顽固性扁平疣的半阴半阳证治探析  

Diagnosis and treatment of refractory flat wart with“half Yin and half Yang”

作　　者：满春艳 李晓国 MAN Chunyan;LI Xiaoguo(Langzhong City Hospital of Traditional Chinese Medicine,Langzhong Sichuan 637400,China)

机构地区：[1]阆中市中医医院,四川阆中637400

出　　处：《四川中医》2023年第11期49-52,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：阴阳为疾病辨证施治的总纲,凡将治病,首辨阴阳。临床上扁平疣发病迅速、病位表浅,属阳;扁平疣皮损平坦、局部不热、呈淡褐色、不痛微痒,属阴。根据扁平疣皮损特点辨为半阴半阳证,即介于阴阳两大证之间的中性状态,其转归趋势是扁平疣预后的关键。本文以半阴半阳作为切入点,分别从体表皮损、病邪性质不同方面去理解扁平疣病机,认为其核心病机为阴阳失和。《素问·阴阳应象大论》曰:“阳化气,阴成形”,扁平疣处于阴证、阳证转化的关键状态,应争取从阴转阳,防止阳证转阴。治疗上多采用辛温疏散之品,透阴转阳,促其皮损阳化。临证以祛疣汤治之,及时消除致病因素,达到加速疣体脱落的目的,以期为临床治疗扁平疣提供又一思路。Yin and Yang are the general principles of disease differentiation and treatment.General cure,first distinguish Yin and Yang.Clinically,the incidence of flat wart is rapid and the disease site is shallow,so it belongs to Yang.The skin lesions of flat warts are flat,local not hot,pale brown,painless and itchy,so it belongs to Yin.According to the characteristics of skin lesions,it is divided into semi-yin and semi-yang syndrome,which is a neutral state between Yin and Yang syndrome.The trend of its outcome is the key to the prognosis of flat warts.In this paper,the"half Yin and half Yang"as the entry point,respectively from the skin lesions,pathogenic nature of different aspects to understand the pathogenesis of flat warts.It is believed that the core pathogenesis is the incompatibility of Yin and Yang."Su asked?Comprehensive Discourse on Phenomena Corresponding to Yin and Yang"said:"Yang transforms qi while yin shapes into configuration",flat wart in Yin syndrome,Yang syndrome transformation of the key state,should strive for from Yin to Yang,prevent Yang syndrome into Yin.In the treatment,the use of octant temperature evacuation products,in order to promote the skin lesions to achieve Yang.The clinical syndrome is treated with Quyou decoction,and the pathogenic factors are eliminated in time to achieve the purpose of accelerating the shedding of warts.In order to provide another idea for clinical treatment of flat warts.

关 键 词：扁平疣 阴阳辨证 半阴半阳证 透阴转阳 祛疣汤 灸法 火针 

分 类 号：R752.52[医药卫生—皮肤病学与性病学]