Urticaria

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Textbook Prescriptions Dermatology

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. SP10 Xuehai bilateral

    Spleen point that clears heat from the blood

  2. SP6 Sanyinjiao bilateral

    meeting of the three foot yin; with SP10 clears damp-heat from the blood

    • Pregnancy: contraindicated
  3. LI11 Quchi bilateral

    He-Sea of the Large Intestine; expels wind-heat to stop itching

  4. LI4 Hegu bilateral

    Yuan-Source of the Large Intestine; with LI11 expels wind-heat from the skin

    • Pregnancy: contraindicated

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

Treatment Principle

Disperse wind and clear heat from the blood by reducing Spleen and Large Intestine channel points.

Indications

sudden itchy wheals of varying sizesometimes abdominal pain and constipationfloating rapid pulseacute episodes clear quickly; chronic cases recur often

Method

Needle with the reducing method.

⚠ Cautions

Swelling of the lips, tongue or throat, wheezing, faintness or low blood pressure indicate angioedema or anaphylaxis: call emergency services, do not needle. Chronic urticaria may need medical investigation. LI4 and SP6 are contraindicated in pregnancy.

About

The book's prescription for urticaria, from blood heat with wind attacking the skin, or heat in the stomach and intestines after unaccustomed food.

Rationale

SP10 and SP6 clear damp-heat from the blood, the internal root of the wheals. LI11 and LI4 drive wind-heat out of the surface, relieving the itching and the rash.

Clinical Notes

Add ST36 for abdominal pain, to soothe the stomach and intestines. Ear points: Endocrine, Lung and Adrenal, needles retained for an hour with intermittent stimulation.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Urticaria, p. 383–384.

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