Eczema Flashcards
Shi Chuang
Define Eczema
Common inflammatory skin
condition and may affect any portion of the
skin, most commonly the face, head, limbs,
groin, and perineum.
What are the 3 classifications of Eczema?
Acute, subacute, or chronic
What is the Chinese name for Eczema?
Shi Chuang
What body condition does Ezcema usually affect?
SP + ST Xu
Damp-Heat
What are the etiologies of Eczema?
Weak Constitutions
SP + ST Xu
Emotions
Allergies- spicy food, shellfish, dairy products
What is the pathogenesis of Ezcema due to Weak Consitututions?
Invasion of External Wind-Damp-Heat because weak Wei Qi can’t fight the Evil pathogens
(The affected skin area indicates what the etiology is)
What is the pathogensis of Ezcema due to SP + ST Xu?
Dysfunction of T+T creates dampness in the body
What is the pathogenesis of Ezcema due to allergies?
Food can move Qi strongly so that the Qi can push the Heat up to the skin
What is the pathogenesis of Ezcema due to Emotions?
Emotions stir up Internal Wind, causing eczema anywhere on the body
The following are S/sx of Ezcema in which classification?
Skin is red/flushed turning into papules, erosions, crusts, lesion tend to spread, intense itching w/ burning sensation, low-grade fever, likely to heal in 2-3 weeks and can reaccur + become chronic
Acute caused by Damp-Heat with Wind
The following are S/sx of Ezcema in which classification?
Inflammation has reduced, less papules, crusts + scales, stuffy chest, poor appetite, loose stools, dark urine, can turn into chronic if no treatment or is stimulated by external factors
Subacute (Prolonged Acute Ezcema)
The following are S/sx of Ezcema in which classification?
Affected area is thick, dry, rough, hard, scaly w/ marking w/ papules, crusts, itching tends to be worse at night or with emotional stress, irritability, dizziness, blurred vision, soreness + weakness of lower back + knees, persists for month or years
Chronic
The following patterns of Ezcema are usually seen in the Acute Stage
Damp-Heat and Blood-Heat
The following pattern of Ezcema are usually seen in the Subacute Stage
Dampness
The following pattern of Ezcema are usually seen in the Chronic Stage
Blood Xu
The following S/sx are of Ezcema in the ______ Stage due to _______?
Skin lesions are flushing, swelling w/ erosions, crusts, intense itching, may have burning sensations, restlessness + thirst
T: Red w/ yellow, thick coating
P: Rapid + Slippery
Acute Stage due to Damp-Heat
The following S/sx are of Ezcema in the ______ Stage due to _______?
Papules, severe itching, scratching marks, crust, not a lot of scales, dry mouth, irritable especially at night
T: Red
P: Rapid + Thready
Acute Stage due to Blood Heat
Blood Level of Wen Bing
The following S/sx are of Ezcema in the ______ Stage due to _______?
Ezcema w/ oozing out, dull complexion, poor appetite, loose stools, scanty urine
T: White w/ greasy coating
P: Slippery or Soggy
Subacute Stage due to Dampness
The following S/sx are of Ezcema in the _______ Stage due to _____ ?
Recurring eczema, thickened/ leathery skin, itching (internal Wind), emaciation
T: Pale
P: Thready + Weak
Chronic Stage due to Blood Xu
Treatment principles of Ezcema due to Damp-Heat?
Clear Heat
Resolve Dampness
Treatment principles of Ezcema due to Blood Heat
Clear Heat
Nourish Blood
Treatment principles of Ezcema due to Dampness
Tonify SP
Resolve Dampness
Treatment principles of Ezcema due to Blood Xu
Nourish Blood
Main points to treat Ezcema due to Damp-Heat
REN-12: Front-mu of ST + Regulates T+T
ST-36: Tonifys SP+ ST
LR-1: Jing-well + Clear Heat
SP-9: Resolves Dampness
SP-6: Tonifys SP + ST + resolves dampness
LI-4: Releases exterior
SP-10: Cools Blood + Regulates Blood
ST-44: Ying-spring + Clears heat from Yangming channel
Ying-spring points LR-2: Ying-spring
Main points to treat Ezcema due to Blood- Heat
LI-4: Clear Qi Level Heat
LI-11: Clears whole body’s heat
SP-6: Calms Shen + Invigorate Blood
SP-10: Cools Blood
BL-17: Hui-meeting of Blood
PC-7 + LR-2: Clear Blood Heat
Main points to treat Ezcema due to Dampness
SP-3: Yuan + Harmonizes SP + ST
ST-36: Tonifys Qi + Blood
SP-9: Resolve Dampness
BL-20: Back-shu of SP
Point combo to strengthen T+T due to Dampness?
SP-3 + ST-36 + SP-9
Main points to treat Ezcema due to Blood Xu
BL-17: Hui-meeting of Blood
SP-10: Regulates + Nourishes Blood