Urticaria is a common disease in dermatology, which manifests clinically as a transient, limited edematous wind mass of varying size on the skin mucosa, accompanied by intense itching. Its etiology is complex, and the cause cannot be found in about 3/4 of patients. The pathogenesis of urticaria is not fully understood and is currently divided into two main categories: immune and non-immune.
Western medicine currently treats the disease mainly with anti-allergy and symptomatic treatment, which is often fast and short-lived, but if treatment is interrupted, urticaria tends to recur. Chinese medicine treats urticaria fundamentally by adjusting the balance of yin and yang in the body, and the effect is long-lasting when it works, but the effect is slower with Chinese medicine alone. Therefore, the combination of Chinese and Western medicine is a better clinical treatment for urticaria.
According to the duration of the disease, it can be divided into two types: acute and chronic. Acute cases have an acute onset and often heal within a short period of time, but serious conditions can be accompanied by panic, irritability, nausea, vomiting and even lower blood pressure and other anaphylactic shock-like symptoms; recurrent episodes of skin lesions for more than six weeks are called chronic urticaria. About 10% of patients with acute urticaria will turn into chronic urticaria. Chronic patients generally have milder systemic symptoms than acute ones, with recurrent episodes that extend over months and years, and occasional acute attacks. In addition, there are special types of urticaria caused by cold, heat, sunlight, friction, pressure and other physical stimuli, such as artificial urticaria, cold urticaria, cholinergic urticaria, solar urticaria, pressure urticaria and so on.
Chinese medicine calls this disease “addiction rash”, and believes that its cause is mostly due to the endowment of intolerance, the coup dense, external wind-heat, wind-cold, wind-damp evil or dietary disorder, over-eating spicy, thick-flavored products, resulting in the spleen and stomach disorders, damp-heat trapped spleen, heat and wind or outside the guard is not solid, sweat and wind or external evil long depression into heat and injury to the yin liquid or plain weak, insufficient qi and blood. In addition, the wind evil attacked outside, depressed in the skin and hair between the muscle coup, so that the internal can not drain the external can not penetrate, the positive and the evil fight and rash, or mental tension and liver depression, loss of harmony between qi and blood, wind evil internal ambush and the onset. Acute clinical urticaria is mostly real, while chronic cases are mixed with deficiency and reality. The main treatment is to dispel the wind, and also to disperse cold, clear heat, cool the blood and detoxify the toxin, benefit the qi and fix the surface, nourish the blood and activate the blood, as well as clear the damp heat in the stomach and intestines, which can achieve better results.
1.Chinese herbal medicine treatment
For the treatment of urticaria, especially chronic urticaria, the most common treatment is to benefit the Qi and blood, dispel wind and relieve itching, and dispel wind and fix the surface, and harmonize the Ying and Wei. More doctors believe that chronic urticaria is caused by the depletion of Qi and blood for a long time, or by weakness and lack of Qi and blood, because of the deficiency of blood to produce wind, the deficiency of Qi outside the guard is not solid, the camp and the guard are not in harmony, the wind evil invades by taking advantage of the deficiency, the wind and gas fight between the skin and the rash. Therefore, in addition to dispelling the wind in the treatment, paying attention to nourishing the blood, benefiting the qi and consolidating the surface can often achieve better results.
2.Chinese patent medicine treatment
Fangfengtongsheng Pill has the efficacy of relieving symptoms, clearing wind and clearing heat. Usage:6g each time, 3 times a day.
Mealybug Tonic Pill has the efficacy of tonifying blood and benefiting qi, strengthening the spleen and warming the stomach, dispelling wind-dampness and strengthening tendons and bones. It can effectively treat urticaria by taking 5 pills each time; twice daily; for 2 weeks.
Blood Mansions and Stasis Oral Liquid has the efficacy of activating blood circulation, promoting blood stasis, regulating Qi and relieving pain. 10ml/time, 3 times/day.
Wuji Baifeng Pill has the efficacy of tonifying Qi, nourishing blood, regulating menstruation and stopping belt. 1 pill each time, 2 times a day.
Leigongteng Tablet has the efficacy of dispelling wind and removing dampness, relieving swelling and pain, clearing heat and detoxifying. One tablet each time, 3 times a day. Dahuoluo Dan Dahuoluo Dan has the efficacy of relaxing the tendons and activating the channels, dispersing wind and cold, relieving spasm and pain; 2 pills each time, 3 times a day.
3.Acupuncture therapy
Body acupuncture points: Quchi, Hegu, Feet Three Miles, Sea of Blood, Sanyinjiao, Hundred Wormwood, Yanglingquan, Fengchi, Dazhi. Choose 2-3 pairs each time, acupuncture once a day, 10 d for a course of treatment.
4.Acupuncture point injection
For transfer factor therapy, the acupuncture points are Blood Sea and Quchi, both bilaterally.
Self-blood therapy: main acupuncture points:Hegu, Quchi, Feosanli, and Blood Sea, all double; supporting acupuncture points:Dazhi and Sanyinjiao. Two main points plus one supporting point were selected each time; 1.5 ml of self-blood was injected into each point.
Compound Salvia injection treatment: it has the function of activating blood circulation, removing blood stasis, regulating qi and relieving pain. Quchi point injection, 2-3 ml per point, once a day, 10 times as a course of treatment.
5.Acupuncture point embedding
Acupoint burial mane for chronic urticaria. Take acupuncture points:wind-cold type take foot Sanli, kidney Yu (both double), Dazhi, Guan Yuan; spleen and stomach type take foot Sanli, Shang Ju Xu, Sea of Blood, He Gu (both double), Zhong Yuan, Ju Que; blood-heat type take Qu Chi, He Gu, Sanyin Jiao (both double); blood stasis type take Wei Zhong, Sea of Blood, septum Yu (both double). Usually treated once every half month.
6.Moxibustion method
Moxibustion points: Quchi, Blood Sea, Sanyinjiao, Yu, and Hundred Wormwood, both double. Treatment: 3-7 strong per point, each strong about the size of a soybean, moxibustion 1-2 times a day; until the symptoms completely disappear and stop treatment. Chronic urticaria patients after the disappearance of symptoms, still more moxibustion 2 – 5 times.
7, blood cupping method
Acupuncture points: the large vertebrae, lung Yu, large intestine Yu, once a day, 3 times for a course of treatment
Chinese medicine focuses on prevention and treatment of the disease, so for urticaria, special emphasis is placed on diet and diet regimen. First of all, we should look for allergens, and for those with positive test results, we should try to avoid contact with these allergenic substances. Pay attention to hot and cold changes, appropriate amount of clothing, avoid direct wind blowing, do not be humid, avoid eating raw and cold seafood, greasy, spicy stimulating or hard undigestible food, bathing water temperature should be appropriate, do not strongly wash rub, after washing to avoid sweating when the wind. Avoid strain, appropriate physical exercise, enhance physical fitness. Pay attention to psychological care, avoid mental stimulation.