SKIN SIGNS

Chapter contents

Due to the nature of skin diseases, in most cases only the skin signs will be given for each pattern without the other accompanying symptoms and signs pertaining to the Internal Organs.

GREASY SKIN

DRY SKIN

Observation, Chapter 21

Liver-Blood deficiency

Dry skin, dry hair, dizziness, blurred vision, floaters, numbness or tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Lung-Yin deficiency

Dry skin, thin hair, dry cough, weak voice, dry throat with a desire to sip water, hoarse voice, night sweating, tiredness, tongue without coating in the front, Floating-Empty pulse.

Kidney-Yin deficiency

Dry skin, dry hair, dry eyes, dizziness, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, lower backache, constipation, scanty dark urine, tiredness, normal-coloured tongue without coating, Floating-Empty pulse.

Liver-Yin deficiency

Dry skin, dry hair, dry eyes, floaters in eyes, blurred vision, dizziness, numbness/tingling of the limbs, scanty menstruation, dull-pale complexion but with red cheekbones, withered and brittle nails, dry skin and hair, night sweating, normal-coloured tongue without coating, Fine or Floating-Empty pulse.

Lung Dryness

Dry skin with acute onset, dry cough, dry throat, hoarse voice, dry tongue.

Wind-Dryness invading the Lungs

Dry skin with acute onset, aversion to cold, fever, dry cough, dry throat, itchy throat, hoarse voice, sore throat, Floating pulse.

Severe, chronic Blood stasis

Dry skin, dark face, dark rings under the eyes, abdominal pain, abdominal masses, painful periods, purple lips, Purple tongue, Wiry or Choppy pulse.

Other symptoms and signs depend on the organ involved. Blood stasis causes a dry skin only in severe and chronic cases.

Full-Heat

Dry skin, red face, a feeling of heat, thirst, mental restlessness, insomnia, Red tongue with dry yellow coating, Overflowing-Rapid pulse.

Other symptoms and signs depend on the organ involved.

Empty-Heat

Dry skin, scaly skin, malar flush, a feeling of heat in the evening, thirst with a desire to drink in small sips, mental restlessness, five-palm heat, night sweating, scanty dark urine, dry stools, Red tongue without coating, Floating-Empty and Rapid pulse.

Other symptoms and signs depend on the organ involved.

Wind in the skin

Dry skin, itchy skin, numbness/tingling of the limbs, skin eruptions that move around, come and go quickly and affect the top part of the body.

This is neither an external Wind, such as that seen in common colds and flu, nor internal Wind but simply ‘Wind’ in the skin, a condition frequently seen in skin diseases.

Liver-Blood deficiency with Empty-Wind

Chronic dry skin, itchy skin, scaly skin with white scales, slight tremor of the head/hand, facial tic, dizziness, blurred vision, unilateral numbness/tingling of a limb, Pale and Thin tongue, Choppy or Fine and slightly Wiry pulse.

ERUPTIONS

Eczema

Observation, Chapter 21

Damp-Heat with predominance of Heat

Red papular rash, vesicles, exudate, erosion, itching, a feeling of heat in the limbs, swollen, red and pain-ful joints, epigastric fullness, sticky and bitter taste, thirst with no desire to drink, a feeling of heaviness of the head and body, a feeling of heat, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Damp-Heat with predominance of Dampness

Red papular rash, vesicles, exudate, weeping skin eruptions, thickening of the skin, itching, epigastric fullness, sticky taste, thirst with no desire to drink, a feeling of heaviness of the head and body, sticky yellow tongue coating, Slippery-Rapid pulse.

Blood deficient and dry

Chronic eczema, pale-red skin eruptions, dry skin, erosion, itching, thickening of the skin, ridges on the skin, dry hair, brittle nails, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Spleen-Qi deficiency with Dampness

Chronic eczema, pale-red papular rash, vesicles, exudate, weeping skin eruptions, slight itching, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale or sallow complexion, weakness of the limbs, loose stools, abdominal fullness, a feeling of heaviness, sticky taste, poor digestion, undigested food in the stools, nausea, dull frontal headache, excessive vaginal discharge, Pale tongue with sticky coating, Soggy pulse.

Clinical note

• In my opinion, atopic eczema in children is caused by a congenital deficiency of the Defensive-Qi systems of the Lungs and Kidneys.

Psoriasis

Observation, Chapter 21

Blood-Heat

Red skin eruptions, hot limbs, itching with a feeling of heat, thirst, Red tongue, Overflowing-Rapid pulse.

Blood-Heat with Wind and Dryness

Red skin eruptions, red scales, dry skin, hot limbs, intense itching with feeling of heat, thirst,

Blood deficient and dry with Wind in the skin

Pale-red skin eruptions, dry and scaly skin with white scales, thickening of the skin, itching, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Blood stasis

Purple skin eruptions (often nummular or verrucous), chronic condition, dry skin, thickening of the skin, itching, purplish limbs, dark complexion, Purple tongue, Wiry or Choppy pulse.

Blood stasis with Wind and Dryness

Purple skin eruptions (often nummular or verrucous), chronic condition, dry scales, dry skin, thickening of the skin, intense itching, purplish limbs, dark complexion, Purple tongue, Wiry or Choppy pulse.

Wind and Heat in the skin

Acute red skin eruptions, itching, itchy area changing from day to day, hot limbs, a feeling of heat, thirst, Overflowing-Rapid pulse.

Blood-Heat with Wind and Dampness in the skin

Red, papular or vesicular skin eruptions often in skin creases, puffy skin, exudate, scaly skin, itching, Red and Swollen tongue, Overflowing-Rapid-Slippery pulse.

Liver- and Kidney-Yin deficiency with Empty-Heat

Pale-red macules covered by a thin layer of greyish-white scales, dry hair and skin, numbness/tingling of limbs, brittle nails, dizziness, tinnitus, dull occipital or vertical headache, insomnia, malar flush, dry eyes, blurred vision, lower backache, dry throat, dry vagina, night sweating, dry stools, scanty dark urine, scanty menstruation, five-palm heat, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

Basicmedical Key

Fastest Basicmedical Insight Engine

SKIN SIGNS

SKIN SIGNS

GREASY SKIN

Dampness

Damp-Phlegm

Phlegm-Heat

DRY SKIN

Liver-Blood deficiency

Lung-Yin deficiency

Kidney-Yin deficiency

Liver-Yin deficiency

Lung Dryness

Wind-Dryness invading the Lungs

Severe, chronic Blood stasis

Full-Heat

Empty-Heat

Wind in the skin

Liver-Blood deficiency with Empty-Wind

ERUPTIONS

Eczema

Damp-Heat with predominance of Heat

Damp-Heat with predominance of Dampness

Blood deficient and dry

Spleen-Qi deficiency with Dampness

Psoriasis

Blood-Heat

Blood-Heat with Wind and Dryness

Blood deficient and dry with Wind in the skin

Blood stasis

Blood stasis with Wind and Dryness

Wind and Heat in the skin

Blood-Heat with Wind and Dampness in the skin

Liver- and Kidney-Yin deficiency with Empty-Heat

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