黄元御之眼科疾病诊疗思想探微  

Exploration on HUANG Yuanyu's diagnosis and treatment thoughts of ophthalmic diseases

作　　者：陈子扬 谢立科[1] 郝晓凤[1] CHEN Ziyang;XIE Like;HAO Xiaofeng(Eye Hospital,China Academy of Chinese Medi-cal Sciences,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6期559-562,共4页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(82174445)。

摘　　要：黄元御首创“一气周流”学说,即“中气斡旋,四维升降的气机圆运动”。在论治眼科疾病时亦强调“一气周流”之理论。他认为,生理上目为清阳之门户,清阳上达,则七窍空明。病理上,这一气不能正常周流,或左路清阳不升,或右路浊阴不降,或二者兼有悉可致眼疾。治疗中主张“中气之治、升达左路阳气、敛降右路阴气”,具体包括疏木清风、培土泻湿、敛金降逆。通过学习其眼科疾病的诊疗思想,有助于丰富、完善临床治疗思维和学术理论。HUANG Yuanyu initiated the theory of"circular flow of one Qi",namely"the middle Qi in mediation,Qi moved upward and downward in four-dimensional circle".In the treatment of eye diseases,he also emphasized the theory of"circular flow of one Qi".He believed that the eyes were the physiological gateway of Qingyang,and the seven orifices would be clear if the clear Yang reached(the eye)upward.Pathologically,he stressed that impaired circular flow of Qi,whether the left clear Yang failing to bear upward,or the right turbid Yin failing to bear downward,or both happened simultaneously can cause eye disease.In the treatment,it is advocated to restore govern of middle Qi,by rising left Yang Qi,collecting right Yin Qi,including soothing wood and clearing wind,cultivating earth and purging dampness,constraining gold and downbearing counterflow".By learning his diagnosis and treatment thoughts of ophthalmic diseases,it is helpful to enrich and improve the clinical treatment methodology and academic theory.

关 键 词：黄元御 《四圣心源》 眼科疾病 一气周流 

分 类 号：R276.7[医药卫生—中医五官科学]