Urticaria - Wind-Cold Pattern
TCM differentiation and treatment for urticaria with
Urticaria · Wind-Cold Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Wind-Cold is a common pattern in urticaria, characterized by
**cold-induced mast cell degranulation, wheals triggered by cold
exposure, intense itching, and winter exacerbation**. The core
pathogenesis is invasion of Wind-Cold pathogens into the exterior,
causing cold-induced mast cell degranulation, histamine release, and
wheal formation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
exposure, winter exacerbation |
| Associated Symptoms |
|---|
or pale wheals |
| Tongue and Pulse |
|---|
floating and tense pulse |
| Pathogenesis | Wind-Cold pathogens binding the exterior |
|---|
| Etiology |
|---|
cold urticaria |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Fengchi (GB20) |
|---|
sternocleidomastoid and trapezius | Disperses Wind and releases the
exterior |
| Hegu (LI4) |
|---|
metacarpals | Disperses Wind and releases the exterior |
| Lieque (LU7) |
|---|
depression between the tendons | Diffuses the Lung and disperses
Wind-Cold |
| Quchi (LI11) | Lateral end of the elbow crease |
|---|
and stops itching |
| Xuehai (SP10) | On the medial thigh, 2 cun above the patella |
|---|
Cools Blood and stops itching |
Clinical Recommendation: Filament needle, reducing method;
moxibustion may be added to disperse Cold.
Herbal Formula
Base Formula: Gui Zhi Ma Huang Ge Ban Tang (桂枝麻黄各半汤) or Jing
Fang Bai Du San (荆防败毒散)
Composition:
Cinnamon Twig (Gui Zhi), Ephedra (Ma Huang), Schizonepeta (Jing Jie),
Saposhnikovia (Fang Feng), Notopterygium (Qiang Huo), White Peony (Bai
Shao), Ginger (Sheng Jiang), Licorice (Gan Cao)
Action: Disperses Wind-Cold, releases the exterior, and stops
itching.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Intense itching | Add Bai Xian Pi, Ku Shen to stop itching |
|---|
| No sweating | Add Ma Huang, Gui Zhi to release the exterior |
|---|
| Chills | Add Fu Zi, Xi Xin to warm and disperse Cold |
|---|
| Pale wheals | Add Gui Zhi, Sheng Jiang to warm the meridians |
|---|
Western Mechanism Reference
Cold-induced mast cell degranulation and histamine release, with cold
urticaria and TRPA1 channel activation. Wind-Cold corresponds to cold
urticaria, where cold exposure activates TRPA1 channels inducing mast
cell degranulation and histamine release.
References
1. Dermatology of TCM - Urticaria with Wind-Cold.
2. Zang-Fu Pattern Differentiation: Wind-Cold Binding the Exterior →
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.