LUPUS ERYTHEMATOSIS

Clinical Manifestations
  • Systemic:
    Lupus erythematosis is a type of autoimmune, connective tissue disease.
    Skin lesions
    Fresh, red colored, macular patches with sticky scales
    Mostly found over the nasal and cheek regions
    May be fused into a butterfly shape
    Mouth ulcers
    Loss of scalp hair
    Fever
    Arthralgia
    The Heart, Kidneys, Liver and other organs may be simultaneously involved
    May also be found on the:
    Frontal and mandibular regions
    Scalp
    Ears
    Auditory canals
    Limbs
    Trunk
  • Chronic disciform:
    Atrophic, depressed erythema with distinct borders
    Mostly found over the nasal and cheek regions
    May be fused into a butterfly shape
    Telangiectasis
    Adhesive scaling
    More or less symmetrical distribution
    The labial mucosa may exhibit grayish-white ulcerations with shallow festering
    Slow progression
    No systemic symptoms
    May also be found on the:
    Frontal and mandibular regions
    Scalp
    Lips
    Ears
    Auditory canals
    Limbs
    Trunk
Treatment Principle
Herb Formulas
  • Topical:
    Huang Lian Gao
    Grind 20g Hb. Artemisiae Annuae Qing Hao into a fine powder and mix thoroughly with 80g petroleum jelly and apply to the lesions.
Points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Lingering fever from a febrile disease
  • Vomiting
  • Irritability
  • Thirst with a desire to drink
  • Parched mouth, lips and throat
  • Choking cough
  • Restlessness
  • Insomnia
  • Nausea
  • Anorexia
  • Profuse perspiration
  • A dry mouth
  • Indigestion
  • Listlessness
  • Chest oppression
  • Ulcerations of the mouth
  • Coarse skin
  • Cough
  • Night sweats
  • Stifling sensation in the chest or epigastrium
  • T: Red
  • C: Little or None
  • P: Rapid and Deficient or Thready and rapid
Treatment Principle
  • Clear Heat in Lungs
  • Strengthen when weak or elderly
Herb Formulas
Points
Clinical Manifestations
  • High fever, worse at night
  • Insomnia
  • Irritability
  • Mild thirst with no desire to drink
  • Mental disturbance
  • Speech disturbance
  • Red, dry, painful rashes
  • T: Deep red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Reduce Heat in the Ying
  • Detoxify
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
  • Stop pain
  • Activate the Blood
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Sore, achy joints
  • The pain moves from joint to joint
Treatment Principle
  • Clear Heat
  • Dry Dampness
  • Activate the Blood
  • Dispel Wind
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough with sparse sputum
  • Sputum difficult to expectorate
  • Shortness of breath
  • Spontaneous perspiration
  • Dry mouth and tongue
  • Palpitations with a stifling sensation in chest
  • Fatigue
  • Irritability
  • Thirst
  • Dry throat
  • Insomnia
  • Listless speech
  • T: Red and dry or Pink and dry
  • C: Thin and dry
  • P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle
  • Augment Qi
  • Generate Fluids
  • Clear Heat
  • Preserve Yin
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy and clammy
  • Complexion white and shiny
  • Aversion to Cold
  • Low back, knees and abdomen feel weak, cold and painful
  • Lower abdomen feels cold and painful
  • Abdominal distention
  • Anorexia
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Weakness
  • Debility
  • Lassitude
  • Dysuria
  • Scanty urination
  • Severe:
    Abdominal ascites
    Hydrothorax
    Palpitations
    Shortness of breath
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain aggravated by Cold
  • Urinary difficulty
  • Deep, aching heaviness in the extremities
  • Generalized edema
  • Loose stools
  • Dizziness
  • Heavy sensation in the head
  • Palpitations
  • Cough
  • Epigastric palpitations
  • Aversion to Cold
  • Watery diarrhea
  • No thirst
  • Leukorrhea
  • Hiccup
  • Profuse perspiration
  • Cold limbs
  • Headaches
  • A husky voice
  • Hair loss
  • Asthma
  • Generalized twitching
  • Tidal flushing of the genitals by Dampness
  • Water buildup leading to hernia
  • Impotence
  • Prone to infections
  • Prone to allergies
