Boil Flashcards
Where may boils occur?
Boils may occur on the face, head, and extremities.
How do boils first appear?
They first appear like a grain of millet in yellow or purple color.
What forms as a boil develops?
A blister or pustule with a hard base is formed, usually accompanied by tingling.
What symptoms increase as a boil develops?
There is increased redness, swelling, and pain with a burning sensation, often accompanied by chills and fever.
What may occur if the boil toxicity attacks the interior?
If the boil toxicity attacks the interior, there will be high fever, restlessness, dizziness, vomiting, and impaired consciousness.
What is a possible sign of boil infection spreading?
Sometimes a red thread-like line extends proximally.
The following are ______ of Boils based on location?
Face
Extremities
Snake-eye
Snake-belly
Salver
Sole
Red-thread (forearm-PC + medical side of lower leg LR)
Types of boils
What Wen Bing level is associated with boils?
Blood Level
Boils are also called ________ Syndrome?
Jue Yin
Points to clear blood heat
PC-7 + LR-2
PC-3 + BL-40
What is the etiology + pathogenesis of Boils on the face?
Greasy, spicy, or sweet food, alcohol –> creates internal toxic heat (ST channel)
External fire pathogen, insect bite, skin infection –> toxins accumulating in skin and muscle –> Blocks Qi and blood stagnation accumulates –> transforming to Heat/Fire breaking out of skin
The following are In the ____________ stage of boils, what is the pathogenesis and the S/sx?
Heat toxin
Millet-grain pus, itching or
numbness, boils become red and
swollen gradually, burning pain, hard
and deep like nails
initial
The following are In the ____________ stage of boils, what is the pathogenesis and the S/sx?
Damp-Heat + Blood Stasis
Swelling becomes bigger in size in 5-
7 days after the onset, severe pain,
ulceration of the pus spot, May be accompanied by fever, thirst,
scanty and dark urine, dry stool,
T: thin-greasy or yellow-greasy
P: Wiry + Slippery + Rapid
Dry spot without pus, or oozing blood
or yellowish fluid is due to Qi and
Blood deficiency with toxic heat
Middle Stage
The following are In the ____________ stage of boils and the S/sx?
In 7-10 days
after the onset, swelling reduces, and boil
becomes softer, pus embolus (root
of the boil) comes out with pus, and a fever
is relieved
Later Stage
What does Boil on the Extremities indicate?
It indicates the acute suppurative infection on hands and feet.
What may happen if treatment is delayed in boils on extremities?
Delayed treatment may lead to injury to the tendons and bones and dysfunction of hands and feet.
Where may boils appear in boils on extremities?
Boils may appear on the fingers or toes, beside or under the nails, the palms or the bottoms of feet.
The following are types of boils on __________?
Snake-eye
Snake-head
Snake-belly
Salver
Sole
Red-thread
Extremities
What is the initial clinical manifestation of the skin-eye boil on the extremities?
It starts on the proximal part of one side of the nail, slightly reddish, painful, and swollen.
What does snake-eye boil on the extremities look like?
It occurs on the sides of the finger or toenail and looks like a snake eye.
How long does it take for pus to form in snake-eye boil on the extremities??
Pus is formed usually in 2-3 days.
What are some causes of peripheral inflammation of the finger or toe?
External injury, insect bites, and toxins accumulating between skin and flesh may cause peripheral inflammation.
What can happen without proper treatment of snake-eye boil on the extremities?
Peripheral inflammation of the finger or toe may occur without proper treatment.
The following is the ________________ of snake-eye boil on the extremities of External injury, insect bites toxins
accumulating between skin and flesh
Pathogenesis
Points to treat snake-belly boils
LU-9 + GB-34
Four Seams
What is a snake-belly boil?
It occurs on the middle joint of a finger and looks like snake belly.
What is the pathogenesis of internal fire toxins causing snake-belly boils?
Internal fire toxins block or damage sinew and vessels.
What is the pathogenesis Qi and Blood stagnation in Snake-belly boils?
Qi and Blood stagnation block channels and collaterals.
Main points to treat boils and accompanying S/sx?
DU-10 + DU-12 + LI-4 + PC-4 + BL-40
Face-
LI-1 + LI-11 + LI-4
Tip of fingers- (Snake-eye + snake-head boil)
LI-11
LI-20: Connected w/ ST, BL + SI channel + clears heat
Temporal Region-
GB-34
GB-44: Jing-well + clears heat
GB-43: Ying-spring + Clears GB Heat
Chest + Stomach-
ST-36 + SP-6
Back-
BL-40
Feet (4th + 5th toe)-
GB-34
GB-2
Red-thread boil-
Prick w/ 3-edge needle
