Week 10: Erysipelas, Scrofula, Gangrene, Multiple Abscesses

Question 2

What characterizes erysipelas from a TCM perspective?

Answer 2

Erysipelas is characterized by heat signs, redness, swelling, and pain in affected areas.

Question 3

What is the primary external pathogenic factor involved in erysipelas?

Answer 3

Wind-heat is the primary external pathogenic factor involved in erysipelas.

Question 4

Which acupuncture points would you use to clear heat and relieve erysipelas symptoms?

Answer 4

Common points include LI11, PC3, and TH5.

Question 5

Differentiate between erysipelas due to wind-heat and damp-heat based on clinical features.

Answer 5

Wind-heat presents with fever and a red, swollen area, while damp-heat shows more swelling and a feeling of heaviness.

Question 6

What are the general TCM symptoms of erysipelas?

Answer 6

Symptoms include fever, chills, redness, swelling, and pain in the affected area.

Question 7

List common acupuncture points to clear toxic heat in erysipelas.

Answer 7

Common points include ST44, LI4, and PC8.

Question 8

How does erysipelas caused by fire toxins typically present on the face or head?

Answer 8

It presents with intense redness, swelling, and possibly blistering.

Question 9

Which acupuncture points are indicated for erysipelas with damp-heat affecting the lower back and hips?

Answer 9

Points include BL40 and BL60.

Question 10

Describe the tongue and pulse characteristics of erysipelas with wind-heat transforming into fire.

Answer 10

The tongue may be red with a yellow coating, and the pulse is rapid and forceful.

Question 11

Why might BL40 be selected for treating erysipelas?

Answer 11

BL40 is selected for its ability to clear heat and alleviate swelling.

Question 12

Describe the initial TCM clinical presentation of scrofula.

Answer 12

Initial presentation includes swollen lymph nodes, fever, and possible night sweats.

Question 13

How does Liver Qi stagnation contribute to scrofula according to TCM theory?

Answer 13

Liver Qi stagnation leads to phlegm accumulation and heat, worsening the condition.

Question 14

What acupuncture points effectively treat scrofula due to phlegm and Liver Qi stagnation?

Answer 14

Effective points include LV3, ST40, and SP9.

Question 15

What TCM syndrome involves scrofula accompanied by night sweats, tidal fever, and dry throat?

Answer 15

This syndrome indicates Yin deficiency.

Question 16

Name the points indicated for treating scrofula caused by Yin deficiency of Lung and Kidney.

Answer 16

Points include KD3 and LU7.

Question 17

How do Qi and Blood deficiencies present clinically in chronic scrofula cases?

Answer 17

They present with fatigue, pallor, and weak pulse.

Question 18

What is the significance of using KD3 and KD6 in Yin-deficiency-related scrofula?

Answer 18

These points nourish Kidney Yin and support fluid balance.

Question 19

Why are ST40 and SJ10 important in treating scrofula?

Answer 19

They help clear phlegm and resolve heat accumulation.

Question 20

Which tongue and pulse findings correspond to scrofula from phlegm-heat accumulation?

Answer 20

The tongue is red with a greasy coating, and the pulse is slippery and rapid.

Question 21

Explain the significance of the acupuncture point GB21 for scrofula treatment.

Answer 21

GB21 helps to alleviate tension and promote lymphatic drainage.

Question 22

Define ‘headed’ gangrene in TCM terms.

Answer 22

Headed gangrene is characterized by the presence of a necrotic area with a defined border.

Question 23

Which pathogens primarily contribute to gangrene according to TCM?

Answer 23

The primary pathogens are fire toxins and damp-heat.

Question 24

Why does gangrene associated with Yang deficiency require warming treatment methods?

Answer 24

Yang deficiency leads to cold accumulation, necessitating warming to restore circulation.

Question 25

What differentiates bone gangrene from headed gangrene in TCM pathology?

Answer 25

Bone gangrene involves deeper tissues and may lead to systemic symptoms.

Question 26

Which acupuncture points are indicated for early-stage gangrene to clear toxins and heat?

Answer 26

Points include LI4, PC8, and ST36.

Question 27

Describe the typical clinical progression of gangrene from initial stage to suppuration.

Answer 27

Progression includes redness, swelling, necrosis, and eventual pus formation.

Question 28

Explain the role of DU10 and DU12 in treating gangrene.

Answer 28

They help to clear heat and promote Yang recovery.

