Multiple abscesses Flashcards
What are the characteristics of the abscesses?
They are metastatic multiple abscesses in deep muscle.
What are the clinical manifestations of the condition?
The clinical manifestations include swelling and pain without skin color change.
Where do the abscesses generally start?
They generally start in deep muscles of the limbs and torso where blood circulation is relatively slow.
What areas of the body are commonly affected?
Commonly affected areas include the lower back, legs, chest, or back.
How do the abscesses behave during recovery?
They migrate from one location to another before recovery.
What is the development speed of the abscesses?
The development of the abscesses is rapid at the initial stage.
How do the abscesses heal?
They heal easily after rupture, which has the characteristics of Yang syndrome of external medicine.
What are the treatment principles for treating multiple abscesses?
Dredge meridians
Activate blood circulation
Remove Blood stasis
What are the main points for treating multiple abscesses?
LI-4
SP-10
ST-36
BL-40
Ashi
+ accompanying pts based on constitution
What are the etiologies + pathogenesis of multiple abscesses?
Zheng Qi is not able to eliminate the toxins –> toxins spread with the blood circulation
blocking the channels and collaterals–> stagnating Qi and blood abscesses
External Toxin Invasion:
Autogenous infection: Boil, carbuncle, furuncle, trauma infections at the open wound –> toxins transmission within the body
Summer –heat Summer-heat invasion to Ying & Wei
Blood stasis
Lochia, trauma –> blood stasis –> transforming into heat
What are the 3 Stages S/sx of Multiple Abscesses?
Initial-
Muscle pain starting from the proximal of the limbs or torso such as
the arms, legs, lower back, chest, or back. There is swelling and
slightly burning sensation, but there is no skin color change. In 2-3
days, swelling and burning pain become more significant and the
swelling may be palpable. The accompany symptoms may include
high fever with severe chills which is paroxysmal, headache, joint
pain, poor appetite, etc.
Summer-heat multiple abscesses: Starting between summer
and autumn, stuffy chest, thirst with little desire for drink, T:
white-greasy coating, P: slippery-rapid
or Blood stasis: slightly fever, T: thin-greasy tongue coating with
petechiae, P: soggy-choppy
Suppuration Stage-
Increased swelling and pain, slightly red and soft in the center of the swelling in two weeks, fluctuating sensation with pressing, may
be accompanied by high fever that is not reducing, constant sweating, white blisters on the chest, thirst with desire for drink,
T: yellow-greasy coating. P: surging-rapid. There may be petechia on the tongue for those who have blood stasis
After Rupture-
Yellow or white and thick pus or mixed with blood clots in people who had injuries. Swelling and pain are reducing, fever is reducing, After appetite is increasing. The wound heals in about 2 weeks. There may be recurrent if the fever does not recover
What are the S/sx of Zheng Qi Xu w/ toxins?
After rupture, new abscess may appear again, accompanied with high fever, emaciation, pale complexion
T: Thready + Rapid
What are the S/sx of Toxin invagination?
Coma, delirium, chest + hypochondria pain, cough, dyspnea, etc.
