摘要
干眼症的病因病机多为阴亏液竭、水不涵木、脏腑劳热、脾肺湿热、风热犯目,历代医家多以滋水涵木、调和阴阳为主要治疗原则,同时兼以祛风散热、健脾除湿。不同时期的医家在治疗干眼症的遣方用药方面各具特色,内治法以辨脏腑、辨阴阳、别时令等治法为主;外治法主要有点眼法及熨法等。此外,养护保健法在干眼症的预防中也起到了重要的理论指导作用。系统梳理古籍文献对干眼症的研究,不仅可丰富理论基础研究,也可拓宽临床诊病的辨证思维。
The etiology and pathogenesis of xerophthalmia are mainly yin deficiency and liquid exhaustion,water failing to contain wood,zang-fu overstrained heat,spleen-lung dampness and heat,wind and heat attacking eyes.The physicians in the past dynasties mainly took nourishing water and containing wood,reconciling yin and yang as the main treatment principle,combined with dispelling wind and dispersing heat,invigorating the spleen and removing dampness.The physicians in different periods have their own characteristics in the treatment of xerophthalmia.The internal treatments mainly include distinguishing zang and fu,yin and yang,and seasons,while the ex-ternal treatments mainly include applying eye medicines and ironing methods.In addition,the maintenance and health care method also plays an important theoretical guiding role in prevention of xerophthalmia.The systematic comb of the ancient literature on xerophthalmi-a can not only enrich the theoretical research basis,but also broaden the syndrome differentiation thinking of clinical diagnosis.
作者
张水馨
张智科
金明
ZHANG Shuixin;ZHANG Zhike;JIN Ming(China-Japan Friendship Hospital,Beijing,China,100029)
出处
《河南中医》
2023年第11期1649-1652,共4页
Henan Traditional Chinese Medicine
基金
国家自然科学基金项目(81574029)。
关键词
干眼症
内治法
外治法
养护保健
xerophthalmia
internal treatment
external treatment
maintenance and health care
