王炜养阴清中法治疗干眼症经验
WANG Wei's Experience of Treating Xerophthalmia with Method of Nourishing Yin and Clearing Heat of Middle Energizer
DOI:10.16367/j.issn.1003-5028.2021.08.0271
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1.南京中医药大学第二附属医院,江苏 南京 210029
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张梦婷, 王炜. 王炜养阴清中法治疗干眼症经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.08.0271
ZHANG Meng-ting, WANG Wei. WANG Wei's Experience of Treating Xerophthalmia with Method of Nourishing Yin and Clearing Heat of Middle Energizer[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.08.0271
张梦婷, 王炜. 王炜养阴清中法治疗干眼症经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.08.0271 DOI:
ZHANG Meng-ting, WANG Wei. WANG Wei's Experience of Treating Xerophthalmia with Method of Nourishing Yin and Clearing Heat of Middle Energizer[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.08.0271 DOI:
王炜教授认为,脾的功能与干眼症发生密切相关。脾为后天之本,脾失健运可导致多个脏腑的功能失调,致“阴不足”“阳不足”“道不通”,使津液生化不足或津液耗伤太过引发干眼症,故干眼症可从脾论治。青中年患者正气充足,多为阴虚湿热证,治当养阴清中,多选用黄芩、栀子、生地黄、菊花、薄荷、金银花等清热,白豆蔻、苍术、茯苓等健脾利湿,同时予麦冬、玉竹、北沙参、南沙参等滋养肺胃之阴。干眼症与阴虚、湿热、气滞、情志相关,亦应重视情志问题。阴阳互根互用,无阳则阴无以为化,而脾主升阳,脾阳不升,则精气无以上行濡养头面五官,津液无以上输滋润眼目,故应兼顾升举阳气,常加升麻、柴胡调畅情志,升举阳气。
Professor Wang Wei believes that the function of the spleen is closely related to xerophthalmia. The spleen is the required foundation. The dysfunction of the spleen can lead to the dysfunction of many viscera, resulting in "yin deficiency", "yang deficiency" and "channel obstruction". The biochemical deficiency of body fluid or excessive consumption of body fluid can lead to xerophthalmia, which should be treated from the spleen. Young and middle-aged patients have sufficient healthy ,qi, and mostly yin deficiency and dampness-heat syndrome. The treatment should focus on nourishing yin and clearing heat of middle energizer, so Huangqin (,Radix Scutellariae,), Zhizi (,Fructus Gardeniae,), Shengdihuang (,Radix Rehmanniae,), Juhua (,Flos Chrysanthemi,), Bohe (,Herba Menthae,), Jinyinhua (,Flos Lonicerae Japonicae,), etc. to clear heat, Baidoukou (,Fructus Amomi Kravanh,), Cangzhu (,Rhizoma Atractylodis,), Fuling (,Poria,), etc. to invigorate spleen and drain dampness, Maidong (,Radix Ophiopogonis,), Yuzhu (,Rhizoma Polygonati Odorati,), Beishashen (,Radix Glehniae,), Nanshashen (,Radix Adenophorae,), etc.to nourish lung-stomach yin. Xerophthalmia is related to yin deficiency, dampness-heat,qi, stagnation and emotion, and so the treatment should also pay attention to emotional problems. Yin and yang interact with each other. If there is no yang, then yin will not be transformed. The spleen is in charge of ascending yang, if it fails, then the essence and ,qi, cannot ascend to nourish the head, face and five sense organs, and the body fluid cannot be transfused tomoisten the eyes. Therefore, the treatment should also considering ascending yang ,qi, and Shengma (,Rhizoma Cimicifugae,), Chaihu (,Radix Bupleuri,) are often added to regulate emotions and ascend yang ,qi,.
干眼症从脾论治阴虚湿热证养阴清中法王炜
xerophthalmiatreatment from the spleenyin deficiency and dampness-heat syndromemethod of nourishing yin and clearing heat of middle energizerWang Wei
中华医学会眼科学分会角膜病学组. 干眼临床诊疗专家共识(2013年)[J]. 中华眼科杂志, 2013, 49(1): 73-75.
VERSURA P. Sex, gender and hormones in dry eye disease[J]. Acta Ophthalmol, 2019, 97(S263): 3755-3768.
杨华, 尹连荣, 高健生. 围绝经期干眼研究进展[J]. 中国中医眼科杂志, 2018, 28(5): 346-349.
丁玲玲, 凯文, 王乐三, 等. 中南大学在校生干眼患病现状及相关因素分析[J]. 实用预防医学, 2017, 24(12): 1534-1538.
王静, 梁玲, 邹会会. 2011/2014年德州市特定人群干眼症流行趋势及相关危险因素研究[J]. 国际眼科杂志, 2016, 16(5): 934-937.
梁子钰, 何萍. 干眼流行病学调查及中医辨证分型研究进展[J]. 世界中西医结合杂志, 2019, 14(1): 138-141.
朱丹, 年朝霞, 刘洋, 等. 眼科门诊患者干眼症流行病学调查分析[J]. 海峡预防医学杂志, 2018, 24(5): 33-35.
邵毅. 国际干眼新共识(TFOSDEWSⅡ)解读[J]. 眼科新进展, 2018, 38(1): 1-12.
周鹏翔, 陈逸, 薛雨晴, 等. 普拉洛芬滴眼液治疗干眼症的系统评价/Meta分析[J]. 中国新药杂志, 2018, 27(14): 1690-1696.
孙正太. 环孢霉素滴眼液联合人工泪液治疗角结膜干燥症患者的临床研究[J]. 中国临床药理学杂志, 2018, 34(6): 646-648.
欧晨, 周亚莎, 彭清华. 眼病中医证候研究现状及展望[J]. 中国中医药信息杂志, 2020, 27(1): 141-144.
左静, 高卫萍. 青年干眼的临床特点及中医证型分布规律[J]. 中国中医眼科杂志, 2020, 30(3): 181-184.
文瑾, 谢琳, 刘勤, 等. 基于数据挖掘分析古今中医治疗干眼症的用药规律[J]. 西部中医药, 2018, 31(7): 69-72.
杨悦, 肖国武, 林颖. 睑板腺功能障碍的中医证素特征研究[J]. 中国中医眼科杂志, 2019, 29(3): 192-196.
唐颖, 田甜, 葛红岩. 干眼症发病机制与发病因素的研究进展[J]. 医学综述, 2019, 25(11): 2196-2201.
李点, 王超群. 养阴润目丸治疗干眼症的临床观察[J]. 南京中医药大学学报, 2016, 32(4): 386-388.
于静, 唐由之, 邱礼新. 唐由之教授干眼诊治经验[J]. 中国中医眼科杂志, 2016, 26(3): 193-195.
梁凌毅, 李晶, 刘祖国. 关注功能性干眼[J]. 中华眼科杂志, 2019, 55(12): 885-890.
左静, 高卫萍. 青年干眼的临床特点及中医证型分布规律[J]. 中国中医眼科杂志, 2020, 30(3): 181-184.
朱琳, 何慧琴. 郁证与干眼的相关性探讨[J]. 吉林中医药, 2017, 37(6): 545-547, 567.
BITAR M S, OLSON D J, LIM B, et al. The correlation between dry eyes, anxiety and depression: the sicca, anxiety and depression study[J]. Cornea, 2019, 38(6): 684-689.
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