Exploration of Myopia Prevention and Control Strategies of Myopia in Children and Adolescents from the Perspective of "Rhythmic Equilibrium"

ZHANG Lixia; CHEN Shuang; ZHOU Zhiyi; WU Xue; TANG Mengying; JIANG Piao

doi:10.13288/j.11-2166/r.2024.10.005

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Exploration of Myopia Prevention and Control Strategies of Myopia in Children and Adolescents from the Perspective of "Rhythmic Equilibrium"

更新时间：2024-05-13

- Exploration of Myopia Prevention and Control Strategies of Myopia in Children and Adolescents from the Perspective of "Rhythmic Equilibrium"
- Journal of Traditional Chinese Medicine Vol. 65, Issue 10, Pages: 1005-1008(2024)
- 作者机构：
  
  1.中国中医科学院，北京市东城区东直门内南小街16号，100700
  2.中国中医科学院眼科医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.10.005
  CLC：
- Received：25 January 2024，
  
  Revised：2024-02-19，
  
  Published：17 May 2024
- 稿件说明：
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张丽霞,陈爽,周芷伊等.“律态和稳”视阈下儿童青少年近视防控思路探微[J].中医杂志,2024,65(10):1005-1008.

ZHANG Lixia,CHEN Shuang,ZHOU Zhiyi,et al.Exploration of Myopia Prevention and Control Strategies of Myopia in Children and Adolescents from the Perspective of "Rhythmic Equilibrium"[J].Journal of Traditional Chinese Medicine,2024,65(10):1005-1008.
张丽霞,陈爽,周芷伊等.“律态和稳”视阈下儿童青少年近视防控思路探微[J].中医杂志,2024,65(10):1005-1008. DOI： 10.13288/j.11-2166/r.2024.10.005.

ZHANG Lixia,CHEN Shuang,ZHOU Zhiyi,et al.Exploration of Myopia Prevention and Control Strategies of Myopia in Children and Adolescents from the Perspective of "Rhythmic Equilibrium"[J].Journal of Traditional Chinese Medicine,2024,65(10):1005-1008. DOI： 10.13288/j.11-2166/r.2024.10.005.

摘要

基于天人同律思想，结合阴平阳秘之稳态医学观，提出“律态和稳”观点。认为“律态失稳”贯穿儿童青少年近视发生、发展的不同阶段，涵盖节律失衡（近视高危期）、气血失衡（近视前期）、筋膜失衡（低度近视）、精血失衡（高度近视）4个方面。治疗当以“调律和态”为要，使阴平阳秘，目系得养。近视高危期强调通过调整睡眠、增加户外活动以顺时调律；近视前期可增加中医适宜技术如揿针等调和气血；低度近视期当以揿针、耳穴压丸等中医适宜技术为主，辅以当归补血汤加减以柔筋通络；高度近视期应既病防变，注重补益精血，可予驻景丸或四物五子汤加减，以恢复目与全身之稳态。

Abstract

The theory of “rhythmic equilibrium” is developed based on the idea of sharing the same laws between nature and human， and by integrating with the medical concept of homeostasis of calm

yin

and sound

yang

. "Rhythmic instability" runs through the entire process of the occurrence and development of myopia， covering four aspects including imbalance of rhythm （high-risk period of myopia）， imbalance of

and blood （premyopia）， imbalance of sinew-membranes （low myopia）， and imbalance of essence and blood （high myopia）. The treatment should focus on adjusting the rhythm and harmonizing situation， which can help balance

yin

and

yang

， and nourish the eye system. For high-risk period of myopia， adjusting sleeping time and increasing outdoor activities are stressed to adjust the rhythm in a timely manner. In the stage of premyopia， appropriate techniques of traditional Chinese medicine （TCM） such as pressing needles can be added to harmonize

and blood. In the period of low myopia， appropriate TCM techniques such as pressing needles and ear acupuncture are mainly used， supplemented by modified

Danggui Buxue Decoction

（当归补血汤） to soften tendons and unblock collaterals. During the period of high myopia， it is recommended to control the development of existing disease and put focus on nourishing essence and blood， usually with

Zhujing Pill

（驻景丸） or modified

Siwu Wuzi Decoction

（四物五子汤） to restore the stability of the eyes and the whole body.

