王炜养阴清中法治疗干眼症经验  

WANG Wei′s Experience of Treating Xerophthalmia with Method of Nourishing Yin and Clearing Heat of Middle Energizer

作　　者：张梦婷 王炜[1] ZHANG Meng-ting;WANG Wei(The Second Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu,China,210029)

机构地区：[1]南京中医药大学第二附属医院,江苏南京210029

出　　处：《河南中医》2021年第8期1190-1193,共4页Henan Traditional Chinese Medicine

摘　　要：王炜教授认为,脾的功能与干眼症发生密切相关。脾为后天之本,脾失健运可导致多个脏腑的功能失调,致“阴不足”“阳不足”“道不通”,使津液生化不足或津液耗伤太过引发干眼症,故干眼症可从脾论治。青中年患者正气充足,多为阴虚湿热证,治当养阴清中,多选用黄芩、栀子、生地黄、菊花、薄荷、金银花等清热,白豆蔻、苍术、茯苓等健脾利湿,同时予麦冬、玉竹、北沙参、南沙参等滋养肺胃之阴。干眼症与阴虚、湿热、气滞、情志相关,亦应重视情志问题。阴阳互根互用,无阳则阴无以为化,而脾主升阳,脾阳不升,则精气无以上行濡养头面五官,津液无以上输滋润眼目,故应兼顾升举阳气,常加升麻、柴胡调畅情志,升举阳气。Professor Wang Wei believes that the function of the spleen is closely related to xerophthalmia.The spleen is the required foundation.The dysfunction of the spleen can lead to the dysfunction of many viscera,resulting in"yin deficiency","yang deficiency"and"channel obstruction".The biochemical deficiency of body fluid or excessive consumption of body fluid can lead to xerophthalmia,which should be treated from the spleen.Young and middle-aged patients have sufficient healthy qi,and mostly yin deficiency and dampness-heat syndrome.The treatment should focus on nourishing yin and clearing heat of middle energizer,so Huangqin(Radix Scutellariae),Zhizi(Fructus Gardeniae),Shengdihuang(Radix Rehmanniae),Juhua(Flos Chrysanthemi),Bohe(Herba Menthae),Jinyinhua(Flos Lonicerae Japonicae),etc.to clear heat,Baidoukou(Fructus Amomi Kravanh),Cangzhu(Rhizoma Atractylodis),Fuling(Poria),etc.to invigorate spleen and drain dampness,Maidong(Radix Ophiopogonis),Yuzhu(Rhizoma Polygonati Odorati),Beishashen(Radix Glehniae),Nanshashen(Radix Adenophorae),etc.to nourish lung-stomach yin.Xerophthalmia is related to yin deficiency,dampness-heat,qi stagnation and emotion,and so the treatment should also pay attention to emotional problems.Yin and yang interact with each other.If there is no yang,then yin will not be transformed.The spleen is in charge of ascending yang,if it fails,then the essence and qi cannot ascend to nourish the head,face and five sense organs,and the body fluid cannot be transfused to moisten the eyes.Therefore,the treatment should also considering ascending yang qi,and Shengma(Rhizoma Cimicifugae),Chaihu(Radix Bupleuri)are often added to regulate emotions and ascend yang qi.

关 键 词：干眼症 从脾论治 阴虚湿热证 养阴清中法 王炜 

分 类 号：R276.777.2[医药卫生—中医五官科学]