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TCM > external med > Flashcards

external med Flashcards

1
Q

boils represent

A

always show internal or external heat
may also experience alternating chills and fever
this is because path heat is in the wei level
may appear anywhere but mostly face, head and limbs

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2
Q

if the heat penetrates the pericardium and turns to toxic heat the boils will develop

A

red lines around the edges
this is a serious condition

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3
Q

treating boils

A

Du 10 to treat boils
Du 14 to clear heat condition
clear fire, resolve damp, move qi and blood of the affected channel

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4
Q

closed sac with a distinct membrane around it, painless and easy to move

A

a cyst

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5
Q

treating cysts

A

move qi and blood along the channel, resolve damp

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6
Q

small, red, raised, itchy bumps or wheals
sudden onset, spreads quickly
may have direct trigger; allergic or food contact

A

hives (urticaria)

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7
Q

treating hives

A

expel wind, clear heat, resolve dampness

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8
Q

wind heat hives

A

severe itching and spreading widely
expel wind, clear heat

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9
Q

wind damp hives

A

stagnation of damp trapped between skin and muscles
expel wind, resolve damp

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10
Q

damp heat in stomach/intestines hives

A

red, itchy wheals, rather than small pinprick rash
resolve dampness, disperse wind, clear heat

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11
Q

fire in stomach/intestines hives

A

red, itchy wheals like damp heat but drier
clear fire from stomach/intestines

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12
Q

toxic heat hives

A

extreme heat in the blood, extreme burning itch, large red wheals, possibly over whole body. associated with longterm antibiotics or infections
clear toxins clear heat and cool blood

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13
Q

wei qi xu hives

A

small rash after sweating
disperse wind, tonify wei and nutritive qi

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14
Q

acute, highly infectious bacterial skin infection
caused by strep bacteria that causes sore throat

A

eripselas

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15
Q

eripselas treatment

A

invasion of damp heat in spleen and stomach
clear heat, resolve damp, cool blood
plum blossom needle around perimeter of rash
prick to bleed 12 jing-well points bilaterally

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16
Q

typically presents as red raised rash or red cluster of blisters with burning or tingling pain

A

shingles/herpes zoster

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17
Q

shingles treatment

A

begins as external pathogenic wind heat
expel pathogen, clear heat, expel wind
plum blossom around head and tail of rash
honeysuckle tea to expel wind heat

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18
Q

chronic shingles treatment

A

originally starts the same, but now has gone deeper and affected zangfu, typically liver and gallbladder (damp heat/fire)

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19
Q

if shingles are no/small rash

A

its not damp heat, it has stayed as wind heat or turned to LV/GB fire

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20
Q

typically occur during postpartum breast feeding, could occur mid cycle/premenstrually, localized collection of pus caused by bacterial infection. Painful, red, warm breast with palpable lump or swelling

A

breast abscess

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21
Q

breast abscess TCM diagnosis

A

liver qi stag, heat stag in stomach or invasion of external toxic fire

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22
Q

acute disorder affecting large or small intestine, caused by irregular eating habits, retention of food, or running after a big meal

A

intestinal abscess

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23
Q

enlarged thyroid gland causing swelling at front of the neck, painless, without change in skin colour or texture

A

goiter

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24
Q

qi goiter is caused by

A

liver qi stag

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25
Q

flesh goiter is caused by

A

phlegm damp accumulation

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26
Q

soft swelling on the front of the neck, gradually increase size with unclear margins, size will fluctuate with emotional state, no pain or discolouration, may cause difficulty breathing and hoarse voice if large enough

A

Qi goiter

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27
Q

tends to occur under 40, more common in women, fatigue, depression, aversion to cold, constipation, pallor, facial edema, brittle nails, dry hair, alopecia, memory loss

A

flesh goiter

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28
Q

acne triggers include

A

emotions (heat in blood, liver and heart root)
diet (lungs and stomach damp heat)
diet (lungs and stomach damp heat)
hormones (imbalance in chong and ren)

29
Q

location of acne: forehead

A

stomach and heart

30
Q

location of acne: cheek

A

right cheek - liver
left cheek - lung

31
Q

location of acne: mouth and nose

A

spleen and stomach

32
Q

location of acne: lower jaw

A

disharmony of chong and ren

33
Q

location of acne: chest

A

chong

34
Q

location of acne: upper back

A

du

35
Q

predominately damp, no sig heat

A

blackheads

36
Q

predominately heat with damp

A

whiteheads

37
Q

qi and blood stasis

A

nodules

38
Q

phlegm and blood stasis

A

pustules

39
Q

typically indicates lung and kidney xu, lung governs the pores, kidney nourishes and moistens the skin, kidney essence is closely linked to the corporeal soul of the lung, which is believed to be the force behind sensory feedback, particularly pain and itching on the skin

