中医杂志

总结李元文教授运用酸味药治疗湿疹的经验。认为湿疹选方用药多为温燥、苦寒之品，而酸味药养阴生津、收散兼备，可以调和、制约温燥苦寒之品的弊端。临证内服方药常配合使用对药乌梅-醋柴胡柔肝熄风、固表止痒，白芍-金银花调气生津、清热解毒，山楂-黄连行气散滞、消积解毒，五味子-黄芪益气生津、行气通络，凌霄花-红花清热凉血、活血通络。同时重视酸味药在外治法中的作用，常用马齿苋、地榆、乌梅、木瓜等酸味药配合清热、解毒、祛湿等品行中药溻渍、封包法治疗湿疹。

This paper aims to summarize LI Wenyuan's clinical experience in treating eczema with sour-flavored herbs. It is believed that most prescriptions and herbs used for eczema are warm-dry or bitter-cold in nature, while sour-flavored herbs, which can nourish yin and promote fluid production as well as exert both astringent and dispersing effects, can regulate and counteract the drawbacks of warm-dry and bitter-cold herbs. In clinical practice, for in-ternal administration, the following herb pairs are often used in formulas, Wumei(Fructus Mume) with Cuchaihu(vinegar-processed Radix Bupleuri) to soften the liver, calm internal wind, consolidate the exterior, and relieve itch-ing; Baishao(Radix Paeoniae Alba) with Jinyinhua(Flos Lonicerae Japonicae) to regulate qi, promote fluid production, clear heat, and resolve toxicity; Shanzha(Fructus Crataegi) with Huanglian(Rhizoma Coptidis) to promote qi circulation, dispel stagnation, resolve food accumulation, and clear toxicity; Wuweizi(Fructus Schisandrae Chinensis) with Huangqi(Radix Astragali Mongolici) to tonify qi, promote fluid production, activate qi movement, and unblock the collaterals; Lingxiaohua(Flos Campsis Grandiflorae) with Honghua(Flos Carthami) to clear heat, cool blood, activate blood circulation, and unblock the collaterals. Meanwhile, LI Yuanwen attaches great importance to the role of sour-flavored herbs in external treatment. For eczema, sour-flavored herbs such as Machixian(Herba Portulacae Oleraceae), Diyu(Radix Sanguisorbae Officinalis), Wumei(Fructus Mume), and Mugua(Fructus Chaenomelis) are often used in combination with herbs that clear heat, resolve toxicity, and eliminate dampness, applying external therapies of traditional Chinese medicine like herbal soaking and herbal sealing and wrapping.