Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Chinese Medicine Skin Disorders 1 Wind rash (Feng
zhen) It is similar as modern diagnosis of urticaria or
hives, which is a kind of allergic skin disease with skin wheals. Etiologies
and Pathogenesis Attacking of pathogenic factors Diets disorders Qi deficiency Un-harmonized Chong-Ren Differentiations
and treatments 1.1. Wind-heat Clinical manifestation: severe pruritus, hot, red wheals, more severe with hot and better with cold, and red tongue with yellow fur Treatment principle: Dispersing the wind Herb treatment: Sanfeng Qingre Yin 1.2. Wind-cold Clinical
manifestation: severe pruritus, white wheals, more severe with cold and
better with hot, and light red tongue with white fur
Treatment
principle: Dispersing wind-cold
Herb treatment: Jufeng Sanhan Yin 1.3. Heat stagnation in
stomach Clinical
manifestation: wheals after some foods, often with abdominal pain, red
tongue with yellow fur Treatment
principle: Clearing heat from stomach
Herb treatment: Fangfeng Tongsheng San 1.4 Qi and Blood deficiency Clinical
manifestation: frequent wheals lasting several months even years, light
color, worse after exertion, also tired, short breath, pale tongue with white
fur Treatment
principle: Tonifying qi and dispersing wind
Herb treatment: Yupingfeng San 1.5 Un-harmonized Chong-Ren Clinical
manifestation: wheals frequent occur before periods and after periods the
wheals disappear, slippery pulse Treatment
principle: Harmonizing Chong-Ren Herb treatment: Siwu Tang 2. Snake
cinnabar (She chuan chuang) It is similar as modern diagnosis of herpes zoster, manifested as groups of crowed blisters arranged in zonary fashion along one side of the nerve distribution. Attacking of heat (toxin)- damp Diet disorders Differentiations
and treatments 2.1. Heat excess Clinical
manifestation: There are mild fever malice before some cases of skin
lesion, the lesion is groups of
papule eruption with hot pain, red tongue with yellow fur
Treatment principle: clearing heat from blood Herb
treatment: Liangxue Qinggan Tang 2.2. Damp-heat excess Clinical
manifestation: groups of blisters with hot pain, some rupture blisters
with ooze, red tongue with yellow greasy fur
Treatment
principle: clearing heat-damp
Herb treatment: Longdan Qinggan Tang 2.3. Blood stasis Clinical
manifestation: lesions gone but still skin purple and very painful,
especially in seniors Treatment
principle: soothing liver, promoting blood circulation
Herb treatment: Chaihu Shugan San and Shixiao San 4.3
Eczema It
is allergic inflammatory, manifested as itching, polymorphic skin lesions and
frequent recurrences, Etiologies and Pathogenesis Attacking
of pathogenic factors Spleen
deficiency and damp retention Blood
deficiency Diet
disorder Differentiations
and treatments 1.
Wind-heat Clinical
manifestation: clusters of red papulae, blister, very itching, red tongue with
yellow fur Treatment
principle: Clearing heat-wind Herb
treatment: Xiaofeng San 2.
Damp-heat Clinical
manifestation: clusters of red papule, blister, erosions, exudeations and crust,
very itching, red tongue with yellow greasy fur
Treatment
principle: Clearing heat-damp Herb
treatment: Longdan Xiegan Tang 3.
Spleen deficiency and damp retention Clinical
manifestation: blister, ooze (big and light), itching, big and pale tongue with
white fur Treatment
principle: Tonifying spleen and clearing damp
Herb
treatment: Jianpi Weiling Tang 4.
Blood deficiency and dry-wind Clinical
manifestation: chronic, thick and rough skin with pigmentation, itching, pale
tongue Treatment
principle: Tonifying blood and clearing wind
Herb
treatment: Siwu Xiaofeng Yin 5.
Damp-toxin Clinical
manifestation: pus, hot and pain blister, itching, red tongue with yellow fur
Treatment
principle: Clearing toxin-damp Herb
treatment: Biexie Huadu Tang 4.4
Bai Bi It
is modern diagnosis of psoriasis, manifested as erythematous scaly lesion and
itching. Etiologies
and Pathogenesis Attacking
of pathogenic factors Blood
deficiency Differentiations
and treatments 1.
Wind-heat Clinical
manifestation: serious itching, red papule, and scaly erythematous lesion with
red halo around them, red tongue with yellow fur Treatment
principle: Clearing heat and wind Herb
treatment: Shuanghua Tufuling Yin 2.
Blood-stasis Clinical
manifestation: itching, scales on erythema or the erythema with silver scales on
the skin Treatment
principle: promoting qi and blood circulation to remove stasis
Herb
treatment: Huoxue Qufeng Tang 3.
Blood deficiency Clinical
manifestation: mild itching, brown patches or pigmentation with fine furfures
Treatment
principle: Tonifying blood and clearing wind
Herb
treatment: Dangdui Yinzi 4.5
Cutaneous pruritus It
has no primary skin lesion but a sensation of serious paroxysmal itching on the
skin. Etiologies
and Pathogenesis Attacking
of wind-heat Blood
deficiency Differentiations
and treatments 1.
