psoriatic lesions there is a proliferation of blood vessels and
neovascularization.(7) Several histopathologic studies have established that increased
vascularization precedes the development of psoriatic skin lesions. In addition, these
studies have identified a marked increase in cutaneous blood flow at the active edge of
the psoriatic plaques when compared to the inactive edge.(8)
Normal epidermal turnover, or the time it takes for the epidermis to
replace itself, is 47-48 days.(9) In psoriasis this process takes only a few days,
resulting in a build up of dead skin cells and the formation of the thick scales.
Psoriasis may be aggravated by an injury such as bums, cuts, or bites.
Allopathic treatment of psoriasis includes retinoids, psoralen in
conjunction with long wave ultraviolet light (PUVA), methotrexate, and
cyclosporine.(10-11) In addition, topical and oral corticostiroids are often
For the holistic physician that employs a mindbody approach to restoring
health there are three seemingly unrelated processes found in the patient with psoriasis.
These are extreme acid/base balance problems, toxic build up, and vascular changes at the
site of the skin lesion. This article will explain the interrelationship of these
processes, and offer a comprehensive treatment approach, which includes dietary
modifications to balance pH changes, systemic detoxification, and oral and topical
80% of the daily food intake should come from the
Daily intake should be 3 that grow above the ground to 1 that grows in the ground.
Asparagus, Beets, Broccoli, Brussel Sprouts, Carrots*, Celery*, Cucumbers, Garlic*,
Lettuce* (Romaine in particular), Onions*, Parsnips, Scallions, Soybeans, Spinach*.
Sprouts*, String beans, Squash, Sweet Potatoes, and Watercress*.
Permitted in lesser quantities are:
White Corn, Dried Beans, Peas, Lentils, and Rhubarb).
Those foods marked with (*) are particularly important.
Apples (cooked), Apricots, Most Berries, Cherries, Dates, Figs (unsulphured), Grapes,
Grapefruit, Lemons, Limes, Mango, Nectarines, Oranges, Papaya, Peaches, Pears, Pineapple,
Small Fruits, etc.
Raw Apples, Melons and Bananas Are permitted provided they are eaten alone and
Strawberries should be avoided by those with psoriatic arthritis.
Permitted in lesser quantities are:
Avocado, Cranberries, Currants, Large Prunes and Plums.
20% of the daily food intake should come from the
All grains should be whole grain, natural products such as: Breads, Bagels, Muffins,
Cereals, without preservatives or artificial sweeteners. (No while flour products).
Chicken and Turkey (skinless white meat preferred).
Cold, Salt water, White flesh varieties preferred
Trimmed of fat before cooking and well done. It is allowed twice per week.
Only Low Fat/Low Sodium products are permitted. Skim or low fat milk, cheese,
buttermilk, and yogurt (no ice cream, cream toppings or whole milk products).
Regular butter is permitted but only occasionally and in very sparing amounts.
2-4 per week are permitted any style except fried
All products high in saturated fat are to be avoided.
Do not have citrus fruits, or citrus juices with dairy products or cereals at the same
t is critical to regain proper pH or
Acid/Alkaline balance in the psoriatic patient. The blood should be slightly alkaline.
When diet pH is slightly alkaline there is proper absorption of nutrients from the body,
increased immunity, and optimal health. Psoriasis is distinguished by overly acidic body
chemistry that is the result of over consumption of acid forming foods and the
re-circulation of toxins from the intestinal tract.(13) We will focus now on the dietary
aspect and discuss the role of the intestines in detail later in the article. In order to
control the acid/alkaline balance it has been proposed that a diet consisting of 80%
alkaline forming foods and 20% acid forming foods should be implemented.(13) Dr. John
Pagano first put this concept forth in his book. Healing Psoriasis: The Natural
Alternative. This diet has clinically shown the ability to reverse add/alkaline
imbalances, decrease water retention, improve digestion and absorption, and normalize
bowel function. The following table gives a breakdown of the permitted foods.(13)
Once the diet has been implemented it becomes necessary to begin the
process of detoxification. Systemic detoxification must begin in the intestines. Studies
have shown that a number of intestinal toxins have been recognized in psoriasis sufferers.
