产后目病的中医证治理论探析  

Analysis of TCM syndrome and treatment theory of postpartum eye disease

作　　者：朱笑莹 毕徐齐 杨永升[1] 庄曾渊[1] ZHU Xiaoying;BI Xuqi;YANG Yongsheng;ZHUANG Zengyuan(Eye Hospital,China Academy of Chinese Medical Science,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2023年第3期246-250,共5页China Journal of Chinese Ophthalmology

基　　金：北京中医药薪火传承“3+3”工程-庄曾渊名老中医工作室(2019-SZ-B-40)。

摘　　要：孕产妇在产褥期内发生的与分娩相关的眼疾称为产后目病,中医学认为“多虚多瘀”是产后目病发生的基础和内在因素,而外感六淫所伤是外在因素。通过对相关中医眼科及中医妇产科古籍深入研究,对其发病机理包括脏腑功能失调和气、血功能失调等进行了探析,总结出产后目病方药使用的特点是以“补虚不可留邪,祛瘀切勿伤正”为原则,并需注意辨证施治。通过对产后目病证治理论探析,希望有助于临床上及时诊断和治疗此类眼病,提高临床疗效。The eye diseases related to delivery that occur during the puerperium of pregnant women are called postpartum eye diseases.Traditional Chinese Medicine(TCM)believes that"mostly with deficiency and blood stasis"is the basis and internal cause of postpartum eye diseases,and the external contraction of excesses are the external causes.Through the in-depth study of relevant Ophthalmology of TCM and ancient books of Obstetrics and Gynecology of TCM,and the analysis of its pathogenesis,including visceral dysfunction and Qi and blood dysfunction,it is concluded that the characteristics of the use of eye disease prescriptions after production are based on the principle of"tonifying deficiency without retaining pathogens,removing blood stasis without harming the healthy Qi",and attention should be paid to syndrome differentiation and treatment.Through the analysis of the theory of syndrome and treatment of postpartum eye diseases,we hope to provide assistance to the clinical diagnosis and treatment of such eye diseases in time and improve the clinical efficacy.

关 键 词：产后目病 证治理论 多虚多瘀 

分 类 号：R276.7[医药卫生—中医五官科学]