基于“肝肾同源”理论探析视疲劳  

Exploring Visual Fatigue Based on the Theory of"Liver and Kidney Sharing the Same Origin

作　　者：回世洋[1] 倪帅 HUI Shiyang;NI Shuai(Affiliated Hospital of Liaoning University of Traditional Chi-nese Medicine,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学附属医院,沈阳110032 [2]辽宁中医药大学,沈阳110847

出　　处：《中国中医眼科杂志》2024年第7期670-672,676,共4页China Journal of Chinese Ophthalmology

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函2022-1);国家中医药管理局全国名老中医药专家马晓燕传承工作室建设项目(国中医药人教函2022-75);辽宁省第一批中医药(临床)优秀人才培养项目(辽卫办发2021-29)。

摘　　要：本文探讨了“肝肾同源”理论与视疲劳的联系,肝主藏血,而肾主藏精;肝主疏泄,而肾主封藏。如若视物过久,或心烦易怒,致使肝气郁结化火,火盛耗伤肝血;或月经失调,男子失精,肾之精气耗损。肾精乏源则无以化肝血,肝血亏虚则无以上输而濡养于目,则见目睛涩滞,昏花无力等视疲劳症状。在治疗上,针刺取穴可以“血”为法,取肝俞、肾俞补肝肾以益精血,引气血上达目窍;可取攒竹和太阳以疏经活络,行血气以退郁热;在应用眼针治疗时选肝区、肾区的穴位,以促精血达目,补益肝肾,缓解视疲劳。使用内治法时则以“虚则补其母”为法,通过补益肝肾精血,解痉止痛,以缓解视疲劳,如目舒丸。本研究可为临床防治视疲劳提供思路与方法。This paper explores the connection between the theory of"liver and kidney sharing the same origin"and visual fatigue.According to Traditional Chinese Medicine,liver stores blood while kidney store essence.Liver is responsible for dispersing and excreting,while kidney are in charge of containing and sealing.Prolonged visual focus or emotional disturbances can lead to stagnation of liver Qi,which transforms into heat and damages liver blood.Similarly,irregular menstruation or loss of essence in men depletes kidney essence and energy.When kidney essence is insufficient to nourish liver blood,and liver blood deficiency fails to nourish the eyes,symptoms of visual fatigue such as eye discomfort,blurred vision,and weakness may manifest.In treatment,acupuncture may use the principle of regulating"blood".Acupoints related to liver and kidney are stimulated to tonify liver and kidney deficiencies,nourishing essence and blood,and guiding Qi and blood to the eyes.Acupoints like Taiyang and Cuanzhu are utilized to facilitate meridian circulation,dispelling stagnant Qi and heat.When using eye acupuncture,points related to liver and kidney are chosen to promote the flow of essence and blood to the eyes,relieving visual fatigue by nourishing liver and kidney.Internal treatments focus on"tonifying the mother when deficient".Remedies that replenish liver and kidney essence and blood,relieve spasm,and alleviate pain,such as the Mushu Pill,are employed to alleviate visual fatigue.This study provides valuable insights and methods for the clinical prevention and treatment of visual fatigue.

关 键 词：视疲劳 肝肾同源 中医药 

分 类 号：R276.7[医药卫生—中医五官科学]