中西医治疗荨麻疹的研究进展

Research Progress in the Treatment of Urticaria with Integrated Traditional Chinese and Western Medicine

摘要: 荨麻疹是临床常见的过敏性皮肤病，以突发瘙痒、风团骤起骤消为主要表现，慢性患者病程迁延、反复发作，显著影响生活质量。西医以抗组胺药、糖皮质激素等对症治疗为主，可快速控制症状，但长期用药易复发，且存在一定不良反应。中医认为本病核心病机为禀赋不耐、外感风邪、湿热内蕴或血虚风燥，治疗以疏风止痒、调和气血、扶正固表为要。中西医结合治疗可取西药快速止痒与中药整体调理、针灸外治疏通经络之长，标本兼顾、优势互补。本文通过梳理近年相关临床研究，对荨麻疹中西医治疗进展进行归纳总结，为临床优化治疗方案提供参考。

Abstract: Urticaria is a common allergic skin disease in clinical practice, characterized by sudden itching and transient wheals. Chronic patients often have a prolonged and recurrent course, which seriously affects the quality of life. Western medicine mainly adopts antihistamines and glucocorticoids for symptomatic treatment, which can quickly control symptoms but is prone to relapse with certain adverse reactions after long-term use. Traditional Chinese medicine holds that the core pathogenesis of this disease is congenital deficiency, invasion of external wind, internal damp-heat, or blood deficiency with wind dryness. The treatment focuses on dispelling wind to relieve itching, regulating qi and blood, and strengthening the body resistance. Integrated traditional Chinese and Western medicine combines the rapid antipruritic effect of Western medicine with the overall regulation of traditional Chinese medicine and dredging meridians by acupuncture and external treatment, achieving both symptomatic and radical treatment with complementary advantages. This paper reviews recent clinical studies and summarizes the progress in the treatment of urticaria with integrated traditional Chinese and Western medicine, so as to provide references for clinical optimization of treatment plans.