Rashes

[Guest guest]

Hi all, I've had a rash of rash patients lately, ha ha. ha ha.

If anything strikes you off the top of your head, please let me know.

Very briefly:

Male, 55, several years ago began to experience rash mainly along TW and LI

channels, began to spread chest, then bladder channel, rash is very itchy,

raised, light red, does not weep, he does not break the skin by scratching. His

skin is very oily, oiliest skin I've to encounter yet, still trying to fully

remove a stain from the plastic surface of my treatment table. One of the

" contact allergies " he has is with chrysanthemum. I'm of the mind that it is

relieving the surface rather than acting as an allergen, but anyway. He is

outwardly calm, but quite wound up inside. Tongue, pale, thick greasy white

coating, some scalloping, a little redness at tip.

He is slowly improving over the past month, sleeping better, feels calmer,

energy is up, uses less cortisone, but he still flares up regularly.

Any ideas?

 

Thanks,

Hugo

 

 

 

 

 

 

 

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[Guest guest]

Hi Hugo,

 

I used to have rash for more than 18 years, occasionally must be

hospitalized, but my case was different. However, it was cured more

than 12 years, no recurred.

 

First , look at your case , Rashes along the Sanjiao channel, LI

channel, bladder channel and chest. It was raised, light red, very

itchy, oily skin, allergic to chrysanthemum. He seems calm but quite

agitated.

*** The rashes appear on Yang chanels and Yang area. Is it worse in

the Yang aspects ( hot weather, hot spicy foods, heater, during the

day, in bright area, in windy conditions, stress, or reacted after

some medications )? If it does, then this shows up some of the excess

condition of the channels, but what causes? If it is not known, then

ask for when and how it is getting better ( at night, after meals,

during sleep… ), in order to find the solution.

*** The raise ( excess ),very itching ( excess, severe windy, or

poison " toxin " or fire ), slight red ( little heat ), very oily skin

( excess damp , usually slippery pulse, not wiry. Wiry is for stress

conditions or phlegm ), allergic to chrysanthemum ( skin contact or

inhaling = Lung problem refers to TCM ).

*** Calm ( energy level is sufficient and the mind is clear ), very

agitate " very sensitive Liver " ( Liver prob, not known as def /

excess at this time , but it may cause poison, toxin, or very windy

which is the cause of itching. Remember VERY & #61664; VERY here ). If the

conditions of work is so demanding and so stressful, this is an excess

condition. If it is autogenesis, self inducing stress, in a normal

environment then it is a deficiency.

If it is not known,

 

*** the pusles : may be slippery rapid , or wiry rapid. Anyhow, it

must be given to con firm this is an excess / deficiency……….. If

slippery rapid ( dampheat, usu. Itchy…. Urine dark yellow ( to confirm )?

Big, full ( excess ); small , fine, thready ( deficiency )………. Fast (

heat ), slow ( cold ), medium ( OK )

If the pulses is rapid, is there heat symptoms ( to confirm ) or may

be this is congenital, not related?

Pulse is deep ( internal, organs, lowerjiao, chronic ), float (

superficial, skin, upperjiao, acute ), middle ( muscle and tendon,

blood & Qi, middlejiao.. ). This gives up an idea where to start and

give treatments……….. PULSES is important, but no data. I guess we have

to make a guess!!!

 

***The tongue revealed : pale thick greasy white coat ( excess cold )

unless it is dry ( excess heat, but there was no information given ),

scalloping ( sp / sto deficiency or disorder ), little red tip ( light

heat in the upperjiao or in the heart ).

Pale ( no heat nor cold ), thick greasy ( excess phlegm, wet = damp ),

white coat ( not turning into heat yet, or not involved with organs ),

scalloping ( digestive prob, SP / ST or Liv , def??? , oh,no ),

Little red tip ( little heat in the heart / upperjiao ) depend on

severity ), heat in the heart, trouble sleeping ??? ( no data ), heat

in upperjao ( discomfort, difficult breathing? No data ).

