
[Introduction]

Flat wart refers to viral small growth in the superfi-cial part of the skin, usually seen among young people on the dorsum of hand or face due to retention of pathogenic wind-heat in the skin or due to liver stagnation and blood asthenia as well as stagnatin of qi and blood.
[Syndrome differentiation]
It usually appears on the face, dorsum of hand and forearm. The flat macules are marked by the size of needle point, sesame or soy bean with clear border, slight promi-nence over the skin, normal or brownish color, scattered or linear distribution and no esthesia.
[Treatment]
1. Body acupuncture
Prescription: Fengchi (GB 20), Hegu (LI 4), Quchi (LI 11) and Xuehai (SP 10).
Modification: For wart on the face, Taiyang (EX-HN 5), Yangbai (GB 14), Quanliao (SI 18) and Jiache (ST 6) are added; for wart on the dorsum of hand, Zhongzhu (TE 3) and Waiguan (TE 15) are added; for distension of head and dysphoria, Neiguan (PC 6) and Xingjian (LR 2) are added.
Performance: Each time several acupoints are select-ed and needled with reducing needling technique. The needles are retained for 15 - 30 minutes.
2. Ear acupuncture
Prescription: Endocrine (CO18), Cheeks (LO5.6i) and Ear Shenmen (TF4).
Performance: Medium stimulation is required and the needles are retained for 15 - 30 minutes. The needling is done once a day or Wangbuliuxingzi (Semen Vaccariae) is used for ear acupressure. The patient is advised to press ear acupoints twice or 3 times a day.