Prescription for chloasma Prescription for chloasma Composition: Ganshu (BL 18), Shenshu (BL 23), Fengchi (GB 20), Yingxiang (LI 20), Taiyang (EX- HN5), Quchi (LI 11), Xuehai (SP 10). Taichong (LR 3) and Zhigou (TE 6) are added if there is hepatic qi stagnation. Zusanli (ST 36 ) is added if there is asthenia of spleen. Ouanyuan (CV 4), Qihai (CV 6), etc. are added if there is asthenia of kidney. Source: Acumox Therapies for Dermatitis compiled by Li Liansheng et al. Action: Regulating and supplementing liver and kidney, regulating qi to activate blood circulation, and clearing away heat to eliminate dampness. Elucidation: Chloasma is also called "dusty complexion", "blackish facial patch" in TCM. Its popular name is "butterfly patch". Its etiology and pathogenesis are as follows: Depression of hepatic qi caused by prolonged mental depression results in qi and blood stagnation on the face. Or asthenia of kidney and spleen, as well as qi and blood leads to damp-heat evaporating up to the face. The principles of acupuncture should be regulating and supplementing liver and kidney, regulating qi to activate blood circulation, and clearing away heat to eliminate dampness. Ganshu (BL 18) and Shenshu ( BL 23), the Back-Shu points of the liver and the kidney respectively, are selected to regulate and supplement the liver and the kidney in order to aim at the basic cause of the disease. Fengchi (GB 20), an acupoint of the gallbladder meridian, can be needled to disperse stagnated hepatic qi, to regulate facial qi and blood. Both Yingxiang (LI 20), an acupoint of the large intestine meridian, and Taiyang (EX-HN 5), an extra point, whose locations are near to the patch predilection site, can be needled to clear away heat, to eliminate dampness on the local region, to dredge and regulate qi and blood to dissipate blood stasis as well as patch. Qu-chi (LI 11), an acupoint of the large intestine meridian, can be needled to clear away heat, to dispel wind, and is effective in treating various kinds of dermatitis. Xuehai (SP 10), an acupoint of the spleen meridian, can be needled not only to invigorate spleen to eliminate dampness, but to activate, to nourish blood. Quchi (LI 11) is a commonly used acupoint in treating many kinds of dermatitis. Taichong (LR 3), the Source-Yuan point of the liver meridian, is added to disperse stagnated hepatic qi, in coordination with Zhigou (TE 6), an acupoint of the Sanjiao meridian, to strengthen the effect if there is hepatic qi stagnation. Zusanli (ST 36), an acupoint of the stomach meridian, is added to invigorate spleen-stomach to generate and transform qi and blood if there is asthenia of spleen. Guanyuan (CV 4), Qihai (CV 6), etc. are added to nourish renal qi if there is asthenia of kidney. Indication: Chloasma. Manifestations: pale brown, brown or light darkish patches around zygoma, forehead, upper lip or orbit, sometimes like butterfly, most with clear edges, no unwell feeling like aching, itching, etc., aggravating in Spring and Summer Copyright :TCM Discovery Net Please contact us if you want to reprint the articles Prescription for chloasma and lessening in Winter. If accompanied by dysphoria, hypochondrium fullness, bitter mouth, the disease is the syndrome of stagnated hepatic qi. If accompanied by dull yellowish, nonlustrous complexion, palpitation, short breath, flatulence, poor appetite and pink tongue, the disease is the syndrome of asthenia of splenic qi. If accompanied by blackish complexion, cool hands and feet, aversion to cold, pain and weakness of the waist and knee joint, the disease is the syndrome of asthenia of renal qi. Performance: Ganshu (BL 18) and Shenshu (BL 23) are all bilaterally selected and needled obliquely internally 0.5 - 0.8 cun. The needles are manipulated with the mild reinforcing-reducing method to make the acu-esthesia produced. Fengchi (GB 20) is bilaterally selected and inserted about 1 cun toward the apex of nose. The needles are manipulated with reducing method achieved by swirling-rotating to make the obvious acu-esthesia produced. Yingxiang (LI 20) is needled obliquely or horizontally about 1 cun toward the focus. The needle is manipulated with the reducing method achieved by swirling-rotating till the acu-esthesia is felt. Taiyang (EX - HN 5 ) is needled horizontally 0.5 - 1cun toward the focus. The needle is manipulated with the reducing method achieved by swirling-rotating till the acuesthesia is felt. Quchi (LI 11) is bilaterally selected and needled vertically 1 - 1.5 cun. The needles are manipulated with the reducing method achieved