 

This case is not easy because there is not sufficient data for me, but

I can suggest some ideas :

If patient does not show any signs of lethary, fatigue, lazinees, slow

or unco-operative , then it may be an excess. But what kind ? damp

heat, toxin, or windy ( Liver wind = full wiry +/- rapid pulse ).

1) Because the problem exists in SJ, LI, UB ( yang chnls ), use Yang

channels as key points, Sedation is a must ……….. LI4 , LI 11, SJ4, B40

( sedate ), but Du14 is imperial ( for all heat ). SP6, Sp10,

K3……………SP6 ( regulate Qi, blood and resolve damp ), K3 ( to tonify

yin, reducing internal heat or dryness ).

For me, I only use 2 points ( Du14 and K3 )………………. Result should be

instant with proper manipulation, observe and see…………. Herbal : Ba

Zheng Wan ( will help if our techniques won't work )

 

2) Liver excess ( full wiry pulse ) : Du 14 ( reduce heat ), Liv3 (

liver heat ) , K3 ( tonify yin ) …. Herbal : Long Dan Xie Gan Wan …

 

3) Qi and Blood disorders : Du 14 ( reduce heat ), Sp 6 ( tonify

blood and Qi ), Sp 10 ( regulate blood and Qi )……………… Herbal : Ba

Zhen wan or Shi Quan Dai Bu

 

Hopefully the treatments will cure all the rashes above, not just

controlling them. I have treated some other severe cases successfully.

 

GOOD LUCK !!!

Nam Nguyen

[Guest guest]

Hi Hugo,

 

First, make sure that the patient sees a dermatologist to determine what kind

of rash it is, and to protect yourself from what could be contagious. A couple

of questions: Is the rash worse when it's exposed to cold or wind? How are his

pulses? Is the rash warm to the touch? It sounds from your description that

there is wind dampness with spleen vacuity (engendering dampness). Oily

perspiration usually means pretty severe Yang vacuity as well.

 

 

Yehuda

 

Hugo Ramiro <subincor wrote:

Hi all, I've had a rash of rash patients lately, ha ha. ha ha.

If anything strikes you off the top of your head, please let me know.

Very briefly:

Male, 55, several years ago began to experience rash mainly along TW and LI

channels, began to spread chest, then bladder channel, rash is very itchy,

raised, light red, does not weep, he does not break the skin by scratching. His

skin is very oily, oiliest skin I've to encounter yet, still trying to fully

remove a stain from the plastic surface of my treatment table. One of the

" contact allergies " he has is with chrysanthemum. I'm of the mind that it is

relieving the surface rather than acting as an allergen, but anyway. He is

outwardly calm, but quite wound up inside. Tongue, pale, thick greasy white

coating, some scalloping, a little redness at tip.

He is slowly improving over the past month, sleeping better, feels calmer,

energy is up, uses less cortisone, but he still flares up regularly.

Any ideas?

 

Thanks,

Hugo

 

 

 

 

________

New Mail is the ultimate force in competitive emailing. Find out more at

the Mail Championships. Plus: play games and win prizes.

http://uk.rd./evt=44106/*http://mail..net/uk

 

 

[Guest guest]

Has anyone considered that maybe the liver is stuck and that the accumulation of

toxins might be coming out with the aid of the surface releasing herb,

chrysanthemum. A rash that does not itch would not necessarily be wind but

maybe more to do with the liver and its blood. Have you palpated his abdomen

and if so has pressure around Kid 9 or LI 15 been helpful? These are good

points for a build up of toxins. The kidney might also open up the liver (water

nourish wood). Heh, just a thought. One last idea, have the fire points been

palpated for tenderness?

