许铣以“白气微泄”理论辨治扁平疣经验  

Professor XU Xian's Experience in Treating Flat Warts Based on the Theory of "Bai Qi(白气)Micro-discharge"

作　　者：张洪雨 罗婉婷 李一平 孔倩[1] 曾雪[1] 许铣[1] ZHANG Hongyu;LUO Wanting;LI Yiping;KONG Qian;ZENG Xue(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中医杂志》2024年第22期2294-2298,共5页Journal of Traditional Chinese Medicine

基　　金：中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023025);中国中医科学院科技创新工程项目(CI2021A02309)。

摘　　要：总结许铣教授基于“白气微泄”理论辨治扁平疣的临证经验。认为扁平疣属皮肤微病,风湿袭表、搏于分肉是其发病的先决条件,卫郁失宣、气泄于腠理是其发生发展的核心病机。临证主张以微病微调为扁平疣的核心治则,常用祛风胜湿法使微汗而解、因势利导法以开郁宣散,并注重治疗过程中切勿过损血络而变生他证。据此自拟加味麻杏薏甘汤作为治疗扁平疣的基本方,配合自拟洗疣方外用,使卫气得复、邪气得除而疣自消。This paper summarized the experience in treating flat warts by Professor XU Xian based on the theory of Bai Qi(白气)micro-discharge.Flat warts is considered as a minor skin disease.Wind-damp attacking the exterior and contention between the muscles are the prerequisites for its occurrence,and failure to diffuse due to wei (卫) constraint,and qi discharge to striae and interstices are the core pathogenesis.For treatment,the core principle is to treat minor diseases with minor adjustment,and therefore,the method of dispelling wind and overcoming dampness is used to produce slight sweating and relieve the symptoms,and by taking advantage of the situation,the constraint is unblocked with diffusion and dispersion.Simultaneously,it is paid attention to not over-damaging blood vessels during treatment to avoid causing other symptoms.Self-made Modified Maxing Yigan Decoction (麻杏薏甘汤) is recommended as the basic formula for flat warts,together with self-made Xi You Formula (洗疣方) in external administration to restore defense qi,eliminate pathogenic qi and remove the warts.

关 键 词：扁平疣 白气微泄 腠理 名医经验 许铣 

分 类 号：R275.9[医药卫生—中西医结合] R249[医药卫生—中医皮科]