fēng pèi lěi
2 English referencehidden rashes [Nomenclature Review Committee of Chinese Medicine. Nomenclature of Chinese Medicine (2004)]
urticaria [中中医药学名词审定委员会. Chinese Medicine Nomenclature (2004)]
hidden rash [Chinese Medicine Nomenclature Validation Committee. Chinese Medicine Nomenclature (2013)]
urticaria [中中医药学名词审定委员会. Nomenclature of Chinese Medicine (2013)]
3 Overview
Wind? 癗 is the name of the disease [1]. Out of the "General Records of Sheng Ji" Volume XI. The name of the disease is "wind" (风)癗. 癗[1], addictive rash.
Addiction rash (hidden rashes; urticaria[2]) is the name of the disease[3]. It is also known as wind? ,? , commonly known as rubella lumps, ghost rice pimples ("Medical Zong Jinjian, Surgical Mind Essentials"). It is an allergic dermatosis characterized by the appearance of red or pale-white wind bumps on the skin, with itching that occurs and disappears as the main manifestation [3][2]. It is clinically characterized by the appearance of itchy masses on the skin, with no fixed place of occurrence, sudden onset and recession, and leaving no traces after receding. The disease can occur throughout the year, and young and old people can suffer from the disease, and about 15% to 20% of people have had this disease in their lifetime. Clinically, it can be divided into acute and chronic, the acute ones are quick to heal, and the chronic ones can have repeated attacks.
"Medical Zong Jinjian, Surgical Mind Method": "This evidence is commonly known as the ghost rice pimples, by sweating wind, or dew lying in the cool, wind more in the surface of the people in the deficiency. At the beginning of the skin for itching, the second hair flat pimples, shaped like beans Office, piled up into a piece, the day itchy, it is appropriate to serve Macrophyllum oxalicum soup, night itchy, it is appropriate to drink Angelica served."
Wind?
4 Wind? The etiology and pathogenesisWind? It can be due to the defenses are not solid, wind cold, wind heat evil guest in the muscle surface; or due to gastrointestinal dampness and heat in the skin; or due to the deficiency of qi and blood, the deficiency of the wind within the birth; or due to the internal injury of emotions and feelings, the Chong Ren is not in tune with the deficiency of the liver and kidneys, which leads to the wind and evil fighting knot in the skin and the onset of the disease.
Wind? The wind is mostly caused by sweating and wind, or lying in the dew to take the cool, wind evil into the skin coupling [5].
5 Wind? Symptoms of windWind? The first itchy skin, followed by the emergence of varying sizes of wind masses, shaped like beanstalks, into pieces and blocks [5]. The red color belongs to wind-heat, and the white color belongs to wind-cold [5]. Sometimes hidden, recurring, or even months and years do not heal [5].
6 Wind?Suddenly appear on the skin, white or red or normal skin color; size varies, shape varies; local appearance, or generalization of the whole body, or sparse scattered, or dense into a piece; the hair is not a fixed time, but in the evening is more. Wind clouds appear in batches, sometimes hidden, the duration of time varies, but generally not more than 24 hours, after subsiding does not leave any traces, some patients recurring multiple episodes a day. Self-awareness of severe itching, burning or stinging. Some patients, after scratching with the hands of the striped masses; a few patients, in the acute attack, shortness of breath, chest tightness, dyspnea, nausea and vomiting, abdominal pain and diarrhea, panic and palpitations. Acute, the onset of the rapid onset of fierce, sudden rise of the wind mass, quickly subside, itching and then stop; chronic, repeated episodes, long-lasting, the disease period is more than l a 2 months, or even longer.
Diagnostic points:
1, the rash is a reddish or porcelain-white doughnut of different sizes and shapes. Self-conscious itching.
2. The rash occurs suddenly and recedes rapidly, leaving no trace after receding, and can occur several times in a day.
3, the rash occurs in an indeterminate place.
4, mucous membranes can also be involved. If it occurs in the mucous membrane of the gastrointestinal tract, it can be accompanied by nausea, vomiting, abdominal pain, diarrhea, etc. If it occurs in the mucous membrane of the larynx, it can be accompanied by tightness of breath, dyspnea, and even cause asphyxia.
5, chronic recurrent episodes, can be delayed for weeks, months, or even years.
