Today the clinic came to a male patient, 34 years old, found hives has been more than two years, has been in a tertiary hospital dermatology clinic, taking medicine is effective, stopping the medicine relapse. After seeing my information on the Internet, he came to the clinic. I looked at his outpatient medical records, medication is very simple: methylprednisolone tablets, 8mg, once a day; Epinastine, every morning, a tablet; cetirizine tablets, every night, a tablet. If you take the medicine in the morning and work overtime until ten o’clock in the evening, you will have erythema and wind clouds all over your body, and you have to go home and take the medicine right away. This has been going on for over a year. He had been examined and found to have Helicobacter pylori before, and he also had a period of time after anti-infection, but he relapsed after a while, which was very painful! After reading his treatment plan, I pondered for a long time. Asked him, who prescribed this prescription? He said, “It was the director who prescribed it. If it is a young doctor who has just worked for a short time to prescribe such a prescription is just, as a senior expert, professor, has been using two antihistamines and a hormone to suppress hives, is not a little irresponsible? Hasn’t it ever considered the side effects of long-term oral hormones? Maybe friends who know medicine will say, hormone dosage is very small, only 8mg. yes, the body’s normal daily secretion is about 6mg, but small doses can not stand long-term use ah. Hormone as a strong immunosuppressant, mainly in the short term rapid suppression of allergic reactions, reduce the patient’s clinical symptoms, generally not as a long-term use of drugs. Unless autoimmune diseases, such as: systemic lupus erythematosus, pemphigus, dermatomyositis, scleroderma and so on. Furthermore, the phenomenon that the patient has repeated erythema, wind masses, and relapses when he stops taking the drug indicates that hormone therapy is not suitable for that patient. It is not harmful to still use hormone treatment all the time, isn’t it? Long-term use of hormones under: (1) after the injection of vaccines, the body produces antibody potency significantly reduced; (2) the body’s ability to resist external bacteria, viruses significantly reduced, tuberculosis, the incidence of colds and flu also increased significantly; (3) the body gradually fat, the appearance of a full-moon face, buffalo back, hirsute …… Don’t take the patient as an idiot! In the age of the Internet, online information is all-encompassing, although the face of a multitude of information, it is difficult to distinguish between true and false, but in the face of the lack of improvement in the therapeutic effect, will inevitably make the patient suspect: the doctor gave me the right medicine? Chronic urticaria, relieve the symptoms is not difficult, difficult is completely cured, no longer recur. The cause of the disease is difficult to find, most of the test results are negative, although the allergic disease, but can not find the allergens. For this situation, it is necessary to think about the problem from the perspective of Chinese medicine. In the face of chronic urticaria, in my personal experience, it will be divided into the following categories: Cold urticaria: cold attacks, heat relief, occurring in the fall and winter seasons. Treatment principle: warming the middle and dispersing the cold as the main. For example: Pill of the Pill of the Pill of the Pill of the Pill of the Middle. Cholinergic type urticaria: attacked by heat and relieved by cold, mostly seen in summer and after exercise. Treatment principle: cool blood and nourish Yin. For example: Antelope Angle Drops Pills. Nocturnal urticaria: attack after ten o’clock in the evening, gradually relieved after waking up in the morning of the next day. Mostly seen in postpartum women, and surgery or the first recovery from a serious illness. Treatment principle: mainly benefit the qi and consolidate the surface. Such as: Yu Ping Feng Granules. Children’s urticaria: mostly seen in children under ten years old, most common in children aged 5-6 years old, with irregular onset and prolonged delay. The principle of treatment is to regulate immunity. Such as: splenic aminopeptide lyophilized powder. Idiopathic urticaria: mostly seen in adults, with irregular onset, mild or severe, and negative allergen test. Therapeutic principle: to establish immune tolerance, take decreasing therapy. For pressure urticaria and artificial urticaria, there are clear triggers, the treatment is simple, remove the cause can be, assisted by antihistamine therapy, the symptoms can be quickly relieved, not in the discussion. Chronic urticaria is more difficult to treat, but is not a reason for us to rely on hormone control of symptoms. I hope that the majority of patients with chronic urticaria, get rid of the pain of itching all day long, but also your ease and comfort!