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Chronic Urticaria: Recurrent Itching
Blog September 30, 2025

Chronic Urticaria: Recurrent Itching

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Chronic Hives: The Recurring Itch – How to Decode Your Body's Underlying Warning

Are you exhausted by the persistent itching and skin rashes that never seem to go away, and symptoms that recur even with medication?

“Taking medication every day doesn't help. Is there an underlying problem with my body?”

Such questions suggest that chronic hives are not merely a surface skin issue, but a warning light from within the body. Existing treatments often focus solely on symptom suppression, presenting clear limitations in addressing the root cause. Traditional Korean Medicine (TKM) offers new insights into this fundamental question.

A Message from Within: How Traditional Korean Medicine Interprets Hives

Traditional Korean Medicine understands chronic hives as a signal of internal imbalance manifesting on the skin. The skin is like a mirror reflecting the body's overall health.

Insights from the Dongui Bogam

The Dongui Bogam describes the cause of hives as the accumulation of wind-heat (風熱) or damp-heat (濕熱) within the body. This suggests that the fundamental cause lies in the internal environment of the body, rather than being merely a phenomenon appearing on the skin surface.

Stress, diet, environmental toxins, and other factors create unnecessary heat or dampness within the body, disrupt the circulation of Qi and Blood, and manifest as skin symptoms. Much like water boiling over in a pot with a closed lid.

Questions to Ask Yourself:

Have you recently experienced stress, indigestion, or a feeling of heaviness in your body? Do your hives worsen at night or after consuming specific foods? These questions can provide valuable clues in finding the connection between your symptoms and internal bodily changes.

The Wisdom of Restoring Balance: Nurturing Your Body Like a Garden

Traditional Korean Medicine approaches chronic hives not merely by suppressing symptoms, but by aiming to restore internal harmony within the body. This is like nurturing your body as a garden. Instead of just pulling out weeds (hives), it's about creating a healthy ecosystem by improving the soil (internal body environment) and providing nourishment (lifestyle habits).

The core of TKM management involves cooling internal heat, eliminating dampness, and promoting smooth circulation of Qi and Blood, tailored to each individual's constitution and symptoms. Through this approach, one can gain a deeper understanding of the causes of hives and insights to regain sustainable health.

Everyday Wisdom: A Practical Roadmap for Body Transformation

TKM insights offer significant help in managing chronic hives through small lifestyle changes.

[CASE STUDY] Small Changes, Big Difference

One individual focused on diet, sleep, and stress management, experiencing reduced medication dependency and stabilized skin. This case exemplifies the importance of listening to your body's signals.

Try practicing the following lifestyle management tips:

Diet: Focus on fresh vegetables and grains instead of stimulating foods.

Stress: Find your own effective stress-relief methods and practice them consistently.

Sleep: Go to bed before 10 PM to ensure sufficient rest and allow your body time to regenerate.

Environment: Maintain appropriate humidity and create a clean indoor environment.

An Invitation to a Proactive Health Journey

Chronic hives are an important message your body is sending you. The journey of understanding this message and restoring internal balance will be more than just symptom relief; it will be a new beginning where you take charge of your own health management. We encourage you to listen to your body's signals and regain sustainable health and vitality.

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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