7 Need to be with the wind? 7.2 CatarrhCatarrh can occur at any age, more common in spring and fall, occurring on the dorsum of the hands and feet, the soles of the palms, the extensor sides of the limbs, etc., the lesions are polymorphic, with erythema, papules, wind, blisters, blisters, etc., and often more than two kinds of lesions at the same time, the typical lesions of catarrh, that is, iridescent, with a dark red or purplish-red color.
8 Wind? The treatment of 8.1 identification and treatmentWind is the longest of all diseases, good line and several changes, so the wind evil attack on the human body, can cause the skin to appear wind mass, sometimes hidden and sometimes appear, sudden rise and sudden disappearance. The wind evil every more hostage heat evil or cold evil to attack people, the internal muscle surface, can not be drained due to; also due to gastrointestinal disharmony, dampness and heat, Yu in the skin and hair. And recurrent attacks, delayed for a long time, due to gas deficiency Wei external not solid, or due to blood deficiency of wind, or due to Chong Ren is not adjusted, or due to blood stasis and so on. The main treatment method is to dispel the wind, and according to the different conditions of the patient to be diagnosis and treatment.
8.1.1 Wind-heat assaulting exteriorAddictive rash - hidden rash with pattern of windheat assaulting exterior (hidden rash with pattern of windheat assaulting exterior) refers to the wind-heat assaulting the exterior, with the wind mass of bright red, burning and itching, which may be accompanied by fever, malignant cold, sore throat, and the rash is aggravated when it is warmed up, and the tongue is thinly coated with white or thinly coated with yellow, and the pulse is floating as a common symptom. of addictive rash symptoms [4].
8.1.1.1 SymptomsReddish color of the wind cluster, flare-ups or aggravation in the presence of heat, burning sensation on touch, intense itching, or dry throat, heartburn. The tongue is slightly red, the moss is thin and yellow, and the pulse is floating or slippery.
8.1.1.2 TreatmentDispel wind and clear heat.
8.1.1.3 PrescriptionFor wind-heat, take Gentiana Macrophyllae and Burdock Soup internally [5].
Main prescription: Yin Qiao San (Wu Jutong, "Articles on Warm Diseases")
Prescription for addition and subtraction: 15 grams each of honeysuckle and forsythia, 9 grams each of thorns and cicadas, 12 grams each of burdock, scutellaria, and fucus, 30 grams of fritillary, 18 grams of rehmannia, 6 grams of peppermint (after the lower part of the bottle), and 6 grams of raw glycyrrhiza glabra. Decoction with water, 1 dose daily.
8.1.2 Wind-cold fettering exteriorAddiction rash - wind-cold fettering exterior (hidden rash with pattern of windcold fettering exterior) refers to the wind-cold fettering exterior, with the rash white in color, aggravated by wind-cold and diminished when it is warmed up, the mouth does not have thirst, and the tongue is pale, the tongue coating is white, and the pulse is buoyant and tight as a common symptom of the addiction rash syndrome [4].
8.1.2.1 SymptomsThe color of the wind mass is white (cerulean), and it flares up or worsens when it meets with cold or wind, and can be relieved by warmth. The tongue is thinly coated with white fur, and the pulse is slow or tight.
8.1.2.2 TreatmentTo expel wind and dispel cold.
8.1.2.3 PrescriptionFor wind-cold, internal administration of Thorny Prevention of Toxin Dispersal [5].
Main prescription: Jing, Fang, Wu and Toxin (Yu Bo's "Medical Zheng Zhuan") plus and minus prescription: 12 grams of wind, 9 grams of Jing, Qiang, Duhuo, Chaihu, Qianhu, Angelica, 15 grams of Poria, 6 grams of Chuanxiong and Ephedra. Take with water, 1 dose daily.
8.1.3 Dampness-heat in stomach and intestineHidden rash with pattern of dampnessheat in stomach and intestine refers to dampness-heat in stomach and intestine, embedded in the skin, which is characterized by large, reddish-coloured, itchy and severe rashes accompanied by pain in the epigastric region, nausea and vomiting, fatigue, constipation or diarrhea. Constipation or diarrhea, red tongue, yellowish tongue coating, slippery pulse as the common symptoms of addiction rash [4].
8.1.3.1 SymptomsSkin with windy masses, accompanied by epigastric distension and pain, dullness, nausea and vomiting, fatigue, diarrhea or constipation. The tongue is yellow and greasy, and the pulse is slippery.
