睑板腺功能障碍的病因病机及中医治疗研究进展  

Etiology, pathogenesis and study progress on Chinese therapies for meibomian gland dysfunction

作　　者：张明明[1] 庄曾渊[1] 胡怀彬[1] 庞秀英[2] 邓桂江[2] 

机构地区：[1]中国中医科学院眼科医院,北京100040 [2]北京中医药大学附属东直门医院眼科,北京100700

出　　处：《中国中医眼科杂志》2017年第2期134-136,共3页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院眼科医院2014年院内课题(201435)

摘　　要：睑板腺功能障碍是近年来才引起关注的一种常见病,其病因复杂,治疗棘手。中医眼科对该病的认识时间不长,古籍没有直接对应的病名,现代医家一般将其归入"白涩症""睑弦赤烂"等范畴,认为其发病与脾胃相关,或外感风邪、燥邪,或气血不足、运行不畅等。治疗上有从脾胃论治者,亦有从外邪或气血论治者,多结合中医外治方法,取得较好的效果,但多数疗法只能短期改善症状,且缺乏病理学及病原学等验证支持,因而尚需大样本指导下规范的辨证分型及治疗研究。本文对相关内容进行了综述。Meibomian gland dysfunction is a common, complex and refractory disease which raises concerns in recent years. There is no corresponding name in ancient medical documents, and modern physicians name it as＂dry astringent＂ or ＂red ulcerated eyelid＂. It is thought that the pathogenesis is related to spleen and stomach,affected with wind, dryness or deficiency of both qi and blood and its insufficient circulation. Its Chinese medical treatment mainly focuses on spleen and stomach, external pathogen or the qi and blood and often is accompanied with external therapy,which yields favorable effects. However, most therapeutic solutions only have short-term effects without pathological and etiological proofs. Further researches with large sample size and universal syndrome differentiation scheme will be needed to solve this problem. The article summarized the relevant content.

关 键 词：睑板腺功能障碍 病因病机 中医药治疗 

分 类 号：R777.1[医药卫生—眼科]