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附属医院
154451101@qq.com
收稿:2023-07-10,
修回:2023-10-22,
纸质出版:2024-01-02
移动端阅览
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(01):31-34.
LI Jiangwei,YAO Xiaolie,DENG Jie,et al.PENG Qinghua's Clinical Experience in Treating Dry Eye by the Therapeutic Method of “Maintaining with the Sweet and Restoring the Body Fluids”[J].Journal of Traditional Chinese Medicine,2024,65(01):31-34.
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(01):31-34. DOI: 10.13288/j.11-2166/r.2024.01.006.
LI Jiangwei,YAO Xiaolie,DENG Jie,et al.PENG Qinghua's Clinical Experience in Treating Dry Eye by the Therapeutic Method of “Maintaining with the Sweet and Restoring the Body Fluids”[J].Journal of Traditional Chinese Medicine,2024,65(01):31-34. DOI: 10.13288/j.11-2166/r.2024.01.006.
总结彭清华教授运用甘守津还法辨治干眼的临证经验。认为中土不足、津伤化燥是干眼的重要病机,以甘守津还为基本治法,用药以甘味药物为主。主张以白扁豆、茯苓、薏苡仁等甘淡之品健运中土以使气复津来;党参、太子参、山药、炙甘草等甘平之品培土生金以使气行津布;南沙参、北沙参、玉竹、天花粉等甘凉之品养阴增液以生津润燥。如此复津液之源头,助津液之布散,则津液生而不枯,源源不断,为干眼的中医药治疗提供新思路。
This paper summarized PENG Qinghua's clinical experience in treating dry eye by applying therapeutic method of maintaining with sweet medicinals and restoring the body fluids. It is believed that the spleen earth insufficiency and fluids damage transforming into dryness are the main pathogenesis of the disease, and the basic therapeutic principle is maintaining with the sweet and restoring the body fluids by mainly using sweet medicines. It is advocated to use mild-sweet herbs, such as Baibiandou (
Lablab purpureus subsp. purpureus
), Fuling (
Smilax glabra Roxb.
), and Yiyiren (
Coix lacryma
-
jobi L.
), to transport spleen earth, so that
qi
is restored and body fluids are recovered; moderate-sweet herbs, such as Dangshen (
Codonopsis pilosula [Franch.] Nannf.
), Taizishen (
Pseudostellaria heterophylla [Miq.] Pax
), Shanyao (
Dioscorea oppositifolia L.
) and Zhigancao (
Glycyrrhiza glabra L.
) are suggested to cultivate earth and generate metal, so as to move
qi
and circulate fluid; sweet-cool herbs, such as Nanshashen (
Adenophora triphylla [Thunb.] A.DC.
), Beishashen (
Glehnia littoralis [A.Gray] F.Schmidt ex Miq.
), Yuzhu (
Polygonatum odoratum [Mill.] Druce
), Tianhuafen (
Trichosanthes kirilowii Maxim.
) are suggested to nourish yin and increase body fluids, so as to promote fluid production to moisten dryness. In this way, when the source of fluid is restored and the fluid is circulated, the fluid can be produced continuously, which provides new ideas for the treatment of dry eyes with traditional Chinese medicine.
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:定义和分类(2020年) [J]. 中华眼科杂志 , 2020 , 56 ( 6 ): 418 - 422 .
STAPLETON F , ABAD JC , BARABINO S , et al . TFOS lifestyle: impact of societal challenges on the ocular surface [J]. Ocul Surf , 2023 , 28 : 165 - 199 . doi: 10.1016/j.jtos.2023.04.006 http://dx.doi.org/10.1016/j.jtos.2023.04.006 .
MASON L , JAFRI S , DORTONNE I , et al . Emerging therapies for dry eye disease [J]. Expert Opin Emerg Drugs , 2021 , 26 ( 4 ): 401 - 413 .
傅彦江 , 黄欣 . 中医对干眼症的认识 [J]. 中医杂志 , 2011 , 52 ( 22 ): 1978 - 1979 .
诸凤娇 , 陆燕英 , 周伟 . 干眼症的中医治疗研究 [J]. 医学信息 , 2022 , 35 ( 14 ): 172 - 175 .
李江伟 , 彭俊 , 姚小磊 , 等 . 基于阴火理论探析干眼的中医内涵 [J]. 中国中医眼科杂志 , 2023 , 33 ( 5 ): 464 - 467 .
CHEN M , LI J , PENG J , et al . Linarin ameliorates innate inflammatory response in an experimental dry eye model via modulation of the NLRP3 inflammasome [J]. Digit Chin Med , 2021 , 4 ( 1 ): 42 - 53 .
曾志成 , 彭俊 , 姚小磊 , 等 . 中药密蒙花离子导入对干眼患者泪液白细胞介素6、细胞间黏附分子1表达的影响 [J]. 中医杂志 , 2019 , 60 ( 3 ): 219 - 223 .
马顾全 , 朱文 , 张晶 等 . 从“甘守津还”理论探讨干燥综合征的辨治思路 [J]. 江苏中医药 , 2023 , 55 ( 3 ): 36 - 39 .
姜雯 , 唐晓颇 , 徐浩东 , 等 . 从阴虚湿热论治干燥综合征 [J]. 中医杂志 , 2021 , 62 ( 16 ): 1458 - 1461 .
张明选 . 温病学典籍中几种特色治法 [J]. 中医杂志 , 2012 , 53 ( 3 ): 259 - 261 .
胡渊龙 , 张文 , 仲锋锋 , 等 . 张锡纯“淡以养脾”理论内涵探讨 [J]. 四川中医 , 2018 , 36 ( 7 ): 36 - 38 .
JORDAN A , BAUM J . Basic tear flow.does it exist? [J]. Ophthalmology , 1980 , 87 ( 9 ): 920 - 930 .
0
浏览量
3
下载量
3
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号