8.1.3.2 TreatmentDouble dissolution of the exterior and interior, clearing heat and inducing dampness.
8.1.3.3 Prescription1. Main prescription: Yin Chen Artemisia Tang (Zhang Zhongjing's Treatise on Typhoid Fever) combined with Elevation and Dispersion (Yang Suan's Treatise on Typhoid Fever and Warm Epidemic) plus and minus the following prescription: 15 grams of Mian Yin Chen, 12 grams of rhubarb (after the lower part), 12 grams of gardenia seeds, 12 grams of antifungus, 9 grams of silkworms, 9 grams of cicadas, 30 grams of fritillaries, and 30 grams of Poria cocos. Water decoction, 1 dose daily. Stool diarrhea, go to rhubarb, can add spring sand nuts 6 grams (after the next). If the epigastric distension or nausea and vomiting, add 12 grams of Citrus aurantium, 9 grams of Houpu (after the next).
2. Proprietary Chinese medicine Fangfeng Tongsheng Pill, oral, 6 grams each time, 2 to 3 times a day, warm boiled water.
8.1.4 Wei-epidermal inconsistency
Addictive rash - Wei-epidermal inconsistency (hidden rash with pattern of unconsolidation of defensive exterior) refers to the Wei-epidermal inconsistency, with small wind clusters, a few large flakes, plain sweating, easy to catch a cold, every time in the sweating or the wind, cold *** after the rash, the tongue pale, moss thin white, pulse sinking and thin. The tongue is pale, the moss is thin and white, and the pulse is fine as the common symptoms of addiction rash [4].
8.1.4.1 SymptomsThe wind cluster is recurrent and prolonged, usually sweating, a little labor is sweating, the wind cluster attacks each feel the cold, a slight self-sweat. The tongue is pale, fat and tender, with a fine pulse.
8.1.4.2 TreatmentStrengthening the defense and camping to dispel wind.
8.1.4.3 PrescriptionMain prescription: Jade Screen Wind San (Gui Yilin's "World Medicine's Effective Prescription") combined with Astragalus and Gui Zhi Wu Wu Wu Tang (Zhang Zhongjing's "Essentials of the Jin Gui") plus or minus the following prescription: 25 grams of Astragalus, 12 grams of Atractylodes macrocephala, 12 grams of antifungal, 9 grams of Gui Zhi, Paeonia lactiflora, Paeonia lactiflora, 3 slices of ginger, 8 jujubes, 30 grams of calcined oyster (decoction first). Water decoction, can be re-slagged and then decoction, 1 dose per day.
8.1.5 Qi and blood deficiencyAddictive rash - qi and blood deficiency pattern (hidden rash with qiblood deficiency pattern) refers to the addiction rash syndrome with a long duration of disease, qi and blood deficiency, with recurrent episodes of wind masses, prolonged for several months or years, episodes worsened after exertion, fatigue and weakness, with a pale tongue, white tongue coating, and a moist and thin pulse as the common symptoms [4].
8.1.5.1 SymptomsRecurrent attacks of wind masses, prolonged, may be accompanied by dizziness, fatigue, dullness, sleeplessness at night. The tongue is pale, with thin or little moss, and the pulse is weak or moist.
8.1.5.2 TreatmentNourish Blood and dispel Wind.
8.1.5.3 Prescription treatmentFor deficiency of Qi and Blood, take Angelica Drink [5].
1, the main formula: four things to eliminate wind drink (Wu Qian et al. "Medical Zong Jinjian") plus and minus the prescription: 18 grams of raw rhizoma geophylloides, 12 grams each of Fangfeng, red peony, white moss skin, Chaihu, Angelica sinensis, 9 grams each of thorn mustard, cicadas metamorphosis, 6 grams of Chuanxiong rhizoma, 15 grams of He Shouwu, Tribulus terrestris. Water decoction, can be re-slagged and served again, 1 dose per day.
2, a single prescription: jack shouwu soup (Guangzhou College of Traditional Chinese Medicine, "Surgery") prescription: 30 grams of jack, 15 grams of he shouwu, 12 grams of WuDouYi, Angelica sinensis, cicadas, bitter ginseng, 9 grams of white moss skin. Water decoction, can be re-slagged and then decoction, 1 dose per day.
