Patients Name: Mark R. Age: 53 Gender: Male
Date of visit: 27-10-2021
Chief complaint: The skin on both elbow fossa, popliteal fossa, and vulva perineum was flushed and itchy for seven months.
History of present illness: The skin above the elbow fossa is flushed and itchy, swollen, and protrudes from normal skin; the skin of the popliteal fossa on both sides shows spotted flushing and itching, flushing and itching in the vulva and perineum. The application of ointment for external application can relieve symptoms in the first few months, and then external The ointment is not effective. The itching is unbearable, and I cannot fall asleep at night because of itching.
Physical examination: The tongue is red, with longitudinal cracks, and the tongue coating is small and white and greasy. The pulse of the left hand appears to be slippery, mainly in the Cun Guan area, and the pulse of the right hand appears to be thin and stringy, mainly in the Guan Chi area.
Mechanism of disease: There is heat in the blood, which dissolves the wind.
Treatment: Acupuncture: Kong Zui, Wan Gu; Xing Jian, Qu Chi; Zhong Guan, Qi Hai, Tian Shu, Zu Nei Ting
28-10-2021, The skin pruritus improved, the inflammatory edema of the skin lesion disappeared, but the flushing remained. There is abdominal bloating.
The tongue is thin, with multiple longitudinal cracks in the middle, and there are tooth marks on the edge of the tongue. The pulse is slightly slippery, mainly in the Guan Department.
Treatment: Acupuncture: Kong Zui, Wan Gu; Xing Jian, Qu Chi; Zhong Guan, Qi Hai, Tian Shu, Zu Nei Ting; Zu Tong Gu, Xia Xi.
After the acupuncture, a lot of farts was released, a lot of urine was eliminated, and the abdominal distension disappeared.
The itching of the skin on the upper arm and the itching of the popliteal basically disappeared. Complaints that the perineum and vulva are still itching.
Treatment: Acupuncture: Kong Zui, Wan Gu; Xing Jian, Qu Chi; Xuan Ji; Umbilical Needle: Kan Gong
Result：After acupuncture, the itching of the vulva and perineum is relieved.
View：Yin-yang imbalance, yin deficiency and fire are vigorous, clearing heat and relieving wind