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45 Cards in this Set
- Front
- Back
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urticaria?
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skin eruption characterized by transitory, flat-topped wheals (look like measels). Caused by exposure to W-termed W wheel
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urticaria etiology?
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1. D-in skin & muscles that are attacked by WH or WC
2 H in st and intestines 3. intestinal parasitosis or intake of fish, shrimp or crab leading to disharmony of sp/st w/ accumulation of DH |
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urticaria main s/s?
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abrubt onset w/ itching wheals of various sizes or w/ pimples rising ----one after another. it might be aggravated or lessened by changing of weather. Acute condition subside quickly
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WH urticaria s/s?
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-red rashes w/ severe itching
p-superficial, rapid |
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WD urticaria s/s?
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-white or light red rashes accompanied by heaviness of the body
p-superficial, slow t-white sticky coat |
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accumulation of H in st & intestines urticaria s/s?
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-red rashes complicated by abdominal/epigastric pain, constipation or diarrhea
p-rapid t-thin yellow coat |
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urticaria?
tx p 5 rx supp. pts 1. WH 2. WD 3. H in st/intestines 2 |
-S to disperse WD & eliminate H in the bld. pts of sp & li are used. Tapping on the diseased area w/ plum blossom needle
-li11, li4, ub40, sp10, sp6 1. du14 2. sp9 3. st25, st36 |
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erysipelas?
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acute contagious infectious skin disease characterized by sudden onset of chills, fever, local redness & swelling which may take place on any site of the body & rapidly extend.
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erysipelas etiology?
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-DH in sp/st, obstruction of qi & bld, W & TH
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erysipelas in?
1. face & head 2. hypochondriac, lumbar, hips 3. leg 4. new born babies |
1. WH
2. lv F 3. DH 4. int. H |
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erysipelas main s/s?
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-rapid onset of a well demarcated patch of redness, hotness & burning pain, rapidly extending in size, change in color of the patch from bright red to dull red in several days & then healing w/ desquamation.
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WH erysipelas s/s?
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-chills fever, acute HA
t-red proper w/ thin yellow coat p-superficial, rapid |
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DH erysipelas s/s?
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-fever, irritability, thirst, stuffy sensation in chest, poor appetite, constipation, dark urine
t-yellow sticky coat p-soft, rapid |
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invasion of the pathogenic factors into the int. of the body erysipelas s/s?
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-high fever, vomiting, delirium, convulsions
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erysipelas?
tx p rx 6 supp. pts 1. WH 2. DH 2 3. fever 4. pathogenic T attacking int. 2 5. constipation |
-pts of yangming, S to eliminate H & relive T, or prick to bld
-li11, li4, pc3, ub40, sp10, ashi pts 1. gb20 2. st36, sp9 3. du14 4. 12 jing wells, pc8 5. te6 |
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erysipelas remarks?
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strict sterilization is necessary to avoid infection. if there is septicaemia or pyemia, comprehensive tx should be applied
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herpes zoster?
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-mainly in lumbar & hypochondriac regions w/ small red vesicles like beads forming a girdle around the waist.
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herpes zoster etiology?
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-DH, F in lv & gb or affection of exogenous T
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herpes zoster main s/s?
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-stabbing pain of affected skin, which soon becomes erythematous. Patches of blisters in the size of mump-bean or soybeans are evolved, forming a band like distribution w/ clear-cut interspaces between the patches. The blister are thick walled & their contents are transparent at first, but turn turbid in 5-6 days. Scar formation occurs in about 10 days.
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herpes zoster?
tx p rx 5 |
-head & tail of the location of herpes zoster should be distinguished. The area where the skin legions first appeared is considered the tail. Extending part is the head. Prick the skin around w/ a 3 edged needle to cause a little bleeding: 5 pricks .5 cun from head & 5 pricks .5 cun from tail & also along both sides
-li11, sp10, ub40, gb34, lv3 |
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boils etiology?
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-frequently on face, head, extremities
1. H in zangfu-fatty spicy food 2. invasion of endogenous toxicity causes stagn. of qi/bld-contamination of skin |
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boils main s/s?
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boil on head, face, extremity first appears like a grain of millet in yellow or purple color. A blister or pustule w/ a hard base is formed, usually accompianied by tingling. Later there is increased redness, swelling/pain w/ burning sensation. Often w/ chills/fever.
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boils s/s? w/ toxicity in int./deep rooted s/s?
