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 treats the disease mainly with anti-allergic 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 are often cured within a short period of time, but severe cases can be accompanied by anaphylactic shock-like symptoms such as panic, irritability, nausea, vomiting and even lowered blood pressure. 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 spleen and stomach disorders, damp-heat trapped spleen, heat and wind or outside the guard is not solid, sweating by the wind or external evil for a long time 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, but 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 the wind and relieve itching, and to dispel the wind and fix the surface and harmonize the Ying and Wei. The chronic urticaria is thought to be caused by the depletion of qi and blood over a long period of time, or by weakness and deficiency of qi and blood, due to the deficiency of blood and wind, deficiency of qi and guard, and lack of harmony between the camp and guard, so that the wind and evil invade the skin. 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 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 a day for 2 weeks.
Blood Mansions and Stasis Oral Liquid has the efficacy of invigorating blood, promoting blood stasis, regulating Qi and relieving pain. 10ml/time, 3 times/day.
Wuji Baifeng Pill has the efficacy of tonifying Qi and nourishing blood, regulating menstruation and stopping bandages. 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 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: acupuncture points: Quchi, Hegu, Feet Three Miles, Sea of Blood, Sanyinjiao, Baiwuwo, 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 acupoints are Blood Sea and Quchi, both bilateral.
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
Acupuncture point buried mane treatment of 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). Generally treat once every half month.
6.Moxibustion method
Moxibustion points: Quchi, Blood Sea, Sanyinjiao, Yu, and Hundred Wormwood, both double. Treatment: each point 3-7 strong, 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, but still more moxibustion 2 – 5 times.
7, stabbing 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, look for allergens, and for positive test results, 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.