external med Flashcards
boils represent
always show internal or external heat
may also experience alternating chills and fever
this is because path heat is in the wei level
may appear anywhere but mostly face, head and limbs
if the heat penetrates the pericardium and turns to toxic heat the boils will develop
red lines around the edges
this is a serious condition
treating boils
Du 10 to treat boils
Du 14 to clear heat condition
clear fire, resolve damp, move qi and blood of the affected channel
closed sac with a distinct membrane around it, painless and easy to move
a cyst
treating cysts
move qi and blood along the channel, resolve damp
small, red, raised, itchy bumps or wheals
sudden onset, spreads quickly
may have direct trigger; allergic or food contact
hives (urticaria)
treating hives
expel wind, clear heat, resolve dampness
wind heat hives
severe itching and spreading widely
expel wind, clear heat
wind damp hives
stagnation of damp trapped between skin and muscles
expel wind, resolve damp
damp heat in stomach/intestines hives
red, itchy wheals, rather than small pinprick rash
resolve dampness, disperse wind, clear heat
fire in stomach/intestines hives
red, itchy wheals like damp heat but drier
clear fire from stomach/intestines
toxic heat hives
extreme heat in the blood, extreme burning itch, large red wheals, possibly over whole body. associated with longterm antibiotics or infections
clear toxins clear heat and cool blood
wei qi xu hives
small rash after sweating
disperse wind, tonify wei and nutritive qi
acute, highly infectious bacterial skin infection
caused by strep bacteria that causes sore throat
eripselas
eripselas treatment
invasion of damp heat in spleen and stomach
clear heat, resolve damp, cool blood
plum blossom needle around perimeter of rash
prick to bleed 12 jing-well points bilaterally
typically presents as red raised rash or red cluster of blisters with burning or tingling pain
shingles/herpes zoster
shingles treatment
begins as external pathogenic wind heat
expel pathogen, clear heat, expel wind
plum blossom around head and tail of rash
honeysuckle tea to expel wind heat
chronic shingles treatment
originally starts the same, but now has gone deeper and affected zangfu, typically liver and gallbladder (damp heat/fire)
if shingles are no/small rash
its not damp heat, it has stayed as wind heat or turned to LV/GB fire
typically occur during postpartum breast feeding, could occur mid cycle/premenstrually, localized collection of pus caused by bacterial infection. Painful, red, warm breast with palpable lump or swelling
breast abscess
breast abscess TCM diagnosis
liver qi stag, heat stag in stomach or invasion of external toxic fire
acute disorder affecting large or small intestine, caused by irregular eating habits, retention of food, or running after a big meal
intestinal abscess
enlarged thyroid gland causing swelling at front of the neck, painless, without change in skin colour or texture
goiter
qi goiter is caused by
liver qi stag
flesh goiter is caused by
phlegm damp accumulation
soft swelling on the front of the neck, gradually increase size with unclear margins, size will fluctuate with emotional state, no pain or discolouration, may cause difficulty breathing and hoarse voice if large enough
Qi goiter
tends to occur under 40, more common in women, fatigue, depression, aversion to cold, constipation, pallor, facial edema, brittle nails, dry hair, alopecia, memory loss
flesh goiter
acne triggers include
emotions (heat in blood, liver and heart root)
diet (lungs and stomach damp heat)
diet (lungs and stomach damp heat)
hormones (imbalance in chong and ren)
location of acne: forehead
stomach and heart
location of acne: cheek
right cheek - liver
left cheek - lung
location of acne: mouth and nose
spleen and stomach
location of acne: lower jaw
disharmony of chong and ren
location of acne: chest
chong
location of acne: upper back
du
predominately damp, no sig heat
blackheads
predominately heat with damp
whiteheads
qi and blood stasis
nodules
phlegm and blood stasis
pustules
typically indicates lung and kidney xu, lung governs the pores, kidney nourishes and moistens the skin, kidney essence is closely linked to the corporeal soul of the lung, which is believed to be the force behind sensory feedback, particularly pain and itching on the skin
