PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire

LI Jiangwei; YAO Xiaolei; ZHOU Yasha; PENG Jun

doi:10.13288/j.11-2166/r.2024.12.004

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PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire

更新时间：2024-06-12

- PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire
- Journal of Traditional Chinese Medicine Vol. 65, Issue 12, Pages: 1219-1223(2024)
- 作者机构：
  
  1.湖南中医药大学，湖南省长沙市岳麓区学士路300号，410208
  2.湖南中医药大学第一中医临床学院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.12.004
  CLC：
- Received：20 January 2024，
  
  Revised：2024-04-28，
  
  Published：17 June 2024
- 稿件说明：
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李江伟,姚小磊,周亚莎等.彭清华基于相火学说辨治年龄相关性干眼经验[J].中医杂志,2024,65(12):1219-1223.

LI Jiangwei,YAO Xiaolei,ZHOU Yasha,et al.PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire[J].Journal of Traditional Chinese Medicine,2024,65(12):1219-1223.
李江伟,姚小磊,周亚莎等.彭清华基于相火学说辨治年龄相关性干眼经验[J].中医杂志,2024,65(12):1219-1223. DOI： 10.13288/j.11-2166/r.2024.12.004.

LI Jiangwei,YAO Xiaolei,ZHOU Yasha,et al.PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire[J].Journal of Traditional Chinese Medicine,2024,65(12):1219-1223. DOI： 10.13288/j.11-2166/r.2024.12.004.

摘要

总结彭清华教授基于相火学说辨治年龄相关性干眼的临证经验。以相火学说为指导，认为年龄相关性干眼的关键病机是相火僭越，而肾阳虚寒、肾阴亏损、脾土不足是导致相火僭越的缘由。提出以潜藏相火为治疗总则，针对肾阳虚寒、相火浮游，治宜补肾温阳、引火归元，方予引火汤；针对肾阴亏损、相火妄动，治宜补肾填精、滋阴降火，方予三才封髓丹；针对脾土不足、相火熏蒸，治宜健运脾气、敦土伏火，方予黄芪人参汤。

Abstract

This paper summarized PENG Qinghua's experience in treating age-related dry eye based on the theory of ministerial fire. Guided by the theory of ministerial fire， it is believed that the key pathogenesis of age-related dry eye is transgression of ministerial fire， and kidney

yang

deficiency-cold， kidney

yin

depletion， and spleen-earth in

sufficiency are the causes of transgression of ministerial fire. The general principle of treatment is to conceal the ministerial fire. For kidney

yang

deficiency-cold and floating ministerial fire， the treatment should tonify the kidney and warm

yang

， and return fire to its origin， with

Yin Huo Decoction

（引火汤）； for kidney

yin

depletion and frenetic stirring of ministerial fire， the treatment should tonify the kidney and supplement essence， enrich

yin

and reduce fire， with

Sancai Fengsui Pellet

（三才封髓丹）； and for spleen-earth insufficiency， and fumigation of ministerial fire， the treatment should strengthen and activate spleen

， and reinforce soil and hidden fire， with

Renshen Huangqi Decoction

（人参黄芪汤）.

关键词

Keywords

references

DE PAIVA CS . Effects of aging in dry eye ［J］. Int Ophthalmol Clin ， 2017 ， 57 （ 2 ）： 47 - 64 .

SIKORA E ， BIELAK-ZMIJEWSKA A ， MOSIENIAK G . A common signature of cellular senescence； does it exist？［J］. Ageing Res Rev ， 2021 ， 71 ： 101458 . doi： 10.1016/j.arr.2021.101458 http://dx.doi.org/10.1016/j.arr.2021.101458 .

亚洲干眼协会中国分会，海峡两岸医药卫生交流协会眼科学专业委员会眼表与泪液病学组，中国医师协会眼科医师分会眼表与干眼学组 . 中国干眼专家共识：治疗（2020年）［J］. 中华眼科杂志， 2020 ， 56 （ 12 ）： 907 - 913 .

KELAGERE Y ， SCHOLAND KK ， DEJONG EN ， et al . TNF is a critical cytokine in age-related dry eye disease ［J］. Ocul Surf ， 2023 ， 30 ： 119 - 128 . doi： 10.1016/j.jtos. 2023.08.004 http://dx.doi.org/10.1016/j.jtos.2023.08.004 .

YING B ， ZHANG K ， CAO X ， et al . Aquaporins in lacrimal glands and their role in dry eye disease ［J］. Exp Eye Res ， 2023 ， 236 ： 109676 . doi： 10.1016/j.exer.2023.109676 http://dx.doi.org/10.1016/j.exer.2023.109676 .

世界中医药学会联合会 . 国际中医临床实践指南干眼（2021-12-14）［J］. 世界中医药， 2022 ， 17 （ 16 ）： 2235 - 2239，2244 .

孙洋，李点 . 滋阴润目丸治疗干眼症40例临床观察［J］. 国际眼科杂志， 2012 ， 12 （ 1 ）： 168 - 169 .

张国松，易法银 . 论相火［J］. 中医杂志， 2020 ， 61 （ 11 ）： 1007 - 1009 .

张怀亮，刘群霞 . 浅议命门之火、君火、相火及其关系［J］. 中华中医药杂志， 2015 ， 30 （ 4 ）： 1131 - 1133 .

李燕辉 . 干眼中医体质与证型的相关性研究［D］. 济南：山东中医药大学， 2021 .

张云如，吴钟璇，华瑞成，等 . 老年虚证的初步探讨［J］. 中医杂志， 1986 ， 27 （ 10 ）： 54 - 56 .

李江伟，姚小磊，邓杰，等 . 彭清华运用甘守津还法治疗干眼经验［J］. 中医杂志， 2024 ， 65 （ 1 ）： 31 - 34 .

张国松，易法银 . 论相火为病的证治规律［J］. 中医杂志， 2019 ， 60 （ 16 ）： 1431 - 1433 .

韩佳桐，张青 . 引火归元的治疗层次及代表方药［J］. 中医杂志， 2018 ， 59 （ 7 ）： 628 - 630 .

王勇 . “引火归元”辨析［J］. 中国中医基础医学杂志， 2011 ， 17 （ 10 ）： 1068 - 1070 .

储俐，曹文富，马素红 . 黄芪免煎颗粒对兔干眼模型泪液及角膜、结膜黏蛋白1表达的影响［J］. 中国中医眼科杂志， 2022 ， 32 （ 10 ）： 762 - 766 .

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