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C a l i f o r n i a J o u r n a l o f O r i e n t a l M e d i c i n e Vo l . 2 6 N o . 1 • S p r i n g / S u m m e r 2 01 5
Dr. Wang Ju-Yi’s Clinical Case Studies: Treatment of
Eczema with Applied Channel Theory
By Jonathan Chang
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OM C LINIC AL M E DI C I NE
Treatment of Eczemz continued from page 15 Though the patient would have occasional and decreased in the night before falling
eruptions of papules, they were mild and asleep. Her armpits and groin region were
Results: After three treatments the patient’s
less severe. still clammy. After eating she would belch
eczema showed significant improvement.
Case Study 3: Ms. Yang, aged 39 a number of times in succession. She also
The area of lesions, and itchiness were
felt a surge of heat after eating (like a hot
reduced, while emotionally he also felt Chief Complaint: Eczema on the face,
flash), which made the itchiness worse. Her
calmer. After the sixth treatment the elbow, armpits (axillary), groin, and lateral
tongue was no longer dusky but pale, with
patient continued to receive acupuncture side of the lower legs for over twenty years.
a white-thin coat. Her pulse was thin.
treatments as maintenance to stabilize his
Medical History: Since the patient was 18
condition. Point Selection: PC-3, PC-7, LR-8, ST-37,
she has suffered from eczema throughout
LI-10 (shǒu sān lǐ), and ST-36 (zú sān lǐ).
Analysis: Channel examination found the the body, but particularly located on the
tài yīn, jué yīn, and shào yáng channels medial side of the limbs, on the neck, 8th Visit: The itchiness decreased, and
were abnormal, with the tài yīn changes and face. The lesions are itchy, flaky, feel the complexion in her face was less dark
more significant. Changes on the tài clammy, and the skin in the affected regions and purple. Later treatments focused on
yīn and jue yīn channel were physically are thickened. When the patient is nervous, regulating the yáng míng channel.
palpable, those on the shao yang were sleeps poorly, eats high-protein food, and in Point Selection: LI-4 (hé gǔ), LI-11 (qū chí)
visible in the form of red papules and the fall/spring the eczema flares up. Twenty and ST-36.
patches. Focus of the treatment was on years ago the patient was prescribed topical Results: Over a course of 13 treatments the
regulation of the tài yīn channel, with a corticosteroid medication, which made the patient’s eczema, flaky and thickened skin,
secondary focus placed on regulating the eczema on her face worse. In the past year, and abnormal pigmentation significantly
jué yīn. As the tài yīn’s ability to transform the patient has been taking Chinese herbs reduced. Other related symptoms, such as
dampness was impaired, the distribution and undergoing acupuncture treatments at irritability, poor sleep, constipation, and
of nutritional products throughout the another local hospital in Beijing. fluctuating dry/loose stools all showed
body was also inhibited, which, in turn,
Current Symptoms: In addition to the marked improvement.
prevented the nutrition to the jué yīn. As
eczema, the joints on the limbs feel Analysis: Channel examination found
such, the action of the jué yīn to foster
clammy. She has difficulty falling asleep, changes to the tài yīn, jué yīn, yáng míng
yin-blood was also impaired, such as its
with many dreams, and wakes up early. and shào yáng channels. The tài yīn’s
functions of purifying and maintaining the
She has scanty menstrual blood, with dark ability to transform dampness is impaired,
quality of blood.
menses and clots. The patient also has which can lead to less nutrients to the jué
The patient had symptoms related to
strong pre-menstrual emotional changes, yīn. As the jué yīn’s ability to purify and
both the tài yīn and jué yīn channels.
typically feeling sad. Her tongue is dusky maintain the quality of blood is impaired,
Symptoms directly related to eczema
and red, while her coating is white-thin. it leads to blood-dryness, which can
including skin lesions, puffy tongue, and
Her pulse is thin. enhance symptoms like itchiness. The
wiry-slippery pulse were rooted in the tài
yīn, however, symptoms such as irritability Channel Examination: Hand and foot tài patient also had symptom patterns related
and waking up at 1-3am from itchiness yīn, hand and foot jué yīn, hand and foot to the jué yīn yin-blood deficiency, such as
were related to the jué yīn. Itchiness was yáng míng, and hand and foot shào yáng poor sleep, scanty menses, irritability and
exacerbated by the jué yīn’s inability to channels are abnormal. nervousness. Whenever she was agitated
foster blood. Channel Differentiation: The illness is or nervous the eczema worsened. For the
For the first treatment, LU-5 and SP-9 located in the tài yīn and jué yīn channels. first treatment, the objective was to first
were selected to transform dampness. Since regulate the jué yīn. In order to foster yin
Channel Selection: Jué yīn channels.
the eczema was prominent on the shào and calm the spirit, the source and he-sea
Point Selection: PC-3 (qū zé), LR-8 (qū points of this channel were selected, PC-3,
yáng pathways along the hypochondriac
quán), PC-7 (dà líng) and LR-3 (tài chōng) PC-7, LR-3 and LR-8. Paired together these
region, including the lateral part of the
thigh, SJ-6 and GB-34 were used to dredge 2nd Visit: After the treatment, the patient’s points can regulate the qi mechanism and
the shào yáng. It must be noted that the quality of sleep showed significant improve- warm-replenish the jué yīn.
shào yáng is the interior-exterior paired ment. She was able to sleep longer for the Over the course of the treatments, as
channel of the jué yīn. After the first first three days after the treatment, but the patient’s emotions became calmer
treatment, as the hypochondriac lesions during the final three days her sleep was and her sleep improved, her eczema also
disappeared, focus shifted to regulating poor again. The skin lesions were reduced showed improved, including the abnormal
the tài yīn and jué yīn channels, with LU-5, in severity. She had constipation, with pigmentation and itchiness reduced. Focus
SP-9, PC-3 and LR-8 as the chief points to stools that fluctuated between dry and then shifted to regulating the yáng míng
transform dampness and foster yin-blood. loose. Her tongue was dusky and red, with channel.
Over the course of the treatments, the a thin-white coat. Her pulse was thin. Point The yáng míng was selected as the
symptoms linked to the jué yīn, such as Selection: PC-3, PC-7, LU-5, SP-9 and ST-37 eczema was most prominent on the face,
the agitation, irritability and poor sleep, (shàng jù xū). especially on the cheeks where there was
exhibited substantial relief, which suggested itchiness, dark-purplish, thickened and
3rd to 7th Visits: Sleep was significantly
that the jué yīn’s qi transformation had flaky skin. The facial region is also mainly
improved and her stools were normal. The
recovered. For the last phase, treatment related to the yáng míng channel pathways.
patient still had no change to the itchiness,
concentrated on regulating the tài yīn. In addition, the patient had yáng míng
which was more severe during the day,
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Medical Dictionary it defines the term as can easily disregard point protocols the 8. 同
病异治:同一病证,可因人、因时、因地的不同,或由
于病情的发展,病型的各异,病机的变化,以及用药过程
meaning that “a specific disorder must be moment channel examination is applied in 中正邪消长等差异,治疗上应根据不同的情况,采取不同
treated according to the unique conditions the clinic. 的治法 (《中医大词典》,人民卫生出版社,2005)。