This section examines more External Evil Qi
in its manifestation on the Skin, including malignancies
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Dermatology (contined)
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PARASITE INFECTIONS
SCABIES [itch mite]
Dx - CONTAGIOUS! Skin infection caused by microscopic parasite.
Et - Mite burrows under epidermis causing hypersensitivity; trnsferred from contaminated items; poor hygiene.
Ss - Intense itching & inflammation – secondary bacterial infections may arise from scratching.
Tx - NO Touching! Treat with mite shampoo. Disinfect after treatment!
Treatment for scabies consists of taking regular showers, then applying over-the-counter 5% permithrin medicated lotion to your whole body, except your head and neck. (DO NOT use scabies medicine containing lindane. It's poisonous.) Don't wash off the lotion for 8 to 12 hours. sometimes it takes 48 hours for the medicine to be effective. Frequently it takes two treatments to get rid of the Scabies mites. Because Scabies are sensitive to heat, you also can try taking a sauna. To avoid re-infection, wash the bedding and clothing of everyone in your family, or where you live, with borax, dry on the hot cycle, sterilize and iron. Vacuum your mattress as well.
LICE [pediculosis]
Dx - CONTAGIOUS! Parasitic skin infection.
Et - A ‘louse’ feeds on human blood; lays eggs (‘nits’) on hairs or clothing fibers - this is the source of the term, "Nitwit."
Ss - Pruritis [intense itching] from injected irritant. (Similar process with a mosquito).
Variations: (1) head [-capitis]; (2) body [-corporis]; (3) genital [-pubis] ["crab lice"]
Tx - NO TOUCHING! . - Disinfect all contacted linens – may survive for 2 weeks in fibers !
Treatment for Lice involves an over-the-counter anti-louse medication that you can use on the infected area, or a shampoo with anti-louse medication in it. Then, take a fine toothed lice comb to remove the "nits" (lice eggs) and dead lice. The best method for treating public lice (crabs) is mechanical removal with a fine-toothed lice comb. Comb daily for about two weeks until no live lice are discovered. Electronic louse combs that act like bug zappers are not more effective. Save your money.
To avoid re-infection, wash with borax and hot water all bedding, clothing, towels, and surfaces that have touched the head or body of the "lousy" person. Dry on the hot cycle, sterilize and iron. Vacuum carpets. Bag other items that cannot be cleaned. Lice cannot survive more than 55 hours without a human host.
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Non-Infectious Skin Disorders
BURNS
Dx - Inflamed tissue injury from excessive heat.
Et - Fire, heat, chemicals, electricity, the sun.
Ss -
1st degree - Mild red - dermis not damaged. [e.g. Mild sunburn]. Heals in 2-3 weeks.
2nd degree - Pain, superficial dermis damaged, blistering. Heals in 6 weeks.
3rd degree - Total dermis damaged. Possible anesthesia. White to charred color. No blisters.
Partial [Partial thickness of skin damaged] – skin graft not required.
Full [Full thickness of skin damaged] – skin graft required.
Tx - NO BODYWORK ON AN UNHEALED AREA! (Adjacent areas OK to assist healing). Liquid products containing Hyaluronic Acid have been known to prevent serious complications when poured directly on severe burns. Aloe Vera gel, squeezed directly from the plant, has been known to do the same.
CORNS
Dx - Keratin overproduction on or between toes.
Et - Pressure or friction (tight shoes).
Ss - Cone-shaped overgrowth; may ache or be tender.
Tx - Avoid bodywork or pressure on a corn (it hurts).
DECUBITUS ULCERS [trophic ulcer] [bedsore] [pressure ulcer]
Dx - Skin dies from lack of blood.
Et - Pressure over a bony area (bed, wheelchair, splint, etc.) for an extended time.
Ss - Blister or shallow ulcer, leading to an infected crater, leading to septicemia.
Tx - NO BODYWORK ON AN ULCER! (Adjacent areas OK to assist healing).
DERMATITIS - Eczema
Dx - Damp/Heat Skin Condition - Non-Infectious - even though it looks terribly infectious. . . There are 3 forms - Atopic, Seborrheic, & Contact:
Atopic: . . . . . . .
Et - Hypersensitivity to pollens, cosmetics, clothing, foods.
Ss - Vesicles, redness, edema, oozing, crusting, scaling, & itching.
Seborrheic: . . .
Et - Unknown. (Genetics, weather, neurology may be factors).
