基于仲景伤寒体系探讨流行性结膜炎的证治  

Discussion on syndrome differentiation and treatment of epidemic conjunctivitis based on Typhoid System of ZHANG Zhongjing

作　　者：张玮琼 李军 接传红[1] 王建伟[1] 王晶莹 ZHANG Weiqiong;LI Jun;JIE Chuanhong;WANG Jianwei;WANG Jingying(Eye hospital China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040 [2]中国中医科学院,北京100700 [3]河北燕达医院,廊坊065201

出　　处：《中国中医眼科杂志》2022年第1期45-48,共4页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金面上项目(81874494);北京市自然科学基金面上项目(7182187)。

摘　　要：东汉末年,建安瘟疫流行,张仲景撰写了治疗外感热病集大成的《伤寒杂病论》,建立伤寒体系,为诊疗一切外感热病提出了纲领性的法则。流行性结膜炎是许多传染病的早期表现,多以畏光、流泪、异物感为主,伴少量分泌物,易被忽视,拖延治疗时间。本病的提早预防,能够减轻脏器感染,提高患者视力和生活质量。《伤寒杂病论》虽未就眼病方面进行专篇论述,但其中有多处涉及眼病的描述,如目赤、面目浮肿、目泣自出等。本文从伤寒体系梳理与解析流行性结膜炎的发病规律,辨证特点,治疗方法等方面,以丰富《伤寒杂病论》在外感热病研究方面的学术价值与意义。At the end of the Eastern Han Dynasty,the plague was prevalent in Jian'an.ZHANG Zhongjing wrote a comprehensive treatise on Shanghan Zabing Lun for the treatment of exogenous febrile diseases,which established Typhoid System,and put forward programmatic rules for the diagnosis and treatment of all exogenous febrile diseases.Epidemic conjunctivitis is the early manifestation of many infectious diseases,mainly featured by photophobia,tears and foreign body sensation,accompanied by a small amount of secretions,which is easy to be ignored,thus delaying the treatment time.Early prevention of the disease can reduce organ infection and improve patients'vision and quality of life.Although Shanghan Zabing Lun does not have a special discussion on eye diseases,there are many descriptions of them,such as red eyes,swollen faces,overflowing tears and so on.This paper combs and analyzes the pathogenesis,syndrome differentiation characteristics and treatment methods of epidemic conjunctivitis from Typhoid System,so as to enrich the academic value and significance of Shanghan Zabing Lun in the study of exogenous febrile diseases.

关 键 词：伤寒体系 伤寒杂病论 流行性结膜炎 辨证论治 

分 类 号：R276.7[医药卫生—中医五官科学]