 

Mike W. Bowser, L Ac

 

________________________________

> Chinese Medicine

>

> Wed, 31 Jan 2007 01:47:18 -0800

> Re: Rashes

>

> Hi Hugo,

> First, make sure that the patient sees a dermatologist to determine what kind

of rash it is, and to protect yourself from what could be contagious. A couple

of questions: Is the rash worse when it's exposed to cold or wind? How are his

pulses? Is the rash warm to the touch? It sounds from your description that

there is wind dampness with spleen vacuity (engendering dampness). Oily

perspiration usually means pretty severe Yang vacuity as well.

> Yehuda

> Hugo Ramiro <subincor wrote:

> Hi all, I've had a rash of rash patients lately, ha ha. ha ha.

> If anything strikes you off the top of your head, please let me know.

> Very briefly:

> Male, 55, several years ago began to experience rash mainly along TW and LI

channels, began to spread chest, then bladder channel, rash is very itchy,

raised, light red, does not weep, he does not break the skin by scratching. His

skin is very oily, oiliest skin I've to encounter yet, still trying to fully

remove a stain from the plastic surface of my treatment table. One of the

" contact allergies " he has is with chrysanthemum. I'm of the mind that it is

relieving the surface rather than acting as an allergen, but anyway. He is

outwardly calm, but quite wound up inside. Tongue, pale, thick greasy white

coating, some scalloping, a little redness at tip.

> He is slowly improving over the past month, sleeping better, feels calmer,

energy is up, uses less cortisone, but he still flares up regularly.

> Any ideas?

> Thanks,

> Hugo

> ________

> New Mail is the ultimate force in competitive emailing. Find out more

at the Mail Championships. Plus: play games and win prizes.

> http://uk.rd./evt=44106/*http://mail..net/uk

>

[Guest guest]

Hi Dr. Nguyen and all, here's a better outline of this case:

 

Male, about 55

Rash appears on yang channels. It is worse in the heat and when he overheats

either from exertion, wearing too many clothes or emotional stress.

 

It is better when he feels relaxed, better in the mornings, worse in the

evenings, and used to wake him at night - these only twice a week does this

happen. It would wake him 2, 3, 4am, around those times. I never could get a

straight answer.

 

The rash is raised, although it doesn't raise like a fully excessive rash. It is

raised with undefined edges, and redness speckled on top, sign of the turbid

damp.

 

He is calm with a quiet voice, but his build is stocky, his face is pale w/o

much redness at all but his eyelids are slightly pink rimmed, and he shows signs

of yin-deficiency heat on his skin otherwise (caucasian with the flushed look).

He does get agitated regularly, but doesn't express it fully, and I have never

seen him as anything but calm and quiet. As far as I am concerned, his agitation

is due mainly to himself, I haven't gotten the impression that he is in a

difficult position at work.

 

His mind is somewhat clear, he seems to understand what I say without too many

questions, but his answers are usually vague and lacking.

 

Left hand pulses

Top slippery, soft, middle depth

Middle slippery, no root, middle depth

Bottom absent or thin (deep)

 

Right hand pulses

Top superficial, slippery, flooding, soft

Middle same as top pulse with some tightness

Bottom superficial/middle, no root, some tightness

 

Pulse rate is 8 beats per full breath cycle (in and out).

 

Right hand pulses are much stronger than left, obviously, and have an excessive

feeling to them, esp after treatment. No doubt this is why he feels the

acupuncture causes one day of aggravation of symptoms with improvement following

afterwards.

 

An interesting thing about his tongue which I noticed today:

There is no longer red at the tip of the tongue. His thick greasy white coating

has been dissolving slowly, to where it is now medium thickness, less greasy and

much more glossy with very pronounced scalloping. As the scalloping has

increased, some colours are showing from under the stagnant fluid in the tongue,

on the px's left side on the border between the middle and top third of the

tongue: a small area consisting of two small dark red spots (individual

papillae), a more vaguely defined very light purple area, and a smaller raw area

that looked very slightly red with fine cracks. All this is clearly showing from

under the outer swollen surface of the tongue.

 

Urine is golden, no cloudiness, never burns.

