Urticaria is a common skin disease, commonly known as wheals, which can be clinically divided into two types: acute and chronic. Acute urticaria develops rapidly and causes symptoms such as itching, edema, and wheals on the skin, all of which are paroxysmal. Chronic urticaria is a long-term skin disease that causes itchy skin and local skin symptoms such as wheals and erythema.
Traditional Chinese medicine believes that urticaria is caused by feeling external evil, eating and drinking, and not being emotionally smooth. Treatment can be dialectical and treated, based on the principle of "taking into account the specimen". The treatment of urticaria in traditional Chinese medicine is based on dispelling wind and dehumidification, nourishing blood and draining wind, nourishing yin and nourishing blood, and using methods such as detoxification and itching and cooling blood to dispel wind.
Blood hot wind type
Blood fever type is mainly manifested as repeated attacks of urticaria, accompanied by fever, irritability and other symptoms, local skin erythema, wheals, and some patients are accompanied by skin itching symptoms. In terms of treatment, it should be clear of heat and cool blood and detoxification. Fang uses jingle mustard flavored cold blood soup: wattle mustard, raw land, white grass root, light bamboo leaves, forsythia, purslane, etc.
In addition, the blood fever type can also be used ox knee, yellow cypress, comfrey, red peony. At the same time, for patients with blood fever type, the treatment can also use bitter ginseng soup: bitter ginseng, white fresh skin, decoction concentrated to 100 ml and then added honey to 200 ml, 1 dose per day.
Wind chill beam phenotype
This type is mostly caused by feeling the evil of wind chill and feeling the wind and heat. The clinical manifestations are white wheals, severe itching, aggravation after cold or heat, and some patients have fever, chills, headache and other symptoms. The tongue pulse is more normal.
Treatment should be based on dispersing cold and dehumidification, loosening wind and relieving itching. The commonly used formula is silver warp scattered and kudzu root soup plus and minus. Drug composition: windproof, qianghua, Chuanxiong, cicada molt, white mustard seed, laurel branch, fine spices, white art, raw licorice, etc.
Pulmonary and gastric fever type
This type is more common in the later stages of chronic urticaria, and the patient's symptoms are generalized skin itching, accompanied by malaise, fatigue, loss of appetite, and abdominal distention.
In addition, patients experience symptoms such as chest and rib tightness, stomach bloating, belching, dry stools, and red tongue. Treatment can be carried out by clearing the stomach and pouring fire, and harmonizing the camp guards.
Rheumatic fever type
This type of patient is mainly manifested as recurrent wheals, itchy skin, and aggravation in case of wind. Patients often have fever, thirst, joint aches and other symptoms. It is mainly treated by clearing heat and moisture, and cooling blood. You can choose silver flower, forsythia, burdock seed, artemisia, raw licorice, danpi, peony and so on.
It should be noted that the treatment of urticaria requires the patient's symptoms to be divided into two phases: acute and chronic. Because urticaria is an acute disease, patients often have symptoms such as wheals, itching, rash, etc., so the treatment should first treat acute diseases, and then adjust for chronic diseases.
In addition, due to the complex and diverse etiology of urticaria, attention should also be paid to whether it is combined with other diseases for simultaneous treatment.