Abstract
Chronic urticaria (CU) is characterized by repeated occurrence of wheals or itching for more than 6 weeks. When urticaria symptoms repeatedly occur despite taking Western medicines such as antihistamines, Chinese medicine (CM) has been shown to relieve symptoms and prevent recurrence. However, the lack of robust evidence from the evidence-based medicine perspective is hindering acceptance of CM by the Western medicine community. In recent years, more and more evidence-based studies of CU treatment by CM were report in English literatures, including acupuncture, herbs, and food, although some of evidence is still with low quality. These progress in CM treatment of CU will inspire high quality evidences via randomized, controlled trials assessing effificacy and safety of CM treatment of CU.
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References
Greaves MW. Chronic urticaria. N Engl J Med 1995;332:1767–1772.
Mendelson MH, Bernstein JA, Gabriel, S, BalpM M, Tian H, Vietri J, et al. Patient-reported impact of chronic urticaria compared with psoriasis in the United States. J Dermatol Treat 2016. doi: 10.1080/09546634.2016.1227421.
Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, et al. The EAACI/GA2LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Allergy 2014;69:868–887.
Bernstein JA, Lang DM, Khan DA, Craig T, Dreyfus D, Hsieh F, et al. The diagnosis and management of acute and chronic urticaria: 2014 update. J Allergy Clin Immunol 2014;133:1270–1277.
Chen CJ, Yu HS. Acupuncture treatment of urticaria. Arch Dermatol 1998;134:1397–1399.
Ma C, Sivamani RK. Acupuncture as a treatment modality in dermatology: a systematic review. J Altern Complem Med 2015;21:520–529.
Yao Q, Li S, Liu X, Qin Z, Liu Z. The effectiveness and safety of acupuncture for patients with chronic urticaria: a systematic review. Biomed Res Int 2016. [Epub ahead of print] doi:10.1155/2016/5191729.
Yao Q, Ye Y, Liu X, Qin Z, Liu Z. Acupuncture for patients with chronic urticaria: a systematic review protocol. BMJ Open. May 5, 2015. doi:10.1136/bmjopen-2015-007704.
Park JS, Lee MJ, Chung KH, Ko DK, Chung H. Live bee acupuncture (Bong-Chim) dermatitis: dermatitis due to live bee acupuncture therapy in Korea. Int J Dermatol 2013;52:1519–1524.
Chen HY, Lin YH, Huang JW, Chen YC. Chinese herbal medicine network and core treatments for allergic skin diseases: implications from a nationwide database. J Ethnopharmacol 2015;168:260–267.
Shichijo K, Saito H. Effect of Chinese herbal medicines and disodium cromoglycate on IgE. Int J Immunopharmacol 1998;19:677–682.
Chien PS, Tseng YF, Hsu YC, Lai YK, Weng SF. Frequency and pattern of Chinese herbal medicine prescriptions for urticaria in Taiwan during 2009: analysis of the national health insurance database. BMC Complement Altern Med 2013;13:1039–1045.
Kim JH, Park SS. Retrospective case series on gwakhyangjeonggi-san prescribed to patients with chronic urticaria. Complement Ther Med 2015;23:806–809.
Kato S, Kato TA, Nishie H, Nishima S, Iwanaga T, Monji A, et al. Successful treatment of chronic urticaria with a japanese herbal medicine, Yokukansan. J Dermatol 2010;37:1066–1067.
Yamamura K, Kato S, Kato TA, Mizoguchi Y, Monji A, Kanba S, et al. Anti-allergic mechanisms of japanese herbal medicine, Yokukansan, on mast cells. J Dermatol 2014;41:808–814.
Yan M, Ye F, Zhang Y, Xi C, Fu Y, Yang X. Optimization model research on efficacy in treatment of chronic urticaria by Chinese and Western medicine based on a genetic algorithm. J Tradit Chin Med 2013;33:60–64.
Hsu ML, Li LF. Prevalence of food avoidance and food allergy in Chinese patients with chronic urticaria. Br J Dermatol 2012;166:747–752.
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Wang, Ym., Du, L. & Zhu, Yj. Evidence-based therapies of Chinese medicine for chronic urticaria: Where do we stand and where are we going?. Chin. J. Integr. Med. 23, 566–569 (2017). https://doi.org/10.1007/s11655-016-2533-y
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DOI: https://doi.org/10.1007/s11655-016-2533-y