Behcet's Disease

General

Clinical Manifestations	Behcet's Disease is a rare immune-mediated small-vessel systemic vasculitis that often presents with mucous membrane ulceration and ocular problems. This is a triple-symptom complex of recurrent oral aphthous ulcers, genital ulcers, and uveitis. As a systemic disease, it can also involve visceral organs such as the gastrointestinal tract, pulmonary, musculoskeletal, cardiovascular and neurological systems. This syndrome can be fatal due to ruptured vascular aneurysms or severe neurological complications.
Treatment Principle
Herb Formulas
Points

Heat In The Spleen And Stomach

Clinical Manifestations	Mouth, eye and genital sores of various sizes which are mostly painful The sores are primarily located in the oral cavity Diffuse red-colored macular lesions on the limbs Thirst with a desire for cold drinks Rapid hungering A clamoring Stomach Possible alcohol addiction Bad breath Swollen, painful gums T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Dispel Dampness
Herb Formulas	Gan Cao Xie Xin Tang Xie Huang San For more severe Excess Heat: Yu Nu Jianmodified
Points	LI-4, PC-7, REN-12, ST-44 For eye sores: + GB-1, SJ-23, Taiyang, bleed UB-2 For genital sores: + LIV-5, REN-2 For macular lesions on the skin: + REN-10, UB-40 For a sticky mouth with a slimy tongue coat: + SP-9

Spleen Deficiency With Dampness

Clinical Manifestations	Oral, eye or genital sores which endure and do not close Pale colored, flat or concave lesions Lassitude Lack of strength Anorexia Abdominal distention and discomfort Loose stools Long, clear urination Cold limbs Maybe low-grade fever Dizziness A distended feeling in the head T: Pale and swollen with teethmarks C: White P: Thready, moderate and slightly slow
Treatment Principle	Strengthen the Spleen Tonify Qi Eliminate Dampness
Herb Formulas	Bu Zhong Yi Qi Tangmodified
Points	SP-3, SP-9, ST-36 With abdominal distention: + ST-25 With undigested food in the stools, anorexia and nausea after meals: + ST-21 With Phlegm: + ST-40 With severe Spleen Deficiency: + UB-20, UB-21 With edema in the lower limbs: + REN-3, SP-6 With eye sores: + GB-1, SJ-23, Taiyang. bleed UB-2 With external genital sores: + REN-1, REN-2 With sores in the mouth: + PC-7

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Enduring disease with repeated recurrences Commonly precipitated by Cold and chill in the fall Oral or genital sores which are not particularly painful Sores may be accompanied by cold pain The sores are pale red The sores tend to grow hollow Dry, rough, painful eyes A somber, white facial complexion Dizziness Head distention Fatigue Anorexia Loose stools Abdominal pain better with warmth and pressure Lower and upper back aching and pain Aversion to Cold Cold limbs Easy lower limb and facial edema T: Pale, watery and glossy C: White P: Deep and thready or Deep, slow and forceless
Treatment Principle	Warm and supplement the Spleen and Kidneys
Herb Formulas	Fu Zi Li Zhong Tang + You Gui Yin Topical: Sheng Ji Yu Hong Gao
Points	Moxa or moxa needle DU-4, REN-4, ST-36, UB-23 With anorexia: + ST-21 With a sore throat or mouth sores: + KI-6 With eye disturbances: + GB-37 With external genital sores: + REN-1 With frequent stools: + ST-25 With Blood and pus in the stools: + SP-10, ST-37 With anemia: + UB-43 With impotence and decreased sexual desire: + UB-52 With edema in the lower limbs: + REN-9, SP-9 With undigested food in the stool and "cockcrow" diarrhea: + SP-9, ST-21

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	Mouth and throat ulcers Genital sores Both eyes are red, burning and hot Maybe yellow matter oozing from the corner of the eyes Generalized fever Heart agitation Chest fullness Flank pain A bitter/sticky taste in the mouth Yellow vaginal discharge Testicular swelling and pain A desire to sleep but cannot Restless sleep Constipation or Uneasy defecation Maybe joint pain T: Red C: Slimy and yellow P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Heat Drain Fire Dry Dampness Resolve toxicity
Herb Formulas	Long Dan Xie Gan Tang
Points	GB-34, LIV-2, SP-9, ST-44 With a fever: + LI-11 With lower limb edema: + REN-3, SP-6 With pustules, vesicles or folliculitis: + DU-10, UB-40 With eye sores: + GB-1, SJ-23, Taiyang, bleed UB-2 For genital sores: + LIV-5, REN-2 For constipation: + SJ-6 For a sore throat: + LU-5, bleed LI-1, LU-11

