| Urticaria
is an allergic skin disease with skin wheals as the main manifestation.
The main clinical signs are the appearance of wheals over
the skin with sudden onset and rapid disappearance, leaving
no trace after recovery. There is a sensation of severe itching
and burning heat on the affected part. Urticaria can recur
frequently and each episode can last for a long time. In TCM
this disease is called wandering wind evil.
Points of Diagnosis:
The wheals appear suddenly. Most of them are red and only
a few are pale. Their shapes vary, but they all have a clear
border. They may occur throughout the body or may be restricted
to the face, neck or limbs. They may arise one after another
and recur frequently. After recovery there will be no trace
remaining.
There is significant itching and a burning
sensation
Dermatological test is positive. The wheal
may be caused by mechanical stimulation.
In case of occurrence in the respiratory tract
or on the mucous membranes of the digestive system, some relevant
symptoms will develop.
The attack can be produced by exposure to
cold or heat, or due to psychological disturbance and intake
of protein food, etc.
Differentiation and Treatment of Common Syndromes
1.Internal Treatment
a) Wind-Heat
Main Symptoms and Signs: There is severe pruritus,
a burning sensation and red wheals on the affected part. The
tongue is red with thin yellow fur and the pulse is floating
and rapid. Dermatological test is positive.
Therapeutic Principle: Dispel wind and clear
heat
Formula: Decoction of Expelling Pathogenic
Wind and Clearing Pathogenci Heat
dittany
spirodela
dried/fresh rehmannia
red peony
honeysuckle
cicada molting
arctium
chrysanthemum
mint
moutan bark
forsythia
sophora root
licorice root
The above herbs are to be decocted in water
for oral administration.
b) Wind-Cold
Signs and Symptoms: There is a sensation of
severe itching, the appearance of pale skin wheals, aversion
to wind and cold, and a positive dermatographic test. The
tongue is pale with thin white fur and the pulse is floating
and tight.
Therapeutic Principle: Expel Wind and Disperse
Cold
Formula:
schizonepeta
ledebouriella
cinnamon twig
dahurican angelica
Chinese angelica
ligusticum root
salvia root
licorice root
The above herbs are to be decocted in water
for oral administration.
c) Blood Deficiency
Main Signs and Symptoms: The patient has wheals
which recur frequently. This pattern easily becomes chronic.
It attacks when the patient is caught by cold. Usually, the
patient is very weak. The tongue is pale with thin white fur
and the pulse is thready.
Therapeutic Principle: Supplement qi, consolidate
the surface, and nourish the blood to expel wind.
Formula: Varied Jade Wind-Screen Powder
huang qi (astragalus)
bai zhu (white atractylodes)
fang feng (ledebouriella)
dang gui (Chinese angelica)
bai shao yao (white peony)
ligusticum root (chuan xiong)
sheng di huang (dried/fresh rehmannia root)
he shou wu (flowery knotweed)
jing jie (schizonepeta)
ci ji li (tribulus)
gan cao (licorice)
The above herbs are to be decocted in water
for oral administration.
2. External Treatment
Powder for arresting itching:
jing jie (schizonepeta)
hua shi (talcum)
bing pian (borneol)
The above herbs are to be ground into a fine
powder, wrapped with a piece of cloth, and then rubbed on
the affected (i.e. itching) part.
What
is Urticaria ?|Classification
of Urticaria|Chronic
Idiopathic Urticaria|Cholinergic
Urticaria|
Cold
Urticaria| Urticaria
causes|Traditional
Chinese Medicine and Urticaria|Pressure
Urticaria|
Solar
urticaria
|
