Drug Rash

Question 1

What is Drug Rash?

Answer 1

It is a skin reaction caused by drugs through oral or injection.

Question 2

What is the onset of Drug Rash?

Answer 2

Most commonly acute onset.

Question 3

Chinese name for Drug Rash

Answer 3

Yao Wu Xing Pi Yan

Question 4

Etiology + pathogenesis of Drug Rash

Answer 4

Weak constitution + susceptibility of invasion by toxins

Wind-heat invading Couli, trying to digest drug, the Wei Qi is compromised or impaired ie: Measles

Damp-heat accumulating in the skin and muscle

Fire toxins invading the skin and Zangfu

Question 5

The following are patterns of ________?

Wind-Heat
Damp-Heat
Blood-Heat
Fire Toxin
Qi + Yin Xu

Answer 5

Drug Rash

Question 6

The following are S/sx of Drug Rash due to _________?

Acute onset, Fever, aversion to cold, headache, nasal congestion, affecting upper body, papules, erythema, burning itchy pain
T: thin, yellow coatig
P: Floating + Rapid

Answer 6

Wind-Heat

Question 7

The following are S/sx of Drug Rash due to _________?

Lesions are swollen and flushing, blisters,
exudation, mostly occurs on the lower body, stuffy chest, poor appetite, dry or loose stool, scanty urine
P: Rapid + Slippery

Answer 7

Damp-Heat

Question 8

The following are S/sx of Drug Rash due to _________?

Papules that are fresh red, may have bloody blisters, mouth ulcers, ulcers on external genital area, dry mouth, constipation, scanty urine
T: Red w/ thin coating
P: Rapid + Thready + Wiry

Answer 8

Blood-Heat
(More severe)

Question 9

The following are S/sx of Drug Rash due to _________?

Lesions expending to the whole body,
swelling, flushing, or with big blisters, chills, high fever, restlessness, maybe coma, delirium, jaundice, hematuria
T: Crimson
P: Rapid + Surging + Wiry or Slippery

Answer 9

Toxic Fire
(More severe than Blood Heat, more systemic)

Question 10

The following are S/sx of Drug Rash due to _________?

Fatigue, lassitude, poor appetite, dry mouth
with desire to drink cold
Lesions scaling from severe case, mucous
dropping off
T: Red w/ mapped coating
P: Rapid + Thready

Answer 10

Qi + Yin Xu

Question 11

Main points for treatment of Drug Rash due to Wind-Heat

Answer 11

LI-4: Regulates Wei Qi + adjusts sweating + Expels wind + Releases the exterior + Commander Point of Face
GB-20: Expels Wind (Internal or External)
BL-12: Wind-Gate + Expels Wind

LI-11: Clears whole body’s heat
LU-5: He-sea + Clears LU Heat
LU-10: Ying-spring + Clears LU Heat

GB-31: Relieves itching
SP-10: Clear Heat from Blood + Regulate Blood

Question 12

Main points for treatment of Drug Rash due to Damp-Heat?

Answer 12

LI-4: Regulates Wei Qi + adjusts sweating + Expels wind + Releases the exterior + Commander Point of Face
SP-10: Regulate Blood + activates SP channel

LI-11: Clears whole body’s heat
LU-5: He-sea + Clears LU Heat
LU-10: Ying-spring + Clears LU Heat

SP-6: Tonifys SP + ST + resolves dampness
SP-9: Resolves Dampness

Question 13

Treatment principles for Drug Rash due to Wind-Heat

Answer 13

Clear Heat
Expel Wind

Question 14

Treatment principles for Drug Rash due to Blood Heat?

Answer 14

Nourish Blood
Clear Heat

Question 15

Treatment principles for Drug Rash due to Damp-Heat

Answer 15

Cleat Heat
Resolve Dampness

Question 16

Treatment principles for Drug Rash due to Qi + Yin Xu

Answer 16

Tonify SP + ST
Tonify Qi
Nourish Yin

Question 17

Treatment principles for Drug Rash due to Toxin Heat

Answer 17

Clear Fire
Detoxification

Question 18

Main points for treatment of Drug Rash due to Blood Heat

Answer 18

PC7 + LR2: Clear Blood Heat affecting HT + LR
PC-6 + SP-4: Opens Chong + REN
LI-4: Regulates Wei Qi + adjusts sweating + Expels wind + Releases the exterior + Commander Point of Face

BL-17: Hui-meeting of Blood + Regulates Blood
SP-10: Cools Blood

LI-11: Clears whole body’s heat
LU-5: He-sea + Clears LU Heat
LU-10: Ying-spring + Clears LU Heat

Question 19

Main points for treatment of Drug Rash due to Fire Toxin

Answer 19

Ying-spring points from LR, GB, ST, HT, PC + SJ
LI-11: Clear’s whole body’s heat
LU-5: He-sea + Clears LU Heat
LU-10: Ying-spring + Clears LU Heat

LI-4: Adjusts sweating
GB-36: Detoxification of whole body

To nourish body after clearing heat-
SP-10: Cools Blood
ST-36: Nourishes Qi + Blood
SP-3: Yuan source + Harmonises SP + ST + Regulates Qi

Question 20

Main points for treatment of Drug Rash due to Qi + Yin Xu

Answer 20

ST-36: Nourishes Qi + Blood
SP-3: Yuan source + Harmonises SP + ST + Regulates Qi
REN-12: Front-mu of ST
REN-6: Tonifies KI + Fortifies Yang
REN-4: Tonifys + nourishes KI +Warms SP
SP-6: Harmonises LR + tonifies the KI
KI-3: Nourishes KI Yin + Clears deficiency heat
KI-6: Tonifys KI + Benefits throat

Clear little heat left
LU-5 + LU-10: Clears LU Heat