by swirling-rotating and lifting inserting to make the acu-esthesia transmit upward and downward. Xuehai (SP 10) is bilaterally selected and needled vertically 1 - 1.5 cun. The needles are manipulated with the reducing method achieved by swirling-rotating and lifting-inserting to make the obvious acu-esthesia produced in the local region. Taichong (LR 3) is needled vertically about 1 cun. The needle is manipulated with the reducing method achieved by swirling-rotating to the tolerance of the patients. Zhigou (TE 6) is needled vertically 0.8 - 1.2 cun. The needle is manipulated with the reducing method achieved by swirling-rotating and lifting-inserting to make the acu-esthesia transmit upward and downward. Zusanli (ST 36) is needled vertically 1 - 1.5 cun. The needle is manipulated with the reinforcing method achieved by swirling-rotating and lifting-inserting to make the acu-esthesia transmit upward and downward. Guanyuan (CV 4) and Qihai (CV 6) are needled vertically 1 - 2 cun. The needles are manipulated with the reinforcing method achieved by swirling-rotating and lifting inserting to make the acu-esthesia produced in the local region, transmit downward. The above needles are all retained for about 20 minutes during which the needles are manipulated 1 - 2times. The treatment is given every day or every other day. Ten times make up one course. Clinical material: Fairly good effect achieved in the treatment of chloasma with the traditional body acupuncture. Guo principally selected bilateral Shenshu (BL 23) and Ganshu (BL 18), the points of the gallbladder meridian, as well as Qihai (CV 6), an acupoint of the Conception Vessel. Retain the needles for 15 - 30 minutes during Copyright :TCM Discovery Net Please contact us if you want to reprint the articles Prescription for chloasma which warming needling was applied for 5 - 10 minutes. Supplement bilateral Yingxiang (LI 20). Moxibust 3 7 moxa cones at the focus. The treatment was given once a day. Seven days made up one course. Of 25 cases, 21 were clinically cured, 3 were significantly effective, and 1 effective. Bai adopted acupuncture in coordination with messaging the points' area and medicine osmosis to treat 174 cases of chloasma. The points selected were Baihui (GV 20), Feishu (BL 13) or Geshu (BL 17), Ganshu (BL 18), and Weishu (BL 21). Dadun (LR 1) or Taichong (LR 3) was added if there was stagnated hepatic qi. Sanyinjiao (SP 6) or Xuehai (SP 10) was added if there was asthenia of spleen. Taixi (KI 3) or Fuliu (KI 7) was added if there was asthenia of kidney. Select two points each time. All points were selected in turn. The treatment was given once a day. Ten days made up one course... Consequently, 130 were cured, 42 were significantly effective, 2 effective...[ChinaJournal of Acumox, 1995, (5). 51] Typical case: Tian, a female salesclerk of 30. The patient had suffered from chloasma for two years, esp. on the zygoma, cheek, upper and lower lips with dark brown color. No significant effect achieved after herbal medicine and oral vitamin C. Concomitant symptoms included swelling eyes, hands and feet in the morning, menstruation with 10 - 15 days delayed and scanty as well as pink menses, cold body and limbs, being disinclined to talk and short breath, pink tongue with teeth mark, sunken and small pulse. Shenshu (BL 23), Ganshu (BL 18), Mingmen (GV 4) and Zusanli (ST 36) were punctured with the reinforcing method and warm needling applied on each needle for 5 minutes. The needles were retained for 30 minutes. The needle on Fengchi (GB 20) was manipulated with the reducing method, and was not retained. The treatment was given every other day. Auricular points such as Ovary, Uterus, Liver, Kidney, Spleen, Stomach, Large Intestine, Lung, Endocrine, Subcortex, Adrenal Gland, Cheek, Forehead were pressed. The treatment was given every other day. Six to seven points were selected each time and pressed 3 4 times every day by the patient. The points on both ears were selected alternately. Mter 20 times of treatment, chloasma on the face and other signs disappeared completely. In order to strengthen the effect, only press the auricular points 5 times. The patient was cured. [ Acumox Therapies for Dermatitis published by Tianjin Science and Technology Publishing House, Oct., 1993] More wonderful, perfect and authoritative information, please click here: Service Help of Health and TCM Study! Extensive Reading The most effective slimming capsule in 2009- New feeling! Herbal Tea for Preventing Swine Flu! 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