Urticaria - Stomach-Intestine Damp-Heat Pattern
TCM differentiation and treatment for urticaria with
Urticaria · Stomach-Intestine Damp-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Stomach-Intestine Damp-Heat is a pattern in urticaria, characterized by
**food allergy or gut dysbiosis-induced wheals, abdominal pain,
diarrhea, sticky mouth, and nausea**. The core pathogenesis is
accumulation of Damp-Heat in the Stomach and Intestines, causing gut
dysbiosis, increased intestinal permeability, and immune-mediated wheal
formation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
nausea |
| Associated Symptoms |
|---|
foul-smelling stools |
| Tongue and Pulse |
|---|
and rapid pulse |
| Pathogenesis |
|---|
Intestines |
| Etiology |
|---|
food intake |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Tianshu (ST25) | 2 cun lateral to the umbilicus |
|---|
of Large Intestine; regulates bowel function |
| Zusanli (ST36) |
|---|
to the tibial crest | Strengthens Spleen and Stomach; harmonizes
digestion |
| Quchi (LI11) | Lateral end of the elbow crease |
|---|
stops itching |
| Hegu (LI4) |
|---|
metacarpals | Disperses Wind and clears Heat |
| Yinlingquan (SP9) | Below the medial condyle of the tibia |
|---|
Transforms Dampness and drains Heat |
Clinical Recommendation: Filament needle, reducing method; may
combine with cupping on Tianshu to drain Damp-Heat.
Herbal Formula
Base Formula: Fang Feng Tong Sheng San (防风通圣散) or Chu Shi Wei
Ling Tang (除湿胃苓汤)
Composition:
Saposhnikovia (Fang Feng), Schizonepeta (Jing Jie), Ephedra (Ma Huang),
Rhubarb (Da Huang), Mirabilite (Mang Xiao), Gardenia (Zhi Zi),
Scutellaria (Huang Qin), Gypsum (Shi Gao), Licorice (Gan Cao)
Action: Clears Damp-Heat, harmonizes the Stomach-Intestine, and
stops itching.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Food-related wheals | Add Jiao San Xian to promote digestion |
|---|
| Abdominal pain |
|---|
|
| Diarrhea |
|---|
diarrhea |
| Sticky mouth | Add Huo Xiang, Pei Lan to transform Dampness |
|---|
Western Mechanism Reference
Food allergy or gut dysbiosis-induced urticaria with increased
intestinal permeability and elevated food-specific IgG.
Stomach-Intestine Damp-Heat corresponds to food allergy-related
urticaria, where gut dysbiosis and increased intestinal permeability
contribute to immune-mediated wheal formation.
References
1. Dermatology of TCM - Urticaria with Stomach-Intestine Damp-Heat.
2. Zang-Fu Pattern Differentiation: Large Intestine Damp-Heat → Clearing
Pathway.
3. WHO. (2023). Skin health. World Health Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for skin health.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM dermatology.
Related TCM Patterns for Urticaria
Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly
Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.