Sleeps at 10 pm, falls asleep quick, wakes to urinate once per night

No shortness of breath, restriction of chest or fullness in the chest.

 

His itching is best in the morning, will generally not experience any disomfort

until his shower which sets him off a little.

 

Overall, there does not seem to be a big difference in how he experiences his

rashes, but then again, he is a little avgue ont he topic. What is clear is that

he is sleeping better, despite having stopped the cortisone. What is also clear

is that the flare-ups, which are daily and in the evening (throughout the

evening, no evident, regular peaks), are about as bad as they used to be, at

least from his reports. He also seems to be able to " cool " himself down more

easily when getting agitated these days.

My treatments at this point are foccussed on resolving phlegm and releasing qi,

regulating qi. Typical points are Du 14, K 3, Sp 10 and so on. I do not drain

( " xie " ) too much at all from yang channels because his pulses are so weak and

he presents with such fatigue, I don't trust my technique at this point to not

also drain his righteous qi.

 

So anyway, I hope that was more informative,

 

Yeah, I'll probably need the good luck

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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GOOD LUCK!!!

 

 

 

 

 

 

 

 

 

 

_________

New Mail is the ultimate force in competitive emailing. Find out more at

the Mail Championships. Plus: play games and win prizes.

http://uk.rd./evt=44106/*http://mail..net/uk

 

 

[Guest guest]

hugo:

 

require more info about the legions: raised as in wheals or papuels? i'm

guessing wheals. well circumscribed legions? red rash, oily skin, damp

T/slip P, + intense itching, esp when exp. to heat, agg. by chrysanthemum:

dermatitis due to d/h. my derm books are at my clinic (i email from the

home office) so i can't look up a px for you right now. add ku shen for

itching due to d/h, sheng di, xuan shen 15g to cb, huang qin 10-12. you'll

need a px specific for dermatitis. derm in TCM (big yellow book) is a must

have for the clinic to handle derm cases that come in. includes acu and

herbs. quite comprehensive, thorough and reliable tx advice.

 

hope this helps,

 

kb

/h

 

On 2/1/07, Hugo Ramiro <subincor wrote:

>

> Hi Dr. Nguyen and all, here's a better outline of this case:

>

> Male, about 55

> Rash appears on yang channels. It is worse in the heat and when he

> overheats either from exertion, wearing too many clothes or emotional

> stress.

>

> It is better when he feels relaxed, better in the mornings, worse in the

> evenings, and used to wake him at night - these only twice a week does this

> happen. It would wake him 2, 3, 4am, around those times. I never could get a

> straight answer.

>

> The rash is raised, although it doesn't raise like a fully excessive rash.

> It is raised with undefined edges, and redness speckled on top, sign of the

> turbid damp.

>

> He is calm with a quiet voice, but his build is stocky, his face is pale

> w/o much redness at all but his eyelids are slightly pink rimmed, and he

> shows signs of yin-deficiency heat on his skin otherwise (caucasian with the

> flushed look). He does get agitated regularly, but doesn't express it fully,

> and I have never seen him as anything but calm and quiet. As far as I am

> concerned, his agitation is due mainly to himself, I haven't gotten the

> impression that he is in a difficult position at work.

>

> His mind is somewhat clear, he seems to understand what I say without too

> many questions, but his answers are usually vague and lacking.

>

> Left hand pulses

> Top slippery, soft, middle depth

> Middle slippery, no root, middle depth

> Bottom absent or thin (deep)

>

> Right hand pulses

> Top superficial, slippery, flooding, soft

> Middle same as top pulse with some tightness

> Bottom superficial/middle, no root, some tightness

>

> Pulse rate is 8 beats per full breath cycle (in and out).

>

> Right hand pulses are much stronger than left, obviously, and have an

> excessive feeling to them, esp after treatment. No doubt this is why he

> feels the acupuncture causes one day of aggravation of symptoms with

> improvement following afterwards.

