Chronic Urticaria
Chronic Urticaria
（One）
【Differential Diagnosis】Spleen fails to transform and transport, further affected by wind pathogen, stagnating in the skin.
【Therapeutic Principle】Strengthen spleen and remove dampness, dispel wind and harmonize blood.
【Formula Name】Polyherbal Drink.
【Composition】Lycium Root Bark 9g, Acanthopanax Bark 9g, Moutan Cortex 9g, Large Belly Bark 9g, Hibiscus Bark 9g, Mulberry White Bark 15g, Dictamnus Bark 15g, Red Poria 15g, Winter Melon Rind 15g, Hyacinth Bean Husk 15g, Dry Ginger Husk 6g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Recipe from Dr. Zhao Bingnan.
（Two）
【Differential Diagnosis】Deficiency of qi and blood, weakened defensive function, loose pores, impaired microcirculation, wind pathogen invading internally, skin losing nourishment.
【Therapeutic Principle】Open the pores with pungent dispersion, harmonize blood and relieve itching.
【Formula Name】Mahuang Formula.
【Composition】Ephedra 3g, Dry Ginger Husk 3g, Floating Plantain 3g, Apricot Kernel 4.5g, Dictamnus Bark 15g, Salvia miltiorrhiza 15g, Tangerine Peel 9g, Moutan Cortex 9g, Silkworm Pupa 9g.
【Usage】Decoct and take orally, one dose per day, three times daily.
【Source】Recipe from Dr. Zhao Bingnan.
（Three）
【Differential Diagnosis】Spleen deficiency with wind.
【Therapeutic Principle】Strengthen spleen and remove dampness, expel wind and relieve itching.
【Formula Name】Urticaria Decoction.
【Composition】Atractylodes lancea 5g, Atractylodes macrocephala 30g, Poria cocos 15g, Schizonepeta tenuifolia 15g, Moutan Cortex 15g, Saposhnikovia Root 9g, Tribulus terrestris 12g, Silkworm Pupa 10g, Ligusticum Chuanxiong 9g, Salvia miltiorrhiza 15g, Scutellaria baicalensis 10g, Dragon Bone 15g.
【Usage】Decoct and take orally, one dose per day, three times daily.
【Source】Recipe from Dr. Qu Shuxin.
（Four）
【Differential Diagnosis】Deficiency of yin and blood, wind pathogen and dampness restraining, pathogenic factors lurking in the blood, easily triggered by unfavorable climatic conditions.
【Therapeutic Principle】Nourish yin and enrich blood, primarily clear blood level, supplemented by dispersing wind and removing dampness.
【Formula Name】Modified Danggui Yin.
【Composition】Angelica sinensis 9g, White Peony Root 9g, Raw Rehmannia 15g, Polygonum multiflorum 30g, Ligusticum Chuanxiong 6g, Bletilla striata 9g, Earthworm 9g, Trachelospermum jasminoides 15g, Kochia scoparia 12g, Wu Yao 6g, Schizonepeta tenuifolia 6g, Saposhnikovia Root 6g, Licorice root 5g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Recipe from Dr. Yu Changrong.
（Five）
【Differential Diagnosis】Wind exposure after bathing, pathogenic factors invading meridians, obstruction of qi and blood flow, leading to persistent urticaria.
【Therapeutic Principle】Dispel wind and clear heat, activate blood and unblock meridians.
【Formula Name】Mahuang Lianqiao Xiaodou Tang Combined with Hu's Decoction.
【Composition】Ephedra 3g, Forsythia suspensa 9g, Red Adzuki Bean 12g, Hemp Seed 30g, Polygonum multiflorum 9g, Sophora Flavescens 6g, Calamus 6g, Licorice root 4.5g.
【Usage】Decoct and take orally, once daily, twice daily.
【Source】Recipe from Dr. He Ren.