关键词

Keywords

references

HOLDEN BA ， FRICKE TR ， WILSON DA ， et al . Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050 ［J］. Ophthalmology ， 2016 ， 123 （ 5 ）： 1036 - 1042 .

HAN XT ， LIU C ， CHEN YX ， et al . Myopia prediction： a systematic review ［J］. Eye （London）， 2022 ， 36 （ 5 ）： 921 - 929 .

陈爽 . 基于系统评价的中医综合疗法干预青少年轻度近视的临床观察［D］. 北京：中国中医科学院， 2022 .

滕月，张丽霞，宿蕾艳，等 . 中医综合疗法干预青少年单纯性近视患者分层随机对照研究［J］. 中医杂志， 2020 ， 61 （ 14 ）： 1253 - 1258 .

倘孟莹，张丽霞，魏宇娇，等 . 中医药防控近视的药理作用及疗效［J］. 中国中医眼科杂志， 2022 ， 32 （ 12 ）： 987 - 990 .

张景明，陈震霖 . 中医学“天人关系”探析［J］. 中医杂志， 2013 ， 54 （ 18 ）： 1613 - 1615 .

李佳林，任小巧，武佳杰，等 . 《黄帝内经》中昼夜节律的理论特色［J］. 中华中医药学刊， 2019 ， 37 （ 1 ）： 89 - 91 .

周琦，祁玉麟，薛愚愚，等 . 眼的生物钟调控机制研究进展［J］. 国际眼科杂志， 2022 ， 22 （ 3 ）： 416 - 419 .

程海波，王俊壹，李柳，等 . 恶性肿瘤态靶辨治体系的初步构建［J］. 中医杂志， 2023 ， 64 （ 13 ）： 1317 - 1321 .

曹珂儿，亢泽峰，孙宏睿，等 . 基于“瞳神络病”理论辨治近视探微［J］. 中国中医眼科杂志， 2023 ， 33 （ 2 ）： 139 - 142 .

侯昕玥，亢泽峰，曹珂儿，等 . 近视“精筋失衡论”探微［J］. 中国中医眼科杂志， 2023 ， 33 （ 9 ）： 841 - 844 .

WEI SF ， LI SM ， LIU L ， et al . Sleep duration， bedtime， and myopia progression in a 4-year follow-up of Chinese children： the Anyang， childhood eye study ［J］. Invest Ophthalmol Vis Sci ， 2020 ， 61 （ 3 ）： 37 .

LI SM ， LI H ， LI SY ， et al . Time outdoors and myopia progression over 2 years in Chinese children： the Anyang childhood eye study ［J］. Invest Ophthalmol Vis Sci ， 2015 ， 56 （ 8 ）： 4734 - 4740 .

STENVERS D ， SCHEER F ， SCHRAUWEN P ， et al . Circadian clocks and insulin resistance ［J］. Nat Rev Endocrinol ， 2019 ， 15 （ 2 ）： 75 - 89 .

安娜，刘成源 . 从稳态医学观探讨青少年近视的病因病机［J］. 中国中医药信息杂志， 2013 ， 20 （ 4 ）： 97 - 98 .

马润庭，周炼红 . 脉络膜血流灌注与儿童近视的相关性研究进展［J］. 国际眼科杂志， 2023 ， 23 （ 2 ）： 236 - 239 .

罗文轩，蔡秉洋，李佳玥，等 . 经筋学说与肌筋膜链理论相关性初探［J］. 中医杂志， 2020 ， 61 （ 14 ）： 1220 - 1224 .

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