>

> An interesting thing about his tongue which I noticed today:

> There is no longer red at the tip of the tongue. His thick greasy white

> coating has been dissolving slowly, to where it is now medium thickness,

> less greasy and much more glossy with very pronounced scalloping. As the

> scalloping has increased, some colours are showing from under the stagnant

> fluid in the tongue, on the px's left side on the border between the middle

> and top third of the tongue: a small area consisting of two small dark red

> spots (individual papillae), a more vaguely defined very light purple area,

> and a smaller raw area that looked very slightly red with fine cracks. All

> this is clearly showing from under the outer swollen surface of the tongue.

>

> Urine is golden, no cloudiness, never burns.

> Sleeps at 10 pm, falls asleep quick, wakes to urinate once per night

> No shortness of breath, restriction of chest or fullness in the chest.

>

> His itching is best in the morning, will generally not experience any

> disomfort until his shower which sets him off a little.

>

> Overall, there does not seem to be a big difference in how he experiences

> his rashes, but then again, he is a little avgue ont he topic. What is clear

> is that he is sleeping better, despite having stopped the cortisone. What is

> also clear is that the flare-ups, which are daily and in the evening

> (throughout the evening, no evident, regular peaks), are about as bad as

> they used to be, at least from his reports. He also seems to be able to

> " cool " himself down more easily when getting agitated these days.

> My treatments at this point are foccussed on resolving phlegm and

> releasing qi, regulating qi. Typical points are Du 14, K 3, Sp 10 and so on.

> I do not drain ( " xie " ) too much at all from yang channels because his

> pulses are so weak and he presents with such fatigue, I don't trust my

> technique at this point to not also drain his righteous qi.

>

> So anyway, I hope that was more informative,

>

> Yeah, I'll probably need the good luck

>

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> GOOD LUCK!!!

>

>

>

>

> ________

> New Mail is the ultimate force in competitive emailing. Find out

> more at the Mail Championships. Plus: play games and win prizes.

> http://uk.rd./evt=44106/*http://mail..net/uk

>

>

[Guest guest]

hugo:

 

i also want to add that since it flares with emo upset, you need to treat

the heat irrit the shen. the emo issue is liver/ht yin xu related: rash

worse evenings/ nite, tightly wound, cools himself down when agitated, malar

flush. its likely that d/h has injured yin. diff to put the entire hist

together from the info you provide. in addition, you'll need to tx the

shen/ cool yin xu heat. dan shen 15g, yuan zhi 6g, shi chang pu 6-9p (the

latter 2 because of the ph/d presentation of the rash) come to mind as

possibilities. as said, you need a guiding px for dermatitis, my derm books

are at the clinic.

 

good luck,

 

kb

 

 

On 2/2/07, wrote:

>

> hugo:

>

> require more info about the legions: raised as in wheals or papuels? i'm

> guessing wheals. well circumscribed legions? red rash, oily skin, damp

> T/slip P, + intense itching, esp when exp. to heat, agg. by chrysanthemum:

> dermatitis due to d/h. my derm books are at my clinic (i email from the

> home office) so i can't look up a px for you right now. add ku shen for

> itching due to d/h, sheng di, xuan shen 15g to cb, huang qin 10-12. you'll

> need a px specific for dermatitis. derm in TCM (big yellow book) is a must

> have for the clinic to handle derm cases that come in. includes acu and

> herbs. quite comprehensive, thorough and reliable tx advice.

>

> hope this helps,

>

> kb

> /h

>

> On 2/1/07, Hugo Ramiro <subincor wrote:

> >

> > Hi Dr. Nguyen and all, here's a better outline of this case:

> >

> > Male, about 55

> > Rash appears on yang channels. It is worse in the heat and when he

> > overheats either from exertion, wearing too many clothes or emotional

> > stress.

> >

> > It is better when he feels relaxed, better in the mornings, worse in the

> > evenings, and used to wake him at night - these only twice a week does this

> > happen. It would wake him 2, 3, 4am, around those times. I never could get a

> > straight answer.

