Erysipelas Flashcards
How to different Erysipelas with boil, furuncle + carbuncle?
Erysipelas is contagious
What is erysipelas?
Erysipelas is an acute, contagious, infectious skin disease.
What are the symptoms of erysipelas?
It is characterized by sudden onset of chills, fever, local redness, and swelling.
What is the most common trigger?
Exterior Wind Invasion + body condition, usually Fire Toxin in body/blood.
Where can erysipelas occur on the body?
Erysipelas may take place on any site of the body.
How does erysipelas spread?
Erysipelas can rapidly spread.
What is Erysipelas primarily caused by?
Erysipelas is mostly due to fire toxins in blood.
In the etiology of Heat toxins in blood level, what is the pathogenesis?
Constitutional heat in blood level – invaded by external fire toxins ie: Heat invasion on a hot summer day
Lesions infected by toxins
Person with heat body condition–> gets cut –> more suspectable to heat or heat toxin to enter body
Lesions on cutaneous mucosa – invaded by external toxins
What is the pathogenesis of “Syndromes may vary according to different
locations”?
Face and head – wind-heat toxins
Low back and hips – fire in LR channel with damp-heat in SP channel
Lower limbs and feet – damp-heat flowing down and transforming into fire toxins
Children – heat toxins from the fetus (mom’s body condition is usually heat)
The following are _________ S/sx of Erysipelas.
Chills, fever, headache, poor appetite, constipation, dark urine
W/ local S/sx:
Rapid onset of a well-demarcated patch of redness, hotness, and burning pain, rapidly extending in size, change in color of the patch from bright red to dull
red in several days and then healing with
desquamation
T: yellow-thin or yellow-greasy coating
P: rapid or rapid-slippery
General
What S/sx indicates invasion of
pathogenic factors into the interior body?
High fever, vomiting, delirium, and convulsions
The following are patterns of ___________?
Wind-Heat transforming to Fire
LR Fire + SP Damp-Heat
Fire or Toxins in Blood
Erysipelas
The following are S/sx of Erysipelas due to _______?
Lesion occurs usually in the head and face, accompanied by chills, fever, acute headache
T: red, thin-yellow coating
P: floating-rapid
Wind-Heat transforming to Fire
The following are S/sx of Erysipelas due to _______?
Lesion usually occurs on the chest, abdomen, lower back, or hips,
accompanied by fever, irritability, thirst, stuffy chest, poor appetite,
constipation, dark urine
T: yellow-sticky coating
P: rapid
Lesion in the lower leg due to damp-heat transforming into fire and flowing down, Heat accumulates in GB channel
LR Fire + SP Damp-Heat
(Damp-Heat body condition + LR Fire is the trigger)
The following are S/sx of Erysipelas due to _______?
Lesion occurs in new-born babies due to the toxins from fetus, High fever, vomiting, delirium, and convulsion due to pathogenic
factors penetrates into the pericardium
T: Red or crimson
P: Rapid or Forceful
Fire or Toxins in Blood
Main points to treat Erysipelas
LI-4: Regulates Wei Qi + adjusts sweating + Expels wind + Releases the exterior + Commander Point of Face + clears Qi level heat
LI-11: Clears whole body’s heat
PC-3: Clears heat from all 4 Levels of Heat
BL-40: Cools Blood Heat + Damp-heat
SP-10: Cools Blood Heat
Ashi
PC-3 + BL-40: clears upper + lower body heat especially if Blood Heat affects whole body
What are the treatment principles for Erysipelas?
Clear Fire toxin from skin
Clear Damp-Heat
What are the supplementary points for Erysipelas?
Wind-Heat-
DU-14 + GB-20
Damp-Heat-
ST-36 + SP-9
Fever-
DU-14 (wet cupping)
Toxin Heat-
Jing-well + PC-8
Constipation-
SJ-6
