Fever Blister (Cold Sore) + Herpes Simplex Flashcards

Re Chuang

1
Q

What is Herpes Simplex?

A

Fever blister or herpes simplex refers to an acute rival dermal disease caused by herpes simplex virus (HSV),

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2
Q

Where does the HSV usually attack?

A

Mucous membrane of the mouth and lips, nose cavity, external genitalia, or the skin,

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3
Q

What is the difference between HSV I and HSV II?

A

HSV-I is mostly related to non-genital infection

HSV-II affecting the genital region

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4
Q

What body condition will Herpes Simplex affect more?

A

Liver Heat triggered by External Wind
Dampness
Emotions

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5
Q

What are the 3 etiologies + pathogenesis of Herpes Simplex?

A

Upper body:
Heat in LU + ST due to External Epidemic Wind-Heat toxin Invasion

Lower Body:
Damp-Heat in LR/GB flowing downwards

Recurrence:
Wind-Heat due to SP+ST Xu, obstructing the skin + muscles
Chronic disease w/ Yin Fluid damage= Yin Xu

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6
Q

The following are clinical manifestations of ______?

It occurs with or is triggered by a fever. It is clinically characterized by mixed groups of blisters, recovery in one week, and easy recurrence.
Can usually feel a burning or itching sensation before rash/blister appear

A

Herpes Simplex

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7
Q

The following are patterns of _________?

Wind-Heat
Damp-Heat accumulation in lower body
Heat in SP+ST
Yin Xu

A

Herpes Simplex

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8
Q

The following are S/sx of Herpes Simplex due to ______________?

Herpes on lips, beside nose, burning sensation, sharp pain, dry mouth, irritability, constipation, dark urine
T: Red w/ yellow coating
P: Rapid + Slippery + Wiry

A

Wind-Heat

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9
Q

The following are S/sx of Herpes Simplex due to ______________?

Occurs in external genitalia, blisters, severe itching, dark urine, constipation
T: Red w/ yellow-greasy coating
P: Rapid + Slippery

A

Damp-Heat accumulation in the lower body

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10
Q

The following are S/sx of Herpes Simplex due to ______________?

Often occurs on the face, recurrence, poor appetite, constipation, red lips
T: Red w/ yellow-greasy coating
P: Rapid or Surging + Slippery

A

Heat in SP+ ST

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11
Q

The following are S/sx of Herpes Simplex due to ______________?

Prolonged duration, recurrence
Dry mouth + lips, thirst w/ drink for cold drink, irritability
T: Dark red
P: Rapid + Thready

A

Yin Xu

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12
Q

What is the treatment principle for Herpes Simplex due to Wind-Heat?

A

Expel Wind
Clear Heat

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13
Q

What is the treatment principle for Herpes Simplex due to Damp-Heat accumulation in lower body?

A

Clear toxic Heat
Resolve Dampness

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14
Q

What is the treatment principle for Herpes Simplex due to Heat in SP + ST?

A

Clear toxin heat

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15
Q

What is the treatment principle for Herpes Simplex due to Yin Xu?

A

Nourish Yin
Clear Heat

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16
Q

Main Tx points for Herpes Simplex due to Wind-Heat?

A

LI-11: Clears whole body’s heat
LI-4: Releases exterior + expels wind + Commander pt of face + mouth
DU-14: Clears Yang Heat + releases exterior
GB-20: Expels External or Internal Wind
BL-12: Wind-Gate + Expels Wind

Ying-spring pts-
LU-10: Clears Skin Heat
ST-44: Cears Yangming Heat
LR-2: Clears LR Heat

Jing-well pts to Bloodlet toxic heat

17
Q

Main Tx points for Herpes Simplex due to to Damp-Heat accumulation in lower body?

A

LI-4: Releases exterior + expels wind + Commander pt of face + mouth
LI-11: Clears whole body’s heat
DU-14: Clears Yang Heat + releases exterior
SP-9: Resolves Dampness
LR-2: Ying-spring + Clears LR/GB Hest
GB-43: Ying-spring + clears GB Heat
GB-34: He-sea + Clears LR/GB damp-heat

Jing-well pts to Bloodlet toxic heat

18
Q

Main Tx points for Herpes Simplex due to to Heat in SP + ST?

A

ST-44: Clears ST Heat
LI-11: Clears whole body’s heat
LI-4: LI-4: Releases exterior + expels wind + Commander pt of face + mouth
SP-6: Tonifys SP + ST
SP-10: Cools Blood + Regulates Blood

19
Q

Main Tx points for Herpes Simplex due to to Yin Xu?

A

KI-6: Nourish KI + clears Deficient Heat
HT-6: Xi-cleft + Clears Deficient Heat
LR-3: Yuan + Tonifys LR
Back-shu pts

LI-11: Clears whole body heat
LI-4: Moves Qi + adjusts sweating
ST-44: Clears ST Heat
LU-10: Clears LU Heat
LR-2: Clears LR Heat

20
Q

What body condition is likely to affect?

A

Dampness
Liver Heat