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Chronic Urticaria

How Chinese medicine differentiates chronic urticaria — hives lasting more than six weeks — into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Urticaria page. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Wheals with throat swelling, difficulty breathing, or dizziness need emergency care (possible anaphylaxis) regardless of pattern.
General Acupuncture Points

Acupuncture points traditionally used for chronic urticaria — 13 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
G.B.-20Expels exterior and interior Wind. Clears Heat.
L.I.-4Expels exterior Wind and releases the Exterior. Stops pain.
BL-13Stimulates the diffusing and descending of Lung-Qi. Tonifies Lung-Qi.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
REN-8Rescues Yang. Strengthens the Spleen. Tonifies Original Qi.
BL-12Expels exterior Wind. Releases the Exterior. Regulates Lung-Qi.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
L.I.-11Clears Heat and cools Blood. Resolves Dampness.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Deficiency With External Wind View full pattern →

Clinical manifestations: Skin itching worsens at night, dry flaking rough skin, pale or sallow complexion, aversion to wind or drafts, dizziness, dull or brittle nails, scanty or pale menstrual blood.
Tongue: Pale, thin body with thin white and slightly dry coat. Pulse: Fine and wiry at the left middle position, floating at the superficial level on the right front.
Treatment principle: Nourishes Blood and moistens Dryness, dispels Wind and stops itching, tonifies Qi and consolidates the Exterior.
Note: moxa applicable on ST-36. Linked to this site's own Liver-Blood-deficiency slide, the closest match, with the external-Wind-invasion component flagged as a gap that slide alone does not cover.

2. Protective (Wei) Qi Deficiency View full pattern →

Clinical manifestations: Pale or skin-colored wheals, worse with drafts and cold, spontaneous sweating worsening with activity, frequent colds and infections, fatigue and low stamina, heart palpitations and poor sleep.
Tongue: Pale, puffy with possible teeth marks, thin white coat. Pulse: Floating, empty, and soggy at the superficial level.
Treatment principle: The body's defensive energy is weak from chronic Qi deficiency, allowing Wind to breach the skin surface easily.
Note: moxa applicable on ST-36/REN-8. Linked to this site's own Lung-Qi-deficiency slide, the closest match, since Wei (Protective) Qi is a function of Lung-Qi dispersal — the Wei-Qi-specific framing is flagged as a gap that slide alone does not name directly.

3. Ying-Wei Disharmony

Clinical manifestations: Hives appear after wind or draft exposure, spontaneous sweating with minimal activity, mild chills or alternating chills and mild heat, generalized body aches and fatigue, sensitivity to temperature changes.
Tongue: Pale-red or slightly pale body with thin, white, moist coating. Pulse: Floating and moderate, sometimes floating and weak.
Treatment principle: The protective Wei-Qi and nourishing Ying-Qi are out of sync, so the pores open and close at the wrong times.
Note: no moxa. This is a distinct classical TCM concept (Ying-Wei disharmony) with no corresponding slide on any deck here — no pattern link is given here; points still link fine individually.

4. Qi and Blood Deficiency

Clinical manifestations: Pale, pinkish or skin-colored wheals rather than bright red, deep fatigue worsening with exertion, sallow or pale complexion and pale lips, dizziness or lightheadedness, heart palpitations and poor sleep.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at the right middle position.
Treatment principle: Both Qi and Blood are low, so outer defenses are porous and the skin is undernourished and dry.
Note: moxa applicable on ST-36/REN-6. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

5. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Red, raised wheals that itch intensely, outbreaks triggered by rich, greasy, or spicy food, abdominal bloating and fullness after eating, sticky or bitter taste in the mouth, loose stools feeling incomplete or sticky.
Tongue: Red body with thick, yellow, greasy coating, especially at center and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Turbid Damp-Heat rises upward and outward, erupting as red, itchy hives.
Note: no moxa. Matched to this site's own Damp-Heat-invading-the-Spleen slide.

6. Yin and Blood Deficiency View full pattern →

Clinical manifestations: Dry, itchy hives worse at night, night sweats, warm palms, soles, and chest, dizziness and poor memory, scanty or absent menstruation.
Tongue: Pale to pale-red, thin and dry body with cracks, scanty or peeled coating. Pulse: Fine and rapid, especially weak at the left middle and both rear positions.
Treatment principle: Internal dryness creates a kind of internal Wind stirring beneath the skin, producing persistent, dry, itchy hives.
Note: no moxa. Linked to this site's own Liver-Yin-deficiency slide, the closest match, with the Blood-deficiency component flagged as a gap that slide alone does not cover — the same judgment call made on this site's Choppy Pulse page.
Related conditions

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