External Diseases

Question 1

Red rashes with severe itching

T: -

P: Superficial, rapid

Answer 1

Rash (Wind heat)

LI _{11 / 4} / UB ₄₀ / SP _{10 / 6}

DU ₁₄

Question 2

White or light red rashes accompanied by heaviness of the body

T: White, sticky coat

P: Superficial, slow

Answer 2

Rash (Wind Damp)

LI _{11 / 4} / UB ₄₀ / SP _{10 / 6}

SP ₉

Question 3

Red rashes complicated by abdominal or epigastric pain, constipation or diarrhea

T: Thin, yellow coat

P: Rapid

Answer 3

Rashes (Accumulation of Heat in the St and Intestine)

LI _{11 / 4} / UB ₄₀ / SP _{10 / 6}

St _{25 / 36}

Question 4

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 with chills, fever, acute headache

T: Rend, Thin yellow coat

P: Superficial, rapid

Answer 4

Bacterial rash (Wind Heat)

LI _{11 / 4} / PC ₃ / UB ₄₀ / SP ₁₀ / Aushi

GB ₂₀ / DU ₁₄

Question 5

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. With fever, irritability, thirst, stuffy sensation in the chest, poor appetite, constipation, and dark urine

T: Yellow, sticky coat

P: Soft, rapid

Answer 5

Bacterial rash (Damp Heat)

LI _{11 / 4} / PC ₃ / UB ₄₀ / SP ₁₀ / Aushi

ST ₃₆ / SP ₉ / SJ ₆

Question 6

Pathogenic toxin attacking the interior

Answer 6

Hand Jingwells & PC ₈

Question 7

Occurs mainly in the lumbar and hypochondria region with small red vesicles like beads forming a riddle around the waist. Mostly from endogenous damp heat, hyperactivity of fire in the LV & Gb or affection of exogenous toxin. Onset there is stabbing pain of the affected skin which soon becomes erythematous. Patches of blisters in the size of mump-beans or soybeans are evolved. These blisters look like a band with clear-cut interspaces between the patches. The blisters are thick-walled, and their contents are transparent at first, but turn turbid in five to six days. After ten days scar formation occurs

Answer 7

Herpes Zoster

Five pricks 0.5 cun from the head of the herpes zoster area

Five pricks 0.5 cun from the tail

Several pricks along both sides

LI ₁₁ / SP ₁₀ / UB ₄₀ / GB ₃₄ / LV ₃

Question 8

Boil on the head, face or extremity first appears like a grain of millet in yellow or purple color. A blister or pustule with a hard base is formed, usually accompanied by tingling. Later there is increased redness, swelling and pain with burning sensation, often accompanied by chills and fever. Sometimes a red thread-like line extends proximally if the boil toxicity attacks the interior, there will be high fever, restlessness, dizziness, vomiting, impaired consciousness

Answer 8

Boils

DU _{10 / 12} / PC ₄ / LI ₄ / UB ₄₀

• Face:* LI _{1 / 11}
• Tip of finger:* LI _{11 / 20}
• Temporal region:* GB _{34 / 44}
• 4^th or 5^th toe:* GB _{2 / 34}

Question 9

Sudden paroxysmal pain in the upper abdomen or around the umbilicus. Soon the pain becomes continuous and localized in the lower right abdomen, accompanied by tenderness, mild contracture of the abdominal wall, difficulty in extension of the right leg, fever, chills, nausea, vomiting, constipation, dark urine

T: Thin, sticky & yellow coat

P: Rapid, forceful

Answer 9

Intestinal abscess

ST _{25 / 37} / LI ₁₁ / Lanweixue

• Fever:* DU ₁₄ / LI ₄
• Vomiting:* PC ₆ / REN ₁₂

Question 10

Redness, swelling and pain of the breast, mostly occurring after delivery. At the early stage when the abscess has not yet been formed, there is a lump in the breast accompanied by swelling, distension, pain, difficult lactation, chills, fever, headache, nausea, and dire thirst. Growing of the lump with local bright redness and intermittent throbbing pain indicates suppuration

Answer 10

Breast Abscess

GB ₂₁ / REN ₁₇ / ST _{18 / 36} / SI ₁ / LV ₃

• Chills and fever:* LI ₄ / SJ ₅
• Distension & pain in the breast:* GB ₄₁

Question 11

Diffusive swelling in the neck, soft, gradually increasing in size with unclear margins, normal color, absence of pain in some cases big and drooping, accompanied with dyspnea and hoarseness of voice. Size changes with emotions

T: -

P: -

Lv Qi Stagnation

Answer 11

Qi Goiter

SJ ₁₃ / LI _{17 / 4} / SI ₁₇ / REN ₂₂ / ST ₃₆

Lv Qi Stagnation: REN ₁₇ / LV ₃

Question 12

Often occurs in individuals below forty, more frequently in women than in men, a few oval movable lumps below the Adam’s Apple with smooth surface and without pain, accompanied by exophthalmos, hot temper irritability, tremor of the hands, sweating, stuffiness in the chest, palpitations

T: -

P: String-taut, slippery, & rapid

• Palpitations*
• Exophthalmos*
• Hot temper, anxiety and sweating*

Answer 12

Flesh Goiter

SJ ₁₃ / LI _{17 / 4} / SI ₁₇ / REN ₂₂ / ST ₃₆

• Palpitations:* PC ₆ / HT ₇
• Exophthalmos:* SJ ₂₃ / UB _{2 / 1} / GB ₂₀
• Hot temper, anxiety, sweating:* SP ₆ / KD ₇

Question 13

Local swelling and pain, redness or ecchymosis. A new injury is slightly swollen with tenderness. Large area of swelling together with motor impairment of the joints is found in serious cases. Old injury is characterized by absence of marked swelling but repeated recurrence due to invasion of exogenous pathogenic wind, cold and damp. The injury mostly happens in the

Neck, shoulder, elbow, wrist, back, hip, knee, and ankle

Answer 13

Sprain & Contusion

• Neck:* UB ₁₀ / SI ₃
• Shoulder:* GB ₂₁ / LI ₁₅
• Elbow:* LI _{11 / 4}
• Wrist:* _{SJ 4 / 5}
• Hip:* GB _{30 / 34}
• Knee:* ST _{35 / 44}
• Ankle:* ST ₄₁ / GB ₄₀ / UB ₆₀

Question 14

Wry neck caused by awkward sleeping position or an attack of wind cold on the nape. Symptoms are stiffness and pain of the neck and nape and stiff neck toward one side with motor impairment

T: -

P: -

Flexion & Extension, Difficult rotation, stiff neck

Answer 14

Torticollis

DU ₁₄ / UB ₁₀ / SI ₁₄ / GB ₃₉ / SI ₃

• Flexion & extension:* UB ₆₀ / LU ₇
• Difficult rotation:* SI ₇
• Stiff neck:* Luozhen