Urticaria is a common disease in dermatology, clinical manifestations of which are transient localized edematous blisters of various sizes on skin and mucous membranes, accompanied by severe itching. Its etiology is complex, and about 3/4 of patients cannot find cause. The pathogenesis of urticaria is not completely clear, it is mainly divided into two types: immune and non-immune.
Urticaria on shoulder
At present, Western medicine mainly treats disease with anti-allergic and symptomatic treatment, and its effect is often quick and short-lived, but if treatment is interrupted, urticaria may recur. Traditional Chinese medicine mainly treats hives by adjusting balance of yin and yang in body, and effect lasts long after exposure, but only Chinese medicine has a slow onset of action. Therefore, a combination of Chinese and Western medicine is best clinical treatment for urticaria.
Combination of Chinese and Western
According to duration of disease, it can be divided into acute and chronic. Acute patients have a more rapid onset and usually recover in a short time, in severe cases may be accompanied by anaphylactic shock-like symptoms such as palpitations, irritability, nausea, vomiting, and even hypotension, with repeated skin lesions for more than six weeks is called chronic measles. About 10% of patients with acute urticaria will progress to chronic urticaria. Systemic symptoms in chronic patients tend to be milder than those with acute disease, with recurrent attacks persisting for months, continuous for years, and even acute attacks. In addition, there are special types of urticaria caused by physical stimulation, such as cold, heat, sunlight, friction, pressure, etc., common artificial urticaria, cold urticaria, cholinergic urticaria, solar urticaria, stress urticaria, etc.
Chinese medicine calls this disease "addiction rash" and believes that its etiology is mainly due to endowment intolerance, loss of interstitial texture, exogenous wind-heat, wind-cold, rheumatism or unethical diet, overeating spicy, creamy and foods with a thick taste Imbalance between spleen and stomach, moisture-heat traps of spleen, heat-transforming wind or external protection is not strong, sweating for a long time depends on wind or exogenous evils, heat transformation damages liquid Yin or is generally weak, lack of qi and blood combined with external attack wind-evil, stagnation in skin Between muscles and interstitial spaces, so that inside cannot be entered and outside cannot be penetrated, and good and evil fight each other others and cause a rash, or nervousness causes depression of liver, qi and blood are not harmonious, and wind and evil is directed inward, causing disease. Clinical acute urticaria is most often a syndrome of excess, while chronic ones are most often combined with deficiency and excess. The main treatment is wind dissipation, as well as cold dissipation, heat purification, blood cooling and detoxification, qi replenishment and appearance strengthening, blood nourishment and blood activation, and purification of damp heat in stomach, which can achieve a good healing effect.
1. Chinese herbal medicine
Chinese herbal medicine
For study of treatment of urticaria, especially chronic urticaria, at present, most common treatments are qi nourishment and blood nourishment, wind dispersal and itching relief, wind dissipation and appearance enhancement, and camp and health harmonization. Many doctors believe that chronic urticaria is caused by consumption of qi and blood due to long-term illness or ordinary weakness and lack of qi and blood. Therefore, in addition to expelling wind, paying attention to nourishing blood, replenishing qi, and strengthening surface can often achieve a better healing effect.
2. Treatment with Chinese Patent Medicine
Fangfeng Tongsheng Wan has a calming effect on outside and unblocks inside, dissipates wind and clears away heat. Usage: 6 g each time, 3 times a day.
Gekko Dabu Wan nourishes blood and qi, invigorates spleen and warms stomach, relieves rheumatism and strengthens bones and muscles. It can effectively treat hives, 5 tablets each time, 2 times a day, even for 2 weeks.
Xuefu Zhuyu Oral Liquid promotes blood circulation, eliminates blood stasis, regulates qi, and relieves pain. 10ml/time, 3 times/day.
Wuji Baifeng Wan has an invigorating effect on qi and nourishes blood, regulates menstruation and stops belt. 1 tablet each time, 2 times a day.
Tripterygium wilfordii tablets have functions of expelling wind and dampness, reducing swelling and relieving pain, deepening meridian and activating collaterals, clearing heat and detoxifying. One tablet each time, 3 times a day. Da Ho Luo Dan Da Ho Lo Dan has a relaxing effect on tendons and the activation of collaterals, expelling wind and cold, relieving spasms and relieving pain; 2 tablets 3 times a day.
3. Acupuncture and moxibustion
Body acupuncture: choice of acupuncture points: Quchi, Hegu, Zusanli, Xuehai, Sanyinjiao, Baichongwo, Yanglingquan, Fengchi, Dazhui. Choose 2-3 pairs each time, acupuncture 1 time per day, treatment course 10 days.
4. Acupuncture injections
For transfer factor treatment, acupuncture points are Xuehai and Kuchi, both on both sides.
Autohemotherapy: main points: Hegu, Kuchi, Zusanli, Xuehai, all double; reference points: Dazhui, Saninjiao. Choose 2 main acupoints plus 1 auxiliary acupoint each time; inject 1.5 ml of autologous blood into each acupuncture point.
Danshen Compound Injection Treatment: It has function of improving blood circulation and eliminating blood stasis, regulating qi and relieving pain. Point injections of Quchi, 2-3 ml per point, once a day, 10 times a course of treatment.
5. Acupuncture point implantation
Instillation of Acupoint bristles in chronic urticaria. Choice of acupuncture points: Zusanli, Shenshu (Junshuang), Dazhui, Guanyuan for wind-cold type; Zusanli, Shangjuxu, Xuehai, Hegu (Junshuang), Zhongyuan, Juque for splenic-gastric type; Quchi, Hegu, Sanyinjiao (both double); for a type of blood stasis, take Weizhong, Xuehai and Geshu (both doubles). Usually 1 treatment every two weeks.
Choice of moxibustion acupoints with moxibustion separate from ginger: Quchi, Xuehai, Sanyinjiao, Geshu, Baichongwo, all double. Treatment method: 3-7 acupuncture points, each acupuncture point is size of a soybean, apply moxibustion 1-2 times a day; stop treatment until symptoms disappear completely. After disappearance of symptoms in patients with chronic urticaria, cauterization is still carried out 2-5 times.
7. Blood draw and cupping
Chinese medicine jars
Choice of acupuncture points: Dazhui, Feishu, Dachangshu, once a day, 3 times a course of treatment
Traditional Chinese medicine pays attention to prevention and treatment of diseases, so for urticaria, special attention is paid to diet and adjustment of daily life. The first thing to do is to look for allergens, and for those who test positive, try to avoid contact with these allergens. Pay attention to change of cold and heat, suitable clothing and blankets, avoid direct wind, do not get wet, do not eat raw or cold seafood, greasy, spicy or hard food, not suitable for digestion, water temperature should be appropriate when bathing, do not wash vigorously and avoid sweating after wind washing. Avoid fatigue, proper exercise, increase physical fitness. Pay attention to psychological help and avoid mental stimulation.