A

eczema

40
Q

acute eczema is always caused by

A

external pathogen, sudden onset, bilateral
red, itchy, dry and rash - wind heat
red, itchy, oozing and blistered - damp heat

41
Q

intense itching, acute and sudden onset, red rash comes and goes, upper body, neck, shoulders, arms, typically affects elbow crease and forearms, tongue red, coating thin, yellow, pulse superficial and rapid

A

wind heat eczema

42
Q

chronic condition following acute, pale purple, thick scaly leisons, dry and flaky skin, dry hair, brittle nails, dull pale complexion, tongue pale, purple hue, pulse thready

A

blood xu

43
Q

blood xu treatment principle

A

nourish blood
r4, st36, sp6,10, pc6, sp4, lv8, ht3

44
Q

chronic condition following repeated acute attacks, light colour blisters, no red, blisters have a thin white discharge, loose stool, poor appetite, fatigue, heaviness, no thirst, tongue teethmarks, swollen, coating greasy, pulse sluppery

A

spleen qi xu with damp

45
Q

spleen qi xu with damp

A

drain damp to create space for spleen qi to increase, tonify spleen
sp9 lg7, sp5, r9,5, st40, sj4
sp3, st36, bl20, r10, lv13, sp21, r17

46
Q

most common between 15-30 and 50-60 years old, autoimmune disorder that causes skin cells to grow too quickly, causing patches of thickening, patches with clearly defined edges, skin is dry, scaly, white or silvery, if scales peel away the skin under is thin papery and semi transparent, if it bleeds, blood is usually dark

A

psoriasis

47
Q

similar to wind heat eczema, fast developing, severe itchy skin, red film over scales, bleeding, tongue red, coating yellow thin, pulse rapid

A

wind heat

48
Q

wind heat treatment plan

A

expel wind, clear heat

49
Q

typically accompanies arthritis and fibrosis, stiffness in morning, inflamed and deformed joints, tongue red, coating yellow

A

damp heat/fire

50
Q

damp heat/fire treatment plan

A

clear fire, expel wind, drain damp

51
Q

whole body is affected, widespread pattern, often associated with autoimmune, inflammatory conditions, red skin, painful, inflamed, deformed joints, tongue red/purple, pulse rapid, weak

A

blood heat and stasis

52
Q

blood heat and stasis treatment plan

A

clear heat, cool blood, move blood

53
Q

psoriasis is typically a

A

xu condition

54
Q

chronic condition, slow response to treatment, very dry lesions, seen in elderly or with lifetime eczema, tongue pale purple/red, coating thin/peeled

A

blood and yin xu

55
Q

blood and yin xu treatment plan

A

tonify blood and yin, clear empty heat, cool blood

56
Q

itching over the whole body or in localized spots, without the presence of visible lesions and without accompanying illness, worse at night, chronic condition most common in elderly

A

cutaneous puritits

57
Q

happens mainly in winter, itchy skin, significant dryness, interior heat creates hot and dry environment, absorbs moisture from the air and consumes yin

A

wind dryness

58
Q

wind dryness treatment

A

expel wind, nourish yin and BF

59
Q

typically happens in summer, whole body itchy, accumulates in sweaty areas, hot, red itchy and raw feeling blisters

A

damp heat

60
Q

damp heat treatment plan

A

drain damp, clear fire

61
Q

affects the central third of face, worsened by heat, exercise, sunlight, cold, spicy food, alcohol, menopause, starts as red skin, when chronic the skin becomes rough, thick, swollen, often the nose becomes enlarged

A

rosacea

62
Q

early stage rosacea

A

erythema

63
Q

redness on or around the nose, fades to white with pressure, often with oily skin, history of constipation, irregular diet, dry mouth, thirst, excess alcohol consumption, tongue red, coating yellow, pulse rapid, wiry, reflects heat in lung and stomach

A

early stage rosacea

64
Q

early stage rosacea treatment plan

A

clear heat from lung and stomach, yang mind li6, st40

65
Q

second stage of rosacea after initial reddening, affected area turns to papules which may have some pus, concentrated on nose and cheeks, constipation, dark and scanty urine, tongue dark red, pulse full and rapid

A

accumulated toxic heat

66
Q

accumulated toxic heat treatment plan

A

cool blood, clear toxic heat

67
Q

last stage rosacea, prolonged increased blood flow to area, results in swollen and enlarged skin, typically nose, skin is rough and thickened with enlarged pores, skin is purple red colour, more common in men, tongue dark red/ purple, pulse choppy

A

blood stasis

68
Q

blood stasis treatment plan

A

move qi and blood stasis, cool blood

TCM (10 decks)

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