CELLULITIS (PELVIC CELLULITIS, PARMETRITIS)

Clinical Manifestations
  • Cellulitis is an acute inflammation of the connective tissue of the skin, caused by infection with staphylococcus, streptococcus or other bacteria. The skin normally has many types of bacteria living on it, but intact skin is an effective barrier that keeps these bacteria from entering and growing within the body. When there is a break in the skin, however, bacteria can enter the body and grow there, causing infection and inflammation. The skin tissues in the infected area become red, hot, irritated and painful. Cellulitis is most common on the lower legs and the arms or hands, although other areas of the body may sometimes be involved. If it involves the face (erysipelas), medical attention is urgent. People with fungal infections of the feet, who have skin cracks in the web spaces between the toes, may have cellulitis that keeps coming back, because the cracks in the skin offer an opening for bacteria.
  • Symptoms and signs include:
    Redness
    Tenderness
    Swelling
    Warmth of the affected area
  • Pelvic Cellulitis (Parametritis): Inflammation of the tissue adjacent to the uterus, particularly in the broad ligament
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Slight fever
  • Strong chills
  • Anhidrosis
  • Headache
  • Cold extremities
  • Fatigue with a constant desire to lie down
  • Drowsiness
  • Pale face
  • Lassitude
  • Low voice
  • Weak voice
  • T: Pale
  • C: White
  • P: Floating, big and forceless or Deep and forceless
Treatment Principle
  • Tonify Yang
  • Augment Qi
  • Release the Exterior
  • Induce sweating
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Coughing
  • Reddish urine
  • Dyspnea
  • Vertigo
  • Severe aversion to Cold
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Burning, red, swelling and pain caused by carbuncle on the skin
  • Phlegm and toxins in the neck
  • Mild chills
  • High fever
  • Little sweating
  • Thirst
  • Deep-colored urine
  • Toothache
  • T: Red tip
  • C: Whitish or Yellowish
  • P: Floating rapid pulse
Treatment Principle
  • Dispel Wind
  • Clear Heat
  • Cool the Blood
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Cellulitis of the head and face
  • Strong fever and chills
  • Redness of the head and face
  • Swelling and burning pain of the head and face
  • Throat dysfunction
  • Swelling and pain of the throat
  • Thirst
  • Red and swollen eyes
  • Difficulty opening the eyes
  • Aversion to Cold
  • Throat Dryness
  • Facial edema
  • Restlessness
  • T: Red or Dry and red
  • C: Powdery white or Yellow
  • P: Floating, rapid and forceful or Rapid and forceful
Treatment Principle
  • Clear Heat
  • Eliminate Fire toxin
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Local inflammation with pus
  • Deep-rooted, hard and painful boils
  • Erythema
  • Swelling
  • Heat
  • Carbuncles
  • Furuncles
  • Fever and chills
  • Pain
  • T: Red
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Intermittent discharge of pus
  • The sores either do not suppurate or only leak pus slowly and fail to heal
  • Viscous, thin fluid
  • Mental and physical fatigue
  • Lassitude
  • Lack of luster
  • Poor appetite
  • Loose stools
  • Fever
  • Carbuncles
  • Furuncles
  • Sore throat
  • Suppuration
  • Cellulitis
  • Boils
  • Abdominal masses that are solid on palpation
  • T: Pale
  • C:Thin white
  • P:Thready and weak or Rapid and weak
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi and Blood
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Early menstruation
  • Late menstruation
  • Scanty menses
  • Light-colored menses
  • Menses may be mixed with leukorrhea
  • Low back pain that can be severe
  • Soft stools
  • Distention in the lower abdomen
  • A sense of prolapse in the lower abdomen
  • Anorexia
  • Fatigue
  • Light headedness
  • Dizziness
  • Frequent erotic dreams
  • Tinnitus
  • Urinary frequency at night
  • Weakness in the lower limbs
  • Vertigo
  • T: Pale
  • C: Thin
  • P: Deep and frail
Treatment Principle
  • Enrich and tonify the Kidneys
  • Strengthen the Spleen
  • Nourish the Liver
  • Regulate the Chong and Ren channels
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Redness
  • Tenderness
  • Swelling
  • Warmth of the affected area
  • Frequent cloudy, milky urination
  • Maybe greasy urine
  • Thick, white vaginal discharge
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm the Kidneys
  • Drain Dampness
Herb Formulas
Points
Clinical Manifestations
  • Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin
  • The swellings are not hot to the touch
  • No thirst
  • Swollen and painful joints
  • Wasting of the muscles of the thigh and calf
  • T: Very pale or Pale-pink
  • C: White
  • P: Thready and forceless or Deep and slow
Treatment Principle
  • Warm Yang
  • Tonify the Blood
  • Disperse Cold
  • Eliminate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Abscess
  • Sores
  • Swelling
  • Burning sensations
  • Pain
  • Pus formation without ulceration
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Abscesses
  • Acne
  • Ocular infection
  • Purulent skin lesion
  • Weeping eczema
  • Different types of bleeding
  • T: Red
  • C: Greasy and yellow
  • P: Fine, slippery and rapid or Floating, slippery and rapid
Treatment Principle
  • Clear Heat from the Blood
  • Eliminate toxins
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense, deep and slow
Treatment Principle
  • Activate the Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduce fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
Herb Formulas
Points
Clinical Manifestations
  • Redness of the skin
  • Tenderness
  • Swelling
  • Warmth of the affected area
  • Dermatitis
  • Maybe a high fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Maybe incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity
  • Activate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Afternoon fever
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Severe headache
  • Flushed cheeks
  • Bad breath
  • Tinnitus
  • Hearing loss
  • Irritability
  • Insomnia
  • Coughing up viscous, thick sputum
  • Dark urine
  • Swollen lymph nodes
  • Abdominal tension and itching
  • Darkened skin
  • Epistaxis
  • Itching
  • Formation of cellulitis
  • T: Red
  • C: Normal or Yellow
  • P: Wiry and rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Spread Liver Qi
  • Strengthen the Spleen
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Swelling of the affected area
  • Hardening of the affected area
  • Stomach ache with tenderness
  • Pain in the affected area
  • Hematemesis with purplish discharge
  • No change in skin color in the early stages
  • T: Dark
  • C: White and smooth
  • P: Choppy
Treatment Principle
  • Warms Cold
  • Dissolves Phlegm
  • Disperses Dampness
  • Dispels Stagnation
  • Opens the channels and collaterals
Herb Formulas
Points