Medical consultation
Hello, doctor.
I would like to ask about how Traditional Chinese Medicine suggests that the location of symptoms can indicate the underlying issues of a disease.
I have not had any skin problems in the past, but recently, over the last two years, I have noticed that during winter, my abdomen itches inexplicably.
It improves with medication but starts itching again when I stop taking it.
Last year, the itching in my abdomen was resolved, but now it has shifted to the front and lateral sides of my lower legs.
I have to scratch it with my nails to relieve the itch.
Could you please explain why the symptoms are concentrated in these two areas? Thank you, doctor.
Zhen Zhu Wan Zi, 30~39 year old female. Ask Date: 2006/03/18
Dr. Wang Ruomei reply Traditional Chinese Medicine
Hello, Miss Pearl Meatball: Traditional Chinese Medicine (TCM) diagnoses diseases through four methods: observation, listening, inquiry, and pulse-taking.
Additionally, when necessary, it may also refer to Western medical tests.
The occurrence of a disease involves many factors, and I believe it is overly simplistic to determine the cause of a disease solely based on observation.
Taking skin diseases and itching as an example, potential causes include issues with the digestive system, such as constipation; thyroid problems; endocrine system issues, such as irregular menstrual cycles or abnormal vaginal discharge in women; poor sleep; immune system problems; or allergic reactions caused by the indiscriminate use of medications or health supplements.
All of these can be contributing factors.
The manifestation of a disease on our skin is merely a result, not the cause.
The true underlying cause must be identified through a detailed diagnosis by a physician, which is essential for targeted treatment and complete recovery! Response from TCM physician Wang Ruomei.
Reply Date: 2006/03/18
More Info
Itchy skin can be a frustrating and uncomfortable condition, and understanding its underlying causes is essential for effective treatment. In Traditional Chinese Medicine (TCM), the approach to diagnosing and treating skin issues, including itchiness, is holistic and considers various factors such as the body's internal balance, environmental influences, and the specific characteristics of the symptoms.
In TCM, the skin is closely related to the lungs and the body's overall Qi (energy) flow. The lungs are believed to govern the skin, and any imbalance in lung function can manifest as skin problems, including itchiness. Additionally, TCM emphasizes the importance of the body's internal organs and their interactions. For example, issues with the liver, spleen, or kidneys can also contribute to skin conditions.
Your experience of itchiness that has shifted from your abdomen to your lower legs may indicate a few things. In TCM, the location of the itch can provide clues about the underlying imbalance. The abdomen is associated with the spleen and digestive health, while the lower legs can be linked to kidney function and blood circulation. If the itchiness improves with medication but returns when you stop, it may suggest that the underlying issue has not been fully addressed, and the symptoms are merely being managed temporarily.
Several potential causes for your specific symptoms could include:
1. Wind-Heat or Wind-Dryness: In TCM, external factors like wind can invade the body, leading to skin issues. Wind-heat can cause redness and itching, while wind-dryness may lead to dry, itchy skin. This is particularly common in winter when the air is cold and dry.
2. Blood Deficiency: If your body lacks sufficient blood, it may not nourish the skin adequately, leading to dryness and itchiness. This condition can be exacerbated by factors such as stress, poor diet, or chronic illness.
3. Spleen Qi Deficiency: The spleen plays a crucial role in digestion and the production of blood. If the spleen is weak, it may fail to transform food into nourishing blood, leading to skin issues.
4. Kidney Yin Deficiency: The kidneys are essential for maintaining overall body fluids and moisture. A deficiency in kidney yin can lead to dry skin and itchiness.
To address these issues, TCM practitioners often recommend a combination of herbal remedies, acupuncture, dietary changes, and lifestyle adjustments. For instance, herbal formulas may be prescribed to nourish the blood, strengthen the spleen, or dispel wind. Acupuncture can help restore balance and improve Qi flow, while dietary recommendations may include foods that support spleen health, such as warm, cooked foods and avoiding cold or raw items.
In addition to TCM treatments, it's essential to maintain proper skin care, especially in dry winter conditions. Using gentle, hydrating moisturizers can help alleviate dryness and protect the skin barrier. Avoiding harsh soaps and irritants is also crucial.
In conclusion, understanding itchy skin through the lens of TCM involves looking at the body's internal balance and the interplay between various organs. If you're experiencing persistent itchiness, consulting with a qualified TCM practitioner can provide personalized insights and treatment options tailored to your specific condition. They can help identify the root cause of your symptoms and develop a comprehensive plan to restore balance and alleviate your discomfort.
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