Some time ago, I participated in a seminar on traditional Chinese medicine, and met the old director of the hospital who worked in the prefecture-level city many years ago, who was close to 100 years old.
At the time of separation, I mentioned one of his points to me: Mr. was discussing the theory of "man and natural energy", and I was quite shocked, and later applied it to the treatment of the skin, and also realized that the weak people are prone to acne and need to borrow energy from God.
All things are mutually reinforcing, different diseases have something to fear, as long as the cause is found, it is a paper tiger. The so-called urticaria must not escape these 4 reasons.
01 Insufficient endowment
Manifestations: Due to the influence of congenital genes or the internal and external environment during the fetal period, the patient's congenital endowment is insufficient and the constitution is weak, and allergic reactions will occur after exposure to some substances, inducing addiction rash.
02 The health is not solid
Manifestations: If the patient's own health is not solid, the ability to eliminate foreign bodies is reduced, the skin barrier cannot be protected, and it is also easy to be invaded by foreign substances, which will cause addiction rash.
03 Dampness and heat in the stomach
Manifestations: Eating greasy, spicy, raw and cold food for a long time can make the gastrointestinal function abnormal, the accumulation of dampness and heat in the body, coupled with the external sense of wind evil, the two phases of rejection are bound to the body surface, and the accumulation of dampness and heat in the skin can be manifested as addiction rash.
04 Emotional internal injury
Manifestations: If the patient suffers from emotional internal injury, such as strong mental stimulation or long-term repeated mental stimulation, etc., it can lead to insufficient qi and blood in the liver and kidney, and the wind and evil pulses will form in the skin and cause addiction rash.
No matter what type of physique it is, in fact, because of its own lack of energy, the body cannot resist the evil qi, and urticaria is actually a product of the entanglement between the righteous qi and the evil qi. If you can replenish the body's energy, and the body's righteous qi suppresses external evils, you can reduce the onset of hives.
And this energy, I often use astragalus.
Astragalus is a qi tonic product that can improve immunity and enhance the body's resistance. In "hives", astragalus is the protagonist. It is responsible for providing enough "power" to the body to allow qi and blood to circulate, thereby dissolving phlegm, dampness and stasis.
【Patient Case】
You, female, 50 years old at the time.
On June 14, 2022, he was initially diagnosed with recurrent erythema and wheals on the limbs, accompanied by itching for more than 2 months, and erythema wheals on the limbs appeared without obvious triggers, accompanied by obvious itching, which could subside spontaneously and then recur. In the past week, the patient had daily wheals around his body, accompanied by obvious itching, and there was no discomfort such as chest tightness and abdominal pain.
First diagnosis
Immediate diagnosis: the patient is usually nervous, the wheal attack is worse in the afternoon, the color is light red, the attack has no obvious regularity, the normal sleep can be, the second stool is adjusted, the mouth is dry, the mouth is bitter, the tongue is red, the moss is white and greasy, and the pulse is slippery.
【Dialectical Treatment】
Western medicine diagnosis: urticaria.
TCM diagnosis: addiction rash.
Dialectic: Half surface and half mile syndrome.
Governance: Reconciliation Shaoyang.
Prescription:
Bupleurum chinensis, jujube, codonopsis, French banxia, licorice, skullcap, ginger
【Follow-up process】
Second diagnosis: After taking the medicine, the frequency of wheal attacks was significantly reduced compared with before, the itching was not very much, the mouth was dry and the mouth was not bitter, the tip of the tongue was slightly red, pale, and the pulse was slippery. The prescription was slightly adjusted.
Syndrome differentiation ideas: According to the main clinical characteristics of chronic urticaria wheals or plaques, they can generally be classified as "addiction rash" and "rheumatism addiction rash". "Su Wen: Yin and Yang Clutch Theory" cloud: "Therefore, the clutch of the three yangs, the sun is open, the yang is the combination, the young yang is the pivot, and the three meridians must not be lost." The course of chronic urticaria is prolonged, and the patient's lungs and spleen qi are deficient, and the health surface is not solid, which is mostly a mixture of fiction and reality, which can be attributed to the disadvantage of Cardinal Shaoyang. From another point of view, chronic urticaria has a long course of disease, repeated attacks, long-term illness will hurt the spleen, coupled with improper diet, spleen deficiency and unlucky, damp heat accumulation in the middle of the coke, the spleen and soil cardinal is unfavorable, and the qi machine is abnormal, and it can also develop as urticaria.
Treatment experience: In the Xiao Chai Hu Tang recipe, the Chai Hu is clear and the evil of the less yang and half of the surface is explained from the outside; Skullcap clears internal heat and heat; ginseng and licorice invigorate qi and strengthen the body, and reduce adversity and neutrality in the middle of summer; Ginger helps Banxia and stomach, jujube helps ginseng, grass invigorates qi, ginger and jujube are used together, and can be adjusted and guarded. The combination of various medicines plays the role of reconciling Shaoyang, and also has the function of strengthening the spleen and stomach.
The patient in this case was a menopausal woman, who was usually nervous, the rash was light red, the mouth was dry and bitter, the tongue was red, the moss was white and greasy, and the pulse was slippery. Syndrome differentiation of skin diseases should not only pay attention to local syndrome differentiation, but also focus on the systemic pathogenesis symptoms, and at the same time grasp the "there is a Bupleurum syndrome, but seeing one syndrome, it is not necessary to know everything", and then adjust the dosage of skullcap and codonopsis as appropriate according to the patient's cold, heat, deficiency and reality, and the clinical effect is good.
Traditional Chinese medicine (TCM) treatment of urticaria mostly starts from the cause of the disease, and also attaches importance to overall treatment to help patients improve their symptoms and enhance their physical fitness.