Hi Deidra,
The pulse indicates that a formula that moves circulation peripherally is called for. Damp Heat Derma Relief is quite strongly anti-inflammatory, and so pulls blood away from the skin. Formulas like San Ren Tang and even Chu Shi Wei Ling Tang have more of a circulation mobilizing effect, as does Qing Ying Tang. There's no problem in using the two together - QYT plus the Damp formula of choice. I often do that as I transition from one formula to another in a skin case. The activity at BL 21 may suggest that CSWLT is a better choice. Any side effects of the antibiotics? If so (e.g. a reduced appetite, soft stools, etc.), then the case for CSWLT is strengthened.
Spring and Fall are Heat and Fire times of Year, respectively. So a strong cooling formula like Qing Ying Tang definitely belongs in the protocol.
That's my take on things at this point, at any rate. Hope that's helpful,
Steve