时毓民教授分期论治儿童传染性软疣经验

徐海霞　张菲菲　时毓民

〔摘要〕 时毓民教授分期辨治儿童传染性软疣的临床经验丰富，认为本病病机为肺脾不足，外感风热湿毒，为本虚标实，治疗重视标本兼顾、分期施治。出疹期（感染期）以祛邪治标为主，治以疏风清热、利湿解毒，佐以扶正，采用内服外洗，内外兼治直达病所; 疹退期（缓解期）以补虚治本为要，以健脾益气祛湿、补肺调气和营、滋阴养血活血为主要治法，辅以疏风解表祛湿之品，驱邪外达，常用玉屏风散、桂枝汤、沙参麦冬汤、四君子汤加减治疗。

〔关键词〕 传染性软疣;儿童;鼠乳;中医药;名医经验;时毓民

〔中图分类号〕R275      〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.01.017

〔Abstract〕 Professor Shi Yumin has rich clinical experience in treating children with molluscum contagiosum by stages. He believes that the pathogenesis of this disease is deficiency in origin and excess in superficiality， which shows the deficiency of the lung and spleen， and exogenous wind-heat and damp-toxin， the treatment should take care of both the symptoms and the root cause according to different stages. At the rash eruption stage（infection period）， the treatment is concentrated on eliminating pathogenic factors and treating exogenous symptoms， expelling wind and clearing heat， removing damp and toxin， assisted with reinforcing the healthy qi， in the way of oral and external medication， internal and external treatment directly to the disease department. At the rashrefund period （remission period）， the main treatment points are to treat the root and restore the deficiency， fortify the spleen， boost qi， dispel dampness， tonify lung and regulation qi， nourish and promote blood circulation， assisted with expelling wind and dampness and relieving exterior symptoms. The common prescriptions include Yu Ping Feng Powder， Guizhi Decoction， Shashen Maidong Decoction， Sijunzi Decoction.

〔Keywords〕 contagious molluscum; children; infectious veruca mollusciformis; traditional Chinese medicine; experience of famous doctors; Shi Yumin

复旦大学附属儿科医院时毓民教授是博士研究生导师，国家级名老中医，全国老中医药专家学术经验继承工作指导老师，现任中国中西医结合学会儿科专业委员会顾问，从事儿科临床、教学、科研工作50余载，对兒科常见病及疑难杂症均有一定研究，最早提出儿童性早熟阴虚火旺八大证候特点，提炼总结“滋肾阴泻相火”治疗儿童性早熟临床经验，擅长治疗儿童变应性及传染性皮肤病。

传染性软疣是由传染性软疣病毒所致的传染性皮肤病，多见于儿童及青少年时期，临床表现为粟粒至黄豆大小半球形皮疹，好发于躯干、四肢、肩胛、阴囊、眼睑等处，表面有蜡样光泽，中央有脐凹，可挤出乳酪样物质（称软疣小体）[1]。

传染性软疣中医学称为“鼠乳”，对病因病机简略论述为“风邪博于肌肉而变生也”。传统……