A pattern of acupuncture point sensitivity has been observed on diagnostic acupuncture point palpation examination (DAPPE) in cases of equine infectious diseases such as equine borreliosis (Lyme disease), equine protozoal myelitis, and equine herpes virus. Extreme reactivity of all association (Back shu) points, alarm (Front mu) points, acupoints in the cervical, shoulder, thoracolumbar and lumbosacral regions as well as pelvic limb points along the Bladder and Gall Bladder channels is a DAPPE pattern suggestive of infectious disease. Since infectious diseases trigger an immune response this DAPPE pattern may represent an equine immune-mediated myofascial syndrome (EIMS). This syndrome in humans has been called infectious myalgia, fibromyalgia, myofascitis, and myofascial pain syndrome. The onset of signs of EIMS may be sudden or insidious. Early signs include resistance to rider, saddle and refusal to perform normal exercises. Other client complaints include acute or rapidly progressive signs of aggression when touched in any form, resistance to be saddled, girthed up or groomed. Horses have also exhibited aggression to trainer, riders and other horses. A general sense of irritability
to touch and even sounds has been observed. Immunoassays for infectious organisms are recommended when this DAPPE pattern is found and EIMS is suspected. EIMS is thought to be associated with invasion of Wei Qi by Wind in Traditional Chinese Veterinary Medicine. Treatment of EIMS includes appropriate antibiotic therapy for specific infectious diseases along with adjunctive support including acupuncture, manual therapies, and nutritional and herbal immune support.