李东垣从形神论治眼病  

LI Dongyuan’s Treatment of Eye Diseases from Body and Spirit

作　　者：邱丽颖 吴宇峰[1] 吴上斌 翟双庆[1] QIU Liying;WU Yufeng;WU Shangbin;ZHAI Shuangqing(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《山东中医杂志》2024年第3期243-247,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(编号:2018YFC1704105)。

摘　　要：眼科疾病是李东垣诊疗的特色病种之一,其治疗眼病注重形神同调,调形尤重调理脾胃,调神尤重潜降心火。在眼科用药中善于运用苦寒药配伍风药以清热泻火,运用甘温之品配伍甘凉质润及酸寒敛阴之品以养血益阴,运用益气健脾配伍升提清阳之品以调理脾胃,重视目与经脉的联系,细心洞察以知病变之经脉,调病变之经脉以疗目疾。除用药治疗外,李东垣还重视非药物疗法,强调宁心少语以调摄心神,充分体现了其形神同调治疗眼病的学术特色,对后世眼病治疗具有重要的借鉴意义。Eye disease is one of the diseases manifesting the characteristics of LI Dongyuan’s diagnosis and treatment.His treatment for eye diseases paid attention to the harmonization of body and spirit,with a particular emphasis on regulating the spleen and stomach in adjusting the body and regulating the spirit by subduing the heart fire.In ophthalmic medication,he was good at using bitter cold medicinals combined with wind medicinals to clear heat and relieve fire,using sweet and warm medicinals combined with sweet,cool and sour medicinals to nourish blood and yin,using tonifying qi and strengthening spleen medicinals combined with promoting yang medicinals to regulate the spleen and stomach.He emphasized the connection between the eyes and meridians,carefully observed the diseased meridians and regulated the diseased meridians to treat eye diseases.In addition to medication therapy,LI Dongyuan also attached great importance to non medication therapy,emphasizing the importance of calming the heart and talking less to calm the spirit,which fully embodied his academic characteristics of regulating both the body and spirit in the treatment of eye diseases,and had important reference significance for the future ophthalmic treatment.

关 键 词：李东垣 调神 眼病 形神观 脾胃 

分 类 号：R276.6[医药卫生—中医五官科学]