1. Acupuncture Treatment of Diseases Dermatology 1: Urticaria 风疹

2. Definition: Characterized by intense itching and an eruption of patchy wheals. Tendency of disappear and reappear, especially after exposure to wind, hence wind wheal. Main manifestations: Eruptions of light-red or pale pruritic pimples on the skin with transitory disappearance. Commonly refers to acute or chronic urticaria in western medicine.

3. Causes and Pathogenesis : Mainly caused by: 1.Due to weak constitution of the body… External wind gathers and attacks the skin surface Overeating of meat and fish leading to: accumulation of heat in the stomach and intestines, 2.And when further exposed or attack by external wind: The accumulated heat cannot be removed from interior or expelled from the exterior but is left in the skin leading to Rash.

4. Clinical Manifestations: Chief symptoms: i.Quick onset. ii.Sudden appearance of variable, irregular-shaped, patchy raised wheals on the skin surface. iii.Clear boundaries. iv.Colour: red or white v.Intense itch. vi.Can disappear fast. vii.Acute cases may last for 2 weeks. viii.Chronic cases will have repeat attacks.

5. Clinical Manifestations: 1.Invasion of external wind type Stated manifestations with: i.rashes are more severe on head, face and limbs. ii.onset related to changed of weather. iii.commonly a/w signs of exterior symptoms.

6. Clinical Manifestations: 2.Heat accumulation type Stated manifestations with: i.distension and pain in the epigastric region. ii.always diet related. iii.constipation or diarrhea. iv.concentrated urine. v.nausea and vomiting. vi.red tongue with yellow greasy coating. vii.slippery rapid pulse.

7. Clinical Manifestations: 3.Blood deficiency type Stated manifestations with: i.Problem can last for years. ii.a/w vexation. iii.Thirst. iv.red tongue. v.scant coating. vi.thick weak pulse.

8. Treatment : General principle Disperse wind. Clear heat. Activate blood and harmonizing the nutrients and immune system. Principle Channels: 1.Large Intestine channel. 2.Spleen channel. 3.Bladder channel.

9. Principle acupoints and explanation : 1.LI 11 Quchi 曲池 : disperse wing and release heat of Yangming. 2.LI 4 Hegu 合谷 : as above. 3.SP 10 Xuehai 血海 : regulate and activate blood. 4.SP 9 Sanyinjiao 三阴交 : as above. 5.BL 17 Geshu 膈腧 :Influential point of blood.

10. Principle of treatment 1. Invasion of external wind type Disperse wind. Clear heat. Activate blood and harmonizing the nutrients and immune system. Principle acupoints: as stated Supplementary acupoints: i.GV 14 Dazhui 大椎 : disperse wind and release heat of Yangming channel. ii.LU 10 Yuji 鱼际 : disperse wind and release heat of the Taiyin channel.

11. Principle of treatment 2. Heat accumulation type Disperse wind. Clear heat. Activate blood and harmonizing the nutrients and immune system. Principle acupoints: as stated Supplementary acupoints: i.ST 36 Zusanli 足三里. ii.ST 25 Tianshu 天枢. iii.ST 44 Neiting 内庭.

12. Principle of treatment 3.Blood deficiency type Disperse wind. Clear heat. Activate blood and harmonizing the nutrients and immune system. Principle acupoints: as stated Supplementary acupoints: ST 36 Zusanli 足三里.

13. TCM medical advises: 1.Avoid cold and raw food. 2.Avoid invasion by pathogenic wind, cold and damp.