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Tsai-Shan Huang1Ping-Ho Chen1Shan-Hong Wu1Chen-Jei Tai1*
1Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan
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Chronic urticaria is defined by the presence of recurrent urticaria (also called hives or wheals), angioedema, or both, for a period of six weeks or longer.Urticarial lesions have three typical features: (1)An area of central swelling of various size, usually with surrounding erythema (2)An itching sensation (3)A fleeting time course for an individual lesion (usually 30 minutes to 24 hours) with the skin returning to normal without ecchymoses.
This case report describes a 59-year-old female who suffered from chronic urticaria for two months. Under stress at work and taking medicine for a period of time after a car accident, wheals appeared. The lesions are central swelling of various size with surrounding erythema and itching sensation. The traditional Chinese medicine (TCM) syndrome was wind attacking subcutaneous tissue （風客腠理）, and thus stagnation of Qi and Jin（津氣不利）. Based on liver depression and spleen deficiency, the prescription was Dan-Zhi-Xiao-Yao-San combined with some wind-extinguishing and spasms-stopping single herbs. This case is a case of chronic urticaria treated with TCM without other intervention,which can provide clinical Chinese Medicine doctors an acceptable treatment option for patients who suffer from certain disease.
Keywords： chronic urticaria, wheal, Dan-Zhi-Xiao-Yao-San
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231.16 丹梔逍遙散加味治療癮疹之病例報告
