Glossary
Sores and Boils (瘡瘍, Chuang Yang)
瘡瘍, Chuang Yang is a generic term used to describe all conditions that appear on the surface of the body, particularly suppurative conditions caused by External Pathogens such as sores, boils and ulcers but can also refer to nodules, lumps and other lesions. Internal disharmony may also be a contributing factor but it is usually due to a disruption of Qi and Blood or disharmony of Ying and Wei that allows a pathogen to take hold.
They are divided into Yang and Yin types depending on their presentation:
Yang Types: rapidly developing and changing, often red, painful and swollen but relatively superficial and heal quickly and easily.
Yin Types: slower forming, harder nodules that are flatter, more deeply rooted and do not suppurate easily. These are generally harder to treat and slower to heal.
There may also be combined patterns, or the transformation of
Yang into
Yin or vice versa within the same patient.
Treatment is generally separated into three stages:
Stage I: Before pus formation
Dispersing methods to clear the pathogens from the Exterior while circulating underlying Qi and Blood and supporting the Interior.
Stage II: Prior to pus breaking down, or when there is restricted drainage
Methods to draw pus out are used.
Stage III: After drainage
Anti-pathogenic Qi is reinforced and underlying deficiencies are treated to ensure proper healing.
瘡瘍,
Chuang Yang may also be divided into specific types with particular treatment methods. Some of these include:
Sores and blisters: 瘡, Chuang
Ulcers: 瘍, Yang
Boils: 疔, Ding
Furuncles: 疖, Jie
Abscesses and carbuncles: 癰, Yong
Nodules: 核 He or 结 Jie
Rash: 疹 Zhen
Itching: 癢 Yang or 風, Feng (literally "Wind", the etiological factor behind itching)
Ringworm: 癣 Xuan
Acne: 粉刺, Fen Ci (literally "white powder thorns")
Erysepilas: 丹毒, Dan Du (literally "Cinnbar Toxin")
Scrofula: 瘰癧, Luo Li
Breast lumps: 乳癖; Ru Pi
Goiter: 瘿, Ying
For further information on specific conditions and their treatments please see:
Xu (2004): Dermatology in Traditional Chinese Medicine
Shen, Wu & Wang (2007): Manual of Dermatology in Chinese Medicine
Chen, Li & Han (2011): Chinese External Medicine