Download Principle of treatment

Acupuncture Treatment of
Diseases
Dermatology 2: Herpes
Zoster（shingles) 蛇丹
Definition:
Characterized by cluster of blisters suddenly distributed
like a belt along one side of the body.
• Accompanied by burning sensation and pricking pain
• Mostly distributed on the waist, abdomen, chest, back
and face.
• Caused by varicella-herpes zoster virus in western
medicine.
Causes and Pathogenesis :
Mainly caused by:
1. Excessive fire of the liver and the gall bladder
2. Improper diet or emotional stress leading to internal brewing
of damp-heat in the spleen channel
3. Seasonal Fire-heat evils leading to congestion of heat toxin
in the channels, coagulated in the skin surface, channels
and vessels
Clinical Manifestations:
Chief symptoms:
i.
Burning sensation and pricking pain and cutaneous
redness of skin.
(followed by):
ii.
Millet-sized cluster of papulo-vesicles distributed like a
belt along one side of the body (waist and flank).
(The pain may remain after disappearing of blisters)
Clinical Manifestations:
1. Fire toxin of liver-gall bladder type
Stated manifestations with:
i.
ii.
iii.
iv.
Bright red herpes with burning sensation and
pain.
Bitter taste in the mouth.
Vexation and irritability.
Wiry and rapid pulse.
Clinical Manifestations:
2. Damp heat of spleen and stomach type
Stated manifestations with:
i.
ii.
iii.
iv.
Light-red herpes with yellowish-white thin wall blisters.
Liquid exudation and erosion.
Somatic heaviness and abdominal distension yellow
greasy coating.
Slippery rapid pulse.
Treatment : General principle
• Purge fire toxin, relief pain
• Dredge the yangming channel qi to clear and
remove evil toxin.
•
Principle Channels:
1. Large Intestine channel.
2. Ex-O points.
3. Ashi acupoints.
Principle acupoints and explanation :
1. LI 11 Quchi 曲池: dredge the yangming channel
qi to clear and remove evil toxin
2. LI 4 Hegu 合谷 : as above.
3. EX B2 Jiaji 夹脊： purge fire toxin, relief pain。
4. Ashi acupoint: : extinguish fire toxin
(encirclement needling or pricking needling with
cupping method).
Principle of treatment
1. Fire toxin of liver-gall bladder type
•
•
Purge fire toxin, relief pain
Dredge the yangming channel qi to clear and remove
evil toxin.
Principle acupoints: as stated
Supplementary acupoints:
i.
LR 3 Taichong 太冲.
Principle of treatment
2.
Damp heat of spleen and stomach type
•
•
Purge fire toxin, relief pain
Dredge the yangming channel qi to clear
and remove evil toxin.
Principle acupoints: as stated
Supplementary acupoints:
i.
SP 9 Yinlingquan 阴陵泉.
TCM medical advises:
1. Avoid cold and raw food and spicy food.
2. Avoid invasion by pathogenic wind, cold and
damp.
3. Prevention of infection.