8.1.6 Qi stagnation and blood stasisAddictive rash - qi stagnation and blood stasis (hidden rash with pattern of qi stagnation and blood stasis) refers to qi stagnation and blood stasis, with a windy mass of dark red or purplish red in color, lesions mostly in the lumbar and epididymal band of compression and other parts, accompanied by darkening of the face, bruising of the lips and mouth, a dry mouth that does not want to drink, women's menstrual irregularities In the case of menstrual disorders in women, abdominal pain with menstruation, purplish red color or blood clots, purple and dark tongue, little moss, and a fine and astringent pulse are the common symptoms of the addiction rash [4].
8.1.6.1 Irregularity of the fluxes 8.1.6.1.1 SymptomsSeen in female patients. The onset of wind masses is cyclical, often starting a few days before menstruation, often disappearing with the cleansing of menstruation, but flaring up again at the next menstrual period; most often accompanied by irregular menstruation, or abdominal pain at the onset of menstruation. The tongue is dull red, the moss is thin, and the pulse is stringy.
8.1.6.1.2 TreatmentRegulate Chong Ren.
8.1.6.1.3 TreatmentMain prescription: Er Xian Tang ((Guangzhou College of Traditional Chinese Medicine, "Surgery")) combined with Si Wu Tang (Chen Shi Wen et al. "Taiping Huimin He Jie Bian Fang") plus and minus prescription: Xian Mao, Xian Ling Spleen (Epimedium), Zhi Mu, Huang Bai, Chuan Xiong, 9 grams each, Angelica Sinensis 15 grams, Bacopa Monnieri, Red Peony, Cuscuta, Fragrant Fungus, 12 grams each. Water decoction, can be re-slagged and then decoction service, 1 dose per day. With blood stasis (can be seen in low menstrual flow, color purple and black and lumps, or tongue with ecchymosis), discretionary addition of products to activate blood and eliminate blood stasis, such as Salvia divinorum 15 grams, peach kernel, safflower 9 grams each, or combined with the loss of smile San (five spirit fat, Pu Huang 9 grams each).
8.1.6.2 Blood stasis type 8.1.6.2.1 SymptomsRepeated episodes of wind-balls, lingering for a long time, with a dull red rash, or wind-balls mainly found in the waistband, strap and other pressurized parts of the body, accompanied by a dull complexion, lips and mouth blue. The tongue is dull red or purple, or there are petechiae on the edge of the tongue, and the pulse is fine and astringent.
8.1.6.2.2 TreatmentPromote blood circulation and eliminate blood stasis, accompanied by dispelling wind.
8.1.6.2.3 Treatment by prescriptionMain prescription: Tongjing and Blood Stasis Tang (Wang Qingren's "Reform and Error Correction of Medical Forests") plus and minus the prescription: 12 grams each of Dilonggan, Red Peony, Chaihu, and Fangfeng, 9 grams each of Peach kernel, Safflower, Cicada metamorphosis, and Soapwort spines, 12 grams of Andrographis paniculata (decocted first), and 15 grams of Salvia miltiorrhiza. Water decoction, can be re-slagged and then decoction service, 1 dose per day. If it is accompanied by wind-heat, add honeysuckle, forsythia, 1 gram each. If it is accompanied by wind-cold, add 9 grams of cinnamon sticks and 6 grams of ephedra. For external treatment, if the whole body is affected by wind masses, external washing with decoction of Chinese herbs has certain auxiliary therapeutic effect. Commonly used Chinese herbs: Siegesbeckia, white moss skin, groundnut, Tribulus terrestris, Cynanchum, bitter ginseng, perilla leaves, earth mustard, Ruyi flowers, hairy musk, eucalyptus leaves, neem leaves, Feiyangcao, black-faced God, etc., choose 5-6 flavors of 30 grams each; can also be used to wash one side of the skin.
8.2 Acupuncture and moxibustion treatment 8.2.1 Body needlingIf the wind cluster occurs in the upper body, take the points of Quchi, Hegu, Neiguan, Sanli of the hand, Shakuzawa; if it occurs in the lower body, take the points of Blood Sea, Sanli of the foot, Sanyinjiao, Yinlingquan; if it occurs in the whole body, also take the points of Fengshi, Fengchi, Daxi, Baihui, Daigongyu, Huizhong, etc. Each time, choose 2-6 points, and select 2 to 6 points. Select 2-6 points each time, use the diarrhea method for acute cases, and use the flat tonic and flat diarrhea method for chronic cases, leave the needle for 30 minutes, once a day.
8.2.2 Ear acupuncture