Thanks for attending my Webinar on September 26th. I hope you got a few useful pieces of information from the presentation.
Here's the notes from the presentation.
Here's the notes from the presentation.
Skin Conditions: Internal and External Formulas plus
Acupuncture work Best
with Honora Lee Wolfe
Copyright 2013 • All rights reserved.
What is easy about skin conditions is…
•You can see them! Which makes them
easier to pattern discriminate, and…
•You can tell how you are doing
immediately as a clinician!
•The patterns and treatments are
logical based on the morphology of the lesions.
Wai Ke and Nei Ke
•Dermatology is
classified as a group of diseases in the “wai ke” or category of diseases
occurring in or on the exterior or outside of the body.
Skin Disease Mechanisms
•Heat
•Toxins
•Wind
•Dampness
•Dryness
•“Chong” or
insects/parasites
•Blood stasis
Pattern Discrimination of
Dermatological
Conditions
•Redness = heat
•Purple red = heat
toxins &/or stasis heat
•Dark red =
depressive or stasis heat
•Blisters &/or
suppuration = dampness
•Purulence = heat
toxins
•Scaling = dryness
•Pigmentation &
lichenification = stasis
•Itching = wind
•Heat = heat
•Pain = stasis
Therapies that can be helpful
•Macerated wet
herbs
•Herbal pastes
•Resolvant powders
•Ointments
•Tinctures
•Medicated oils
•Compresses
•Washes
•Medicinal baths
•Fumigation
•Moxibustion
•Cupping
•Body and ear
needles
Acu-Moxa Therapy
To clear heat from whole body: Da Zhui (GV 14), Qu Chi (LI 11)
To course the liver & resolve depression: Tai Chong (Liv 3), He Gu (LI 4)
To clear heat & resolve depression: Xing Jian (Liv 2)
To clear heat from the blood aspect: Xue Hai (Sp 10), Wei Zhong (Bl 40)
To fortify the spleen & supplement the qi: Zu San Li (St 36), San Yin Jiao (Sp 6)
To seep dampness: Yin Ling Quan (Sp 9)
To nourish the blood: Ge Shu (Bl 17), Gan Shu (Bl 18)
To quicken the blood: Xue Hai (Sp 10)
To quiet the spirit: Shen Men (Ht 7)
To stop itching: Shao Fu (Ht 8)
Treat once per day or at least 2X per week for one month.
Then treat once per week as needed.
“Eczema” the most common skin condition
Strictly speaking, Eczema is not one disease, but a group of
diseases
1. Atopic eczema
2. Contact dermatitis
A.
Allergic contact dermatitis
B.
Irritant contact dermatitis
3. Seborrheic eczema
4. Varicose eczema
5. Discoid eczema
In U.S., 15 million have some form of eczema
10-20% of world population affected by eczema in childhood
Not contagious • No known WM cure
Atopic Dermatitis
•Most common in
infants and young adults
•In U.S., 10% of
infants have AD
•3% of total
population
•50% of patients
affected throughout life
•Hereditary
•Increased genetic
sensitivity to allergens, & excessive immune reactions
•Atopic describes a
tendency to excess inflammation of the skin, linings of the nose & lungs
•Closely linked to
allergic rhinitis & asthma
Nutritional Supplementation
•B complex for dry,
itchy skin
•Beta-carotene to
promote moisture retention
•Vitamin C as
natural antihistamine
•GLA
(gamma-linoleic acid) as anti-inflammatory
•Quercetin
(bioflavonoid) to prevent allergic response
•Zinc often
deficient in people with E, especially if taking longterm steroids
The Main CM Disease Mechanisms of AD
•Spleen vacuity
(leads to dampness)
•Liver depression
(leads to heat)
•Wind heat, blood
heat
•Yin-blood-fluid
vacuity malnourishment
•Blood stasis
Simplified, the most commonly seen are:
•Wind heat type:
Erythema, no suppuration
•Damp heat type:
Suppuration
•Wind dryness type:
Lichenification, dryness, scaling
About Psoriasis
•A non-contagious,
chronic skin disease of unknown etiology
•Most researchers
agree it is an immune-mediated disorder with a strong genetic component.
•An estimated 4% of
the U.S. population or more than seven million Americans suffer from psoriasis.
•Incidence of
psoriasis rises to 28% if one parent has this condition and to 68% if both parents
suffer from psoriasis.
•May occur at any
age, but most patients do not show signs till their 20s, with an average age at
diagnosis of 28.
•Somewhere between
150,000-260,000 new cases of psoriasis are diagnosed per year in the U.S.
CM and Psoriasis
•In Chinese
medicine, psoriasis is thought to be due to heat toxins in the blood damaging
the blood and body fluids and, therefore, secondarily causing dryness and
stasis.
