Urticaria is commonly known as wheals, wheals, wheals, and wheals (it has a similar name to rubella, but it is not the same disease). It is a common skin disease. Various factors cause temporary inflammatory congestion and large amounts of fluid exudation in the blood vessels of the skin and mucous membranes. Cause local edematous damage. It occurs and subsides rapidly, with severe itching. There may be fever, abdominal pain, diarrhea or other systemic symptoms. It can be divided into acute urticaria, chronic urticaria, angioedema and papular urticaria.

The rash of this disease behaves like a person coming into contact with the plant Nettle, and the skin damage caused is similar, so it is called urticaria. The disease is characterized by generalized wheal-type skin lesions all over the body. The rash comes and goes quickly, subsides without leaving traces, and is very itchy. It may be accompanied by systemic symptoms and internal organ damage, such as fever, abdominal pain, diarrhea or other systemic symptoms. It is divided into acute urticaria, chronic urticaria, angioneurotic edema and papular urticaria, etc., which often linger for many years without healing; causes: certain foods, drugs, infections, pollen and other inhalants (house dust, animal dander etc.), as well as mental factors, physical factors, systemic diseases, genetic predispositions, etc. can also be the causes of the disease. Pathogenesis: There are many irritating substances in the human body that can cause urticaria. We can collectively refer to these irritating substances as mediators, among which histamine is the most important mediator that causes the disease. This mediator is often produced during the first type of allergic reaction. When the body is in a sensitive state, the antibody lge is adsorbed on the surface of mast cells. At this time, if the body is stimulated by the allergenic substance, antigen may be produced on the surface of the cell. Antibody response. As a result, histamine, a mediator, can be released from mast cells and act on skin blood vessels to cause wheal-like damage. In addition to histamine, mediators also include 5-hydroxytryptamine, acetylcholine, kinins, slow sensitizing substances (SRS-A), prostaglandins, fibrinolysin, complement, etc. These irritating substances can cause wheals when they act on the body. formation of damage.

Urticaria is a common allergic skin disease. When exposed to allergens or pathogenic factors are present in the body, patches of different shapes and sizes will appear in unspecified parts of the body. The red plaques will cause itching in the areas where the plaques occur. If the exposure to the allergen is not stopped and treated, the rash and itching will become worse.

Causes of urticaria

Common causes of urticaria are: ① The most common foods are fish, shrimp, crab, and eggs. Secondly, certain spices and condiments can also cause it. ②There are many drugs that can cause this disease. Penicillins, sulfonamides, furazolidine, serum vaccines, etc. often cause urticaria through the immune mechanism. Aspirin, morphine, atropine, vitamin B1 and other drugs are histamine-releasing substances, which can directly cause mast cells to release histamine and cause urticaria. ③Infection: including viruses (such as influenza virus, hepatitis virus), bacteria (such as golden grape), fungi and parasites (such as roundworms, etc.). ④Animal and plant factors, such as insect bites or inhalation of pollen, feathers, dander, etc. ⑤Physical factors, such as heat and cold, sunlight, friction and pressure, etc. can all cause it. In addition, gastrointestinal diseases, metabolic disorders, endocrine disorders and mental factors can also cause it.

Treatment and first aid

First of all, the cause of the disease should be found and the pathogenic factors should be eliminated. Medications are available for treatment. In acute urticaria, phenergan can be injected intramuscularly or antihistamines such as chlorpheniramine and diphenhydramine can be taken orally. Subsequently, similar drugs such as Antalox and Cyproheptadine can be used to maintain the condition. When the patient has anaphylactic shock, in addition to injecting 0.1% epinephrine, hydrocortisone should be intravenously dripped and antihistamine should be injected intramuscularly at the same time. Those with laryngeal edema and difficulty breathing should take oxygen immediately and go to the hospital to ask a doctor for a tracheotomy if necessary.

The main treatment for chronic urticaria is to find the cause, and oral antihistamine drugs are the main treatment. When one drug is ineffective, 2 to 3 drugs can be given at the same time. Treatment should be continued until the condition is stable for a few days and then gradually reduced, in order to achieve the purpose of desensitization. The main external medicines are white lotion and phenolic antipruritic agents.

