 Although psoriasis vulgaris affects skin health, it also increases the risk of coronary heart disease and diabetes, causing physical and mental harm. The complex pathogenesis of psoriasis makes traditional Chinese medicines multi-target effect especially advantageous. However, randomized controlled trials related to TCM have designed defects, small sample size, or inadequate intervention time, making it difficult to fully clarify its status in treating PV. Our analysis of 17 high quality articles suggests that TCM may be beneficial for decreasing posi scores and could be an effective alternative therapy for PV management. However, more strictly designed and long-term observations of TCM for PV are needed to assess its safety. This article was offered by Dan Dai, Harin Wu, Chun Yang He, and others.