External Medicine Flashcards
boils on lip, nose, eye brow, forehead; small boils w/ pus, deep-hard root, or itching or numbness; then reddish, swollen, heat, pain
fever, aversion to cold, dry mouth, bitter taste
t: red w/ yellow coating
p: wiry-rapid
acute furuncle
toxic heat accumulation (first stage)
DU 12, DU 10, LI 4, BL 40
big boils, severe redness, swollen, heat, pain, leaking pus from boil
t: red w/ yellow-greasy coating
p: slippery-rapid
acute furuncle
excessive fire toxin (second stage)
DU 12, DU 10, LI 4, BL 40, DU 14, PC 3, BL 16
boils, acute lymphangitis going up to elbow, armpit, or groin area
high fever
t: crimson w/ yellow-greasy coating
p: thready-rapid
acute furuncle
fire toxin entering into nutritive and blood levels (last stage)
DU 12, DU 10, xi-cleft points, purging along red line on skin, moxa w/ garlic
erysipelas on face, red, swollen, burning pain, or blister (unable to open eyes if around eyes)
aversion to cold, fever, painful body, poor appetite, scanty urine, constipation
t: red w/ yellow coating
p: floating-rapid
erysipelas
wind-heat and toxic accumulation
LI 4, LI 11, BL 12, BL 40, GB 31, SJ 5, a-shi
LV-GB fire: erysipelas on body area, fresh red blisters
LV 14, LV 2, GB 43, GB 34
erysipelas on lower leg, red, swollen, burning pain, or large blisters, purplish spots, pus, or skin necrosis, recurrent attacks, chronic lymphangitis, fever
t: yellow-greasy coating
p: slippery-wiry-rapid
erysipelas
damp-heat and toxic accumulation
SP 10, SP 6, ST 44, SP 9, ST 40, ST 41, a-shi
new born baby, erysipelas around navel and legs, red, swollen, burning pain, traveling rapidly all over body
t: red w/ yellow-greasy coating
index finger vein: purplish-blackish
erysipelas
fetus fire and toxic accumulation
DU 14, LI 11, LI 4, SP 10, BL 40, Shi Xuan
swollen or enlarged thyroid gland, soft, painless, better when happy, worse w/ stress or anger
chest and hypochondriac distention, stuffiness, emotional fluctuations, poor appetite, epigastric stuffiness
t: thin greasy
p: wiry-slippery
goitre
qi and phlegm stagnation
RN 22, LI 4, ST 36, LV 3, SJ 13, a-shi
swollen or enlarged thyroid gland, painless
bad temper, 5-centre heat, palpitations, sweating, dizziness, blurred vision, dry eyes, hand tremors
goitre
yin xu w/ empty fire
LV 3, KD 3, SP 6, SJ 13, PC 5, a-shi
chronic swollen or enlarged thyroid gland, painless, severe swollen neck
fatigue, shortness of breath, chest oppression, rough breathing, tight throat, hoarseness
t: thin greasy
p: thready-wiry
goitre
qi-blood xu
RN 22, SP 10, LI 4, ST 36, SP 6, RN 17, a-shi
small bean-like nodules on neck, one or multiple, painless, w/o redness or burning, hard and smooth surface, movable by pushing
t: thin greasy
p: wiry-slippery
scrofula
qi and phlegm stagnation (early stage, nodules)
GB 21, SJ 10, LV 14, ST 40, Zhou Jian, a-shi
bigger bean-like nodules on neck, sticking to skin, or a couple of nodules fused together, immovable by pushing, painful, skin colour changes to dark dull red before suppuration w/ mild burning, mild wave sensation when pushing
scrofula
yin xu w/ empty fire (middle stage, abcess)
SJ 10, HT 3, SP 6, KD 3, Bai Lao, a-shi
leaking clear pus w/ flossy turbid substance from nodules, opening of nodule shows subcutaneous fistula, soft tissue colour is grey, white, purplish around opening; if pus becomes thick, soft tissue becomes red
scrofula
qi-blood xu (late stage, pus leaking)
ST 36, SP 6, BL 43, RN 6, BL 17, Bai Lao
breast lump due to milk accumulation, no change or little change in skin colour, or mild redness, swelling, distending pain
aversion to cold, fever, headache, whole body soreness, thirst, poor appetite, constipation
t: yellow coating
