“律态和稳”视阈下儿童青少年近视防控思路探微  

Exploration of Myopia Prevention and Control Strategies of Myopia in Children and Adolescents from the Perspective of"Rhythmic Equilibrium"

作　　者：张丽霞[1,2] 陈爽[2] 周芷伊 武雪 倘孟莹 蒋飘 ZHANG Lixia;CHEN Shuang;ZHOU Zhiyi;WU Xue;TANG Mengying;JIANG Piao(China Academy of Chinese Medical Sciences,Beijing,100700;Eye Hospital, China Academy of Chinese Medical Sciences)

机构地区：[1]中国中医科学院,北京东城100700 [2]中国中医科学院眼科医院

出　　处：《中医杂志》2024年第10期1005-1008,共4页Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划(2022YFC3502501);国家自然科学基金(82074500);中国中医科学院科技创新工程(CI2021A02605);北京市石景山区卫生健康委员会第二期石景山区名中医传承工作室建设项目(石卫健中医发[2020]6号)。

摘　　要：基于天人同律思想,结合阴平阳秘之稳态医学观,提出“律态和稳”观点。认为“律态失稳”贯穿儿童青少年近视发生、发展的不同阶段,涵盖节律失衡(近视高危期)、气血失衡(近视前期)、筋膜失衡(低度近视)、精血失衡(高度近视)4个方面。治疗当以“调律和态”为要,使阴平阳秘,目系得养。近视高危期强调通过调整睡眠、增加户外活动以顺时调律;近视前期可增加中医适宜技术如揿针等调和气血;低度近视期当以揿针、耳穴压丸等中医适宜技术为主,辅以当归补血汤加减以柔筋通络;高度近视期应既病防变,注重补益精血,可予驻景丸或四物五子汤加减,以恢复目与全身之稳态。The theory of“rhythmic equilibrium”is developed based on the idea of sharing the same laws between nature and human,and by integrating with the medical concept of homeostasis of calm yin and sound yang."Rhythmic instability"runs through the entire process of the occurrence and development of myopia,covering four aspects including imbalance of rhythm(high-risk period of myopia),imbalance of qi and blood(premyopia),imbalance of sinewmembranes(low myopia),and imbalance of essence and blood(high myopia).The treatment should focus on adjusting the rhythm and harmonizing situation,which can help balance yin and yang,and nourish the eye system.For high-risk period of myopia,adjusting sleeping time and increasing outdoor activities are stressed to adjust the rhythm in a timely manner.In the stage of premyopia,appropriate techniques of traditional Chinese medicine(TCM)such as pressing needles can be added to harmonize qi and blood.In the period of low myopia,appropriate TCM techniques such as pressing needles and ear acupuncture are mainly used,supplemented by modified Danggui Buxue Decoction(当归补血汤)to soften tendons and unblock collaterals.During the period of high myopia,it is recommended to control the development of existing disease and put focus on nourishing essence and blood,usually with Zhujing Pill(驻景丸)or modified Siwu Wuzi Decoction(四物五子汤)to restore the stability of the eyes and the whole body.

关 键 词：近视 节律 稳态 节律失衡 气血失衡 筋膜失衡 精血失衡 

分 类 号：R276.7[医药卫生—中医五官科学]