TCM dermatology – therapeutics II (eczema, acne, alopecia) – Flashcards
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Which organs are most commonly involved in eczema?
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LV, SP, and LU
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In terms of TCM patterns, how is eczema differentiated?
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ONSET: -acute: wind heat damp; plus toxin -chronic: wind dry; plus LV qi stagnation
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What are the TCM differentiations for eczema?
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1. Wind damp heat - at onset, heat, redness and itching 2. Blood deficiency - skin gets brown or dark and raw; skin crumb coming off
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What are general treatment principles for wind damp heat eczema?
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Points usually come from - Du, LI, SP channels TP - disperse wind damp and clear heat Reducing technique because it's excess
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What are general treatment principles for blood xu eczema?
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Points mostly from ST and SP channels TP - nourish blood Reinforcing techniques because its deficiency
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What are point prescriptions for WDH eczema?
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-Du14 - clearing wind and heat -LI11 - clearing heat -SP9 - good for heat and damp -HT7 - for the itching -UB13 - tonifies the lung
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What are the point prescriptions for blood xu eczema?
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ST36, SP6, SP10, SP2 For emotional triggering - 8 gates (LI4, LV3, GB34, SJ6) UB47 - LV outer back shu UB49 - SP outer back shu
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What are other therapies for acute and chronic eczema?
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acute - sever star needle/cupping chronic - moxa
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What the two general types of acne?
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1. adolescent acne - disorder of Chong and Ren 2. oil acne - DH in SP/ST
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What is the TCM differentiation of acne?
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1. DH in SP/ST (dietary) 2. Disorder of Chong/Ren (hormonal) 3. LV qi stagnation (emotional)
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What are a couple of distal shoulder points??
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ST38 UB57 Often done with threading (ST38 --> UB57)
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What are general treatment principles and points for DH SP/ST acne
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TP - dispel damp, reducing technique Points: -LI11 - reduce heat -ST37 - heat in adomen -UB39 -LI4
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What four points are useful for moving the bowels?
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ST25, ST37, UB25, SP8
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What are general treatment principles and points for disorder of Ren/Chong acne?
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TP - regulate chong and ren with EVEN technique Points - PC6/SP4 (chong), LU7/KD6 (ren) -Du20 - intersection point of all meridians -KD21 - (KD11-21 are intersection of KD and chong) -Ren 7 - intersection of Ren and Chong -ST30 - intersection point of ST and chong mai
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What KD points intersect with the Chong?
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KD11-22
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What are general treatment principles and points for LV qi stagnation acne?
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TP - soothe LV qi with EVEN techniqu Points -8 gates -UB18 -UB47
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What organs can alopecia often involve?
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all of the yin organs with the exception of the HT
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What are the three general TCM etiologies of alopecia?
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1. emotional stimulation 2. qi and blood deficiency - poor nutrition (MJ xu) 3. blockage of sebaceous glands (Damp Heat) - androgenetic alopecia (more commonly seen in males
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What organs are involved in emotional stimulation-etiology of alopecia?
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LV (anger), SP (worry) -- gradual onset LU (grief), KD (fear) -- acute onset
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What are the causative factors of alopecia we need to address before treatment?
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1. address emotional stimulation 2. improve nutrition 3. low fat diet 4. keep scalp clean 5. keep healthy bowel habits
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What are acupuncture points for emotional stimulation alopecia?
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Two groups of points applied alternatively, once daily 1. UB18, SJ5, ST36 2. GB20, UB19, LV3 Another alternative: 1. PC6, anmian 2. GB20, SP6
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What are acupuncture points for qi and blood xu alopecia?
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Two groups of points applied alternatively, once daily. 1. Ren 17, SP10, Ren4, GB 39 2. UB17, Du 4, UB23, UB52
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What are acupuncture points for damp heat alopecia?
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Two groups of points applied alternatively, once daily. 1. LI11, ST36, Du14 2. LI10, ST37, UB39
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What is another very popular and effective technique for alopecia?
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seven star needling - here's the sequence: 1. massage 2. seven star needling 3. apply 101 lotion
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How long on avg does acupuncture take to help alopecia?
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roughly 4 weeks
