acupuncture treatment of diseases dermatology 1: urticaria 风疹
TRANSCRIPT
Acupuncture Treatment of Diseases
Dermatology 1: Urticaria 风疹
Definition:
Characterized by intense itching and an eruption of patchy wheals.
• Tendency of disappear and reappear, especially after exposure to wind, hence wind wheal.
Main manifestations:
• Eruptions of light-red or pale pruritic pimples on the skin with transitory disappearance.
• Commonly refers to acute or chronic urticaria in western medicine.
Causes and Pathogenesis :
Mainly caused by:
1. Due to weak constitution of the body…
• External wind gathers and attacks the skin surface• Overeating of meat and fish leading to:
accumulation of heat in the stomach and intestines,
2. And when further exposed or attack by external wind:The accumulated heat cannot be removed from interior or expelled from the exterior but is left in the skin leading to Rash.
Clinical Manifestations:
Chief symptoms:
i. Quick onset.ii. Sudden appearance of variable, irregular-shaped,
patchy raised wheals on the skin surface.iii. Clear boundaries. iv. Colour: red or whitev. Intense itch.vi. Can disappear fast.vii. Acute cases may last for 2 weeks.viii. Chronic cases will have repeat attacks.
Clinical Manifestations:
1. Invasion of external wind type
Stated manifestations with:
i. rashes are more severe on head, face and limbs.ii. onset related to changed of weather.iii. commonly a/w signs of exterior symptoms.
Clinical Manifestations:
2. Heat accumulation type
Stated manifestations with:
i. distension and pain in the epigastric region.ii. always diet related.iii. constipation or diarrhea.iv. concentrated urine.v. nausea and vomiting.vi. red tongue with yellow greasy coating.vii. slippery rapid pulse.
Clinical Manifestations:
3. Blood deficiency type
Stated manifestations with:
i. Problem can last for years.ii. a/w vexation.iii. Thirst.iv. red tongue.v. scant coating.vi. thick weak pulse.
Treatment : General principle
• Disperse wind.• Clear heat.• Activate blood and harmonizing the nutrients and
immune system.
• Principle Channels:
1. Large Intestine channel.2. Spleen channel.3. Bladder channel.
Principle acupoints and explanation :
1. LI 11 Quchi 曲池 : disperse wing and release heat of Yangming.
2. LI 4 Hegu 合谷 : as above.
3. SP 10 Xuehai 血海 : regulate and activate blood.
4. SP 9 Sanyinjiao 三阴交 : as above.
5. BL 17 Geshu 膈腧 :Influential point of blood.
Principle of treatment
1. Invasion of external wind type
• Disperse wind.• Clear heat.• Activate blood and harmonizing the nutrients and
immune system.
Principle acupoints: as stated
Supplementary acupoints:
i. GV 14 Dazhui 大椎 : disperse wind and release heat of Yangming channel.
ii. LU 10 Yuji 鱼际 : disperse wind and release heat of the Taiyin channel.
Principle of treatment
2. Heat accumulation type
• Disperse wind.• Clear heat.• Activate blood and harmonizing the
nutrients and immune system.
Principle acupoints: as stated
Supplementary acupoints:
i. ST 36 Zusanli 足三里 . ii. ST 25 Tianshu 天枢 . iii. ST 44 Neiting 内庭 .
Principle of treatment
3. Blood deficiency type
• Disperse wind.• Clear heat.• Activate blood and harmonizing the
nutrients and immune system.
Principle acupoints: as stated
Supplementary acupoints:
• ST 36 Zusanli 足三里 .
TCM medical advises:
1. Avoid cold and raw food.2. Avoid invasion by pathogenic wind, cold and
damp.