Which organ is responsible when skin diseases occur?

Skin diseases are diverse in nature. According to traditional Chinese medicine (TCM), imbalances in the five internal organs can all lead to the occurrence of skin diseases. Detailed analyses are as follows:

1. Heart-related Syndromes:

All itching and sores are attributed to the heart. Mild heat causes itching, while severe heat leads to pain. Clinical manifestations include macules, erosions, blood scabs, nodules, etc. Common diseases include erythroderma, vasculitis, pemphigus, etc.

2. Liver-related Syndromes:

The liver governs the smooth flow of qi and stores blood. Diseases affecting the sides, eyes, and genital area are attributed to the liver meridian. Clinical manifestations include papules, pigmentation, dry skin, etc. Common diseases include urticaria, itching wind, genital sores, herpes zoster, etc.

3. Spleen-related Syndromes:

The spleen governs the transformation and transportation of fluids. Skin diseases characterized by phlegm-damp accumulation and internal water retention are often caused by spleen dysfunction. Clinical manifestations include papulovesicles, blisters, skin keratosis, etc. Common diseases include pyogenic granuloma, eczema, lipoma, etc.

4. Lung-related Syndromes:

The lungs govern the skin and hair, and the lung qi communicates with the nose. Clinical manifestations such as rosacea and acne vulgaris are related to heat-evil stagnation in the lungs.

5. Kidney-related Syndromes:

The kidneys have urinary and reproductive functions and store essence. Clinical manifestations such as alopecia and Sjögren's syndrome are related to kidney dysfunction. Gallbladder diseases can cause increased bilirubin levels, which tend to deposit under the skin, forming bile salts that irritate subcutaneous nerves, leading to symptoms of skin itching. It is recommended to seek targeted treatment after differentiation of symptoms by a TCM practitioner.