Dermatology

Question 1

fresh red blisters, burning, stabbing pain, intense blisters, red eyes, anger, constipation

t: red w/ yellow coating
p: wiry-rapid

Answer 1

herpes zoster
heat accumulation in LV meridian

jia ji, SJ 5, LV 8, LV 3, GB 43, SP 10

Question 2

dull red blisters, burning, stabbing pain, loose blisters, thirst w/o desire to drink, chest oppression, sticky-loose stool, epigastric pain

t: yellow greasy coating
p: slippery-rapid

Answer 2

herpes zoster
damp-heat in SP meridian

jia ji, SP 2, SP 9, SP 6, ST 44, SP 10

Question 3

red blisters, burning, stabbing pain, loose blisters, stabbing pain after blisters disappear

t: purplish
p: wiry-choppy-thready

Answer 3

herpes zoster
blood stasis in the collaterals
(most often refers to post-shingles nerve pain)

jia ji, a-shi, BL 17, SP 10

Question 4

acute attack, small red, rough bumps, small blisters, skin lesions, ulceration, severe itchiness, or w/ infection and leaking pus

t: yellow-greasy
p: slippery-rapid

Answer 4

eczema (acute stage)
damp-heat accumulation

BL 13, LI 11, BL 40, SP 9, HT 7, GB 31, local points

Question 5

small red, rough bumps, mild skin lesions, severe itchiness

t: puffy w/ white-greasy coating
p: soggy-slow

Answer 5

eczema (subacute stage)
SP xu w/ dampness obstruction (tendency of yang xu)

SP 2, SP 3, SP 9, BL 20, BL 21, ST 36, LI 11, GB 31, local points

Question 6

recurrent attacks, intermittent itchiness, worse while sleeping or hot, thick, leathery skin, discolouration, sometimes leaking fluid

t: pale
p: wiry-thready

Answer 6

eczema (chronic stage)
blood xu, wind dryness

SP 10, SP 6, ST 36, LI 11, BL 17, BL 18, HT 7, PC 4, GB 31

Question 7

fresh red hives, burning heat, severe itchiness, worse w/ heat, fever, sore throat

t: thin yellow coating
p: floating-rapid

Answer 7

urticaria
wind-heat attacking superficies

LI 11, DU 14, SP 10, BL 12, LI 4, DU 16, GB 31

Question 8

pale hives, worse w/ cold, better w/ warmth, aversion to cold

t: thin white coating
p: floating-tight

Answer 8

urticaria
wind-cold attacking superficies

BL 12, BL 13, GB 20, LI 11, SP 10, DU 16, GB 31

Question 9

red hives, large areas, constipation or sticky-foul smelling stool, abdominal pain, nausea

t: yellow coating
p: slippery-rapid

Answer 9

urticaria
ST-LI excessive heat

LI 4, LI 11, SP 10, ST 36, SP 6, SJ 6

Question 10

recurrent hives, worse in afternoon or at night

t: crimson
p: wiry-thready

Answer 10

urticaria
blood xu, wind dryness
if worse before or during period: Chong-Ren disharmony

SP 10, ST 36, SP 6, BL 17, BL 20, RN 6
Chong-Ren disharmony: RN 4, LV 3, BL 18, BL 23

Question 11

reddish acne, itchy, painful, more on face, upper back, and chest

Answer 11

acne
wind heat accumulating in LU meridian

LI 4, LI 11, LU 5, DU 14, BL 13, BL 40

Question 12

reddish swelling acne, painful, or with pus, oily face

t: yellow coating
p: slippery-rapid

Answer 12

acne
damp-heat accumulation (most common)

LI 4, LI 11, LU 5, ST 36, SP 6, SP 10, ST 44

Question 13

variety of skin damage: acne w/ pus, nodules, scars, etc.

t: pale w/ greasy coating
p: slippery

Answer 13

acne
phlegm-damp accumulation

BL 20, ST 40, LI 4, ST 36, SP 6

Question 14

dry skin, pale grey colour, severe itch, worse at night, irregular period

Answer 14

psoriasis
blood xu w/ wind dryness

GB 20, DU 14, LI 11, BL 40, BL 17, local points
+ SP 10, BL 20

Question 15

pale red skin, or grey-white colour, dry and thickening, severe itchiness, worse at night, irregular period

Answer 15

psoriasis
yin xu w/ blood dryness

GB 20, DU 14, LI 11, BL 40, BL 17, local points
+ KD 3, SP 10

Question 16

red colour skin, severe itchiness, + LV fire symptoms

Answer 16

psoriasis
LV qi stagnation changing into fire

GB 20, DU 14, LI 11, BL 40, BL 17, local points
+ LV 2, GB 43

Question 17

pale brown skin, severe itchiness, on and off, thickening skin

Answer 17

psoriasis
wind-heat obstruction

GB 20, DU 14, LI 11, BL 40, BL 17, local points
+ LI 4, SJ 5

Question 18

flat wart

Answer 18

flat wart
LU-ST heat accumulation
or
SP dampness w/ phlegm obstruction

LI 11, LI 4, LV 3, SP 6, local
LU-ST heat accumulation: + LU 5, ST 44
SP dampness w/ phlegm obstruction: + SP 5, SP 9, ST 40

Question 19

hair loss, pale lips, pale nails

t: pale
p: weak-thready

Answer 19

alopecia
qi-blood xu (mostly after childbirth or severe disease)

RN 6, SP 10, ST 36, BL 17, BL 20

Question 20

severe hair loss, low back pain

t: cracks w/ little coating

Answer 20

alopecia
LV-KD essence xu

BL 18, BL 23, DU 4, KD 3

Question 21

hair loss, irritability

t: red w/ little coating
p: thready-rapid

Answer 21

alopecia
blood heat generating wind

GB 20, LI 11, BL 17

Question 22

hair loss, stabbing pain, irritability, nightmares, insomnia

t: dull w/ purplish spots
p: deep, choppy

Answer 22

alopecia
stagnant blood obstruction

BL 17, LV 3