Dermatology/Acne

Question 1

What are the functions of the skin?

Answer 1

protection of germs
regulate temperature
provide sensations
protect against UVB rays
produce vitamins D
attract the opposite sex

Question 2

what are some common names of acne?

Answer 2

pimples, whitehead, blackhead

Question 3

what causes acne?

Answer 3

Due to hormonal stimulation and blockage of follicles

Question 4

what are some western treatments available for acne?

Answer 4

1. Antibiotics - 7- 10 day course
2. OCA
3. Creams

Question 5

what are the patterns in Acne?

Answer 5

1. Depressive heat in the lung and stomach
2. Damp heat in middle jiao
3. Blood stasis
4. Disharmony between Chong and Ren

Question 6

Which meridian is the T zone area

Answer 6

Yang Ming

Question 7

How would heat be presented in acne?

Answer 7

Red skin lesions

Question 8

How would dampness be present?

Answer 8

Acne will be oily and there will be pus
Shirt collars will be dirty
Greasy tongue coating with wiry or slippery pulse

Question 9

how would blood stasis be present?

Answer 9

Would turn into cystic acne, nodules or scars

dark purple with choppy pulse

Question 10

POT

Answer 10

clear heat, remove damp, cool blood or remove blood stasis

Question 11

Education

Answer 11

Avoid greasy, spicy, sweet, heavy tasting, smoking alcohol - have a well balanced diet
Use as few cosmetics as possible
Gentle face wash
Do not pick or squeeze pimple
Regulate emotions
Proper sun exposure for a few mins
TCM: detoxification - through bowel movement 1x a day

Question 12

Which points would you bleed?

Answer 12

Du 14, UB 13, UB 17 taiyang, LU5, UB 40 with cupping

Question 13

Auricular points

Answer 13

Acne points: Du/UB meridian C7 - T7, dark red brown and wont change in colour when pressed. Cut white fibers
Lung, Sp, LI , endocrine, ear apex

Question 14

which layer of skin when cut will cause scarring?

Answer 14

dermis

Question 15

Red face with red lesions, may feel hot and pain, there maybe nodular papules
Strong appetite, bad breath, thirst with a desire for cold drinks, dry stools, or constipation, scanty yellow urine
Tongue: red tongue with yellow coating
Pulse: slippery rapid

Answer 15

Depression heat in the lung and stomach

Question 16

red and painful lesions with pustules on the top, itching yellowish watery discharge, oily skin, strong appetite, bad breath, scanty dark yellow urine

tongue: red tongue with thick yellow greasy coating
pulse: slippery rapid/ or soft rapid

Answer 16

Damp heat in the middle jiao

Question 17

Enduring purple scars or nodular papules
possible painful menstruation with clots
tongue: dark, purple tongue and or with purple spots
pulse: wiry choppy

Answer 17

Blood stasis

Question 18

Acne fluctuates as the cycle of the menstruation, worse before the periods and better after periods, irregular and painful menstruation, moody, breast tender

tongue: dark, purple tongue
pulse: thready

Answer 18

Disharmony between Chong and Ren

Question 19

What are the basic points used for acne?

Answer 19

LI 11, LI4, ST36, SP 6 & 10, UB 13, Ashi