《伤寒论》六经辨证在眼科的应用感悟  

Clinical application of six-meridian syndrome differentiation in Treatise on Febrile Diseases in ophthalmology

作　　者：郑宏飞 韦企平[2] ZHENG Hongfei;WEI Qiping(Jinhua Hospital of Traditional Chinese Medicine,Affiliated to Zhejiang University of Traditional Chinese Medicine,Jinhua 321017,China)

机构地区：[1]浙江中医药大学附属金华中医医院,金华321017 [2]北京中医药大学东方医院,北京100078

出　　处：《中国中医眼科杂志》2022年第4期301-304,共4页China Journal of Chinese Ophthalmology

摘　　要：《伤寒论》六经辨证是概括经络和脏象两学说在《黄帝内经》六经理论基础上发展、完善和升华出来的。本文主要目的是探讨六经辨证在眼科临床上的应用价值。笔者认为眼科临床以六经辨证施治为切入点可提高疗效。足太阳经起自目内眦,足阳明经自眶下鼻旁下颜面,足少阳经起目外眦,手少阴心经联系咽及目系,足厥阴经经咽上联目系等,说明六经和脏腑一样与眼关系密切。太阳主一身之表,目与外界直接相通,受寒常诱发白黑晴及瞳神疾病,如外寒引动内饮犯目可用小青龙汤证;阳明多气多血而主燥,肺主白晴与大肠相表里,如白晴红赤及眼出血可从阳明治,如大黄黄连泻心汤。孔窍等处属少阳,少阳症目眩、目赤及耳聋等用小柴胡汤非常常见。受寒后暴盲暴聋常因太阳少阴两感的麻黄附子细辛汤证。肝开窍于目,厥阴血虚经寒常目窍失养得病而用当归四逆汤。由上所述,六经辨证可完善和补充中医眼科辨证系统。The six-meridian syndrome differentiation in Treatise on Febrile Diseases is the development,perfection and sublimation of the two theories of meridians and visceral manifestation on the basis of the six-meridian theory in Yellow Emperor’s Inner Canon(Huangdi Neijing).The main purpose of this paper is to explore the clinical value of the six-meridian syndrome differentiation in ophthalmology.It is believed that the treatment based on six-meridian syndrome differentiation could improve the clinical efficacy in clinical ophthalmology.The meridian of Foot-Taiyang originates from the inner canthus of the eyes,the meridian of FootYangming originates from the infraorbital margin near the nose,the meridian of Foot-Shaoyang originates from the outer canthus of the eyes,the heart meridian of Hand-Shaoyin connects the pharynx and the eyes,and the meridian of Foot-Jueyin connects the upper part of pharynx and the eyes,indicating that the six meridians as well as viscera are closely related to the eyes.Taiyang is responsible for the exterior of the whole body and the eyes are directly connected with the outside,which may lead to conjunctiva,sclera,cornea and pupil disorders especially when attacked by the cold evil.For instance,the external cold can induce internal phlegm retention,which can be treated with Xiaoqinglong Decotion.Yangming is rich in Qi and blood,which may easily cause dryness and the lung governs the conjunctiva and sclera,which is related with the large intestine as the external-internal relationship.Therefore,the meridian of Yangming can be selected for treating either the reddish or blooding in the conjunctiva and sclera,such as the application of Dahuang Huanglian Xiexin Decotion.The orifices such as the eyes and ears belong to the meridian of Shaoyang,and Xiaochaihu Decotion is commonly used for Shaoyang syndrome such as dizziness,red eyes,and deafness.For either the suddenblindness or sudden deafness attacked by the cold,Mahuang Fuzi Xixin Decotion is used forsyndrome combination of Taiyang and Shaoyi

关 键 词：伤寒论 六经辨证 眼科应用 

分 类 号：R276.7[医药卫生—中医五官科学]