The membranous tube of sanjiao(三焦)is not only the path of the transport of fluid and qi,but the way of the invasion of pathogenic factors,therefore,it cooperates with the skin mucous membrane physically and influ-ence on each other pathologically.It is believed that the core pathogenesis of chronic urticaria is pathogens intruding sanjiao,membrane collaterals acute spasm,and fluid and qi disturbance,of which defense qi insufficiency and patho-gens intruding sanjiao initiates the disease,while struggle between healthy and pathogenic qi and membrane collater-als acute spasm is the intermediate stage,and disturbed fluid,qi and blood movement is the terminal stage.Following the core treatment principle of dredging sanjiao,the internal treatment is to open striae and interstices and dispel pathogens out using self-made Guben Shufeng Decoction(固本疏风汤)modifications,and the external treatment is to dredge and regulate membrane collaterals,move qi and fluid,and treat sanjiao simultaneously,commonly using cut-ting therapy on Danzhong(RN 17)to move qi and fluid,seal umbilical therapy on Shenque(RN 8)to supplement and nourish ying-wei(营卫),and natural moxibustion on Xuehai(SP 10)to move blood and unblock collaterals.
chronic urticariamembranous tube of sanjiao(三焦)internal and external combined treatmentdredge sanjiao