Urticaria Flashcards

1
Q

alternative name

A

addictive papules

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2
Q

TCM name

A

Yin zhen

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3
Q

etiology:

A

1) EPF wind
2) diet
3) constitution
4) emotions (frustration)

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4
Q

how thick is our skin?

A

0.5-4mm

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5
Q

what are the two skin layers

A

epidermis

dermis

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6
Q

fxn of skin

A
  • protection from germs, temp, environment
  • sensation , pain receptors, sense pressure
  • reg temp
  • uv protection
  • produce VIT D (esp in scalp)
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7
Q

common allergens:

A
food (seafood, nuts)
animals
dust
alcohol
drugs/antibiotics
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8
Q

SX

A
  • sudden onset
  • itchy skin
  • wheals/hives
  • abdominal cramping (hive in intestinal mucous)
  • nausea, vomit, cramp, diarrhea
  • fever
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9
Q

western tx

A

antihistamine

Epi pen

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10
Q

patterns

A

1) Invasion of wind
2) D-H in ST/LI
3) QI/blood xu
4) disharmony Chong/Ren

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11
Q

acute onset, usually after drinking alcohol, eating shrimp/fish, red patches with unbearable itching, nausea, vomit, ab distension, pain, poor appetite, fatigue, constipation, diarrhea, dry mouth

A

D-H in St/LI

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12
Q

D-H in ST/LI T/P

A

T- red, yellow greasy coat

P- slippery, rapid

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13
Q

D-H in ST/LI points

A

ST-36/25, PC-6, RN-12

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14
Q

sudden onset, red or pale red patches, unbearable itching, worse with exposure to wind- cold/heat, chills/fever, body aching, thirst, agitation

A

Invasion of Wind

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15
Q

Invasion of wind T/P

A

T- red, white/slight yellow coat

P- superficial, tight, rapid

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16
Q

Invasion of wind points

A

DU-14, LI-4, UB-12, LI-11

17
Q

recurrent onset which occurs 2-3 days before each menses and disappears with the stoppage of menstrual flow, irregular and painful periods

A

disharmony chong/Ren

18
Q

Disharmony chong/ren T/P

A

T- dark purple

P- fine

19
Q

Disharmony Chong/Ren points

A

UB-17/18, LV-14, SP-10

20
Q

Chronic remittent onset, pale red skin rash with itching, worse with taxation and fatigue, pale lusterless complexion, poor appetite, insomnia, palpitations, SOB

A

Qi/blood XU

21
Q

Qi/blood XU T/P:

A

T- pale little coat

P- fine and weak

22
Q

Qi/blood XU points

A

UB-12, UB-20, RN-6, ST-36

23
Q

pale skin lesions

A

cold

24
Q

dark red skin lesions

A

blood stg

25
Q

red, fresh red lesions

A

heat

26
Q

POT

A

1) acute/EPF/diet/drug= SHI—> remove XIE QI

2) recurrent/on and off/chronic= XU—> tonify ZHENG QI

27
Q

BP

A

LI-11, SP-10, LI-4, SP-6, UB-17/18

28
Q

ALT remedies

A

1) bleed: LI-1, LU-11, UB-40, DU-14, UB-12, PC-3 (pick 2 pts)
2) moxa/warming needle: DU-14, UB-12
3) cupping: RN-8 (flash cupping until red/purple OR retain for 5min x3)
4) auricular: LU, ST, LI, LIV, KID, adrenal, shenmen, andocrine, ear apex, feng xi, bleed back of ear
5) plumblossom: gentle tap on hive area

29
Q

EDU

A

1) reg. emotions
2) reg. exercise
3) reg. diet
4) avoid allergen
5) avoid scratching
6) avoid hot shower
7) avoid EPF invasion
8) rest

30
Q

Definition

A

allergic rxn that produces wheals and erythemia in the dermis and subcutaneous structures