Herpes Zoster

Question 1

different viruses:

Answer 1

1) herpes simplex V1
2) herpes simplex V2
3) varicella zoster virus
4) epstein bar
5) cytomegalo

Question 2

SX

Answer 2

1) skin lesions
2) pain
3) malaise
4) irritability
5) fatigue

Question 3

describe skin lesions

Answer 3

• like a belt, intercostal nerve
• red, raised, blister
• fluid clear liquid, 5 days after-> turbid bloody
• unilateral

“tx head to tx tail”

Question 4

describe pain

Answer 4

• burning, stabbing
• before skin lesion
• severe neurological pain

Question 5

etiology

Answer 5

1) W-fire in shaoyang/jueyin

2) diet

Question 6

patterns:

Answer 6

1) LIV/GB fire

2) D-H in SP/ST

Question 7

commonly seen in hypochondriac and lumbar, headache, dizziness, redness of face/eyes, restlessness, irritability, nausea, vomit, bitter taste, yellow scanty urine

Answer 7

LIV/GB fire

Question 8

LIV/GB fire T/P

Answer 8

T- red, yellow coat

P- wiry, rapid

Question 9

LIV/GB fire points:

Answer 9

ashi, LIV-14, LIV-3, SJ-6, GB-34

Question 10

commonly seen in the face and chest, fullness in the epigastrium, poor appetite, fatigue

Answer 10

D-H in SP/ST

Question 11

D-H in SP/ST T/P

Answer 11

T- red, yellow greasy coat

P- soft, rapid

Question 12

D-H in SP/ST points

Answer 12

ashi, ST-44, SP-9, SJ-5, LI-11

Question 13

differentiate Damp VS heat

Answer 13

DAMP VS HEAT
blister: blister:
yellow/white discharge red-blood
pale, red tight edges of blister
pain not as severe burning, stabbing
thirst no drink bitter taste
loose stool irritablitlity
poor appetite constipation

Question 14

TX

Answer 14

ashi, LIV-13
retain 1-2 hours
1-2x/day

Question 15

irritability:

Answer 15

PC-4, HT-7

Question 16

neurological pain

Answer 16

PC-6, GB-38

Question 17

bitter taste

Answer 17

SP-9, SJ-6

Question 18

severe heat

Answer 18

DU-14, LI-4

Question 19

lower limbs

Answer 19

ST-36, SP-6, GB-34, LIV-3, SP-10

Question 20

ALT remedies

Answer 20

1) line cupping= around blisters in a line, very close together, 15 min
2) bleeding= lancet around skin lesion, bleed before lesion for prevention
3) bleeding cupping
4) herbs
5) laser for kids

Question 21

which herb?

Answer 21

Liv shen wan (powder), rub all over body

sesame oil paste

Question 22

EDU

Answer 22

1) reg emotions
2) reg diet
3) local hygiene
4) rest
5) wear loose clothing
6) NON-STICK UNDERWEAR (ha!)

Question 23

What is another name?

Answer 23

shingles