Herpes Zoster / Shingles (she chuan chuang ... - CatsTCMNotes

1 st stage:
Basic Points
Invasion of
Wind-Fire
in LIV & GB
Wind-Fire = infectious,
contagious, febrile,
epidemic
2 nd stage:
Damp-Heat or
Toxic Heat in the
Dai Mai or SP
3 rd /last stage:
Qi & Xue Yu
Arises from 1 st 2 types
Herpes Zoster / Shingles (she chuan chuang)
Differential Diagnosis & Treatment
Points for Shaoyang & Dai: SJ-5, GB-41
LI-11 (remove H); ST-40 (remove D);
SP-10 (cool Xue, remove D, skin prob)
UB-40 (cool Xue, remove toxic Heat)
Hua Tuo Jia Ji points (bilateral) at same level as rash and blisters – helps UB &
DU; also helps system of nerves
- Acute onset
Heat signs:
- Fever, chills
- Restlessness, irritability; thirsty, desire for
drinks
- May or may not have burning pain
- Constipation, dark yellow urination; bitter
taste
T: Red, red spots on tip and sides
P: Wiry, slippery; or wiry & fast
- Crops of vesicles full of fluid
- Severe pain – sharp, with heavy head; joint
pain
- Poor appetite, nausea
- More Heat: burning sensation, redness and
heat of local area
- More Dampness: n, v, diarrhea or loose stools
T: Red, swollen C: Yellow, greasy,
thick
P: Slippery, wiry, fast
- Severe, sharp or needling pain, worse at night
–
fixed pain
- No vesicles any more
- Local skin becomes dark-red in color
- Fatigue, insomnia, restlessness at night (1˚ d/t
pain)
- Pain may last for weeks, months, years (this
typically occurs in 15% of people after “recovery”)
T: Dark red, scarlet C: Thin white
P: Thin, wiry; or hesitant
Remove Wind-Fire;
Clear LIV and GB
-----------------
Basic +
LIV-2; UB-18
LI-4; GB-20
UB-12, 13; DU-14
* Peripheral Treatment
Remove Damp-Heat; Benefit
the Dai Mai; Regulate the MJ
-----------------
Basic +
SJ-3; GB-42, 43; SP-9; ST-36
Dai: GB-26, 27, 28
* Deng xin cao moxa therapy
Promote Qi and Xue
circulation; Open channels;
Stop pain
--------------------
Basic +
UB-17
P-6 (to clean Xue)
UB-23; 52 (local area)
SI-3 + UB-62 (open Du)
Jia Ji points in local areas (works on
system of nerves)
* Row insertion technique
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Trigeminal Neuralgia (mian tong / san cha shen jing tong)
Differential Diagnosis & Treatment
Basic points GB-20; SJ-17; LI-4; LU-7; SJ-5; GB-41; ST-40 + local
1 st : eye branch Yintang; GB-14; Taiyang; UB-2
2 nd : maxillary branch LI-20, ST-3; SI-18, 19; SJ-21
3 rd : mandibular branch ST-4, 6, 7
During acute stage when really painful, use distal points & normal side local points only.
Invasion of Wind-Heat
w/ Phlegm
Retention/blockage
LIV Fire Flaring
w/ Phlegm Retention
Invisible phlegm
Qi Stagnation & Blood
Stasis w/Phlegm
Retention
Arises from 1 st 2 types or
trauma
- Acute onset; follows a common cold, with fever
- Severe, sharp, cutting, or burning pain on one side of the
face
- Worse with talking; swallowing; yawning; eating
- Headaches, thirsty, sore throat
T: Red, w/ red tip C: Thin, yellow
P: Superficial & fast
- Clearly related to emotional disorder
- Sharp, burning pain on one side of the face
- Lasts for short time, but returns
- Aggravated by emotional disorder
LIV Fire/Heat Sx:
- Red eyes/face, restlessness, irritability, insomnia, bitter
taste, thirsty, constipation, dark yellow urination
T: Red or redder sides C: Yellow, may be greasy
P: Wiry, fast; may be slippery, fast
- Chronic onset
- Intermittent facial pain on one side, depressed facial
sensation
- Momentary episodes of dull pain, which is worse at
night
- Also, needling pain (Xue Yu)
- Associated w/ tight or numb sensation (Qi Yu)
- Purple or gray face
T: Normal or purple -- w/purple spots
C: Normal or greasy
P: Wiry, hesitant, or slippery
Remove wind-heat; Open
Channels; Remove
Phlegm; Alleviate Pain
-------------------
Basic +
LI-11; UB-12, 13; DU-14
Clear Liver Fire; Remove
Phlegm; Open Channels;
Alleviate pain
----------------
Basic +
LIV-2, 3; GB-41, 43
SJ-5
UB-18, 19 (sedation)
Promote Qi & Blood
Circulation; Remove
Blood Stasis; Dispel
Phlegm; Alleviate Pain
--------------------
Basic Pts +
Local points if tolerable
UB-17, 40; SP-10
SI-3 + UB-62
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