  • Prone to Wind erysipelas
  • Diarrhea
  • Constipation
  • Chest pain
  • Mental and emotional disorders
  • Lightheadedness
  • Nasal obstruction with clear mucus
  • Impaired visual acuity
  • Prone to dormant papules
  • A sensation of something being stuck in the throat
  • Incessant sneezing
  • Swelling and pain of the teeth or gums
  • Feeling of unsteadiness as if one were about to fall
  • Distended or heavy sensation of the head
  • Palpitations
  • Gradual weight gain
  • Dyspnea
  • Abdominal distention and fullness
  • Pitting edema
  • Scanty urination or
  • Frequent, clear, abundant urination at night
  • Chills
  • Weak knees
  • Seminal emissions
  • Flaccid abdomen
  • Muscular aching
  • Chronic lower back pain
  • Nausea
  • Cyclic vomiting
  • Fever, perspiration does not reduce fever
  • Vertigo
  • Impaired memory
  • Shivering and trembling
  • Catches cold easily
  • Severe fatigue
  • Aches and pains in the body or extremities
  • Flank pain
  • Wheezing
  • T: Pale or Dark purple and swollen with teeth marks
  • C: White and slippery
  • P: Deep, thready and forceless or Deep and thready
Treatment Principle
  • Warm Yang
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Found in patients with Heart disease
  • Palpitations
  • Dyspnea
  • Choking sensations in the chest
  • Spontaneous perspiration
  • Insomnia
  • Restlessness
  • A pale complexion
  • Clammy hands
  • T: Pale
  • C: White
  • P: Weak and irregular or Slow and irregular
Treatment Principle
  • Tonify Qi
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Yellow, foul smelling leukorrhea
  • Short menstrual cycle with reddish-purple blood
  • Ear discharge
  • Yellow urine
  • Chest pain
  • Constipation
  • Turbid urine
  • Dry throat
  • Hematuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Red or Red edges
  • C: Yellow or Yellow and greasy
  • P: Wiry, Excess and rapid
Treatment Principle
  • Drain Excess Fire from the Liver and Gallbladder
Herb Formulas
  • Long Dan Xie Gan Tang
  • Chinese Patent Medicines:
    Long Dan Xie Gan Wan
    Qian Lie Xian Wan

    Chuan Xin Lian Kang Yan Pian
    Te Xiao Pai Shi Wan
    With hematuria: Yun Nan Bai Yao (take along with any of the above formulas)
Points
Clinical Manifestations
  • Sores along the Shao Yang Channel of the head
  • 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 the Liver Qi
  • Strengthen the Spleen
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Remission stage
  • Red papular lesions
  • The lesions are few and scattered
  • Persistent low-grade fever in the afternoon
  • Dysphoria with Five Sole Heat
  • Restlessness
  • A headache
  • Weakness
  • Insomnia
  • Fatigue
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth and lips
  • Thirst
  • Tinnitus
  • Alopecia
  • Night sweats
  • Malar flush
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • Light menses or
  • Late menses or
  • Amenorrhea
  • T: Red
  • C: Thin and yellow or Little or None
  • P: Thready and rapid or Weak and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Red butterfly shaped patches over the face
  • Aching pain of the low back and knees
  • Burning pain or aching of the hypochondria
  • Persistent low-grade fever
  • Listlessness
  • Ulceration of the buccal mucosa
  • Ulceration of the tongue
  • Dysphoria
  • Five Sole Heat
  • Dizziness
  • Insomnia
  • Abdominal distention
  • Abdominal distention
  • Anorexia
  • T: Red with echymoses
  • C: Little or None
  • P: Deep, thready and rapid
Treatment Principle
  • Nourish Liver and Kidney Yin
  • Clear Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Night fever with morning coolness
  • No sweating
  • Emaciation
  • Tidal fever in the afternoon
  • Steaming bone disorder
  • Night sweats
  • Spontaneous seminal emissions
  • Irritability
  • Heat and pain in the knees (maybe with weakness)
  • Atrophy and weakness of the knees and legs
  • Red face
  • Restless fever
  • Hematemesis
  • Sore knees
  • Sore lower back
  • Maybe hemoptysis
  • May be constant hunger
  • Maybe constipation
  • Hot flashes
  • Restlessness
  • Fidgeting
  • Insomnia with frequent dreams
