Week 10: Erysipelas, Scrofula, Gangrene, Multiple Abscesses Flashcards
What characterizes erysipelas from a TCM perspective?
Erysipelas is characterized by heat signs, redness, swelling, and pain in affected areas.
What is the primary external pathogenic factor involved in erysipelas?
Wind-heat is the primary external pathogenic factor involved in erysipelas.
Which acupuncture points would you use to clear heat and relieve erysipelas symptoms?
Common points include LI11, PC3, and TH5.
Differentiate between erysipelas due to wind-heat and damp-heat based on clinical features.
Wind-heat presents with fever and a red, swollen area, while damp-heat shows more swelling and a feeling of heaviness.
What are the general TCM symptoms of erysipelas?
Symptoms include fever, chills, redness, swelling, and pain in the affected area.
List common acupuncture points to clear toxic heat in erysipelas.
Common points include ST44, LI4, and PC8.
How does erysipelas caused by fire toxins typically present on the face or head?
It presents with intense redness, swelling, and possibly blistering.
Which acupuncture points are indicated for erysipelas with damp-heat affecting the lower back and hips?
Points include BL40 and BL60.
Describe the tongue and pulse characteristics of erysipelas with wind-heat transforming into fire.
The tongue may be red with a yellow coating, and the pulse is rapid and forceful.
Why might BL40 be selected for treating erysipelas?
BL40 is selected for its ability to clear heat and alleviate swelling.
Describe the initial TCM clinical presentation of scrofula.
Initial presentation includes swollen lymph nodes, fever, and possible night sweats.
How does Liver Qi stagnation contribute to scrofula according to TCM theory?
Liver Qi stagnation leads to phlegm accumulation and heat, worsening the condition.
What acupuncture points effectively treat scrofula due to phlegm and Liver Qi stagnation?
Effective points include LV3, ST40, and SP9.
What TCM syndrome involves scrofula accompanied by night sweats, tidal fever, and dry throat?
This syndrome indicates Yin deficiency.
Name the points indicated for treating scrofula caused by Yin deficiency of Lung and Kidney.
Points include KD3 and LU7.
How do Qi and Blood deficiencies present clinically in chronic scrofula cases?
They present with fatigue, pallor, and weak pulse.
What is the significance of using KD3 and KD6 in Yin-deficiency-related scrofula?
These points nourish Kidney Yin and support fluid balance.
Why are ST40 and SJ10 important in treating scrofula?
They help clear phlegm and resolve heat accumulation.
Which tongue and pulse findings correspond to scrofula from phlegm-heat accumulation?
The tongue is red with a greasy coating, and the pulse is slippery and rapid.
Explain the significance of the acupuncture point GB21 for scrofula treatment.
GB21 helps to alleviate tension and promote lymphatic drainage.
Define ‘headed’ gangrene in TCM terms.
Headed gangrene is characterized by the presence of a necrotic area with a defined border.
Which pathogens primarily contribute to gangrene according to TCM?
The primary pathogens are fire toxins and damp-heat.
Why does gangrene associated with Yang deficiency require warming treatment methods?
Yang deficiency leads to cold accumulation, necessitating warming to restore circulation.
What differentiates bone gangrene from headed gangrene in TCM pathology?
Bone gangrene involves deeper tissues and may lead to systemic symptoms.
Which acupuncture points are indicated for early-stage gangrene to clear toxins and heat?
Points include LI4, PC8, and ST36.
Describe the typical clinical progression of gangrene from initial stage to suppuration.
Progression includes redness, swelling, necrosis, and eventual pus formation.
Explain the role of DU10 and DU12 in treating gangrene.
They help to clear heat and promote Yang recovery.
What symptoms distinguish yang deficiency gangrene from damp-heat gangrene?
Yang deficiency shows cold limbs and pale complexion, while damp-heat shows fever and swelling.
How might trauma contribute to gangrene according to TCM pathology?
Trauma can introduce pathogens and disrupt Qi and blood flow, leading to necrosis.
Why is blood circulation vital in treating gangrene, according to TCM theory?
Good circulation promotes healing and prevents toxin accumulation.
Name the tongue and pulse associated with acute gangrene due to damp-heat toxins.
The tongue is red with a yellow coating, and the pulse is rapid and slippery.
What acupuncture technique is especially beneficial for gangrene due to cold obstruction?
Moxibustion is beneficial to warm the affected area.
Describe the primary pathogenesis behind multiple abscesses according to TCM.
Multiple abscesses arise from heat accumulation and Qi deficiency.
How does Zheng Qi deficiency lead to recurrent abscess formation?
Zheng Qi deficiency weakens the body’s ability to resist pathogens.
What is the typical clinical presentation of summer-heat type multiple abscesses?
Presentation includes fever, irritability, and multiple localized swellings.
Which acupuncture points can be used to clear heat and eliminate toxins in multiple abscesses?
Points include LI11, ST36, and PC3.
What differentiates the suppuration stage from the initial stage of multiple abscesses in TCM?
Suppuration stage shows pus formation, while the initial stage shows swelling and redness.
Explain why blood stasis is relevant in chronic multiple abscesses.
Blood stasis can impede healing and contribute to recurrent abscess formation.
What TCM differentiation would you give to a patient with multiple abscesses presenting with high fever, severe chills, and joint pain?
This indicates heat-toxin accumulation with possibly underlying Qi deficiency.
Why are points LI11, LI4, and BL40 chosen in treating abscesses during their acute stage?
These points help to clear heat and promote Qi flow.
What treatment principles are followed once multiple abscesses have ruptured according to TCM?
Focus on clearing toxins and promoting healing.
How would you identify blood stasis in a patient presenting with recurrent abscesses?
Look for signs of pain, tenderness, and dark-colored lesions.
Describe the tongue and pulse for abscesses associated with blood stasis transforming into heat.
The tongue is dark red with a thin coating, and the pulse is choppy.
Why is ST40 a crucial acupuncture point in resolving phlegm associated with multiple abscesses?
ST40 clears phlegm and transforms dampness.
Explain why bleeding Jing-well points is beneficial for abscesses complicated by interior toxic heat.
It helps to release heat and promote circulation.
What is the significance of Zheng Qi in controlling toxin spread in abscess conditions?
Zheng Qi is essential for resisting pathogens and preventing abscess formation.
Discuss the role of moxibustion in treating chronic abscess conditions with Qi and blood deficiency.
Moxibustion warms and nourishes Qi and blood to support healing.
Describe typical tongue and pulse findings in cases of abscess formation due to summer-heat invasion.
The tongue is red with a yellow coating, and the pulse is rapid.
List acupuncture points to resolve blood stasis in abscesses with persistent swelling and slow healing.
Points include SP10, LV3, and BL17.
Why is SJ6 indicated for abscesses complicated by constipation?
SJ6 promotes bowel movement and relieves stagnation.
How would you manage abscesses that recur due to residual toxins?
Focus on clearing residual heat and strengthening Zheng Qi.
What differentiates abscesses from blood stasis from those caused by external summer-heat invasion?
Blood stasis shows more localized pain and tenderness, while summer-heat shows systemic symptoms.
Explain the importance of SP10 in the treatment of multiple abscesses with blood stasis.
SP10 invigorates blood circulation and resolves stasis.
