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T2 Liu Derm. Pattern

Basic Patterns for Dermatology, Liu, Bastyr

Define TCM Dermatology: In the view of TCM dermatology, something must happen in the interior of the body if there is something appearing on the exterior of the body. Skin conditions come from internal disorders. 
What organs are involved in TCM Dermatology:? LU, LI, ST & SP, HT, LV
Describe the LU in TCM Dermatology: related to skin and pores
Describe the LI in TCM Dermatology: :major meridian to eliminate toxins, bowel movement is a major route of toxin elimination.
Describe the ST, SP in TCM Dermatology: if have digestive dysfunctions, toxins accumulate in the GI tract
Describe the HT in TCM Dermatology: related to blood heat and chronic conditions
Describe the LV in TCM Dermatology: related to emotions, LV qi stagnation and cannot transform toxins
What are Acute external pathogens for Dermatology? Wind heat Damp heat Blood heat (toxin
Describe Wind heat in TCM Dermatology: Acute. ex. environmental allergy – urticaria
Describe Damp heat in TCM Dermatology: Acute. ex. food allergy, fungal infection
Describe Blood heat (toxin) in TCM Dermatology: Acute. ex. consumption of alcohol and spicy hot foods, can be genetic
Describe Chronic stage TCM Dermatology pathogens: Dry (wind dry) Fluid deficiency Blood deficiency Yin deficiency
Describe Dry (wind dry) in TCM Dermatology: Chronic, wind-dry is dry and itchy
Describe Fluid deficiency in TCM Dermatology: Chronic, no heat symptoms, just dryness
Describe Blood deficiency in TCM Dermatology: Chronic, lack of nourishment, dry and flaky skin, poor memory
Describe Yin deficiency in TCM Dermatology: Chronic, have deficiency heat symptoms 
Redness indicates: heat
Swelling indicates: damp
Itchiness indicates: wind
TCM Differentiation of Eczema: Wind damp heat and Blood Xu
Describe Wind damp heat Eczema: At the onset: redness, itching. Very soon: edema, rash, vesicles, or small blisters With scratching: oozing, weeping, itchy, pruritic skin lesion, crusting 
Describe Blood deficiency Eczema: The affected skin gets brown or dark, raw, thickened, scaly, and itchy. Skin crumbs coming off (flaking). Often the tendency for severe eczema seems to be inherited along with asthma or hay fever
Treatment principle for Wind damp heat Eczema -Disperse wind damp - Clear heat 
Meridians for Wind damp heat Eczema: from DU, LI and SP meridians are mainly selected. Reducing techniques are suggested 
Treatment principle of Blood deficiency Eczema: – Nourish blood – If want to treat wind, must treat blood 
Meridians for Blood Xu Eczema: Points from SP and ST meridians are mainly selected. Reinforcing techniques are suggested
TCM Etiology and Pathology of Herpes Zoster: Damp-heat accumulation: toxins Qi deficiency LV and GB fire
Types of Shingles in TCM: SP damp-heat, LV and GB fire
Treatment principle of SP damp- heat: Clear and transform SP damp-heat
Treatment principle of LV and GB fire: Clear LV and GB fire
Describe SP damp-heat shingles: – Yellow or white soybean sized blisters, erosion, and pronounced pain, plus SP damp-heat symptoms 
Describe LV and GB fire shingles: – Flushed skin, densely-distributed skin eruptions in patches, burning heat, stabbing pain, absence of erosion, plus LV & GB symptoms
Sx of Psoriasis: Itchiness worse at night. Rash with scratching, affected skin getting brown. Aggravated or recurrence with emotional stimulation. Repeated recurrences make the skin of psoriatic patches thick, dry and tough, cause lickenized change, often symmetric, skin
What are the 2 TCM types of psoriasis: Wind damp heat Wind dry with blood deficiency
Wind damp heat Psoriasis Treatment principle: – Disperse wind – Transform damp – Clear heat: must promote bowel movement to release heat
Treatment principle Wind dry with blood deficiency Psoriasis: – Nourish blood – Moisten dryness – Dredge the channels
Treatment for Wind dry with blood deficiency Psoriasis: tonify qi, harmonize blood
DDx of Urticaria: Wind-heat Wind-damp Heat accumulation in ST and intestines
Sx of Wind-heat Urticaria: Red rashes with severe itching Tongue: normal or red Pulse: floating and rapi 
Sx of Wind-damp Urticaria: White or light red rashes accompanied by heaviness of the body Tongue: white sticky coat Pulse: floating and slow pulse 
Sx of Heat accumulation in ST and intestines Urticaria: Red rash accompanied by abdominal or epigastric pain, constipation or diarrhea Tongue: thin yellow coat Pulse: rapid pulse
Treatment principle and technique of Urticaria: Reducing technique is applied to disperse wind-damp and eliminate heat in the blood Tapping on the diseased area with a seven star needle is advisable
What is the fundamental principle of treating wind? Remember: if want to treat wind, you must treat blood
Which meridians are most important for Urticaria? Points of SP and LI meridians are selected as the main points
DDx of Acne: Damp heat of St and Spleen Disorder of Chong and Ren Liver Qi Stagnation
Treatment principle Damp-heat of ST and SP Acne: – Dispel damp heat with reducing techniques 
Treatment Principle of Disorder of Chong and Ren Mai Acne: Regulate Chong & Ren Mai with even technique
Treatment principle LV qi stagnation Acne : Soothe LV with even technique
Acupuncture treatment of Alopecia: 2 groups of points used alternatively, once daily. Use group 1 points on one day, then use group 2 points the next day, alternate groups
DDx of Alopecia: Emotional Stimulation, Qi and Blood deficiency Damp Heat
Which technique for Emotional Stimulation Alopecia: Reducing technique
Treatment of Qi and blood deficiency Alopecia: 2 groups of points used alternatively Reinforcing technique
Treatment of Damp heat in ST and LI Alopecia: 2 groups of points used alternatively. Reducing technique
Created by: bastyr41