Urticaria Flashcards
Yin Zhen
What is urticaria?
Urticaria, commonly known as hives, is a skin condition characterized by red, itchy, raised welts that appear suddenly.
What does urticaria look like?
The skin is typically itchy, red, and raised, either as small bumps or large areas.
When does urticaria tend to appear?
It tends to appear after exposure to wind.
What is another name for urticaria in TCM?
It is also called ‘Wind Wheal’ in TCM.
What does ‘hidden rash’ refer to in relation to urticaria?
The condition has a nature of coming and going
Can urticaria be a recurring condition?
In some cases, it may repeatedly occur over a period of months to years.
What are the etiologies of Urticaria?
Improper Diet
Infection, parasites + medications
Emotions
External Pathogens–> Wind-Cold + Wind-Heat
The following are patterns of ________?
Wind-Cold
Wind-Heat
Excess Heat in Yangming
Blood Heat
Blood Stasis
Qi + Blood Xu
SP Yang Xu (Empty Cod)
Chong + Ren Disharmony
Urticaria
What are the main points for Urticaria?
LI-11: Clears whole body’s heat
LI-4: Releases exterior + harmonizes Wei Qi + Expels Wind
SP-10: Cools Blood + Nourishes Blood
BL-40: Drains Damp-Heat
BL-17: Hui-meeting of Blood + Nourishes + Regulates Blood
What are the main points in treating Urticaria in the upper body?
LI-11: Clears whole body’s Heat
PC-6: Luo-connecting + Unbinds chest + Regulates HT Qi + Calms Shen + Confluent of Yin LV + Clears Heat
What are the main points in treating Urticaria in the lower body?
SP-10: Nourishes Blood + Cools Blood + Relives itching
ST-36: Tonifies Qi + Nourishes Blood + Yin
SP-6: Resolves Dampness + Tonifys SP + ST
What are the main points in treating Urticaria in the whole body?
GB-31: Wind Market + Distinguishes Wind + Relieves itching
GB-20: Expels Internal + External Wind
DU-14: Clears Yang Heat + Releases Exterior
HT-7: Yuan + tonifies HT + Calms Shen
The following are S/sx of Urticaria due to __________?
Skin lesions are pale, aggravated by wind or cold, relieved by warmth, generally occur in winter
T: Thin, white coating or thin, white, greasy coating
P: Floating + Slow + Soggy-Moderate
Wind-Cold
What are 2 supplementary points for Wind-Cold causing Urticaria?
BL-12: Wind-Gate + Expels Wind
BL-13: Back-shu of LU
The following are S/sx of Urticaria due to __________?
Skin lesions are red, aggravated by heat, relieved by cold, and often occur in summer or autumn
T: Thin, yellow coating
P: Floating + Rapid
Wind-Heat
What are 2 supplementary points for Wind-Heat causing Urticaria?
DU-14: Clear Heat from Yang channels + Releases exterior
GB-20: Expels Ext. Wind
The following are S/sx of Urticaria due to __________?
Red lesions, usually accompanied by epigastric pain, lassitude, poor
appetite, constipation or loose stool, nausea, vomiting, maybe parasites
T: Red w/ yellow-greasy coating
P: Rapid + Slippery
Excess Heat in Yangming (ST + LI)
What are 2 supplementary points for Excess Heat in Yangming causing Urticaria?
ST-36: Tonifys Qi + Regulates ST
ST-25:
St-44: Clears Yangming Heat
The following are S/sx of Urticaria due to __________?
Worse at night, starting from a burning sensation and itching, becoming a stick-like bulge after scratching and expanding with scratching, restlessness, dry mouth w/ desire to drink
T: Red w/ mapped coating
P: Rapid + Wiry + Slippery
Blood Heat
What are 3 supplementary points for Blood Heat causing Urticaria?
PC-7 + LR-2 + SP10
The following are S/sx of Urticaria due to __________?
Lesions are darker in colour, dark complexion, purplish lips
T: Purple w/ petechiae
P: Thready + Choppy
Blood Stasis
What are the 2 supplementary points for Blood Stasis causing Urticaria?
SP-10 + BL-17
The following are S/sx of Urticaria due to __________?
Longer duration of a few months or years (usually without tx), recurrent, aggravated by fatigue, lassitude
T: Pale w/ thin coating
P: Thready + Weak
Qi + Blood Xu
What are the supplementary points for Qi + Blood Xu causing Urticaria?
ST-36 + SP-6 + REN-6 + BL-17 + SP-10
The following are S/sx of Urticaria due to __________?
After a long duration without tx, more pale lesions, w/ chills, intolerance to cold, cold limbs, cold body, distention in epigastric area, poor appetite
T: Pale + puffy w/ white coating
P: Weak + Thready + Moderate
Empty Cold in SP + ST
What are the supplementary points for Empty Cold in SP + ST causing Urticaria?
ST-36
REN-12
REN-6
SP-4
Moxa
What is the pathogenesis of Yang Xu pattern causing Urticaria?
SP Xu = dysfunction of T&T —
insufficiency source of blood —
- unable to nourish the skin
The following are S/sx of Urticaria due to __________?
Generally, occurs a few days before the period, disappears or reduces after, and comes again before the next period, lesions are mostly seen on the lateral sides of the thighs, lower abdomen, or lower back
T: Purple w/ thin coating
P: Thready + Wiry
REN + Chong Disharmony
What is the pathogenesis of Chong + Ren Disharmony causing Urticaria
Qi + Blood distribution disturbance before period
What are the supplementary points for REN + Chong Disharmony causing Urticaria?
SP-4 + PC-6
LU-7 + KI-6
BL-17 + SP-10
Great combo for clearing Blood Heat?
LR-2 + PC-7
