First, western medicine treatment of urticaria

Finding out the reason is mainly to eliminate the reason. Antibiotics are often used in cases of infection, and don't eat them for the time being if you are allergic to certain foods. Chronic infection is often the cause of chronic urticaria, but it is difficult to determine or find the causes of some patients with urticaria.

1, internal medicine

Antihistamines: It is an important drug to treat all kinds of urticaria patients, which can control most patients' symptoms. Although antihistamines cannot directly antagonize or neutralize histamine and prevent its release, they can compete with histamine and quickly inhibit the generation of wheal. There are many side effects of antihistamines, so it is best to choose the one with small side effects, especially for workers working at high altitude and drivers, who use it with caution and are prone to accidents due to drowsiness. Long-term use of one antihistamine is prone to drug resistance, and another can be used. Or alternatively or in combination. Children's drug resistance is greater than that of adults, so the relative dosage is also greater.

There are many kinds of antihistamines. Antaile (hydroxyzine) can be selected according to the condition and clinical manifestations, which has good stability and antihistamine effect, and has good curative effect on artificial urticaria, cholinergic urticaria and cold urticaria.

6- aminoacetic acid: It can be used for cold urticaria and huge urticaria.

Atropine or propafenone and chlorpromazine: can be used for cholinergic urticaria.

Calcium: It can be used in acute urticaria.

Reserpine and Anluoxue in the treatment of chronic urticaria.

Steroid hormone: used for severe acute urticaria's disease and serum urticaria, and small dose can be used for stress urticaria and complement-activated urticaria. Urticaria complicated with anaphylactic shock is more necessary. Some people treat chronic urticaria by injecting once every 3 to 4 weeks.

2. Local medication

Both calamine lotion and zinc oxide lotion can achieve temporary curative effect.

Syndrome Differentiation and Treatment of Urticaria

Second, Chinese medicine therapy

1, blood fever

The symptom of urticaria is a rash, which is aggravated when it is hot and relieved when it is cold. It often occurs in summer, with thin yellow fur and floating veins.

Treatment of urticaria: expelling wind and relieving exterior syndrome, clearing away heat and relieving itching.

6 grams of Schizonepeta tenuifolia, 6 grams of Saposhnikovia divaricata, 6 grams of Bombyx Batryticatus, 6 grams of honeysuckle, 9 grams of Arctium lappa, 9 grams of Cortex Moutan, 6 grams of duckweed, 9 grams of Radix Rehmanniae, 5 grams of mint, 9 grams of Scutellariae Radix, 5 grams of cicada slough and 6 grams of raw licorice.

Usage: The decoction time should not be too long, one dose per day, and it should be cooled twice. Avoid spicy, hair.

Urticaria: This prescription takes Schizonepeta, Saposhnikovia divaricata, mint and cicada slough as main drugs. Schizonepeta tenuifolia is hard and warm, fragrant and scattered, and the smell blows into the air to drive away wind evil; Wind-proof gas is not light, but can be scattered in the wind of flesh and blood. Therefore, Schizonepeta tenuifolia should be used to publicize the wind evil scattered on the surface. Mint is light and cool, good at solving the evil of wind and heat, and can relieve exterior symptoms and detoxify through rash; Cicadas are cool, dispel wind and heat, open lung orifices, clear and weak qi, and are good at seduction. Among the above four herbs, the effect of dispersing exterior is stronger. Burdock can disperse wind and heat, detoxify and penetrate rash; Duckweed is frivolous and scattered, and it is good at opening the main orifices; Bombyx batryticatus can dispel wind and disperse stagnation, and help the above four main drugs to penetrate the evil of exterior heat. Honeysuckle and Scutellaria baicalensis Georgi are used to detoxify and clear lung heat to drive away the evil of fur; Peony bark, dried geographical blood and blood; Raw licorice detoxifies and relieves various drugs.

2. Qi deficiency and blood heat

Symptoms of urticaria: itchy skin with rash, sometimes appearing and disappearing, ranging from pockmarks to beans. It is flat and hard, higher than the skin. Once scratched, it will become one piece, with a dark tongue with white fur and thin pulse.

The treatment of urticaria is invigorating qi and nourishing yin, expelling wind and purging fire.

The prescription of urticaria is Radix Astragali 15g, Radix Angelicae Sinensis 10g, Radix Rehmanniae 10g, Fructus Aurantii preparata 15g, Cortex Dictamni Radicis 10g, Kochiae Fructus 10g and Radix Saposhnikoviae 10g.

Usage: decoct in water for three times, with five doses as a course of treatment. If it recurs after the initial recovery, you can take it again according to the original prescription and avoid spicy and irritating products.

Urticaria is treated with Astragalus membranaceus to replenish qi and consolidate exterior, and exterior excess and evil can not enter. Materia Medica Justice: "Therefore, it is his specialty to protect the yang and enrich the exterior. Therefore, superficial deficiency is the most magical drug. " Angelica sinensis, Radix Rehmanniae, Radix Paeoniae Alba and Polygonatum odoratum nourish yin and blood, leaving Yin Ying inside; Radix Saposhnikoviae, Folium Mori, Fructus Arctii and Herba Schizonepetae dissipate wind and absorb heat; Dictamni bark and Kochia scoparia are used for clearing away heat and dampness; Mixing with Fructus Aurantii, regulating qi, removing dampness, and relieving itching; Forsythia suspensa is used for clearing away heat and toxic materials, reducing swelling and resolving hard mass.

3, wet trapped spleen soil

The symptoms of urticaria are tepid limbs, nausea and lethargy, mental fatigue, heavy lethargy, greasy mouth, abdominal distension, loose stool, pale tongue with white and greasy fur, and heavy and slippery pulse.

Treatment of urticaria: invigorating spleen and removing dampness, expelling wind and promoting blood circulation.

The recipe for urticaria is cortex Lycii 9g, cortex Acanthopanacis, cortex Mori 15g, dried ginger 6g, pericarpium Arecae 9g, cortex Dictamni Radicis 15g, Cortex Moutan 9g, Poria 15g, wax gourd 15, and lentil peel15g.

Usage: decoct in water twice a day, and avoid spicy, greasy, fishy and greasy products.

Urticaria according to Hong Ling skin, winter melon skin, lentil skin, big belly prescription to strengthen the spleen and promote diuresis, clear gastrointestinal stagnation; Dried ginger skin uses luck to warm the stomach and keep the noodles; Dictamni bark and hibiscus bark dispel wind and relieve itching; Mudan bark cools blood and turns spots; Cortex Lycii and Cortex Mori clear lung and fur.

4, remedies:

The formula of Longli medicinal liquor: 5 grams of pangolin, zaocys dhumnades 15, 30 grams of coptis chinensis, 30 grams of safflower, 60 grams of angelica dahurica, 50 grams of phellodendron amurense, 3 grams of white sesame, 80 grams of pepper and 25 grams of white mustard seed.

Brewing: 300ml60 sealed soaking of grain wine above 60 degrees. Sealed in the cellar for 12 months.

Usage: For external use, two or three times a day.

Indications: urticaria