Fever Blister (Cold Sore) + Herpes Simplex Flashcards
Re Chuang
What is Herpes Simplex?
Fever blister or herpes simplex refers to an acute rival dermal disease caused by herpes simplex virus (HSV),
Where does the HSV usually attack?
Mucous membrane of the mouth and lips, nose cavity, external genitalia, or the skin,
What is the difference between HSV I and HSV II?
HSV-I is mostly related to non-genital infection
HSV-II affecting the genital region
What body condition will Herpes Simplex affect more?
Liver Heat triggered by External Wind
Dampness
Emotions
What are the 3 etiologies + pathogenesis of Herpes Simplex?
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
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
Herpes Simplex
The following are patterns of _________?
Wind-Heat
Damp-Heat accumulation in lower body
Heat in SP+ST
Yin Xu
Herpes Simplex
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
Wind-Heat
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
Damp-Heat accumulation in the lower body
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
Heat in SP+ ST
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
Yin Xu
What is the treatment principle for Herpes Simplex due to Wind-Heat?
Expel Wind
Clear Heat
What is the treatment principle for Herpes Simplex due to Damp-Heat accumulation in lower body?
Clear toxic Heat
Resolve Dampness
What is the treatment principle for Herpes Simplex due to Heat in SP + ST?
Clear toxin heat
What is the treatment principle for Herpes Simplex due to Yin Xu?
Nourish Yin
Clear Heat
Main Tx points for Herpes Simplex due to Wind-Heat?
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
Main Tx points for Herpes Simplex due to to Damp-Heat accumulation in lower body?
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
Main Tx points for Herpes Simplex due to to Heat in SP + ST?
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
Main Tx points for Herpes Simplex due to to Yin Xu?
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
What body condition is likely to affect?
Dampness
Liver Heat