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[Introduction]
Urticaria is a commonly encountered allergic derma-tosis due to eating fish, shrimps and crabs; or due to stin-ging of flies and injection of animal serum; or due to con-tact with pollen, nettle and certain chemicals; or due to stimulation of cold or hot air. The clinical manifestations are different-sized red or pale urticaria and abnormal pru-ritus with sudden onset and sudden disappearance. Acute case may heal in several days, while chronic case may lin-ger for months and years. Urticaria is usually caused by retention of exogenous pathogenic wind-cold or wind-heat in the skin; or by excessive intake of greasy food leading to retention of endogenous damp-heat in the skin.
[Syndrome differentiation]
1. Exogenous pathogenic wind
Sudden onset, occurrence or aggravation after attack of wind-cold or heat, accompanied by aversion to cold, fe-ver, aching limbs, thin and white tongue fur and floating pulse.
2. Accumulation of heat in the stomach and in-testines
Urticaria is usually caused by excessive eating of fish and shrimps or drinking of alcohol, accompanied by epi-gastric and abdominal pain, or nausea and vomiting, diarrhea or constipation, yellow and greasy tongue fur, slippery and rapid pulse.
[Treatment]
1. Body acupuncture
Prescription: Hegu (LI 4), Quchi (LI 11), Xuehai (SP 10), Weizhong (BL 40) and Sanyinjiao (SP 6).
Modification: For exogenous pathogenic wind syn-drome, Dazhui (GV 14) and Fengchi (GB 20) are added; for accumulation of heat in the stomach and intestines, Zhongwan (CV 12) and Zusanli (ST 36) are added; for nausea and vomiting, Neiguan (PC 6) is added; for ab-dominal pain, diarrhea or constipation, Tianshu (ST 25) is added.
Performance: Reducing needling technique is used and Weizhong (BL 40) can be pricked for bloodletting.
2. Ear acupuncture
Prescription: Fengxi (SF1, Zi), Lung (CO14), Ear Shenmen (TF4), Spleen (CO13) and Endocrine (C018).
Performance: Each time 2 - 3 acupoints are selected, medium and strong stimulation is required. The needles are retained for 30 minutes and the needling is done once a day.