eczema
acute eczema is always caused by
external pathogen, sudden onset, bilateral
red, itchy, dry and rash - wind heat
red, itchy, oozing and blistered - damp heat
intense itching, acute and sudden onset, red rash comes and goes, upper body, neck, shoulders, arms, typically affects elbow crease and forearms, tongue red, coating thin, yellow, pulse superficial and rapid
wind heat eczema
chronic condition following acute, pale purple, thick scaly leisons, dry and flaky skin, dry hair, brittle nails, dull pale complexion, tongue pale, purple hue, pulse thready
blood xu
blood xu treatment principle
nourish blood
r4, st36, sp6,10, pc6, sp4, lv8, ht3
chronic condition following repeated acute attacks, light colour blisters, no red, blisters have a thin white discharge, loose stool, poor appetite, fatigue, heaviness, no thirst, tongue teethmarks, swollen, coating greasy, pulse sluppery
spleen qi xu with damp
spleen qi xu with damp
drain damp to create space for spleen qi to increase, tonify spleen
sp9 lg7, sp5, r9,5, st40, sj4
sp3, st36, bl20, r10, lv13, sp21, r17
most common between 15-30 and 50-60 years old, autoimmune disorder that causes skin cells to grow too quickly, causing patches of thickening, patches with clearly defined edges, skin is dry, scaly, white or silvery, if scales peel away the skin under is thin papery and semi transparent, if it bleeds, blood is usually dark
psoriasis
similar to wind heat eczema, fast developing, severe itchy skin, red film over scales, bleeding, tongue red, coating yellow thin, pulse rapid
wind heat
wind heat treatment plan
expel wind, clear heat
typically accompanies arthritis and fibrosis, stiffness in morning, inflamed and deformed joints, tongue red, coating yellow
damp heat/fire
damp heat/fire treatment plan
clear fire, expel wind, drain damp
whole body is affected, widespread pattern, often associated with autoimmune, inflammatory conditions, red skin, painful, inflamed, deformed joints, tongue red/purple, pulse rapid, weak
blood heat and stasis
blood heat and stasis treatment plan
clear heat, cool blood, move blood
psoriasis is typically a
xu condition
chronic condition, slow response to treatment, very dry lesions, seen in elderly or with lifetime eczema, tongue pale purple/red, coating thin/peeled
blood and yin xu
blood and yin xu treatment plan
tonify blood and yin, clear empty heat, cool blood
itching over the whole body or in localized spots, without the presence of visible lesions and without accompanying illness, worse at night, chronic condition most common in elderly
cutaneous puritits
happens mainly in winter, itchy skin, significant dryness, interior heat creates hot and dry environment, absorbs moisture from the air and consumes yin
wind dryness
wind dryness treatment
expel wind, nourish yin and BF
typically happens in summer, whole body itchy, accumulates in sweaty areas, hot, red itchy and raw feeling blisters
damp heat
damp heat treatment plan
drain damp, clear fire
affects the central third of face, worsened by heat, exercise, sunlight, cold, spicy food, alcohol, menopause, starts as red skin, when chronic the skin becomes rough, thick, swollen, often the nose becomes enlarged
rosacea
early stage rosacea
erythema
redness on or around the nose, fades to white with pressure, often with oily skin, history of constipation, irregular diet, dry mouth, thirst, excess alcohol consumption, tongue red, coating yellow, pulse rapid, wiry, reflects heat in lung and stomach
early stage rosacea
early stage rosacea treatment plan
clear heat from lung and stomach, yang mind li6, st40
second stage of rosacea after initial reddening, affected area turns to papules which may have some pus, concentrated on nose and cheeks, constipation, dark and scanty urine, tongue dark red, pulse full and rapid
accumulated toxic heat
accumulated toxic heat treatment plan
cool blood, clear toxic heat
last stage rosacea, prolonged increased blood flow to area, results in swollen and enlarged skin, typically nose, skin is rough and thickened with enlarged pores, skin is purple red colour, more common in men, tongue dark red/ purple, pulse choppy
blood stasis
blood stasis treatment plan
move qi and blood stasis, cool blood
