摘要
首先从“治痿独取阳明”角度,将儿童眼肌型重症肌无力归属于“痿证”范畴,以脾胃虚弱论治该疾病,然一味投健补之品,扶正不祛邪,故临床疗效不佳;再基于“风为百病之长”的认识,从“内风”“外风”和“内风与外风”的关系重点探讨儿童眼肌型重症肌无力的病因病机,以“小儿机体柔嫩,腠理疏松,气血未盛,易外感六淫邪气,风邪乘虚而入,上犯眼部睑络,邪滞睑络,气血不行,卫气虚而胞睑失用”阐述病因,得出虚、风是该病的病机关键;最后从风论治,若该病新发,则以草药祛风散邪,若该病反复发作或缠绵难愈,则以虫药搜剔病邪,以期为中医药治疗该病提供参考。
Firstly,from the perspective of"treating flaccidity with yangming alone",this article categorizes pediatric ocular myasthenia gravis as"flaccidity syndrome",and treats the disease based on spleen and stomach weakness.However,administering health supplements blindly can not eliminate pathogenic factors and has poor clinical efficacy.Based on the understanding that""wind is the root of all diseases",this article focuses on exploring the etiology and pathogenesis of pediatric ocular myasthenia gravis from the relationship between"internal wind","external wind",and"internal wind and external wind".This article explains the causes of the disease by stating that the body of children is tender,with loose skin and muscle,insufficient qi and blood,and is prone to external infection of the six pathogenic factors.Wind evil enters the eye eyelid meridian,causing obstruction of the eyelid meridian and insufficient qi and blood.Because of the deficiency of weiqi,the eyelids are out of use.It concludes that deficiency and wind are the key factors in the pathogenesis of the disease.Finally,from the perspective of the treatment of wind,if the disease is new,herbs are used to dispel the wind,and if the disease is recurring or lingering,insect medicine is used to search out root of the disease,in order to provide reference for the treatment of this disease by traditional Chinese medicine.
作者
张正亿
杨晗
ZHANG Zhengyi;YANG Han(Clinical Medicine School,Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,610075,China)
出处
《中医儿科杂志》
2024年第3期11-14,共4页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
儿童
眼肌型重症肌无力
中医药
从风论治
children
ocular myasthenia gravis
traditional Chinese medicine
treatment from the perspective of wind
