Effective Formula for Chronic Urticaria
Composition: Astragalus membranaceus 15g, Polygonum multiflorum 15g, Atractylodes macrocephala 15g, Angelica sinensis 12g, Dictamnus dasycarpus 12g, Salvia miltiorrhiza (added last) 12g, Red Peony Root 10g, Saposhnikovia divaricata 10g, Cicada Slough 10g, Bungarus multicinctus (powdered and mixed in) 9g, Ligusticum chuanxiong 6g, Glycyrrhiza uralensis 6g, Scorpion (powdered and mixed in) 6g. Centipede (powdered and mixed in) 2 pieces. Reduce dosage for children. If wind-cold predominates, add Ephedra, Cinnamomum, and Duhuo; remove Salvia miltiorrhiza and Red Peony Root. If wind-heat predominates, add Artemisia annua, Arctium lappa, Mentha; remove Angelica sinensis. If damp-heat predominates, add Coptis chinensis, Sophora flavescens, Kochia scoparia; remove Astragalus membranaceus. If heat-toxin is severe, add Honeysuckle, Isatis leaf, Coptis; remove Ligusticum chuanxiong. If blood stasis is prominent, add Peach Kernel, Safflower, Ze Lan; if blood heat predominates, add Purple Gromwell, Sophora japonica, Cortex Moutan; remove Atractylodes macrocephala. If both qi and blood deficiency, add Codonopsis pilosula, White Peony Root, Rehmannia glutinosa, Jujube; remove Scorpion and Centipede. For severe itching, add Tribulus terrestris, Sparganium, Schizonepeta, Xanthium sibiricum. For stubborn rashes, add Soapberry Thorn, Qinjiao, Luolu Tong. For long-standing cases, add Rhizoma Tripterygium wilfordii, Rhizoma Curcuma aeruginea. For recurrent episodes, add Earthworm, Silkworm Pupa, Leech. For refractory cases, add White Flower Snake, Pangolin Scale, Earth Bug. Take one dose per day, decoct four times, divide and take warm in morning, afternoon, evening, and before bedtime. Use remaining residue to prepare a concentrated decoction, filter, and use to wipe and soak the affected area twice daily—morning and evening. One course lasts 3 weeks, continue until rash disappears and itching stops. Avoid cold exposure, raw, spicy, fried, seafood, eggs, milk, beverages, alcohol, and pungent foods. Contraindicated for pregnant women, those with heavy menstruation, or bleeding disorders.
Function: Expel wind, dispel cold, clear heat, resolve dampness, cool blood, detoxify, activate blood circulation, unblock meridians, resolve stasis, reduce swelling, tonify qi, consolidate exterior, nourish blood, harmonize body fluids, relieve itching.
Efficacy: Mild cases recover completely after one course with disappearance of wheals and cessation of itching; severe cases require 2–3 courses for complete resolution of rashes and itching, negative skin scratch test, normal eosinophil count in blood routine examination.<Urticaria>