中医杂志

总结艾儒棣教授“三部六法”内外并治痈疮的临证经验。认为痈疮以热邪蕴肤为核心病机，治疗原则据皮损发于不同部位而各异。发于上部（头面、颈项）者，以风热、血热为主，宜疏表透热、凉血消肿，以自拟疏风消毒饮、自拟解毒消肿汤为基础方；发于中部（胸腹、腰背、上肢）者，以郁火、虚热为主，宜疏解郁火、消肿托毒，以自拟清肝解毒汤、自拟消肿二陈汤为基础方；发于下部（臀部、会阴、下肢）者，以湿热、瘀热为主，宜清利湿热、泄热消瘀，以自拟解毒四妙散、自拟清解散瘀汤为基础方。同时重视外治法，皮损未溃者，予自拟五妙膏解毒消肿；皮损已溃者，予蛋黄油敛疮定痛。

This paper summarizes Professor AI Rudi's clinical experience in treating skin abscesses using the method of "three parts and six methods", which emphasize a combined internal and external therapeutic approach. He identifies retained pathogenic heat in the skin as the key etiological factor and proposes treatment principles tailored to the anatomical location of the lesions. For abscesses in the upper part of the body(head, face and neck), windheat and blood-heat are considered dominant, and the treatment focuses on dispersing the exterior, clearing heat, cooling the blood, and reducing swelling, with custom formulations such as self-fomulated Shufeng Xiaodu Decoction （疏风消毒饮） and Jiedu Xiaozhong Decoction （解毒消肿汤）. For those in the middle part of the body(chest, abdomen, back and upper limbs), constrained heat and deficiency-heat predominate, and the treatment aims to relieve internal heat stagnation, reduce swelling, and expel toxins, using formulations like self-fomulated Qinggan Jiedu Decoction （清肝解毒汤） and Xiaozhong Erchen Decoction （消肿二陈汤）. For abscesses in the lower part of the body in the(buttocks, perineum and lower limbs), damp-heat and stagnant heat are the main patterns, and the strategy is to clear damp-heat and resolve blood stasis, with formulations such as self-fomulated Jiedu Simiao Powder （解毒四妙散） and Qingjie Sanyu Decoction （清解散瘀汤）. External therapies are equally emphasized: for unruptured lesions, self-fomulated Wumiao Ointment （五妙膏） is used to detoxify and reduce swelling, while for ruptured lesions, Danhuang Oil （蛋黄油） is applied to promote wound healing and relieve pain.