Senile Pruritis

General

Clinical Manifestations	Skin irritation without primary skin rash from Wind due to Blood Deficiency or Stagnation of Six Exogenous Factors in skin General pruritis Localized itching
Treatment Principle
Herb Formulas
Points	DU-16, GB-20, LI-4, LI-11, SP-6, SP-9, SP-10, ST-36 (puncture two to four acupoints each time) Ear: Shenmen, Sympathetic, Shenshanxiang, Ear-22, Lung, Yangdian

Wind-Cold

Clinical Manifestations	General Pruritis without definite site Aversion to Cold and Wind Dry skin covered with squamae which mostly occur in winter or after attack by Wind and Cold Pruritis is relieved by warmth T: Normal C:Thin and whitish P: Floating and tense or Floating and slow
Treatment Principle	Eliminate Wind Dispel Cold Stop itching
Herb Formulas	Xiao Feng San modified
Points	General points

Blood Heat Generates Wind

Clinical Manifestations	Itching Red skin with Heat aggravated by warmth Drinking and eating pungent food Itching is relieved by Cold Fever Aversion to Wind Vexation Dry mouth T: Red C: Thin and yellowish P: Floating and slippery or Taut and rapid
Treatment Principle	Eliminate Wind Clear Heat Cool the Blood Stop itching
Herb Formulas	Pruritis #1
Points	General points

Dry Blood Due To Yin Deficiency

Clinical Manifestations	Susceptibility to onset in autumn and winter Dry skin covered with squamae Wide-spread scratches Severe nocturnal itching Thickened skin in the scratched area or Palpitation Insomnia T: Red or Reddish C: None P: Taut and thready
Treatment Principle	Nourish Yin and Blood Moisten Dryness Stop itching
Herb Formulas	Yang Xue Run Fu Tang modified
Points	General points

Damp-Heat

Clinical Manifestations	Pruritis mostly occurring suddenly around the anus and pudenda Secondary skin rash Pustules Oozing of water Pain after scratching Foul, yellowish vaginal discharge T: Red C: Yellowish and greasy P: Taut, slippery and rapid
Treatment Principle	Clear Heat Promote diuresis Expel Wind Stop itching
Herb Formulas	Long Dan Xie Gan Tang modified
Points	General points