[摘要] 外阴硬化性苔藓属临床常见皮肤疑难病，禤教授指出肝肾功能失调是致病关键，风、热、燥、湿邪是发病重要因素，以皮损辨证与整体辨证相结合，概括外阴硬化性苔藓主要病机为肝经湿热、肝肾阴虚。根据不同阶段进行分期辨证和治疗，急性期以清热祛湿止痒为主，方用皮肤解毒汤加减，中后期扶正而不忘祛邪，重在补益肝肾，兼以解毒止痒，方用知柏地黄汤加减。且内外合治，配合中药熏洗、涂擦等综合治疗，临床疗效满意。

    [关键词] 外阴硬化性苔藓;分期论治;名医经验;禤国维

    [中图分类号] R246.3 [文献标识码] A [文章编号] 1673-7210(2020)02(c)-0149-04

    [Abstract] Vulvar lichen sclerosus is a common skin disease in clinic. Professor Xuan points out that the dysfunction of liver and kidney is the key to the disease ......