  • Productive bloody cough
  • Easily angered
  • Nightmares
  • Sore feet with flaccidity
  • Tinnitus
  • Burning sensation over Kidneys
  • Dizziness or vertigo
  • Five Sole Heat
  • Cough
  • T: Red
  • C:Little
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Deficiency Heat
Herb Formulas
Points

Clinical Manifestations
  • Remission stage
  • Fatigue
  • Long-standing low-grade fever
  • A pale face
  • Poor appetite
  • Loose stools or
  • Constipation
  • Dizziness
  • Weak voice/reluctance to speak
  • Malar flush
  • Night sweats
  • Anxiety
  • Hot flashes
  • Dysphoria with Five Sole Heat
  • General malaise
  • Spontaneous perspiration or
  • Night sweats
  • Chest oppression
  • Shortness of breath
  • Lack of Spirit
  • Red patches on the face
  • Arthralgia
  • Palpitations
  • Hair loss
  • T: Red or Pale or Pale red
  • C: Thin white, Little or None
  • P: Deep and weak or Thready and rapid or Thready, rapid and forceless
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Clear Deficiency Heat
Herb Formulas
Points
Clinical Manifestations
  • Widespread purple lesions
  • The lesions are often atrophied
  • Joint pain
  • Occasional low-grade fever
  • Maybe Raynaud's disease
  • Hepatosplenomegaly
  • Arthralgia in the sternocostal region
  • Abdominal distention
  • Menstrual disorders
  • T: Pale or Dark red with echymosis
  • C: Thin and white
  • P: Thready and choppy or Taut and weak
Treatment Principle
  • Tonify Qi
  • Stabilize Yuan Qi
  • Invigorate the Blood
  • Reduce spots
Herb Formulas
Points

Clinical Manifestations
  • Amnesia
  • Palpitations
  • Feverishness
  • Anorexia
  • Emaciation
  • Pale face
  • Insomnia
  • Dyspnea on mild exertion
  • Fatigue
  • Shortness of breath.
  • Weight loss
  • Dry skin
  • Dry mouth
  • Dry throat
  • Dry lips
  • Uterine bleeding
  • Irregular menstruation
  • May suddenly lose consciousness
  • Slack jaw
  • Restless at night
  • Lassitude
  • Tendency toward being frightened easily
  • Weakness
  • Sallow complexion
  • Dizziness
  • Tremors in the limbs
  • Spontaneous perspiration
  • Fever and severe chills
  • General debility
  • Mental instability
  • Coughing and gasping.
  • Night sweats
  • Amnesia.
  • Diarrhea
  • Turbid urine
  • Nocturnal emission
  • Impotence
  • Constipation
  • Feeble breathing.
  • Tired limbs
  • T: Pale
  • C:White
  • P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Strengthen the Spleen and Lungs
  • Nourish the Heart
Herb Formulas
Points
Clinical Manifestations
  • Chronic, continuous uterine bleeding
  • A pale complexion
  • Stabbing pain in the abdomen
  • Alternating chills and fever
  • Irregular menstruation with profuse bleeding
  • Abdominal pain
  • Fever
  • Thirst
  • Itchy skin
  • Heat in the upper body with Cold in the lower body
  • Irritability and restlessness despite fatigue and exhaustion
  • Mood swings
  • A sallow complexion
  • Emaciation
  • T: Dry with a red tip
  • C: Thin white
  • P: Deep and rapid
Treatment Principle
  • Drain Fire
  • Resolve toxicity
  • Tonify the Blood
  • Stop bleeding
  • Warm the menses
  • Cool the Blood
Herb Formulas
Points
Etiology
  • Toxic Wind-Heat invades the Yin and Blood which impedes the flow of Blood and impairs the function of the joints.
Clinical Manifestations
  • High fever
  • Red, edematous maculae over the face and other parts of the body
  • General aching of the joints
  • Restlessness
  • Insomnia
  • Thirst with a preference for cold drinks
  • Malaise (often trance-like)
  • Absent mindedness
  • Dark urine
  • Constipation
  • Delirium
  • Coma
  • Convulsions
  • Echymosis
  • Hemoptysis
  • Hematochezia
  • Epistaxis
  • T: Deep red or Purple
  • C: Yellow and slimy
  • P: Slippery and rapid or Tight and rapid or Full
Treatment Principle
  • Clear Heat
  • Resolve toxicity
  • Cool the Blood
  • Open the channels
Herb Formulas
Points
Clinical Manifestations
  • Cough with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
  • T: Normal or Dark
  • C: Thick, greasy and white
  • P: Deep and wiry
Treatment Principle
  • Attack and Dispel water
Herb Formulas
Points