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thread like lines extends proximally, high fever, restlessness, dizzziness, vomiting, impaired consciousness
t-red, yellow coat p-rapid |
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boils?
tx p rx suppl. pts 1. face 2 2. tips fingers 2 3. temporal region 2 4. 4th or 5th toe 2 |
-pts of du & hand yangming, S or prick w/ 3 edged needle to cause bleeding along the red line proximally towards the focus
-du10, du12, pc4, li4, ub40 1. lull, li11 2. li11, li20 3. gb34, gb44 4. gb34, gb2 |
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boils alt. tx?
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prick boil & tilt w/ a 3 edged needle into small papules found alongside the thoracic vertebrae. Tx given once daily
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empirical pt boils?
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du10
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breast abscess etiology?
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1. depression of qi in lv-retention of milk
2. stagn of H in st-fatty foods 3. invasion exogenous toxic F-obstruction of milk duct |
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breast abscess main s/s?
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-redness, swelling, pain of breast, mostly occurring after delivery. At the early stage when the abscess has not formed, there is a lump accompanied by swelling, distension, pain, difficult lactation, chills/fever, HA, nausea, dire thirst.
-growing of lump w/ local bright redness & intermittent throbbing pain indicates suppuration |
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breast abscess?
tx p rx 6 suppl pts 1. chills/fever 2 2. distension/pain in breast |
-S the qi of lv & st meridians, remove stagn, & disperse H
-pts foot jueyin, foot shaoyang, foot yangmng -gb21, ren17, st18, si1, st36, lv3 1. li4, te5 2. gb41 |
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breast abscess empirical pt?
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si1
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stop lactation?
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gb 41, gb37
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intestinal abscess etiology?
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-acute disorder in intestines, pain around st25=large intestine pain, pain around ren4=small intestine pain or leg contracted intestinal abscess
1. DH-irregular intake of food, retention of food, undue C or warmth, running after big meal 2. stagn of qi & bld |
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intestinal abscess main s/s?
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-sudden paroxysmal pain in upper abdomen or around umbilicus . soon the pain becomes continuous & localized in the right lower abdomen near st25, accompanied by tenderness, mild contracture of abdominal wall, difficulty in extension of the right leg, fever, chills, nausea, vomiting, constipation, dark urine
t-thin, sticky yellow coat p-rapid, forcefull |
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intestinal abscess condition worse s/s?
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-severe pain, contracture of abdominal wall w/ marked tenderness or palpable mass, high fever, spontaneous sweating
p-forceful, rapid |
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intestinal abscess?
tx p rx 4 suppl. pt 1. fever 2 2. vomitting 2 |
-S to disperse DH, regulate qi circulation & stop pain. pts of yangming. Needles are retained 30-120 min. manipulation is given every 10 min. tx every 6-8hrs
-st25, li11, lanwei, st37 1. du14, li4 2. pc6, ren12 |
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intestinal abscess empirical pt?
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lanwei
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intestinal abscess WM?
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acute appendicitis
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goiter etiology?
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1. qi goiter-drinking moutainous water & qi stagn
2. flesh goiter-stagn of qi & accumulation of PD |
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goiter qi s/s?
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diffusive swelling in neck, soft gradually increasing in size w/ unclear margins, normal color, absence of pain, in some cases big & drooping, accompanied w/ dyspnea & hoarseness of voice. size of goiter usually changes w/ emotions
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goiter flesh s/s?
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occurs in people below 40, more frequently women. A few oval movable lumps below adams apple w/ smooth surface & w/out pain, accompanied by exophthamos, hot temper, irritability, tremor of hands, sweating, stuffiness in chest, palpitation, irregular menstruation
p-string taut, slippery, rapid |
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goiter?
tx p rx 6 |
-S to activate qi & bld, remove bld stasis & disperse the agglomeration through promoting the qi circulation. Pts of hand shaoyang & yangming
-te13, li17, si17, ren22, li4, st36 |
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goiter?
suppl. pts 1. LQS 2 2. palpitation 2 3. exophthalmos 4 4. hot temper, anxiety, sweating 2 |
1. ren17, lv3-even
2. pc6, ht7-T 3. te23, ub2 ub1, gb20-even 4. sp6, kd7-even |
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goiter alternate tx?
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surround goiter w/needles with 1 needle in center can reduce
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goiter WM?
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these condition refer to simple goiter & hyperthyroidism goiter
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goiter empirical pt?
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te13-rub daily
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