Wind-heat Clinical
manifestation: Paroxysmal serious itching, accompanied with scratch mark and
blood scabs Treatment
principle: Clearing wind Herb
treatment: Xiaofeng San 2.
Blood deficiency Clinical
manifestation: Paroxysmal serious itching, accompanied with scratch mark and
blood scabs, atrophic, thick and lichenoid
Treatment
principle: Tonifying blood and clearing wind
Herb
treatment: Danggui Yinzi 4.6
Patch balding (Ban tu) It
is sudden limited baldness. Etiologies
and Pathogenesis Liver
qi stagnation Blood
and qi deficiency Kidney
and liver yin deficiency Differentiations
and treatment 1.
Liver-kidney deficiency Clinical
manifestation: many alopecia area, yin-
Treatment
principle: Tonifying kidney and liver
Herb
treatment: Shenying Yangzhen Tang 2.
Blood deficiency Clinical
manifestation: many alopecia area, blood-
Treatment
principle: Tonifying blood Herb
treatment: Guipi Tang 3.
Qi stagnation Clinical
manifestation: sudden alopecia, liver qi stagnation
Treatment
principle: soothing liver Herb
treatment: Xiaoyao San 4.7
Erysipelas (Dandu) It
is a kind of acute inflammatory diseases caused by hemolytic streptococci that
invades the reticular lymphatic vessels of the skin or the mucosa, which is
marked acute onset, chill and
fever, flaming reddish spots and
pathches at the skin, very severe pain. Etiologies
and Pathogenesis Wind-heat
invading Liver
qi stagnation Heat-damp
stagnating in stomach Heat-toxin Differentiations
and treatments 1.
Wind-heat invading Clinical
manifestation: Red, pain and
swollen often in the face or head, fever
Treatment
principle: Clearing heat and wind Herb treatment: Puji Xiaodu Yin 2.
Heat stagnating in the liver Clinical
manifestation: pain and swollen
often in chest, abdomen or hip, fever
Treatment
principle: Clearing heat from liver channel
Herb
treatment: Longdan Xiegan Tang 3.
Heat-damp stagnating in the stomach Clinical
manifestation: often lower limb red, pain and
swollen, fever Treatment
principle: Clearing heat and damp
Herb
treatment: Wushen Tang + Bixie Shenshi Tang 4.
Heat-toxin Clinical
manifestation: Severe red, pain and
swollen, high fever, delirium even coma Treatment
principle: Clearing heat and toxin, and opening the mind
Herb
treatment: Qingwen Baidu Yin 4.8
Acne Vulgaris It is a chronic inflammation of hair-follicle and sebaceous
glands. The skin lesion: first
papulae in normal colour, gradually becoming red inflammatory papulae and
nodules, some fatty squeezed out from big one, which is acne. They can further develop deeper and bigger, also can be
secondary infections. Etiologies and Pathogenesis The
heat in the lung Heat-damp
in the spleen and stomach Differentiations
and treatments 1.
Heat in the lung Clinical
manifestation: Red papulaes are main skin lesions Treatment
principle: Clear heat from lung Herb
treatment: Piba Qingfei Yin 2.
Heat-damp in the stomach Clinical
manifestation: acne with fatty secretion and pus are
main skin lesions Treatment
principle: Clear heat-damp from stomach Herb
treatment: Yinchenhao Tang 3.
Phlegm stagnation Clinical
manifestation: chronic acne, indurative acne, cystic acne, white tongue with
white greasy fur Treatment
principle: Tonifying spleen and removing phlegm
Herb
treatment: Sijunzi Tang 4.9
Rosacea It
is a chronic skin disease at the nose or around the nose.
The skin lesions can be divided into three stages: erythema (red nose),
papulae and rhinophyma (nose becoming swollen and even larger with a rough and
uneven surface raised up like small pustules. Etiologies
and pathogenesis Heat
in the stomach Differentiations
and treatments 1.
Heat in the blood Clinical
manifestation: Red nose (erythema stage) Treatment
principle: clearing heat from blood Herb
treatment: Liangxue Siwu Tang 2.
Heat-damp stagnation Clinical
manifestation: Papulae stage, possibly
with secondary infection Treatment
principle: clearing heat and damp Herb
treatment: Longdan Xiegan Tang 3.
Blood stasis Clinical
manifestation: rhinophyma stage, swollen and purple nose Treatment
principle: promoting blood circulation and removing stasis Herb
treatment: Taohong Siwu Tang 4.10
Neurodermatitis It is a kind of chronic skin disease with pruritic inflammation, often occurring in neck, elbow, knee and sacrum. The skin lesion: first intermittent itching, then round clusters or polyangled pink papulae covered with scanty fine scales. The skin becoming thick, dry and rough, even lichen. Etiologies
and pathogenesis Wind-heat-damp
invading Emotion
Blood-Yin
deficiency Differentiations
and treatments 1.
Wind-heat Clinical
manifestation: New lesion, itch, reddish skin and crowds of papulae appear on it
Treatment
principle: Clearing
heat-wind Herb
treatment: Baixianpi Yin 2. Blood-yin deficiency Clinical
manifestation: chronic lesion, itch, lichen
Treatment
principle: tonifying blood and clearing wind Herb
treatment: Siwu Xiaofeng San
Copyright by Kai Chen Ph.D. in Chinese Medicine |