Tips for treating urticaria:

Anyone who has experienced the pain of urticaria will definitely understand that the skin becomes more and more itchy the more you scratch it, and it will appear wherever you scratch it. Of course, you can apply anti-itching ointments to get temporary relief from the swelling, but it will come back again and again.

It usually starts from the limbs and slowly spreads to the body, usually within 24 hours. It will disappear naturally even if you don’t do anything to deal with it. Many people often find it after waking up from the previous day. The skin bumps are completely invisible, but they can occur intermittently, often leaving people confused.

"Urticaria" is simply a kind of skin allergy. It is an allergic disease and is not contagious. The cause is complex and may be caused by contact chemicals or dust in the air. Stingrays, mosquito bites, food, medicines, temperature, emotions, stress, fatigue, and even hormones are all related. Everyone’s situation will be different, and not necessarily everyone has an allergy. Not everyone is allergic to seafood, eggs, and milk. Allergies may not necessarily cause allergic reactions to antibiotics, as this completely varies from person to person. The test can help you find out the allergens, but the process is quite complicated, and most people still can't find the answer even after doing the desensitization test, so in the end you still have to rely on yourself to find out the allergens bit by bit from life experience. Observe slowly to find out the timing and frequency of onset, which is similar to a certain detail in life, and avoid contact with it, and remove allergens from the rules of thumb.

1. Oral antihistamine drugs are the simplest treatment method

When urticaria appears, see a dermatologist immediately. Doctors usually give ointments containing steroids to stop it locally. Itching, and oral antihistamine drugs are used to control allergic reactions.

Tips for taking medicine:

You must pay special attention when taking medicine. You must strictly follow the doctor's prescription and dosage. Don't skip taking it just because it doesn't itch today and take it again tomorrow if you feel itchy. If you get up and continue eating, not only will it not be cured, but it will also lead to chronic urticaria. After taking the medicine continuously for a period of time, the doctor will slowly reduce the dose according to the patient's condition (perhaps from taking it every day to taking it every other day). The medicine can not be stopped until it is completely cured. Medication in the acute phase needs to be continued for at least 1 month. . Never stop taking the medicine or adjust the dosage on your own while taking the medicine, otherwise all your efforts will be wasted. If you stop taking the medication on your own and the allergic reaction occurs again, you will have to start taking the medication again.

p.s. Some antihistamine drugs can cause drowsiness as a side effect. If they are not conducive to daytime working hours, you can communicate with your doctor to switch to one that is less likely to cause drowsiness.

If it is not cured immediately in the acute stage, it will turn into chronic urticaria, which occurs on and off within a month and lasts for more than half a year. Some people even last for more than several years. The chronic condition is not incurable, but it just requires patience. According to the above method of taking medicine, it needs to be taken for a longer period of time.

2. Applying Chinese medicine externally and washing Chinese medicine externally is the most fundamental treatment method

First, use a towel to soak the boiled Chinese medicine (don’t forget to put in a pack of Chinese medicine when boiling) One pound of coriander) Scrub the whole body. After scrubbing, the diseased areas will appear, and then scrub with medicine. It is better to wash it externally three times a day, and to apply it externally 3-4 times.

1. Thorough treatment, pure Chinese medicine treatment, no side effects on the human body, safe and efficient, no recurrence after cure.

2. The treatment time is relatively long, and patients generally need to persist in using it for 1-2 months.

What methods can give you temporary relief when the symptoms of urticaria appear on your skin

Cold compress: Applying local ice compress to the itchy area is the best way to combat itchy skin. It can not only constrict local blood vessels, but also reduce itching sensation, but this is only for relieving itching.

Antipruritic ointments: antipruritic ointments containing antibiotics and steroids.

What are the taboos in daily life:

Don’t scratch: Most people’s intuitive reaction to itchy skin is to scratch it with their hands quickly, but you may not know that this action not only does not stop it, Itching may become more itchy the more you scratch it, mainly because when you scratch the itchy part, it increases the temperature of the local area, causing the blood to release more histamines (allergens), which will worsen the itching.

Do not use hot compresses: Some people are itchy and want to use hot compresses. Although heat can temporarily make the local itchiness less sensitive, it is actually another kind of stimulation, because heat will dilate blood vessels and release blood. More allergens, such as soaking in an overheated hot spring or bathtub, or being wrapped in a heavy quilt to keep warm, may cause urticaria.

