**TCM Medical Record: Emily (73, London)**
**Date:** December 21, 2024
**Observation:**
Fatigued, swollen joints, itchy, peeling skin on lower limbs.
**Complaint:**
Eczema, psoriasis, joint pain affecting daily life.
**Diagnosis:**
1. Damp-heat, blood stasis.
2. Wind-damp, qi-blood deficiency.
3. Spleen deficiency, damp retention.
**Treatment:**
1. **Herbs:** Modified Xiaoyin Jiedu Decoction (e.g., Rehmannia, Coptis, Red Peony).
2. **Acupuncture:** Quchi, Zusanli, Sanyinjiao 2-3 times/week.
3. **External:** Herbal foot bath (Sophora, Phellodendron), ointments (Zicao, Huanglian).
**Lifestyle:**
- Avoid spicy, greasy foods; eat Coix seed, Chinese yam.
- Tai Chi, sleep well, stay calm, moisturize skin.
**Follow-up:**
- 2 weeks: Skin, joints.
- 1 month: Blood sugar, pressure.
- 3 months: Long-term plan.
**Results:**
- 2 weeks: Itching, pain improved.
- 1 month: Blood levels stable, skin better.
- 3 months: Symptoms controlled, mobility improved.