•The Tx Principles
are, therefore, to nourish and quicken the blood, moisten dryness, clear heat,
and resolve toxins
•There are many
possible internal formulas to use for this condition depending upon the
specific pattern combination the patient present
Formulas & Diet for Psoriasis
•Huo Xue San Yu Tang, Bai Bi Tang,
Gui Zhi Tang Jia Jian, Bei Xie Shen Shi Tang Jia Jian, Huang Lian Jie Due Tang
Jia Jian, Sheng Xuan Yin, Long Dan Xie Gan Tang jia Jian, Mai Wei Di Huang
Tang, Er Xian Tang Jia Jian
•Low-fat low-calorie diet reduces
inflammation; avoid alcohol to clear heat from the liver.
•Include Fish oil as an
anti-inflammatory and as many anti-oxidants as possible.
Basic Principles for Using External Remedies in CM Dermatology
1. Primarily treat the tips or branches with external
remedies
2. Do not use oil-based remedies for wet, suppurating
lesions
3. Use water or alcohol based remedies or powders for wet,
suppurating lesions
4. Use oil-based remedies for dry, nonsuppurating lesions
5. Determine the relative proportions of the disease mechanisms
at work & then choose 2-3 medicines for each mechanism
6. Use medicinals known to be empirically effective when
applied externally
7. Feel freer to use inferior grade medicinals when treating
externally
Blue Poppy External Remedies
•Acne Tincture
clears heat, dispels wind and resolves toxins
•Antifungal Ointment
clears heat, resolves toxins, disperses inflammation and stops itching
•Clear Heat Ointment
(Si Huang Gao) clears heat, resolves toxins, disperses swelling and stops pain
(infected lesions that are hot to the touch)
•Cut & Sore
Ointment, clears heat, resolves toxins, moves the blood and stops pain,
engenders new flesh
•Eczema Ointment
clears heat eliminates dampness, dispels wind and stops itching in wind damp
heat eczema
•Herpes Zoster
Ointment clears heat and eliminates dampness, courses wind and resolves toxins
•Jade Dew clears
heat and cools the blood, disperses swelling and resolves toxins in herpes
simplex
•Psoriaquell
Ointment nourishes and quickens the blood, moistens dryness and clears heat
•Psoriasis Tincture
dispels wind and clears heat, eliminates dampness and resolves toxins, kills
parasites, and stops itching.
Anti-fungal Ointment
•Oil and beeswax
plus Shi Gao, Hua She, Qing Dai, and Huang Bai
•For chronic dry
eczema or dry fungal skin conditions such as ringworm.
•Clears heat,
resolves toxins, disperses inflammation and stops itching
Eczema Ointment
•Oil and beeswax
plus Da Huang, Huang Bai, Cang Zhu, She Chuang Zi, Bai Zhi, Ku Fan, and Tian
Hua Fen
•For wind damp heat
eczema
•This formula
moistens dryness sufficiently to keep the other ingredients fro damaging
fluids.
Psoriaquell Ointment
•Dang Gui, Zi Cao,
Da Huang, Lu Hui Zhi, Bing Pian in a veg oil, beeswax and vitamin A, D, & E
base.
•For blood heat
psoriasis with dry, red lesions and silvery scaling
•Do not use in
cases of wet, suppurating psoriasis.
White Pearl
•Mu Li, Huang qi, Dang Shen, Fu
Ling, Shan Yao, Pei Lan, Bai Xian Po, She Chuang Zi, Bai Zhu, Fang Geng, Dan
Pi, Zi Cao, Jing Jie, Jiang Can, and zhi Gan Cao
•Treats spleen qi xu resulting in a
defensive qi insecurity with easy invasion of wind complicated by dampness,
heat, toxin, and blood stasis manifesting as chronic hives, eczema, or
psoriasis
•Can be used for any skin conditions
that presents with these patterns
Little Pearl
•Ren Dong Teng,
Shan Zha, Shen Qu, Mai Ya, Fu Ling, Bai Zhu, Bai Bian Dow, Yi Yi Ren, Chen Pi,
Ma Chi Xian, Bai Mai Gen, Dan Pi
•Specifically for
pediatric eczema due to spleen qi xu with damp heat and possible food
stagnation. This eczema will be damp, itchy, and possibly weep
Final Advice for Tx Skin Conditions
1. Check your pattern discrimination
2. Check that your medicinals are appropriate for the
pattern
3. Check the dosage
4. Add an external remedy if not using one
5. Check that external remedy is correct if using one
6. Be sure patient is adherent to diet & lifestyle
modifications
7. Check for other aggravating factors possibly overlooked
before
8. Consider adding acupuncture
I read your post and people mostly face different types skin problems. If use good and natural treatment for get rid of them acupuncture treatment good for skin problems. acupuncture kansas city
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