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Measles block pattern

麻疹闭证 〔麻疹閉證〕má zhěn bì zhèng

Measles failing to erupt with evil toxin blocked in the inner body. A measles block pattern arises when externally contracted wind-cold, intense internal heat, food stagnation, or exuberant phlegm-damp obstruct lung qì and block the interstices, preventing the normal outthrust of measles papules. The signs are the appearance of speckles not followed by full eruption, or the premature disappearance of measles papules.

Medicinal therapy: The basic method is to diffuse the lung and outthrust papules. This should be variously combined according the particular pattern with one of the following: coursing wind and resolving the exterior; clearing heat and resolving toxin; dispersing food and abducting stagnation; clearing heat and dispelling phlegm. For topical treatment, boil a handful of coriander (Coriandri Herba cum Radice, 胡荽 hú suī) with water and an appropriate amount of liquor to produce a wash that should be applied warm. For qì vacuity reducing the fight against the toxin characterized by pale-white papules that fail to erupt fully, white face and green-blue lips, physical fatigue and lassitude of spirit, lack of warmth in the limbs, diarrhea, pale tongue with white fur, and a faint weak pulse, treat by boosting qì and harmonizing the center and by quickening the blood and outthrusting toxin, using Center-Supplementing Qì-Boosting Decoction (补中益气汤 bǔ zhōng yì qì tāng) plus carthamus (Carthami Flos, 红花 hóng huā). See maculopapular eruption.

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