External Pathogen EXTERNAL_TOXIN_HEAT

External Heat-Toxin

💊 Treatment principle: Clear heat, remove toxin

Description

External heat forming toxin

Clinical features

High fever, ulcers, boils, red eyes, sore throat, red tongue with yellow coating

⚡ Cupping advice

Moderately effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping kan worden overwogen als aanvullende therapie

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

LI11 Primary
Quchi 曲池
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SP10 Primary
Xuehai 血海
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LI4 Secondary
Hegu 合谷
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ST44 Secondary
Neiting 内庭
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🚫 Moxa advice

not recommended

📜 Herbal formulas

Lei Gong Teng 雷公藤
🧠 TCM pattern:

Heat-toxin blocking meridians

📋 Indications:

Active treatment-resistant RA (DAS28 >3.2) with insufficient response to MTX

📖 Classical source: Chinese pharmacopoeia
🚫 Contraindications:

Pregnancy, children, renal insufficiency, severe liver disease

⚠️ Safety warnings:

Monitor liver enzymes, CBC, pregnancy test; gonadotoxic