Measles

=Chinese Medicine Treatment of “Hard” Measles – Rubeola (Ma Zhen):= TCM Diagnosis of Measles - toxic heat invasion in the mouth (muscles -Spleen) or the nose (pores -Lu)

**Early Stage**
acute onset, fever, slight sweat, runny nose, tearing eyes, aversion to cold, headache, scanty dark urine, soft stool - within 2-3 days koplic spots appear T - thin, yellow coating P - floating rapid Rx- Xuan Du Fa Fiao Tang: Sheng Ma, Ge Gen, Jing Jie, Fang Feng, Bo He, Qian Hu, Niu Bang Zi, Jie Geng, Gan Cao Modifications: -With high fever, no sweat, Fu Ping -Sore throat: Ma Bo, She Gan, -YinDeficiency: Sheng Di Huang, Xuan Shen, Tian Hua Fen -Qi Xu: Huang Qi, Ren Shen

**Middle Stage**
eruptions appear, high fever which does not abate, eruptions will be complete when they reach the palms, soles and tip of the nose, starting at the neck, face, head, chest, back, and then limbs, Eruptions will be bright red and tiny at first, later they spread and join into large areas with a darkening in color, irritability, thirst, yellow dark urine, tired, soft stools, severe cough, coryza, T - red, yellow coat P - rapid forceful Rx- Qing Jie Tou Biao Tang: Sang Ye, Ju Hua, Jin Yin Hua, Lian Qiao, Niu Bang Zi, Chan Tui, Xi He Liu, Ge gen, Sheng Ma, Zi Cao Modifications: Dark red rashes: Sheng Di Huang, Mu Dan Pi Severe Cough: Jie Geng, Sang Bai Pi, Xing Ren Gum or nose bleeds: Bai Mao Gen Severe heat: Zhi Zi, Shi Gao, Huang Lian

Late Stage
Resolution - dry flaking skin where eruptions were, mild color, mild or no fever. All symptoms reduced and appetite increased with improved mental activity. Rx- Sha Shen Mai Dong Tang (+ Gua Lou Ren, Hou Ma Ren - dry stools)

Toxic Heat Blocking Lungs - eruptions with pneumonia symptoms, high fever, irritability, cough, short of breath, phlegm in throat, nasal flaring, blue complexion, purple lips

Toxic Heat Invading Throat - High fever, severe sore swollen painful throat, heavy sounding cough, barking cough, irritability Rx – Sha Shen Mai Dong – Sha Shen, Mai Men Dong, Tian Hua Fen, Yu Zhu, Bai Bian Dou, Gan Cao, Sang Ye or Qing Yan Xia Tan Tang With False heat: Yin Chai Hu, Di Gu Pi Constipation: Quan Gua Lou, Hou Ma Ren

Abnormal progression:
1. Measles toxin blocks the lungs – Rash Is dark purple or indistinct, and not fully outthrust. There is a high fever, which does not recede, severe cough, panting, flaring of nasal wings when breathing, thirst, restlessness Ma Xing Shi Gan Tang: Ma Huang, Shi Gao, Xing Ren, Gan Cao, Huang Qin, Lain Qiao, Lu Gen (Phragmitis), Jie Gong - Platycodon Severe Heat – Huang Qin, Yu Xing Cao

2. Measles Toxin Attacking Throat A red, swollen throat, and pain when swallowing, hoarse voice, or heavy cough and wheezing T: red with greasy coat Qing Yan Xia Tan Tang + Liu Shen Wan: Xuan Shen, She Gan, Jie Geng, Niu Bang Zi, Jin Yin Hua, Ban Lan Gen, Ting Li Zi, Quan Gua Lou, Chuan Bei Mu With constipation: Da Huang, Mang Xiao

3.Toxic Heat In Heart And Liver - nutrient blood level heat, high fever, irritability, delirium, severe densely distributed dark purple eruptions, whole body swollen, spirit clouding, restlessness, if severe - spasm, convulsions, T - strawberry, deep red, thick yellow dry coat Rx – Ling Jiao Gou Teng – Shan Yang Jiao – Cornu Capri (Antelope horn), Gou Teng, Fu Shen, Bai Shao, Zhu Ru - bamboo, Shi Chang Pu – Acorus, Yu Jin – Curcuma, Zhi Zi – Gardenia, Huang Qin or Qing Ying Tang Can add: Zi Xue Dan or An Gong Niu Huang Wan, or Niu Huang Qing Xin Wan Prevention - Pu Gong Ying, Ban Lan Gen

Possible other interests: German Measles (Rubella) =Common Measles - Rubella -German measles (Feng Zheng):= Mild fever (3-4 days) with slight sweat, no major mental symptoms, normal cough, swollen lymph nodes., eruptions begin to appear on 4th day behind ears working gradually down to neck-chest-back-abdomen- limbs and ending at the palms and soles of the feet. It will progressively disappear in the same order to which it appeared there for first clearing up around the auditory areas. Most outbreaks occur during the winter and spring in children from 6months - 5 years. It is highly contagious and all will have the characteristic Koplic Spots inside of the oral cavity.
 * during pregnancy may cause miscarriage, deafness or retardation

Evils Depressed in the lung defense
Fever, aversion to wind, runny nose, red rashes start from head, then body and four extremities, accompanied by itching. Rash will disappear in 2-3 days T: red with thin white coat Herbal Treatment:Yin Qiao San + Chan Tui, Niu Bang Zi, Da Qing Ye, Ban Lan Gen, Pu Gong Ying

Evil Heat Blazing and Exuberant
high fever, thirst, agitation and restlessness, fresh red or dull puplish rash, scanty and yellow urine T: red with yellow coat Herbal Treatment: Tou Zhen Liang Jie Tang- Sang ye, Ju Hua, Bo He, Niu Bang Zi, Chan Tui, Lian Qiao, Huang Lian, Zi Hua, Di Ding, Chi Shao Yao, Hong Hua Modifications: With severe thirst: Tian Hua Fen, Xiao Lu Gen With Dry Stool + Quan Gua Lou

End Stage -
Qing Jie Tou Biao Tang

Dietary Recommendations
Very gradually start eating normal quantities of food.