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T2 Liu Eczema

T2 Eczema, Liu, Bastyr

What are TCM names of eczema with different affected places: In infants face: milk ringworm In ears: ear sores In genital area: KD wind All over the body: blood-wind sores or miller sores
Chinese name for Eczema Shi Zhen in Chinese
Describe Eczema in Western Medicine is a skin problem that causes itching, dryness, fine scales or flaking and sometimes mild redness. It refers to chronic dermatitis, especially means chronic vesicular dermatitis
Organs involved with Eczema: LU, SP, LV
Is Eczema acute or chronic? both Acute and chronic types
Describe TCM Acute Eczema: Acute eczema: wind heat damp + toxin
Describe chronic eczema: Chronic eczema: wind dry + LV qi stagnation – Chronic stage consumes yin & fluids  dry
Western etiology of chronic eczema: Genetic susceptibility Environmental agents:inhalants, foods Yeast infections Mechanical and chemical trauma Exposure to warm and moist conditions (shoes), allergens or irritants (detergents, organic solvents, etc) Unknown cause
What causes Flare-ups of eczema: Can be caused by dry skin, allergies, hot baths or showers, soap, scratchy and tight clothing, quick temperature or humidity changes, and emotional upsets
TCM Differentiation of Eczema: 1)WInd damp heat 2)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
General Sx of Eczema: Generally speaking, eczema is characterized by skin lesions of a variety of shapes and sizes, symmetrical distribution, itchiness, recurrence and tendency to be chronic
Is Eczema contagious: Eczema is not contagious
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
Acupuncture prescriptions for Wind damp heat Eczema: DU 14 (meeting of yang merid), LI 11: clear heat SP 9 (he sea): clear dampness HT 7 (y-source): calm shen (itchiness),nourish HT, insomnia UB 13 (back shu of LU): LU is related to skin Secondary points ST 36: diarrhea, esp if food allergies REN 9
Treatment principle of Blood deficiency Eczema: – Nourish blood – If want to treat wind, must treat blood
What is the CNS in ICM: CNS = HT shen in TCM. HT includes all brain functions (ex. memory, spirit)
Meridians for Blood Xu Eczema: Points from SP and ST meridians are mainly selected. Reinforcing techniques are suggested
Acupuncture prescriptions for blood xu Eczema: ST 36: nourish qi and blood SP 6: tonify SP & ST, nourish blood & yin SP 10: tonify and move blood SP 2 (fire, mother LV 3, LI 4: four gate, qi mover GB 34 + SJ 5: UB 47 (outer back shu of LV): yin xu UB 49 (outer back shu of SP): yin xu
Other therapies for Eczema: - Seven star needling and cupping - Moxibustion - Three-edge needling: very painful - Auricular acupuncture
Technique for Moxa on eczema: – Apply moxa stick on the affected area until it becomes red. Moxa is particularly effective in treating chronic KD 6, HT 7 blod xu eczema
Behaviour changes for Eczema: Keep the skin well lubricated – Take baths or showers less often, keep them brief and use lukewarm water – Use moisturizing creams or ointment rather than water-based regularly
Diagnosis for Eczema: Diagnosis can usually be made by inspection and by asking about skin history, family history of rashes, and other problems such as allergies or asthma. Biopsy is usually not helpful
Over the counter Treatment for Eczema: Mild eczema Put 1% hydrocortisone cream on the diseased area a few times a day Severe eczema Difficult to treat. However, medicine such as antihistamines and steroid creams can help prevent or control the itching
Describe use of sterioid cremes on Eczema: Serious complications can develop from overuse of steroid creams
Describe complications of antihistamines: Some antihistamines cause drowsiness, so patients are recommended to take the medicine only at bedtime
Created by: bastyr41