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An itch was a mild skin irritation that could be alleviated by scratching.
In 2153, a recovering Jonathan Archer was kept up all night by itching. He told Doctor Phlox this, and the Denobulan asked him if he was using the ointment he gave him. He also advised the captain that scratching would prolong the healing process. (ENT: "Rajiin")
Irritating chemicals could also cause itchiness. In 2372, Neelix's scalp itched due to shampoo. (VOY: "Cold Fire") Also that year, trigemic vapors leaking into their crashed shuttlecraft made Paris and Neelix itch. (VOY: "Parturition")