WARTS, VERRUCA, HUMAN PAPILLOMA VIRUS(HPV)

Clinical Manifestations
  • Common warts (verruca vulgaris):
    Warts may appear at any age but are most common in older children and can be found in multiple or single forms.
    Traditionally they are referred to as the "1000 day eruption" because they commonly last for approximately that duration of time.
    Warts will attack a specific area of the body and depending on the local area's immunity the wart may grow.
    Warts are most commonly found on the hand, fingers, feet, toes, face and around the nails of the hands and feet.
    They will be rough, round or oval, raised, light gray or yellow, silk like, and most commonly found to be the size of a soy bean.
    Warts are commonly smaller and larger than this depending on the type and growth rate.
  • Flat warts:
    Flat warts are caused by the same virus as common warts but are different in shape and size.
    They are usually rice sized round or oval papules which are hard to the touch and may have a slight itch.
    The onset is slow and is frequently found on the face, forearm and dorsum of the hand.
    Usually these warts are present on young females but can also be found on males.
    They look like flat papules are flesh colored or brown and hard.
    They vary in size from the size of a grain of rice to that of a soybean.
    Their surface is smooth to the touch and shiny.
  • Soft warts: Small raised bright skin swellings that resemble rat nipples.
    They are contagious and may have a cottage cheese like discharge.
    Soft Warts are most commonly found on the body trunk and limbs but may be present throughout the body.
    They tend to occur in children.
    Do Not Scratch - contagious
  • Filiform warts (verruca filiformis): Usually develop on the eyelids and around the neck of the middle-aged.
    They are tender and grow to about 1 mm.
  • Plantar warts : Occur on the soles of the feet or between the toes or on the heel.
    They are the size of a soybean or larger.
    Their surface is often rough and uneven
    When their superficial cornification is removed, the deep papillary corneal layer is whitish and bleeds easily.
    Tenderness is obvious.
  • Periungual warts: Prickle-shaped hyperplasias found on the edge of the nail body which may extend under the nail, with gaps prone to develop pyogenic infection.
  • Digitate warts: Shaped unevenly, usually appearing on the scalp.
Treatment Principle
Herb Formulas
Points
  • Use the channel Source points.
  • Select channel points neighboring the lesions and treat every other day.
  • Pierce the original "mother wart".
    1. Insert a needle horizontally through the wart.
    2. Insert the needle perpendicularly through the tip of the wart through to its base.
    In both cases, pinch the wart tightly until it turns pale then insert the needle swiftly until one or two drops of blood appear. Use a 32-34 gauge 1/2 inch needle.
  • Surround the area with needles, pull the wart up and needle under it at the root.
  • Moxibustion: Use direct moxa on wart (burn).
  • Strangle: Use the patients own hair to tie around wart and strangle it too death.
  • Bleed Jing-Well points if the warts are near extremities.
  • Flat warts: Dukong (located on the dorsal aspect of the first and second joints of the thumb and big toe. Needle 1 to 2 cun and retain ten minutes.)
    Ear: Shenmen, Lung
  • Soft warts: Puncture the top of the wart and squeeze out the whitish substance. Apply Zhui Yi Dan.
  • Linear warts along the Pericardium channel: PC-3, PC-6, SI-7
Clinical Manifestations
  • Chills and fever
  • Achiness
  • Stiff neck and shoulders
  • Anhidrosis
  • Headache
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Cold
  • Maybe frozen shoulder
  • * The Tai Yang symptoms remain for 2-3 days
  • Thirst with no desire to drink
  • May have vomiting immediately after drinking
  • Difficult urination
  • May have upper body edema
  • T: Normal
  • C: White
  • P: Floating and slippery
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Expel Wind
Herb Formulas
Points
  • Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28
  • Dukong (located on the dorsal aspect of the first and second joints of the thumb and big toe. Needle 1 to 2 cun and retain ten minutes.)
    Ear: Shenmen, Lung
Clinical Manifestations
  • Heavy, painful head
  • Generalized sensation of heaviness
  • Back pain
  • Generalized pain or muscle ache
  • Difficulty bending or rotating trunk
  • Mild fever
  • Slight aversion to Wind and Cold
  • Dizziness
  • Anorexia
  • Anhidrosis
  • Stiffness of the neck
  • Chest oppression
  • Chills
  • No perspiration
  • Aversion to Cold
  • Lassitude
  • Back pain
  • T: Pink
  • C:White or Greasy and white
  • P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight
  • Flat warts:
    Unclear eruptions
    No itching
Treatment Principle
  • Dispel Wind
  • Eliminate Dampness
  • Relieve the exterior
  • Alleviate pain
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Warts appear more in the upper areas
  • Itching
Treatment Principle
  • Expel Wind
  • Clear Heat
Herb Formulas
Points
  • Dukong (located on the dorsal aspect of the first and second joints of the thumb and big toe. Needle 1 to 2 cun and retain ten minutes.)
    Ear: Shenmen, Lung
Clinical Manifestations
  • Small raised bright skin swellings that resemble rat nipples
  • They are contagious and may have a cottage cheese like discharge
  • Soft Warts are most commonly found on the body trunk and limbs but may be present throughout the body
  • They tend to occur in children
  • Do Not Scratch - contagious
Treatment Principle
  • Clear Heat
  • Relieve toxicity
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Heat in the Upper Jiao
Treatment Principle
  • Clear Heat in the Qi and Xue Stages
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Acute
  • Short course
  • Many eruptions
Treatment Principle
  • Drain Excess Fire from the Liver and Gallbladder
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Chronic
  • Rough (cauliflower shaped)
  • Gray-brown
  • Bleeds when broken
Treatment Principle
  • Nourish Kidney Yin
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Many warts
  • The surface is dry, withered and rough
Treatment Principle
  • Nourish the Blood
  • Calm the Liver
  • Subdue Rising Liver Yang
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Chronic dark brown eruptions
  • The warts are solid
  • Vastly distributed
Treatment Principle
  • Invigorate the blood
  • Eliminate Stasis
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Small raised bright skin swellings that resemble rat nipples
  • They are contagious and may have a cottage cheese like discharge
  • Soft Warts are most commonly found on the body trunk and limbs but may be present throughout the body
  • They tend to occur in children
  • Do Not Scratch - contagious
Treatment Principle
  • Clear Heat
  • Resolve Dampness
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Large warts
  • Exudation or pus
Treatment Principle
  • Clear Heat
  • Resolve Toxins
  • Activate the Blood
  • Break up Stasis
Herb Formulas
Points
  • General points