Some of these toxins include putrified proteins, rancid fats, byproducts of pathologic
bacteria, Candida Albicans and other fungi, yeast compounds, and immune complexes.(14-16)
Therapy must focus on cleansing and then repairing the bowel. The high colonic irrigation
is the fastest and most efficient way of cleaning the bowel of the psoriasis patient.
Combining the high fiber diet with a course of colonic irritations will eliminate the
intestinal endotoxins, and provide an environment that will allow the beneficial probiotic
bacteria to thrive.
One of the long-term side effects of intestinal toxicity is decreased
liver function. Alcohol is known to significantly worsen psoriasis.(17) As toxins build up
in die intestines the lining of the intestines becomes damaged and permeable. These toxins
are then absorbed into the portal circulation where they must be filtered by the liver and
eliminated, adding further to me burden of the liver. Alcohol increases the absorption of
toxins from the gut and impairs liver function. Psoriasis patients consistently show
abnormal liver function on functional laboratory assessments, and benefit greatly through
correction of liver function.(18)
Natural Antiangiogenic Approach
Cartilage is an avascular tissue that has been studied for its potential
antiangiogenic properties. Studies have proven that extracts of cartilage inhibit
endothelial migration and proliferation in vitro,(19-23) embryonic neovascularization in
ex ovo models,(23-27) and tumor-induced angiogenesis in vivo in a rabbit eye-perfusion
model.(28) Other studies have demonstrated that cartilage extracts have anti-inflammatory
properties that increased the speed of wound healing, and that they were potent inhibitors
of collagenase activity. Studies have shown that cartilage extracts applied topically in a
blinded right vs. left comparison have demonstrated efficacy in the treatment of
psoriasis. As a result of these studies cartilage extracts represent a novel approach in
the treatment of psoriasis when used both topically and orally.
B.W. presented with a 25-year history of psoriasis. For the first 19 years
the psoriasis was mild and easily concealed by clothing. Over the last six years the
psoriasis had progressively worsened. In B.W.'s own words " ..as my marriage worsens,
my psoriasis worsens." At the initial exam B.W. was covered with severe psoriasis
from the shoulders down. There were mild psoriatic lesions behind her left ear. B.W. began
a comprehensive program, which included the alcalizing diet, an herbal bowel cleanser,
oral CarTCell shark cartilage extract, and Dermanex topical cream. CarTCell was prescribed
at a dose of two vials per day for the first two weeks and one vial per day thereafter.
Due to the strong correlation between the patients psoriasis and emotional stress it was
recommended that B.W. and her husband concurrently seek marriage counseling. After two
weeks the severity of the lesions was markedly diminished. The Dermanex cream provided
immediate symptomatic relief. At this time, high colonic irrigation therapy was
implemented at a rate of one per week for six weeks. Over the following six weeks B.W.
lost 18 lbs. and the psoriatic lesions improved by 50%. B.W. was then started on a
six-week liver detoxification program. At the end of the six weeks B.W. had an 80%
improvement in her psoriasis. This was concurrent with her leaving her husband and
experiencing tremendous emotional stress. At this time the dose of CarTCell was decreased
to two vials per month. Dermanex was applied liberally to the remaining lesions', which
were concentrated on the elbows, heels of the feet, and a baseball-sized patch on her
back. Over the next three months B.W.'s psoriasis slowly disappeared. Twelve months later
B.W. remains psoriasis free. She has adopted her new eating program as a way of life, and
follows a maintenance program to ensure proper bowel and liver function.
Psoriasis is a multifactoral condition that requires a comprehensive
treatment approach. Dermanex cream, a proprietary topical solution available only to
health care professionals, offers the immediate benefits of decreasing inflammation and
itching to the localized area. Dermanex works by inhibiting new blood vessel growth, which
is the primary histopathological change associated with psoriatic lesions when compared to
normal skin. Combining Dermanex cream with oral angiogenesis inhibitors such as CarTCell
attacks the lesion from both the inside and outside. Used in conjunction with a dietary
program designed to balance systemic pH, and simultaneously detoxifying both the
intestines and the liver, provides the psoriasis sufferer with a treatment option
unparalleled in modem medical practice.
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