彭清华基于相火学说辨治年龄相关性干眼经验  

PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire

作　　者：李江伟 姚小磊 周亚莎 彭俊 彭清华[1,2] LI Jiangwei;YAO Xiaolei;ZHOU Yasha;PENG Jun;PENG Qinghua(Hunan University of Chinese Medicine,Changsha,410208;The First Chinese Medicine Clinical College,Hunan University of ChineseMedicine)

机构地区：[1]湖南中医药大学,湖南省长沙市410208 [2]湖南中医药大学第一中医临床学院

出　　处：《中医杂志》2024年第12期1219-1223,共5页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81574031);国家中医药管理局全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);湖南省科技人才托举工程项目(2023TJ-N25);湖南省临床医疗技术创新引导项目(2021SK51402);湖南省教育厅科学研究项目(22A0241,23A0300)

摘　　要：总结彭清华教授基于相火学说辨治年龄相关性干眼的临证经验。以相火学说为指导,认为年龄相关性干眼的关键病机是相火僭越,而肾阳虚寒、肾阴亏损、脾土不足是导致相火僭越的缘由。提出以潜藏相火为治疗总则,针对肾阳虚寒、相火浮游,治宜补肾温阳、引火归元,方予引火汤;针对肾阴亏损、相火妄动,治宜补肾填精、滋阴降火,方予三才封髓丹;针对脾土不足、相火熏蒸,治宜健运脾气、敦土伏火,方予黄芪人参汤。This paper summarized PENG Qinghua's experience in treating age-related dry eye based on the theory of ministerial fire.Guided by the theory of ministerial fire,it is believed that the key pathogenesis of age-related dry eye is transgression of ministerial fire,and kidney yang deficiency-cold,kidney yin depletion,and spleen-earth insufficiency are the causes of transgression of ministerial fire.The general principle of treatment is to conceal the ministerial fire.For kidney yang deficiency-cold and floating ministerial fire,the treatment should tonify the kidney and warm yang,and return fire to its origin,with Yin Huo Decoction(引火汤);for kidney yin depletion and frenetic stirring of ministerial fire,the treatment should tonify the kidney and supplement essence,enrich yin and reduce fire,with Sancai Fengsui Pellet(三才封髓丹);and for spleen-earth insufficiency,and fumigation of ministerial fire,the treatment should strengthen and activate spleen qi,and reinforce soil and hidden fire,with Renshen Huangqi Decoction(人参黄芪汤).

关 键 词：年龄相关性干眼 相火学说 名医经验 彭清华 

分 类 号：R249[医药卫生—中医临床基础] R276.7[医药卫生—中医学]