Hives

TCM Pathology
Clinical characteristics: sudden onset, rapid disappearance w/ no trace after recovery, severe itching, burning heat, red or pale wheal with clear borders, attacks body at certain areas, rising one after another, positive dermatographic test

Can Be Produced by exposure to cold, sunlight, psychic disturbances or intake of protein food

Acute: damp heat. Either equal damp and heat or more heat than damp

Subacute: Either equal damp and heat or more damp than heat + Spleen Qi xu

Chronic: Spleen, Lung & Kidney Xu with blood involvement -Blood can be heat, stagnation or xu -Itching, esp. worse at night can indicate blood xu w/ blood stasis

Wind Heat
above symptoms plus red wheals, < heat, > cold, aversion to wind, slight fever, thirsty, restlessness Tongue: Red (front; thin yellow coat Pulse: superficial, rapid Treatment Principles: Expel wind, clear heat Acupuncture Treatment: LI-4, LI-11, TW-5, GB-20, GB-31, GV-14, SP-6, SP-10, ST-36, BL-12, BL-15, BL-17 Herbal Formulas: Internal: Sang Ju Yin, Yin Qiao San, or Xiao Feng San External: Wia Yong Zhi Yang San - can also add alum in tub & soak it //Sang Ju Yin//: [Sang Ye, Ju Hua, Lian Qiao, Bo He, Xing Ren, Jie Geng, Lu Gen, Gan Cao] //Yin Qiao San:// [Jin Yin Hua, Lian Qiao, Jing Jie Sui, Bo He, Dan Dou Chi, Jie Geng, Niu Bang Zi, Gan Cao, Dan Zhu Ye, Lu Gen] //Xiao Feng San:// [Niu Bang Zi, Chan Tui, Jing Jie, Fang Feng, Cang Zhu, Ku Shen, Mu Tong, Zhi Mu, Sheng Shi Gao, Sheng Di Huang, Dang Gui, Hu Ma Ren, Sheng Gan Cao]

Wind Cold
Above symptoms plus pale or pink wheals,  heat, chills, aversion to wind, no thirst Tongue: normal with thin white coat Pulse: superficial, soft Treatment Principles: expel wind, disperse cold Acupuncture Treatment: LI-4, GB-20, GB-31, GV-16, TW-5, TW-17, BL-12, SP-10, LR-3, local channel points Herbal Formulas: Internal: Qu Feng San Han Yin or Ma Huang Gui Zhi Tang External: Wai Yong Zhi Yang San //Mang Huang Gui Zhi Tang:// [Ma Huang, Gui Zhi, Huang Qin, Tao Ren, Gan Cao]

Wei Qi Deficiency (Can combine with wind heat or cold)
Frequent recurring wheals, easily becoming chronic, attacking when patient had cold, hives after sweating, aversion to cold after sweating, some spontaneous sweats, catches cold easily Tongue: Normal or pale, puffy with thin white coat Pulse: Weak, (deep, superficial, soft) Treatment Principles: Tonify qi, nourish blood Acupuncture Treatment: ST-36, LI-10, BL-13, CV-6 Herbal Treatment: Internal: Yu Ping Feng San or Dang Gui Yin Zi //Yu Ping Feng San//: [Huang Qi, Fang Feng, Bai Zhu] //Dang Gui Yin Zi//: [Dang Gui, Chuan Xiong, Sheng Di Huang, Bai Shao Yao, He Shou Wu, Huang Qi, Jing Jie, Fang Feng, Bai Ji Li, Gan Cao, Sheng Jiang]