> >

> > The rash is raised, although it doesn't raise like a fully excessive

> > rash. It is raised with undefined edges, and redness speckled on top, sign

> > of the turbid damp.

> >

> > He is calm with a quiet voice, but his build is stocky, his face is pale

> > w/o much redness at all but his eyelids are slightly pink rimmed, and he

> > shows signs of yin-deficiency heat on his skin otherwise (caucasian with the

> > flushed look). He does get agitated regularly, but doesn't express it fully,

> > and I have never seen him as anything but calm and quiet. As far as I am

> > concerned, his agitation is due mainly to himself, I haven't gotten the

> > impression that he is in a difficult position at work.

> >

> > His mind is somewhat clear, he seems to understand what I say without

> > too many questions, but his answers are usually vague and lacking.

> >

> > Left hand pulses

> > Top slippery, soft, middle depth

> > Middle slippery, no root, middle depth

> > Bottom absent or thin (deep)

> >

> > Right hand pulses

> > Top superficial, slippery, flooding, soft

> > Middle same as top pulse with some tightness

> > Bottom superficial/middle, no root, some tightness

> >

> > Pulse rate is 8 beats per full breath cycle (in and out).

> >

> > Right hand pulses are much stronger than left, obviously, and have an

> > excessive feeling to them, esp after treatment. No doubt this is why he

> > feels the acupuncture causes one day of aggravation of symptoms with

> > improvement following afterwards.

> >

> > An interesting thing about his tongue which I noticed today:

> > There is no longer red at the tip of the tongue. His thick greasy white

> > coating has been dissolving slowly, to where it is now medium thickness,

> > less greasy and much more glossy with very pronounced scalloping. As the

> > scalloping has increased, some colours are showing from under the stagnant

> > fluid in the tongue, on the px's left side on the border between the middle

> > and top third of the tongue: a small area consisting of two small dark red

> > spots (individual papillae), a more vaguely defined very light purple area,

> > and a smaller raw area that looked very slightly red with fine cracks. All

> > this is clearly showing from under the outer swollen surface of the tongue.

> >

> > Urine is golden, no cloudiness, never burns.

> > Sleeps at 10 pm, falls asleep quick, wakes to urinate once per night

> > No shortness of breath, restriction of chest or fullness in the chest.

> >

> > His itching is best in the morning, will generally not experience any

> > disomfort until his shower which sets him off a little.

> >

> > Overall, there does not seem to be a big difference in how he

> > experiences his rashes, but then again, he is a little avgue ont he topic.

> > What is clear is that he is sleeping better, despite having stopped the

> > cortisone. What is also clear is that the flare-ups, which are daily and in

> > the evening (throughout the evening, no evident, regular peaks), are about

> > as bad as they used to be, at least from his reports. He also seems to be

> > able to " cool " himself down more easily when getting agitated these days.

> > My treatments at this point are foccussed on resolving phlegm and

> > releasing qi, regulating qi. Typical points are Du 14, K 3, Sp 10 and so on.

> > I do not drain ( " xie " ) too much at all from yang channels because his

> > pulses are so weak and he presents with such fatigue, I don't trust my

> > technique at this point to not also drain his righteous qi.

> >

> > So anyway, I hope that was more informative,

> >

> > Yeah, I'll probably need the good luck

> >

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> >

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[Guest guest]

Hi Hugo,

Good to hear from you again!

This time the report seems to be completed, well done.

Let's look at the tongue and pulses:

Left hand = shows us too much damp had risen from Qi and blood level,

this caused by too much pressure, Qi, not from heat because there is

no heat signs nor symptoms and this excess caused from deficiency of

Qi . Actually from Qi , blood and jing deficiency " thin and deep in

bottom pulse "

Top ( Heart ) slippery ( damp ), soft ( water, damp ), middle depth (

blood and Qi or midjiao ) = blood and qi not transformed, but turned

to damp, in midjiao.