Liver And Kidney Yin Deficiency

Clinical Manifestations	During the mid to later stages of the disease or due to prolonged steroid use, there oral and genital sores that do not heal The sores are dark red and insidiously painful Dry, rough eyes Dark orbits of the eyes Blurred vision Photophobia Five Sole Heat Insomnia Night sweats Low back and knee pain and weakness T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish the Liver and Kidneys Nourish Yin Clear Heat
Herb Formulas	Liu Wei Di Huang Wan + Yi Guan Jian
Points	KI-3, PC-7, REN-2, SP-6, Taiyang For tidal or enduring low-grade fever: + DU-14, KI-2, HT-6 With Dampness: + SP-9 With painful joints: + Ahshi, LI-11, SP-9 With a sore throat or mouth sores: + KI-6 With red, rough, painful eyes: + GB-37, LI-4 With external genital sores: + REN-1 With insomnia: + DU-20 With scanty, dark urine: +SP-9 With Kidney Yang Deficiency: + REN-4 With nodular skin lesions: + DU-10, UB-40

Qi And Blood Deficiency With Blood Stagnation

Clinical Manifestations	Enduring disease which does not heal Repeated occurrences Oral and genital sores which do not heal The sores may or may not be painful Dark colored sores, especially the borders Decreased visual acuity Pale-red or purple-red nodular skin lesions Maybe hematuria Maybe hemafecia A somber, white facial complexion Scanty Qi Disinclination to speak Heart palpitations Fearful throbbing Dizziness Lack of strength T: Pale C: White with possible static macules or spots P: Thready and choppy
Treatment Principle	Tonify Qi Nourish the Blood Transform Stasis Unblock the channels
Herb Formulas	Ba Zhen Tang + Xue Fu Zhu Yu Tang For Blood Stasis due to Yang Deficiency: Behcet's Disease #1
Points	SP-6, ST-36, UB-17, UB-20 With a sore throat or mouth sores: + PC-7 With eye disturbances: + GB-37, LI-4 With external genital sores: + REN-1, REN-2 With Blood and pus in the stools: + SP-10, ST-37 With anemia: + UB-43 With anorexia: + ST-21

Damp-Heat

Clinical Manifestations	Relatively advanced sores of all sizes in the genital region The area is covered in yellowish-white, thick, turbid matter or which exudes pus The lesions and surrounded by painful redness and swelling The sores make movement difficult Lower abdominal fullness and cramping Maybe a red colored macular rash on the external genitalia or lower limbs This rash may be nodular or have a puss-filled head with severe aching pain Urination is short and red or hot Astringent, painful, strangurious urination T: Red C: Yellow or Yellow at the root or Yellow and slimy at the root P: Slippery and rapid
Treatment Principle	Clear Heat Resolve Dampness Relieve toxicity
Herb Formulas	Huang Lian Jie Du Tang + Wu Wei Xiao Du Yin
Points	LIV-2, LIV-5, REN-1, REN-2, SP-9, ST-44 With a fever: + LI-11 With lower limb edema: + REN-3, SP-6 With pustules, vesicles or folliculitis: + DU-10, UB-40 With eye sores: + GB-1, SJ-23, Taiyang, bleed UB-2 For constipation: + SJ-6 For a sore throat: + LU-5, bleed LI-1, LU-11

Toxic Heat

Clinical Manifestations	Intense fever Strong thirst Dry heaves Severe, stabbing headache Extreme irritability Delirious speech (severe) Rash (severe) Epistaxis (severe) Maculae Mania Convulsions Lips chapped, dark and scorched Coma Hematemesis Extreme coldness of the extremities Restlessness Spasms or convulsions Blurred vision T: Dark red C: Dry or prickly P: Deep, thin and rapid or Floating, large and rapid
Treatment Principle	Clear Heat Relieve toxicity Cool the Blood Drain Fire
Herb Formulas	Qing Wen Bai Du Yin
Points