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External Medicine + 9 Internal Diseases > Herpes Zoster > Flashcards

Herpes Zoster Flashcards

She Chuan Chuang

1
Q

What body condition does Herpes Zoster usually affect?

A

Accumulation of Dampness and Toxic Fire in the LR + GB

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2
Q

What is the Chinese name for Herpes Zoster?

A

She Chuan Chuang

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3
Q

What is the Western Medical term for Herpes Zoster?

A

Shingles

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4
Q

Where does Herpes Zoster usually attack?

A

Hypochondriac region with small red vesicles-like beads forming a girdle around the waist (DAI MAI)

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5
Q

What is Herpex Zoster?

A

Skin condition with a popular and vesicular eruption that is distributed like a belt or band along one side of the body.

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6
Q

The following are th clinical manifestation of __________?

Onset with pain + blisters forming a band-like distribution with clear boundaries
Blisters contain clear fluid that becomes turbid in 5-6 days

Pain quality: Neuraglia
Sharp, shocking pain that follows the path of a nerve and is due to irritation or damage to the nerve

A

Herpes Zoster

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7
Q

What are the etiologies + pathogenesis of Herpes Zoster?

A

Emotions
SP + ST Dysfunction
Weak Constitution
Overstrain

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8
Q

What is the pathogenesis of Emotions in Herpes Zoster?

A

LR Qi Stagnation transforming to Fire, transforming to Toxin Fire in the LR channels manifesting on the skin on the LR meridian

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9
Q

What is the pathogenesis of SP + ST Dysfunction?

A

Damp Heat accumulating in skin, attacking SP + ST and then Yangming channels

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10
Q

What is the pathogenesis of Weak Constitution

A

Imbalance of Yin + Yang
The lack of Yin isn’t able restrict Yang specifically LR Yang

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11
Q

What is the pathogenesis of Overstrain?

A

Trigger

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12
Q

The following are patterns of _________?

LR + GB Heat
Damp-Heat
Blood Stasis

A

Herpes Zoster

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13
Q

The following are S/sx of Herpes Zoster due to __________?

Papules (raised, swelled bumps, no pus) w/ pain + burning sensation, restlessness, thirst, bitter taste in mouth
T: Red w/ yellow coating
P: Rapid + Wiry

A

LR + GB Heat

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14
Q

The following are S/sx of Herpes Zoster due to __________?

Superficial reddening of the skin, clusters of fluid-filled bumps w/ pain + burning sensation, restlessness, dry mouth w/ no desire to drink (dampness in ST)
T: Red w/ yellow-greasy coating
P: Rapid + Slippery

A

Damp-Heat

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15
Q

The following are S/sx of Herpes Zoster due to __________?

Crusted lesions w/ residual reddish-brown hyperpigmentation w/ neuralgia, intense pain, maybe fever, restlessness
T: Purple w/ yellow coating
P: Rapid + Choppy or Choppy

A

Blood Stasis w/ Heat

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16
Q

Treatment principles of Herpes Zoster due to LR + GB Heat

A

Clear Heat

17
Q

Treatment principles of Herpes Zoster due to Damp Heat

A

Clear Heat
Resolve Dampness

18
Q

Treatment principles of Herpes Zoster due to Blood Stasis

A

Move Qi
Remove Stasis
Clear Heat

19
Q

Main points to treat Herpes Zoster due to LR + GB Heat?

A

SJ-5: Clear heat + activates channel (GB/SJ- Shaoyang)
LR-8: Regulate LR + GB channel
GB-34: Clears LR/GB damp-heat
SP-10: Cools Blood
LR-3: Yuan + tonify LR channel
LR-2: Ying-spring + Clear LR Heat
GB-43: Ying-spring + Clears GB Heat

20
Q

Main points to treat Herpes Zoster due to Damp-Heat?

A

SP-9: Resolves Dampness
SP-6: Regulate SP + ST
ST-44: Clears ST Heat
SP-10: Cools Blood + Regulates Blood
LR-3: Yuan + tonifys LR channel
LR-2: Ying-spring + Clears LR Heat
GB-34: Clears LR/GB damp-heat

21
Q

Main points to treat Herpes Zoster due to Blood Stasis?

A

4 Gates: Moves Qi
SP-10: Regulate Blood

Chest-
SJ-6: Strong action on moving Qi + stool
GB-43: Clears Damp-heat from LR/GB
LR-3: Spread LR Qi

Trunk-
GB-34: Clears LR/GB damp-heat + Regulates GB channel
ST-36: Clears Damp-Heat + Regulates Qi
SP-6: Clears Dampness + Tonifys Qi
BL-40: Remove Blood Stasis

Face-
GB-20: Disperses Int. Wind
BL-2: Local pt on face
ST-2: Local pt on face
ST-7: Local pt on face
ST-6: Locat pt of face
LI-4: Commander pt of Face
SJ-5: Clear ShaoYang Heat
Taiyang

22
Q

General treatment options for Herpes Zoster?

A

Prick head 5x
Prick tail (where lesions first appear) 5x
Several pricks along the sides

LI-11: Clears whole body’s heat
SP-10: Cools Blood + Regulates Blood
BL-40: Clears Damp-Heat
GB-34: Clears Damp-Heat
LR-3: Spreads LR Qi

23
Q

Points combo to open Dai Mai Vessel (Belt Vessel)

A

GB-41+ SJ-5

24
Q

Point combo to open REN Channel?

A

LU-7 + KI-6

25
Q

Point combo to open DU Channel?

A

SI-3 + BL-62

26
Q

Point combo to open CHONG Vessel (PV)?

A

PC-6 + SP-4

27
Q

Point combo to open CHONG Vessel (PV)?

A

PC-6 + SP-4

External Medicine + 9 Internal Diseases (39 decks)

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