寒冷性荨麻疹是临床上常见的一种特殊类型的荨麻疹，中医称为瘾疹。现代医学尚不清楚其具体发病机制，无特效疗法，临床常选择对症治疗为主要方法。中医药治疗本病可明显改善患者症状，提高生活质量，且具有副作用少，复发率低等优势，但同为“风寒束表型瘾疹”，诸医家依据证型具体、细节的不同，选方多样，并不拘泥。现将临床中应用中药为主治疗寒冷性荨麻疹的临床研究，从经方、时方以及自拟方三个方面进行整理分析总结，以望为本病的治疗总结临证思路，为临床应用者提供可借鉴的治疗思路，推广中医治疗寒冷性荨麻疹的临床应用。

Cold urticaria is a type of specific urticaria that is common in clinical practice, which is called “yin zhen (hidden rash)” in traditional Chinese medicine (TCM). Due to the unclear pathogenesis, the main treatment of cold urticaria in Western medicine is symptomatic treatment, which has side effects or adverse effects. The advantages of TCM treatment of cold urticaria include alleviating the symptoms, improving the quality of life, and having low side effects and recurrence rate. Cold urticaria corresponds to hidden rash with pattern of wind-cold fettering exterior. Following the TCM etiology and pathogenesis of cold urticaria, doctors have chosen different formulas based on the slight differences in the patterns. This review summarizes the treatment principles of the cold urticaria, provides the reference for the clinic, and promotes the application of TCM treatment of cold urticaria from the aspects of classic prescription, current prescription, and self-prescription in TCM.