Avoid foods containing artificial additives and eat more fresh fruits and vegetables. Eat less fried, deep-fried or spicy foods that are more likely to trigger thermal reactions in the body.

Because urticaria is a constitutional problem, it is not easy to cure. In the past, many people had to let it go because they did not respond well to drug treatment and continued to relapse. No matter what, people with urticaria constitution can The fundamental way is to learn how to get along with it. In addition to avoiding contact with allergens, you should also pay attention to several principles in daily maintenance:

Eat more fresh fruits and vegetables rich in vitamins or It is to take vitamin C and B complex, or B 6 in B complex.

Eat more alkaline foods such as: grapes, green tea, kelp, tomatoes, sesame seeds, cucumbers, carrots, bananas, apples, oranges, radishes, mung beans, Italian seeds, etc.

Rest more, don’t get tired, and exercise moderately.

All of the above contribute to the body’s natural defense against allergens.

The World Health Organization WHO clearly stated in its guidance document on immune desensitization treatment that "immune desensitization treatment is the only fundamental treatment method that can completely treat allergic urticaria".

The International Allergy Research Authoritative Organization also proposed, "Use high-quality standardized desensitization preparations, and at the same time, use the best allergy treatment plan, including removal of urticaria allergens, patient immune repair, allergic urticaria complicated by mucosal vascular inflammation Symptomatic drug treatment, standardized desensitization preparations and immunotherapy, referred to as the "four-in-one quadruple therapy" plan

The following content on the traditional Chinese medicine treatment of urticaria is for reference only, please remember to follow the doctor's advice

[Edit this paragraph] 6. Traditional Chinese medicine for urticaria - blood fever

The symptoms of urticaria are red rash, which is aggravated by heat and relieved by cold. It mostly occurs in summer, with thin and yellow fur. Fluctuating pulse.

Urticaria treatment method: dispel wind and relieve surface, clear away heat and relieve itching.

Urticaria prescription: 6 grams of Schizonepeta, 6 grams of Fangfeng, 6 grams of Bombyx mori, 6 grams of Honeysuckle. Gram, 9 grams of burdock, 9 grams of paeonol, 6 grams of duckweed, 9 grams of dried rehmannia, 5 grams of mint, 9 grams of astragalus, 5 grams of cicada, 6 grams of raw licorice

Usage The time of decoction should not be too long. Take one dose a day and take it coolly in two portions. Avoid spicy and spicy food.

Notes on urticaria: This prescription uses Schizonepeta, Fengfeng, Mint and Chanyi as the main medicines. Nepeta is hard and warm, fragrant and dispersing, and the smell is light and spreads into the air, dispersing wind evil; the wind of Fangfeng is not light and can be dispersed into the wind of bones and flesh, so it can dispel the wind evil scattered on the surface. When using windproof, Nepeta must be used; peppermint is clear. Qingliang Powder is good at relieving wind-heat evils, and can relieve superficial rashes and detoxify. Chanyiliang disperses wind-heat and clears the lungs. Its Qi is clear and deficient, and it is good at inducing the above four herbs. Burdock seeds can dispel wind-heat, detoxify and clear up rash; duckweed can disperse wind and heat, which is good for opening the main orifices; silkworm can dispel wind and dissipate stagnation, assisting the above four main herbs to clear away the evil of external heat, and honeysuckle and yellow cocos can detoxify and clear away heat from the lungs. To purge the evil of skin and hair; paeonol and dry raw materials to regulate blood circulation and blood; raw licorice to detoxify and reconcile various medicines.

[Edit this paragraph] 7. Traditional Chinese Medicine Prescription for Urticaria - Qi Deficiency and Blood Heat

Symptoms of urticaria include skin itching and rash, which come and go, as small as pockmarks and as big as beans. They are flat hard nodules that are higher than the skin. Once scratched, they will connect into sheets, dark tongue with white coating, and stringy pulse.