Middle ( Qi and blood level ) slippery ( damp ) , not root ( no qi,

actual Qi def ), middle depth ( at Qi and blood or midjiao, muscles

and tendons ).

Bottom ( Ki, Yin- ) absent ( def ) or thin deep ( thin: def, deep :

yang / qi def can not raise the pulse ) this could be a prenatal, no

problem.

 

Right hand = shows much damp has risen from Liver , external stress,

tension, pressure , no signs of heat here. Bottom pulse shows excess

pressure causing the pulse to float.

Top ( Lu ) superficial ( exterior ), slippery ( damp ), soft ( water,

damp ) = excess damp floating to the superficial level , skin.

Middle " Liver " (same ) too much damp within qi and blood + some

tightness ( tense, stress ) = too much damp within Qi and blood level

means this is not an acute , but a semichronic , generated from qi and

blood level , and with tension and stress it brought up to the skin

level. An excess caused damp to rise to skin and superficial must be

from heat symptoms to make these damp rise or from other pressure???

This cause could be from external stress because the Liver pulse gets

some tightness ( stress or pressure off and on , not from a constant

pressure )

Bottom (Ki yang ) float / superficial ( too much yang qi make it

floats ), no root ( def ), some tightness ( from stress ) = too much

yang qi from stress, excess, but from deficiency.

 

Tongue no longer red ( no heat ), thick greasy white coat ( too much

damp, no interior heat ) turn to medium thickness ( less damp now ),

and much more glossy ( much more yin deficiency, this could be from

medication or wrong treatments ) very pronounced scalloping ( very

much deficiency, but I would not claim this is SP and STO ) = Tongue

shows us from excess damp had turned into deficient jing, not yin

deficiency.

 

Conclusion based upon tongue and pulse diagnosis , I would prescribe :

Long Dan Xie Gan Wan for 2 – 3 days, 20 pills each, 3 times a day.

This temporarily relieves the stress and tension, the rash would

subside, but it will come back soon because of the deficiency.

After 2 – 3 days of Long Dan Xie Gan Wan, I would give another

formular : Ba Zhen Wan ( Qi and blood tonification plus regulation ).

This would resolve this issue.

 

Let's look at signs and symptoms to see if we are on the right track :

Rash on Yang channel ( exterior, floating pulse confirms it ), worse

with heat and with tight clothes ( this is heat excess, but is this

excess heat from deficient Yin?????????? Let's find out! )

Feel better from relaxation ( means bad with stress and tension , from

external excess factors ), better in the morning ( not too much yang,

heat, when the environment is cool ), worse in the evenings and at

night ( this is yin deficiency with internal heat floating, but if the

patient feels no heat then it must be from some pressure ), the raised

rash ( excess damp, no heat, ), some redness must be from scratching,

the friction. Please ask.

Calm and quiet ( no excess heat , heat causes agitation ), agitated

sometimes ( from Liver excess, stress, tension, fire but sometimes

does not count much ).

 

Based on inquiry and observation here, I see no symptoms of heat, not

much of deficiency, but rather from stress and environmental

conditions. This is an excess caused from stress, but it was not as so

severe that it could turn into phlegm and fire ( wiry rapid, or

slippery rapid pulses ). There was no yin deficiency , perhaps just

jing deficiency because there is no clear signs of heat or deficient heat.

My conclusion : LDXGWan relieves stress, and rash from external stress.

BZWan tonifies Qi, Blood " postnatal " which will nourish the Jing.

Acupuncture : S36, Sp6 ( tonify Qi and Blood " Ba Zhen Wan " ), do

not sedate to remove heat anywhere because no heat sign, But Reg Liv3

 

GOOD LUCK !!!!!!!!!!!!!!!!!! This is my treatment plan and this should

work! I feel like a freak if it would not work.

Others may have different opinions and plans of treatments, please

consider their judgments too. Any advice and wisdom would help!