Ss - "Dandruff." A dry or greasy scaling of the scalp.
Contact:
Et - Touching metals, plants, chemicals, etc. when hypersensitive.
Ss - Inflammation, itching, blisters. Chronic form can scale.
Tx - Bodywork is not contraindicated. Use practitioner & client preferences.
DRUG HYPERSENSITIVITY
Dx - Skin inflammation due to drug reaction.
Et - Drugs
Ss - Vesicles, erythema, hives, and/or itching.
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Tx - Medic needs to attempt to modify prescription(s). No Bodywork on an Inflamed Area!
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PSORIASIS
Dx - Non-Infectious! - even though it looks infectious. Chronic skin disorder with excess keratinocytes.
Et - Unknown. (genetics seem to be involved).
Ss - Red skin covered with dry, silver scales, papules, & plaques.
Tx - Massage is not contraindicated. Use practitioner & client preferences.
ROSACEA ["adult acne"] ["acne rosacea"]
Dx - Chronic dilation of small, facial blood vessels. Flushed.
Et - Unknown. (stress, infections, hot/spicy foods, sunlight, physical activity, are factors).
Ss - May be papules, pustules, eye inflammation. Closely resembles Acne Vulgaris.
Tx - NO MASSAGE ON AN INFLAMED AREA! Hydrotherapy is contraindicated.
SCLERODERMA ["progressive systemic sclerosis"]
Dx - Inflammation, fibrosis & hardening of the connective tissues of skin, vessels, muscles & organs.
Et - Unknown autoimmune disorder. One-third die within 5 years.
Ss - Thickened skin, stiffness, weakness, swelling.
Tx - Bodywork can help joint stiffness. Heat therapy (moxa) is good.
SEBORRHEIC KERATOSIS
Dx - Resembles a wart.
Et - Unknown.
Ss - Wart-like, waxy, scaling protrusions on trunk or temples.
Tx - No contraindications.
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URTICARIA [hives]
Dx - Patches of red, swollen, and (sometimes) itching skin.
Et - Allergic reaction; emotional stress.
Ss - Local areas of inflammation.
Tx - No Bodywork on an Inflamed area!
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VITIGLIO [loss of melanin]
Dx - A patchy loss of skin pigmentation.
Et - Unknown. (genetics, pregnancy may be factors).
Ss - Visible white (non-pigmented) areas in otherwise darker skin.
Tx - No contraindications
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NEOPLASIA
Benign Skin Tumors
MOLE [nevus]
Et - Unknown.
Ss - A skin growth of melanocytes. Flat or raised pigmented growths.
Tx - No contraindications – use observation and common sense.
SKIN TAG
Et - Unknown.
Ss - Skin growths of small, soft, stalked, flesh-colored or pigmented tissue.
Tx - No contraindications – use observation and common sense.
ANGIOMA
Dx - Hhyperplasia of blood or lymph vessels.
Ss -
Capillary Hemangioma - Port-wine stain; red-blue plaque under skin in newborns.
Cavernous Hemangioma - Raised, reddish-purple discoloration.
Angiomatous Nevus - "Strawberry mark" is a soft, red nodule after birth. Gone in 5 years.
Spider Angioma - "Vascular spider" has a small red center with vascular radiants.
Lymphangioma - Yellowish hyperplasia of superficial lymph vessels.
Tx - No bodywork on an angioma area !
SEBACEOUS CYST [epidermoid cyst] [‘wen’]
Dx - Slow-growing benign tumor of keratin, sebum, & hair follicle cells.
Et - Unknown.
Ss - Firm, movable mass that produces a cheesy fluid substance when punctured.
Tx - No contraindications – But no massage of an inflamed cyst !
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Malignant Skin Tumors
SQUAMOUS CELL CARCINOMA
Dx - Constitutes 1/3 of all skin cancers.
Ss - Reddish-brown plaque.
Tx - NO ! - Refer to medic.
BASAL CELL CARCINOMA
Dx - Most common form of skin cancer.
Et - UltraViolet light.
Ss - Central ulcer with white border.
Tx - NO ! - Refer to medic.
MALIGNANT MELANOMA
Dx - Least common, most dangerous, form of skin cancer.
Et - Associated with sunburns earlier in life.
Ss - Irregular border, irregular pigmentation, growing, raised portions within lesion . . . or all raised, black color.
Tx - NO ! - Refer to medic.
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