从芍药甘草汤方证与药量探讨胞轮振跳的治疗  

Exploration of the Usage and Dosage of Shaoyao Gancao Decoction in the Treatment of Eyelid Tremors

作　　者：晏振东 李艳鹏[2] 张佳琪 刘艺 马乾[2] 陈明[1] YAN Zhendong;LI Yanpeng;ZHANG Jiaqi;LIU Yi;MA Qian;CHEN Ming(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院,北京100700

出　　处：《中国中医眼科杂志》2024年第1期53-55,共3页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(82174267);中央高校基本科研业务费专项基金资助项目(2019-JYB-JS-062)。

摘　　要：胞轮振跳是临床中的难治性疾病,该病严重影响患者的情绪及生活质量。目前临床治疗手段有限,西医多以手术为主,且容易反复,创伤性较大。中医药治疗该病不良反应少且疗效稳固。芍药甘草汤主治肝脾阴虚证,而胞轮振跳的病机之一则为肝脾阴虚,这是与芍药甘草汤证的契合点。因此,根据异病同治原则,该方治疗此类疾病是辨病与辨证结合的临床思路的体现。通过文献考证古今度量衡质量的单位换算,芍药(白芍)与炙甘草的用量需达60 g以上方可获得良好临床疗效。本文总结了芍药甘草汤的临床使用经验,并结合文献从方义与药量角度论证其治疗胞轮振跳的可行性与合理性。Eyelid tremors represent a challenging clinical condition significantly impacting the emotional state and life quality of affected individuals.Current clinical treatment options are limited in Western Medicine,often relying on surgery which can lead to frequent recurrence and substantial damage.Traditional Chinese Medicine offers a treatment approach with fewer adverse effects and stable efficacy.Shaoyao Gancao Decoction is primarily used for liver-spleen Yin deficiency syndrome,which aligns with one of the pathological factors of eyelid tremors,namely liver-spleen Yin deficiency.This correlation constitutes a convergence point with the prescription of Shaoyao Gancao Decoction.Therefore,following the principle of treating different diseases with the same method,this formula represents a clinical approach integrating disease identification and syndrome differentiation.Through a literature review considering ancient and modern measurement unit conversions,it is concluded that an effective clinical outcome in treating this condition requires a dosage of at least 60 g of Paeonia lactiflora Pall(Radix Paeoniae Alba)and Glycyrrhizae Radix Et Rhizoma Praeparata Cum Melle.This paper summarizes the clinical experience of Shaoyao Gancao Decoction,providing evidence from literature on its feasibility and rationality in treating eyelid tremors from the perspectives of the prescription rationale and dosage considerations.

关 键 词：芍药甘草汤 眼轮匝肌痉挛 胞轮振跳 肝脾阴虚 药量 

分 类 号：R276.7[医药卫生—中医五官科学]