This section examines External Evil Qi
in its manifestation on the Skin

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Dermatology is the "Study of the Skin"

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Skin Lesions

A practitioner may discover the presence of a skin disease by noticing a lesion [lee-zhun] – an "abnormal marking" on the skin’s surface during an examination.

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PRIMARY SKIN LESIONS

Primary skin lesions appear in previously healthy skin.

There are three major categories:

1. FLAT - A discolored area that is not elevated from the skin’s surface.

a. Macule < 10 mm. in diameter.

b. Patch . .> 10 mm. in diameter.

2. ELEVATED - A discoloration that is raised above the skin’s surface.

a. Papule . A small, solid, elevated lesion.

b. Plaque . An elevated lesion over 10 millimeters in diameter.

c. Pustule. An elevated lesion containing pus (dead leukocytes).

3. MISCELANEOUS

a. Nodule - [nod-yool] - a large, round, solid skin lesion. It may be flat or elevated.

b. Blister - A fluid-filled lesion that may be flat or elevated.

A small blister is called a "vesicle" and a large blister is called a ‘bulla."

c. Wheal - [wheel] - A reddish, swollen skin area that may be flat or elevated.

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SECONDARY SKIN LESIONS

These develop when a primary lesion is irritated or injured, usually through scratching.

1. FLAT Secondary Lesion

a. Erosion - A shallow crater in the epidermis. The dermis is not harmed.

b. Ulcer - A larger crater, indicating that both the epidermis and superficial dermis have been damaged. If the ulcer is shaped like a line, it is called a ‘fissure."

2. ELEVATED Secondary Lesion

a. Crusted - A crust or "scab" is an area of skin that contains dried blood or exudate.

b. Scaled - Collections of loose keratin (scale) on the surface of the skin.

c. Excoriation - A crusted skin area caused by scratching a skin lesion.

d. Scar - A collection of fibrous connective tissue which marks a large skin lesion that has healed by secondary union. If unusually prominent with excessive collagen, it is a ‘keloid" [key-loyd].

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Skin Infections

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BACTERIAL INFECTIONS

IMPETIGO

Dx - CONTAGIOUS! Bacterial Skin Infection [streptococcus].

Et - Poor hygiene, crowded living conditions, insects.

Ss - Vesicles, pustules, crusts, and "honey-colored" exudate. Slow-healing.

Tx - DO NOT TOUCH! Disinfect after treatment!

Note - Impetigo is caused by bacteria that are normally present on the skin, but somehow multiply beyond the norm. Medics treat this condition with (Rx) MUPIROCIN OINTMENT 2% (Bactroban).

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CELLULITIS

Dx - Infection attacking skin & subcutaneous (usually in leg).

Et -Injury (or other cause) allows bacterial entry.

Ss - Hot, red, tender skin. Swollen lymph nodes, orange-peel skin. Depressions.

Tx - (Rx) Antibiotics. Aloe Vera helps. - L No massage on or near infected area! Disinfect after treatment!

ACNE VULGARIS

Dx - Common inflammation of sebaceous glands; hormones (esp. testosterone) promotes sebum overproduction and entrapment in hair follicle.

Et - Complex chemistry of bacteria, sebum, & sex hormones. Tight clothing & stress are factors.

Ss - Papules (pimples), pustules, inflamed nodules.

Tx - L No massage on or near infected area! Disinfect after treatment!

HAIR FOLLICLE INFECTIONS

Dx - A pathogen attacks a hair follicle and causes inflammation.

Et - Bacteria.

Ss - 1 folliculitis - Small pustules or nodules at the base(s) of hair(s).

. . . . 2 furunclitis - Large inflamed pustule or nodule ("boil").

. . . . 3 carbunculitis - A group of furuncles that have spread (deep infection).

Tx - L No massage on or near infected area! Disinfect after treatment!

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FUNGAL & YEAST INFECTIONS

RINGWORM – Tinea - tinea capitis (head), corporis (body), manum (hand), cruris (groin), pedis (athlete's foot).

Dx - CONTAGIOUS! Fungal skin infection.

Et - Contracted by touching contaminated shoes, towels, skin, etc.

Ss - Vesicles, scales, inflammation, itching, discomfort. Often "ringed."

Tx - NO TOUCHING! Over-the-counter Ringworm Ointment or Athelete's Foot Ointment. Disinfect after treatment!

TINEA VERSICOLOR

Dx - Slightly Contageous! Fungal spots.

Et - Contact with an infected person or their clothing or sheets/pillows.

Ss - Small colored spots on white skin or white spots on tanned or brown skin. Causes slight itching. Slightly contagious.

Tx - Use gloves for bodywork. Treat with Selsun Blue Shampoo. - put Selsun directly on spots at bedtime; allow a few minutes to dry; dress for bed (wear something to prevent contamination of sheets/pillows); treatment for two days is normally enough to stop this condition.

CANDIDIASIS [monoliasis]

Dx - Yeast infection of skin.

Et - Candida Albicans [a normal skin component - overmultiplies] - caused by antibiotic use, AIDS, chemotherapy, diabetes, or systemic Candida condition.

Ss - Moist areas of skin, digits, nails.

Tx - L No massage on or near infected area! Disinfection is NOT required !

 

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Is Disinfection required after treating a Patient for Candidiasis ?

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VIRAL INFECTIONS

WARTS [verruca vulgaris]

Dx - CONTAGIOUS! A benign tumor of the epidermis & mucous membrane.

Et - Transmitted by contact with viral-infected skin.

Ss - 1 common - Rough, elevated surface, usually on hand(s).

. . . . 2 filiform - Thin & threadlike, usually on face & neck.

. . . . 3 flat - Several warts are spread via scratching or shaving. Not raised much.

. . . . 4 plantar - In-growing, tender, on sole of foot.

Tx - NO MASSAGE!

ORAL HERPES [cold sores] [fever blisters]

Dx - CONTAGIOUS! Painful vesicles on or near the lips or inside the mouth.

Et - Herpes simplex virus (type 1); Skin-to-skin contact (esp. kissing). Displays dormant-active cycles. Activated by trauma, sunburn, food sensitivity, anxiety, or a systemic disease.

Ss - Itching, burning, vesicle formation. For approximately 2 weeks.

Tx - NO MASSAGE DURING ACTIVE PHASE! - DO NOT TOUCH! - Various ointments/creams help some patients.

 

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