Question 29

What symptoms distinguish yang deficiency gangrene from damp-heat gangrene?

Answer 29

Yang deficiency shows cold limbs and pale complexion, while damp-heat shows fever and swelling.

Question 30

How might trauma contribute to gangrene according to TCM pathology?

Answer 30

Trauma can introduce pathogens and disrupt Qi and blood flow, leading to necrosis.

Question 31

Why is blood circulation vital in treating gangrene, according to TCM theory?

Answer 31

Good circulation promotes healing and prevents toxin accumulation.

Question 32

Name the tongue and pulse associated with acute gangrene due to damp-heat toxins.

Answer 32

The tongue is red with a yellow coating, and the pulse is rapid and slippery.

Question 33

What acupuncture technique is especially beneficial for gangrene due to cold obstruction?

Answer 33

Moxibustion is beneficial to warm the affected area.

Question 34

Describe the primary pathogenesis behind multiple abscesses according to TCM.

Answer 34

Multiple abscesses arise from heat accumulation and Qi deficiency.

Question 35

How does Zheng Qi deficiency lead to recurrent abscess formation?

Answer 35

Zheng Qi deficiency weakens the body's ability to resist pathogens.

Question 36

What is the typical clinical presentation of summer-heat type multiple abscesses?

Answer 36

Presentation includes fever, irritability, and multiple localized swellings.

Question 37

Which acupuncture points can be used to clear heat and eliminate toxins in multiple abscesses?

Answer 37

Points include LI11, ST36, and PC3.

Question 38

What differentiates the suppuration stage from the initial stage of multiple abscesses in TCM?

Answer 38

Suppuration stage shows pus formation, while the initial stage shows swelling and redness.

Question 39

Explain why blood stasis is relevant in chronic multiple abscesses.

Answer 39

Blood stasis can impede healing and contribute to recurrent abscess formation.

Question 40

What TCM differentiation would you give to a patient with multiple abscesses presenting with high fever, severe chills, and joint pain?

Answer 40

This indicates heat-toxin accumulation with possibly underlying Qi deficiency.

Question 41

Why are points LI11, LI4, and BL40 chosen in treating abscesses during their acute stage?

Answer 41

These points help to clear heat and promote Qi flow.

Question 42

What treatment principles are followed once multiple abscesses have ruptured according to TCM?

Answer 42

Focus on clearing toxins and promoting healing.

Question 43

How would you identify blood stasis in a patient presenting with recurrent abscesses?

Answer 43

Look for signs of pain, tenderness, and dark-colored lesions.

Question 44

Describe the tongue and pulse for abscesses associated with blood stasis transforming into heat.

Answer 44

The tongue is dark red with a thin coating, and the pulse is choppy.

Question 45

Why is ST40 a crucial acupuncture point in resolving phlegm associated with multiple abscesses?

Answer 45

ST40 clears phlegm and transforms dampness.

Question 46

Explain why bleeding Jing-well points is beneficial for abscesses complicated by interior toxic heat.

Answer 46

It helps to release heat and promote circulation.

Question 47

What is the significance of Zheng Qi in controlling toxin spread in abscess conditions?

Answer 47

Zheng Qi is essential for resisting pathogens and preventing abscess formation.

Question 48

Discuss the role of moxibustion in treating chronic abscess conditions with Qi and blood deficiency.

Answer 48

Moxibustion warms and nourishes Qi and blood to support healing.

Question 49

Describe typical tongue and pulse findings in cases of abscess formation due to summer-heat invasion.

Answer 49

The tongue is red with a yellow coating, and the pulse is rapid.

Question 50

List acupuncture points to resolve blood stasis in abscesses with persistent swelling and slow healing.

Answer 50

Points include SP10, LV3, and BL17.

Question 51

Why is SJ6 indicated for abscesses complicated by constipation?

Answer 51

SJ6 promotes bowel movement and relieves stagnation.

Question 52

How would you manage abscesses that recur due to residual toxins?

Answer 52

Focus on clearing residual heat and strengthening Zheng Qi.

Question 53

What differentiates abscesses from blood stasis from those caused by external summer-heat invasion?

Answer 53

Blood stasis shows more localized pain and tenderness, while summer-heat shows systemic symptoms.

Question 54

Explain the importance of SP10 in the treatment of multiple abscesses with blood stasis.

Answer 54

SP10 invigorates blood circulation and resolves stasis.