The treatment method for urticaria is to replenish qi and nourish yin, dispel wind and purge fire

Urticaria prescription: 15 grams of raw astragalus, 10 grams of angelica, 10 grams of raw rehmannia, 15 grams of fried Fructus Aurantii, and white moss 10 grams of bark, 10 grams of kochia bark, 10 grams of sapiens, 10 grams of forsythia, 10 grams of mulberry leaves, 10 grams of fried white peony root, 10 grams of burdock seeds, 10 grams of Polygonatum odorifera, 3 grams of Schizonepeta

Usage: Decoct in water and take warmly in three doses. Five doses constitute a course of treatment. If it recurs after initial recovery, you can take it again according to the original prescription. Avoid spicy and irritating products.

The advice for urticaria is that astragalus replenishes qi and solidifies the surface. If the surface is solid, evil will not easily enter. "Compendium of Materia Medica": "It is his specialty to protect the Yang and enrich the external elements. Therefore, it is the most effective medicine for diseases caused by external deficiency." Angelica sinensis, raw rehmannia, white peony root, and Polygonatum odorifera nourish the yin and nourish the blood, so that the yin can be guarded internally; prevent wind , mulberry leaves, burdock seeds, and Schizonepeta to dispel wind evil and penetrate heat to the outside; use Albus bark and Kochia seeds to clear away heat and remove dampness; use Citrus aurantium to regulate qi, remove dampness and relieve itching; use Forsythia suspensa to clear away heat and detoxify, reduce swelling and dissipate knots.

[Edit this paragraph] 8. Traditional Chinese medicine for urticaria - spleen soil with dampness and sleepiness

Symptoms of urticaria: When the rash occurs, the limbs are not warm, the epigastrium is nauseated, and the body is tired and sleepy. , greasy mouth, abdominal distension and loose stools, pale tongue with white and greasy coating, and slow and slippery pulse.

The treatment method for urticaria is to invigorate the spleen, remove dampness, dispel wind and harmonize blood

The urticaria prescription Duopiyin contains 9 grams of Digupi, 9 grams of Acanthopanax bark, and 15 grams of Morus alba bark. 6 grams of dried ginger peel, 9 grams of big belly peel, 15 grams of white moss peel, 9 grams of pink peel, 15 grams of red wolfberry peel, 15 grams of winter melon peel, 15 grams of lentil peel, 9 grams of hibiscus bark

Usage: Decoct in water and take twice a day. Avoid spicy, greasy, fishy and greasy products.

Among the prescriptions for urticaria, red ling bark, winter melon peel, lentil peel, and big belly peel strengthen the spleen and promote dampness, and clear away stagnation in the intestines and stomach; dried ginger peel can be used to soften the stomach, strengthen the surface, and prevent stagnation. Do not leave; Aspergillus bark and Hibiscus chuanensis bark dispel wind and relieve itching; Danbark bark cools the blood and turns blood into spots; Digu bark and Morus bark bark purges the lungs and clears the fur.

Home remedies for treating urticaria

1. Home remedies for urticaria - Sesame seeds cure urticaria

Prescription: A handful of sesame roots

Usage: Wash After cleansing, add water to boil and wash while hot

Effects: clear away heat, dissipate wind and relieve itching.

2. Home remedies for urticaria - Leeks to treat urticaria

Prescription: A handful of leeks

Instructions: Heat the leeks on the fire. Apply to the affected area several times a day

Effects: clear away heat, dissipate wind and relieve itching.

3. Home remedy for urticaria - moxa leaf wine to treat urticaria

Prescription: 100 grams of white wine, 10 grams of raw moxa leaves

Usage: Apply medicine and fry until 50 After a while, I was convinced. Take once a day for 3 days

Effects include clearing away heat, dispersing wind and relieving itching.

4. Home remedy for urticaria - Shiquan Dabu Decoction flavored to treat urticaria

Prescription: 30 grams each of astragalus and kochia, 6 grams each of cinnamon and aconite, dangshen and atractylodes. , Poria, red peony root, white peony root, and angelica root 12 grams each, Rehmannia glutinosa 15 grams, Sichuan Qiong, Wu Shao Snake, and Zhigancao 9 grams each.

Usage: Take one dose per day, twice in the morning and evening. If the symptoms are relieved after taking 5 doses, the medicine is consistent with the medicine and can be continued to be taken. On the contrary, the medicine is beyond the scope of this prescription.

Effects: clear away heat, disperse wind and relieve itching.