Spleen & Stomach Damp Heat
GI Tract involved, wheals on skin and in GI tract, gas, abdominal cramps, < palpating, irritable due to pain, poor appetite, diarrhea, constipation, general lassitude, possible fever Tongue: Slightly red; thin/thick yellow sticky coat Pulse: soft & rapid; or slippery and rapid; or wiry, slippery, rapid Treatment Principles: Transform damp, clear heat in SP/ST Acupuncture Treatment: LI-4, LI-11, TW-5, GB-20, GB-31, GV-14, SP-6, SP-10, BL-12, CV-12, ST-25, ST-34, BL-20, BL-21, BL-25, ST-37, PC-6, SP-4, Sp-15, TW-6 Herbal Treatment: Internal: Chi Shi Wei Ling Tang + Yin Chen Hao Tang External: Wai Yong Zhi Yang San //Chu Shi Wei Ling Tang:// [Ping Wei San (Cang Zhu (10g.), Huo Po (10g.), Chen Pi (6g.), Gan Cao (10g.))+ Wu Ling San (Zhu Ling (10g.), Fu Ling (10g.), Ze Xie (10g.), Bai Zhu (10g.), Gui Zhi) + Fang Feng (10g.), Zhi Zi (6g.), Mu Tong (10g.), Deng Xin Cao (6g.) //Yin Chen Hao Tang:// [Yin Chen Hao, Zhi Zi, Da Huang]

Wai Yong Zhi Yang San (Stop Itching Powder for External Use): [Jing Jie (60g.), Hua Shi (60g.), Bing Pian (6g.)]

Steam Therapy: [Jing Jie (30g.), Fang Feng (30g.), Zi Cao (30g.), Chan Tui (20g.), Bai Ji Li (30g.), Bai Xian Pi (30g.), Ku Shen (30g.), Di Fu Zi (30g.), Tu Fu Ling (30g.), Huang Bai (30g.), Cang Zhu (30g.), She Chuan Zi (30g.)

Heat - Xi Jiao Di Huang Tang Xu - Si Wu Tang Stasis - Shao Fu Zhu Yu Tang

Blood Movers: Heat - Dan Shen, Chi Shao, Qian Cao, Bai Hua She She Cao Cold - Wei Ling Xian, Wu Shao She Blood Xu - Dang Gui, Chuan Xiong, Ji Xue Teng Blood Stasis - Tao Ren, Hong Hua, San Leng, E Zhu, Yi Mu Cao Bugs: Quan Xie (3-6g. DAILY); Jiang Chan + Jiang Huang + Wu Shao She + Chan Tui

Herbal Combinations Ma Huang (3-6g.) + Mu Li (30g.) - wind cold, cold Ze Su Ye (15.) + Fang Feng (15g.) - digestive, allergic reaction Yu Xing Cao (15-30g.) + Bai Xian Pi (15-30g.) - damp heat, excess heat Xu Chang Qing [swallow wort] (15g.) + Mu Dan Pi (15g.) - blood heat/ blood stasis Wu Wei Zi + Wu Mei - Yin Xu w/ empty heat

General Dermatological Modifications
Wind:, (1 - mild): Bai Xian Pi (dampness w/ oozing - 15-30g. up to 60g.), Di Fu Zi (lower jiao - UTI, yeast infection), Bai Ji Li, Ku Shen (also increases immune system) (2 - powerful) Bugs - Wu Gong (1-3g./day), Quan Chong (1-3g./day), Wu Shao She, Di Long, Chan Tui, Jiang Chan (3 - itching) Shen - Dan Shen, Zhen Zhu Mu, Long Gu, Mu Li, Shi Jue Ming

Guiding Herbs: (1-head and face) - Ye Ju Hua, Gao Ben,, Cang Er Zi (2 - ear and around the mouth) - Huang Lian, Zhi Zi, Huang Qin, Long Dan Cao (3 - upper limbs) - Sang Zhi, Qiang Huo (4 - lower limbs) - Mu Gua, Nui Xi, Du Huo (5 - Lower Back) - Du Zhong, Xu Duan (6 - Genitals) - Huang Bai

Children: (1 - Middle Jiao) - Shen Ling Bai Zhu San, Si Juan Zi, Liu Jun Zi Tang (2 - Dampness) - Yi Yi Ren, Shan Yao, Lian Zi, Qian Shi, Bai Bian Dou

Dietary Recommendations
A parallel liver treatment is essential; eliminate sugar and fats

Recommended Minerals
-Sulfur -Manganese