Chloasma

Question 1

What is Chloasma?

Answer 1

Chloasma is a condition in which large brown patches form on the skin, mainly on the face due to pigmentation without discomfort feeling.

Question 2

What is the Chinese name for Chloasma?

Answer 2

Chloasma is also called ‘Gan Ban’ because it is generally associated with the disorder of the liver.

Question 3

Clinical manifestation of Chloasma

Answer 3

Seen in women as it’s closely relationed to the Liver + reproductive

Question 4

What is the etiology for Chloasma?

Question 5

What is the pathogensis of Chloasma due to LR + KI Xu

Answer 5

LR & KD deficiency
disharmony of Chong & Ren
deficient heat flaring up

Question 6

What are the 4 pattern differentiations for Chloasma?

Answer 6

LR Qi Stagnation w/ heat
LR + KI Xu
Qi + Blood Stagnation
SP Xu w/ Damp-heat

Question 7

The following S/sx of Chloasma due to _________?

Irritability, distention in chest + hypochondriac, hot flash, dry mouth
T: Red w/ thin coating
P: Wiry + Thready

Answer 7

LR Qi Stagnation w/ heat

Question 8

The following S/sx of Chloasma due to _________?

Dark brown patches, lusterless complexion,
Dizziness, tinnitus, soreness and weakness
of the lower back and knees
T: Pale (past red)
P: Thready

Answer 8

LR + KI Xu

Question 9

The following S/sx of Chloasma due to _________?

Grey-brown patches, hypochondria
distending pain, could show other chronic LR disharmony- menstruation issues or postpartum issues
T: purple w/ petechiae w/ thin coating
P: Wiry + Thready

Progression from LR Qi Stagnation

Answer 9

Qi + Blood Stagnation

Question 10

The following S/sx of Chloasma due to _________?

Dull yellow patches looks like dusts, Poor appetite, constipation, dark urine
T: Red w/ yellow-greasy coating
P: Rapid + Slippery

Answer 10

SP Xu w/ Damp-heat

Question 11

Treatment principles for Chloasma due to LR Qi Stagnation w/ Heat

Answer 11

Soothe LR
Clear Heat

Question 12

Treatment principles for Chloasma due to
LR + Ki Xu

Answer 12

Tonify LR + KI

Question 13

Treatment principles for Chloasma due to Qi + Blood Stagnation

Answer 13

Move Qi
Activate Blood

Question 14

Treatment principles for Chloasma due to SP Xu w/ Damp-heat

Answer 14

Tonify SP
Clear Heat
Resolve Dampness

Question 15

Main points for Chloasma due to LR Qi Stagnation w/ Heat

Answer 15

4 Gates
ST-36:
SP-6:
BL-23:
BL-20:
BL-18:
SP-4 + PC-6: Opens REN + CHONG
LR-5: Treats menstrual disorders
REN-4: Benefits the uterus

Ear points-
LR, KI, Endocrine

Question 16

Main points for Chloasma due to LR + KI Xu

Answer 16

ST-36
SP-6
BL-13
BL-15
BL-18
BL-20
BL-23

Ear points-
LR, KI, Endocrine

Question 17

Main points for Chloasma due to Qi + Blood Stagnation

Answer 17

4 Gates
ST-36:
SP-6:
SP-10:
BL-17:
BL-23:
BL-20:
BL-18:
SP-4 + PC-6: Opens REN + CHONG
LR-5: Treats menstrual disorders
REN-4: Benefits the uterus

Ear points-
LR, KI, Endocrine

Question 18

Main points for Chloasma due to SP Xu w/ Damp-heat

Answer 18

ST-36: Tonifys SP + ST
SP-3: Yuan source + Harmonises SP + ST + Regulates Qi
SP-6: Tonifies SP + ST + Regulates Lower Jiao
SP-9: Resolves dampness
BL-20: Back-shu of SP
LI-11: Clear whole body heat