基于中医眼科六经辨证探讨前葡萄膜炎的治疗思路  

Discussion on the treatment of anterior uveitis based on six-meridian differentiation of Ophthalmology of Traditional Chinese Medicine

作　　者：王锐[1] 龚文心 王志强 尚姗姗 郭黎霞 吴鲁华 WANG Rui;GONG Wenxin;WANG Zhiq-iang;SHANG Shanshan;GUO Lixia;WU Luhua(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100012

出　　处：《中国中医眼科杂志》2022年第12期957-959,964,共4页China Journal of Chinese Ophthalmology

摘　　要：前葡萄膜炎为眼科临床常见疾病,主要表现为眼痛、畏光、流泪、视物模糊。前葡萄膜炎病因复杂,病情缠绵易反复,可引起一些严重的并发症,属于难治性眼病。现代医学治疗该疾病以早期及时散瞳配合局部抗炎,必要时全身用药为治疗原则,中医眼科六经辨证理论将伤寒六经辨证与眼病具体特点有机结合,对于临床辨证治疗疑难眼病具有重要指导意义。本文基于眼科六经辨证理论,结合前葡萄膜炎的临床特点,提出以厥阴证、少阳证、太阴证论治,为治疗前葡萄膜炎提供思路,以期提高临床疗效。Anterior uveitis is a common disease in clinical ophthalmology,which is characterized by eye pain,tearing,photophobia,lacrimation and blurred vision.It is a kind of refractory eye diseases with complicated causes,which is easy to recurrent and can cause some serious complications.Western Medicine treats this disease on the principle of early and timely mydriasis,local anti-inflammatory,and systemic medication when necessary.The six-meridian differentiation theory of Ophthalmology of Traditional Chinese Medicine(TCM)organically combines the six-meridian differentiation of exogenous febrile disease with the specific characteristics of eye diseases,which has important guiding significance for clinical syndrome differentiation and the treatment of difficult eye diseases.Based on the theory of six-meridian differentiation of Ophthalmology of TCM,this paper proposed that anterior uveitis should be treated with the sympathetic Jueyin and Shaoyang and Taiyin,combining with the clinical characteristics of anterior uveitis,which provided ideas for the treatment,in order to improve the clinical efficacy.

关 键 词：六经辨证 前葡萄膜炎 中医眼科六经法要 

分 类 号：R276.7[医药卫生—中医五官科学]