Week 4: Contact Dermatitis, Drug Rash, Eczema, Herpes Simplex, Herpes Zoster Flashcards

1
Q

What are the two types of contact dermatitis?

A

Irritant contact dermatitis and allergic contact dermatitis

Irritant contact dermatitis is caused by direct damage to the skin, while allergic contact dermatitis results from an immune response.

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2
Q

How do the two types of contact dermatitis differ in TCM?

A

Irritant contact dermatitis is associated with heat and toxin, while allergic contact dermatitis is linked to wind and dampness

TCM differentiates based on underlying pathogenic factors.

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3
Q

Which Zangfu disharmonies predispose someone to contact dermatitis?

A

Spleen deficiency and liver qi stagnation

These disharmonies can affect the skin’s ability to resist external pathogens.

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4
Q

What are the common TCM pathogenic factors associated with contact dermatitis?

A

Heat, toxin, wind, and dampness

These factors can lead to skin inflammation and irritation.

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5
Q

What acupuncture points are commonly used to clear heat and resolve toxins in contact dermatitis?

A

LI11, SP10, PC3, and ST36

These points help to reduce inflammation and promote healing.

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6
Q

How does heat and toxin accumulation in the skin manifest in contact dermatitis from a TCM perspective?

A

Redness, swelling, and itching of the skin

This reflects the inflammatory response due to internal heat and toxins.

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7
Q

What is the primary TCM differentiation of drug rash based on its etiology?

A

Heat-toxin accumulation and damp-heat

TCM classifies drug rashes based on the underlying cause related to medication.

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8
Q

How does wind-heat invasion contribute to drug rash in TCM?

A

It leads to skin rashes with redness and itching

Wind-heat can provoke an immune response that manifests as a rash.

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9
Q

What acupuncture points are used to clear heat and expel wind in drug rash?

A

LI4, GB20, and DU14

These points are effective in alleviating symptoms associated with wind-heat.

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10
Q

How does damp-heat in the skin and muscles manifest in drug rash according to TCM?

A

Red, swollen, and painful lesions

This condition reflects the accumulation of dampness and heat affecting the skin.

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11
Q

What is the significance of blood heat in drug rash pathogenesis?

A

It exacerbates inflammation and skin lesions

Blood heat can drive the severity of rashes and related symptoms.

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12
Q

How does TCM classify the different stages of eczema?

A

Acute, subacute, and chronic

Each stage reflects the duration and severity of the condition.

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13
Q

What are the major TCM pathogenic factors contributing to the development of eczema?

A

Wind, heat, dampness, and blood deficiency

These factors interact to create the symptoms of eczema.

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14
Q

How does spleen deficiency contribute to eczema according to TCM theory?

A

It leads to damp accumulation and impaired skin function

The spleen plays a crucial role in fluid metabolism and skin health.

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15
Q

What acupuncture points are used to resolve dampness and clear heat in eczema?

A

SP9, SP6, and LI11

These points help to promote fluid balance and reduce inflammation.

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16
Q

What dietary factors are considered in the management of eczema in TCM?

A

Avoiding spicy, greasy, and allergenic foods

Diet plays a significant role in managing eczema symptoms.

17
Q

How does TCM differentiate herpes simplex occurring in the upper body versus the lower body?

A

Upper body is associated with heat and wind, lower body with damp-heat

This differentiation affects treatment strategies.

18
Q

What are the primary TCM pathogenic factors involved in herpes simplex outbreaks?

A

Heat, wind, and dampness

These factors can trigger or exacerbate outbreaks.

19
Q

What acupuncture points are used to clear toxic heat and expel wind-heat in herpes simplex?

A

LI4, ST36, and PC8

These points help to alleviate symptoms and promote healing.

20
Q

How does yin deficiency contribute to recurrent herpes simplex infections?

A

It leads to insufficient body fluids and immune response

Yin deficiency can weaken the body’s ability to combat infections.

21
Q

How does heat accumulation in the spleen and stomach contribute to herpes simplex outbreaks?

A

It creates an environment conducive to viral activation

This accumulation can weaken overall health and immunity.

22
Q

How does TCM view the pathogenesis of herpes zoster?

A

It is seen as a result of liver qi stagnation and heat accumulation

This perspective influences treatment approaches.

23
Q

What role does liver qi stagnation play in the development of herpes zoster?

A

It can lead to heat accumulation and pain

Liver qi stagnation affects the flow of energy and can trigger outbreaks.

24
Q

What acupuncture points are commonly used to clear heat and relieve pain in herpes zoster?

A

BL2, LI4, and PC8

These points are effective for symptom relief and healing.

25
Q

How does blood stasis contribute to postherpetic neuralgia in herpes zoster patients?

A

It leads to persistent pain and discomfort

Blood stasis interferes with healing and recovery.

26
Q

What treatment principles are applied in TCM for the late-stage recovery phase of herpes zoster?

A

Nourishing blood and calming the liver

This approach aids in recovery and alleviates pain.