I. Symptom differentiation
1. Wind-heat in the lung meridian
Primary manifestation: Reddened face, inflamed acne with heat and pain, possible pus-filled blisters, red tongue with thin yellow coating, rapid floating pulse.
2. Damp-heat in the stomach and intestines
Primary manifestation: Red, swollen, painful rashes, accompanied by constipation, yellow urine, poor appetite, bloating, red tongue with greasy yellow coating, slippery rapid pulse.
3. Impaired spleen function
Primary manifestation: Rash appears dull red, recurring frequently, possibly accompanied by poor appetite, loose stools, fatigue, thin white coating on the tongue, soft rapid pulse.
4. Stagnation of blood stasis
Primary manifestation: Long-standing acne, dark-colored rashes, nodules present, dark tongue with thin white coating, wiry pulse.
5. Deficiency of liver and kidney
Primary manifestation: Bright red acne, accompanied by soreness in waist and knees, pale red tongue with thin white coating or little coating, fine pulse.
II. Treatment
1. Wind-heat in the lung meridian
Method: Dispel wind, clear heat, promote lung function.
Prescription: Jingzhe, Hegu, Dazhui, Feishu.
Operation: Use filiform needle for draining method at Jingzhe, Hegu, Dazhui. At Feishu, first use three-edged needle for puncturing, then apply cupping.
2. Damp-heat in the stomach and intestines
Method: Clear heat, resolve dampness, regulate bowels.
Prescription: Quchi, Shangjuxu, Tianshu, Yinlingquan.
Operation: Use filiform needle for draining method.
3. Impaired spleen function
Method: Strengthen spleen, resolve dampness.
Prescription: Sanyinjiao, Zusanli, Hegu, Piyu.
Operation: Use filiform needle for tonifying method, can be moxibustion.
4. Stagnation of blood stasis
Method: Activate blood circulation, remove stasis, improve complexion.
Prescription: Geshu, Neiguan, Sijian, Xuehai, Feishu.
Operation: Except for Feishu and Geshu where bloodletting and cupping are applied, all other points use filiform needle for draining method.
5. Deficiency of liver and kidney
Method: Tonify liver and kidney.
Prescription: Taixi, Sanyinjiao, Ququan, Ganshu, Shenshu.
Operation: Use filiform needle for tonifying method.
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