Urticaria, commonly known as wheal, is a common skin disease. Temporary inflammatory hyperemia and massive fluid exudation are caused by many factors. Causing local edema damage. It appears and quickly subsides, accompanied by severe itching. There may be fever, abdominal pain, diarrhea or other systemic symptoms. It can be divided into acute urticaria, chronic urticaria, angioneurotic edema and papular urticaria.
Urticaria is a common allergic skin disease. When exposed to allergens, red plaques of different shapes and sizes will appear in unspecified parts of the body. These patches will itch. If the contact with red allergen is not stopped and treated, the rash and itching will be aggravated 1. Wind-heat type is more common in acute measles. Acute onset, reddish wheal, burning and itching, accompanied by fever, aversion to cold, sore throat, vexation and thirst, chest tightness and abdominal pain, nausea and vomiting, rapid pulse, red tongue, thin white or yellow fur. Syndrome differentiation belongs to wind-heat attacking the exterior, and lung-Wei losing publicity. Treating exterior syndrome by pungent-cool, expelling wind and clearing heat.
2. Wind-cold type is more common in cold urticaria. The rash is red and white, and it gets worse when it is cold. Symptoms are less or no sweat, head and body aches, and mouth is not thirsty. The tongue is fat, the coating is light and the pulse is tight. The syndrome belongs to the exterior of wind-cold bundle, and the lung-Wei loses its propaganda. Treatment should be pungent, warm and relieve exterior syndrome, dispersing lung and dispelling cold, expelling wind and relieving itching.
3. Recurrent attacks of rubella due to yin deficiency and blood deficiency, which persist, worsen in the afternoon or at night, upset and irritable, dry mouth and no desire to drink, fever in hands and feet, red tongue with little fur or light tongue, and heavy and thin pulse. Syndrome belongs to blood deficiency, and common cold is bound to the exterior. It is advisable to nourish yin and blood and dispel pathogenic wind.
4. People with deficiency of both heart and spleen have weak constitution, pale face, pale lips, insomnia and dreaminess, forgetfulness, palpitation, night sweats, frequent onset at night, rash after sweating, pale face and itching. More common in mental urticaria or artificial urticaria. The syndrome belongs to deficiency of both heart and spleen, and the defensive qi is not solid. Treatment should be nourishing blood, calming nerves, benefiting qi and consolidating exterior. Often make years of chronic diseases cured.
To summarize the treatment experience of intractable urticaria. I think the wind-heat type has better curative effect if the onset is urgent, the exogenous evil is not deep, and the vital qi is not deficient; The curative effect of wind-cold type and blood deficiency type is slightly poor; Adding drugs for nourishing blood and promoting blood circulation in the treatment of urticaria can improve the curative effect, but it is not recommended to use more topical insect drugs such as centipede and snake retreat to avoid aggravating the condition. In order to reduce recurrence, we should continue to consolidate medication for a period of time after clinical cure; During the treatment and recovery period, we should pay attention to dietary taboos, and avoid fishy, spicy and irritating foods such as fish, shrimp, peppers, tobacco and alcohol to avoid inducing factors, so as not to cause recurrence of the disease.