It won't be easy to summarise Pagano's 300 page book in a few sentences, but I'll try anyway. (If you think it sounds interesting then maybe order his book yourselves from Amazon.) His thesis is that psoriasis (and sometimes eczema too) is a result of the skin's attempt to eliminate toxins released from a defective intestinal wall. So by purifying the diet the skin will GRADUALLY improve. He advises taking mainly alkaline foods and avoiding tomatos, peppers, potatos, sugar, junk food, alcohol (also smoking), coffee. Also, lots of pure water, exercise, steam baths, plus lecithin, olive oil and certain herbal teas, all preceded by a 3-day apple or grape diet. All these are explained in detail. He also addresses emotional factors. I found his case histories very persuasive. The only aspect I have some reservations about is his advocation of regular colonic irrigation, so I have been suggesting a Microlax enema instead where it seems needed. Other than the last point, it all seems just very healthy and sensible. I think someone would need to be fairly severly afflicted with psoriasis to adhere to it strictly though - forever. It would be so much simpler just to give a single remedy!!