Herpes Zoster Flashcards
different viruses:
1) herpes simplex V1
2) herpes simplex V2
3) varicella zoster virus
4) epstein bar
5) cytomegalo
SX
1) skin lesions
2) pain
3) malaise
4) irritability
5) fatigue
describe skin lesions
- like a belt, intercostal nerve
- red, raised, blister
- fluid clear liquid, 5 days after-> turbid bloody
- unilateral
“tx head to tx tail”
describe pain
- burning, stabbing
- before skin lesion
- severe neurological pain
etiology
1) W-fire in shaoyang/jueyin
2) diet
patterns:
1) LIV/GB fire
2) D-H in SP/ST
commonly seen in hypochondriac and lumbar, headache, dizziness, redness of face/eyes, restlessness, irritability, nausea, vomit, bitter taste, yellow scanty urine
LIV/GB fire
LIV/GB fire T/P
T- red, yellow coat
P- wiry, rapid
LIV/GB fire points:
ashi, LIV-14, LIV-3, SJ-6, GB-34
commonly seen in the face and chest, fullness in the epigastrium, poor appetite, fatigue
D-H in SP/ST
D-H in SP/ST T/P
T- red, yellow greasy coat
P- soft, rapid
D-H in SP/ST points
ashi, ST-44, SP-9, SJ-5, LI-11
differentiate Damp VS heat
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
TX
ashi, LIV-13
retain 1-2 hours
1-2x/day
irritability:
PC-4, HT-7
neurological pain
PC-6, GB-38
bitter taste
SP-9, SJ-6
severe heat
DU-14, LI-4
lower limbs
ST-36, SP-6, GB-34, LIV-3, SP-10
ALT remedies
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
which herb?
Liv shen wan (powder), rub all over body
sesame oil paste
EDU
1) reg emotions
2) reg diet
3) local hygiene
4) rest
5) wear loose clothing
6) NON-STICK UNDERWEAR (ha!)
What is another name?
shingles
