Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens

CHEN Xi; CHEN Yina; YANG Xiaonan; LI Danyu; YANG Wei

doi:10.13288/j.11-2166/r.2025.05.003

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Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens

更新时间：2025-03-06

- Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens
- Journal of Traditional Chinese Medicine Vol. 66, Issue 5, Pages: 448-452(2025)
- 作者机构：
  
  中国中医科学院眼科医院，北京市石景山区鲁谷路33号，100040
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.05.003
  CLC：
- Received：06 August 2024，
  
  Revised：2024-09-11，
  
  Published：02 March 2025
- 稿件说明：
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陈曦,陈一娜,杨潇楠等.高健生从伏邪辨治单纯疱疹病毒性角膜炎经验[J].中医杂志,2025,66(05):448-452.

CHEN Xi,CHEN Yina,YANG Xiaonan,et al.Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens[J].Journal of Traditional Chinese Medicine,2025,66(05):448-452.
陈曦,陈一娜,杨潇楠等.高健生从伏邪辨治单纯疱疹病毒性角膜炎经验[J].中医杂志,2025,66(05):448-452. DOI： 10.13288/j.11-2166/r.2025.05.003.

CHEN Xi,CHEN Yina,YANG Xiaonan,et al.Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens[J].Journal of Traditional Chinese Medicine,2025,66(05):448-452. DOI： 10.13288/j.11-2166/r.2025.05.003.

摘要

总结高健生教授基于伏邪理论治疗单纯疱疹病毒性角膜炎的临证经验。认为单纯疱疹病毒性角膜炎的核心病机为正气亏虚、邪气内伏。早期病机以肺脾气虚、邪气侵袭为发病关键，中期病机以伏邪伤正、脾虚湿盛为加重原因，晚期病机以肾阳虚衰、邪毒留恋为反复发作根源。临证主张固护正气，早期使用玉屏风散加减，中期使用苓桂术甘汤加减，晚期使用自拟补肾托毒方加减；同时将益气固表药贯穿治疗全程，以减少复发。

Abstract

This paper summarizes Professor Gao Jiansheng's clinical experience in treating herpes simplex keratitis （HSK） based on the theory of hidden pathogens. It is believed that the core pathogenesis of HSK involves deficiency of vital

and the internal presence of pathogenic factors. In the early stage， the pathogenesis is characterized by lung and spleen

deficiency and invasion of external pathogens. In the middle stage， pathogenesis worsens due to latent pathogens damaging the vital

and spleen deficiency with dampness. In the late stage， kidney

yang

deficiency and lingering pat

hogenic toxins are the root cause of recurrent attacks. In clinical practice， it is recommended to strengthen and protect the vital

. In the early stage， the Modified

Yupingfeng Powder

（玉屏风散） is used. In the middle stage， the Modified

Linggui Zhugan Decoction

（苓桂术甘汤） is used. In the late stage， a self-formulated

Modified

Bushen Tuodu Fomulation

（补肾托毒方） is applied. Additionally， herbs of tonifying

and strengthening the exterior are used throughout the treatment to reduce recurrence.

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references

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Related Institution

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西安市中医医院

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