p: rapid
acute mastitis
qi stagnation and heat accumulation (early stage)
LI 4, LV 3, ST 36, ST 18, RN 17, GB 21, SI 1, LI 11
burning pain of breast, swelling w/ redness, soft lump, can palpate pus inside
high fever, thirst, scanty yellow urine, constipation
t: red w/ yellow greasy coating
p: overflowing, rapid
acute mastitis
toxic heat accumulation (abscess stage)
ST 16, GB 21, ST 36, ST 40, LV 2, ST 44, DU 14
excretion of pus from breast, low fever, swelling and pain
w/ fatigue, pale face, poor appetite
if pus is clear and does not come out smoothly w/ swelling breast pain, means toxicity has gone to other meridians
t: pale w/ thin coating
p: weak
acute mastitis
deficient healthy qi w/ lingering toxicity (diabrosis stage)
ST 36, SP 6, RN 6, RN 17, BL 17, BL 20, BL 21, BL 43, ST 18, SI 11
breast nodules, better or worse w/ emotional fluctuation
hyperplasia of mammary glands
LV qi stagnation w/ phlegm accumulation
LV 3, ST 15, ST 40, RN 17, PC 6
breast nodules, worse before period, better after period
hyperplasia of mammary glands
Chong-Ren disharmony
BL 18, BL 23, RN 4, RN 17, ST 15, SP 6, ST 40
pain around navel, then shifts to lower right abdomen, fixed pain, refuse to be pressed, mild rebound tenderness
fever, aversion to cold, nausea, vomiting
t: white greasy coating
p: wiry-tight
acute appendicitis
qi and blood stagnation (first stage)
ST 37, ST 25, ST 36, SP 10, Lan Wei Xue
sharp or jumping pain around right lower abdomen, w/ muscular tension and obvious rebound tenderness
fever, dry mouth, constipation, scanty yellow urine, epigastric/abdominal bloating
t: red w/ yellow-greasy coating
p: wiry-slippery
acute appendicitis
stagnation changing to heat (abscess stage)
ST 37, ST 25, BL 25, LI 11, LI 4, ST 36, ST 44, Lan Wei Xue
severe right lower abdominal pain, pain radiating to whole abdomen, general abdominal muscular tension and pressing pain, obvious rebound tenderness, or lump w/o clear edge can be palpated, high fever
t: crimson, dry, w/ thick yellow dry or thick greasy coating
p: wiry-slippery-rapid or overflowing-rapid
acute appendicitis
toxic heat accumulating in intestines (diabrosis stage)
Lan Wei Xue, ST 37, ST 36, LI 4, SP 14, Pi Gen
bleeding w/ bowel movement, fresh red blood, itchy anus, bloating and gas
t: red w/ thin white or yellow coating
p: floating-rapid
hemorrhoids
wind-heat injuring intestine collaterals (or intestinal wind w/ bleeding)
BL 35, BL 57, LI 11, SP 10, BL 17, Er Bai
bleeding w/ bowel movement, fresh turbid red blood, large amount of blood, prolapsed anus, can be pushed back, burning pain
t: red w/ yellow greasy coating
p: slippery-rapid
hemorrhoids
damp-heat descending downwards (LI damp-heat)
BL 35, BL 57, SP 9, SP 6, SP 5, Er Bai
hemorrhoid w/ prolapsed anus, sometimes cannot be pushed back, tight anus, anal pulling, distending pain, or swollen anus
t: dark red-purplish w/ thin yellow coating
p: wiry, thready, choppy
hemorrhoids
qi and blood stagnation
BL 30, BL 57, BL 32, SP 6, BL 17
hemorrhoid w/ prolapsed anus, cannot be pushed back, anal pulling sensation, dilute clear blood, pale face
t: pale w/ white coating
p: thready-weak
hemorrhoids
SP qi xu/sinking
DU 20, RN 8, BL 20, SP 6, ST 36, BL 30
anal fissure
anal fissure
excessive heat w/ intestine dryness
OR
yin xu w/ intestine dryness
rectal prolapse
mild: back by itself
severe: comes out anytime while patient is tired, not able to go back itself, pale colour
rectal prolapse SP xu (SP qi sinking)
DU 1, BL 25, BL 57, DU 20 (moxa), RN 6
rectal prolapse, dark purple or dark red colour, ulceration, skin lesions, pulling pain, burning pain
rectal prolapse
damp-heat descending down
DU 1, BL 25, BL 57, LI 11, SP 9
