基于“一气周流”理论探讨干眼的病因病机及证治  

Exploring the Etiology,Pathogenesis,and Syndrome Differentiation and Treatment of Dry Eye Based on the Theory of"One Qi Circulation"

作　　者：邱惠泉 朱晓林[1] 陈美荣[2] 王聪敏 仇梓璇 尹荣娟 QIU Huiquan;ZHU Xiaolin;CHEN Meirong;WANG Congmin;QIU Zixuan;YIN Rongjuan(Shandong University of Traditional Chi-nese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,济南250014 [2]山东中医药大学附属医院,济南250011

出　　处：《中国中医眼科杂志》2024年第8期762-765,共4页China Journal of Chinese Ophthalmology

基　　金：山东省研究生教育质量提升计划项目(SDYAL20056)。

摘　　要：干眼作为一种发病率持续上升的眼科疾病,严重影响着患者的视觉及生活质量。西医认为其病因及发病机制复杂,疗效欠佳。本文基于“一气周流”理论,结合“五轮学说”,认为干眼的病因病机主要在于脾土之不升、肺金失于清降、肝木郁而不达、心火化热灼津、肾中坎阳失藏,治疗宜从健脾、润肺、疏肝、养心及滋肾入手,兼顾脏腑间的相关性,从而恢复一气周流的生理模式,可为中医治疗干眼提供参考。As an ophthalmic condition with a rising incidence rate,dry eye significantly impacts patients'vision and quality of life.Western Medicine views its etiology and pathogenesis as complex,with suboptimal therapeutic efficacy.Based on the theory of"One Qi Circulation",combined with the"Five Wheels Theory,"this paper posits that the etiology and pathogenesis of dry eye are primarily due to the failure of spleen earth to ascend,the inability of lung metal to clear and descend,the stagnation of liver wood,the heat transformation of heart fire injuring fluids,and the failure of kidney to store Yang within Kan.The treatment should focus on strengthening spleen,moistening lung,soothing liver,nourishing heart,and enriching kidney,while also considering the interrelations among the Zangfu organs to restore the physiological pattern of"One Qi Circulation".This approach may provide a reference for the Traditional Chinese Medicine treatment of dry eye.

关 键 词：干眼 一气周流 五轮学说 病因病机 证治 

分 类 号：R777.34[医药卫生—眼科] R276.7[医药卫生—临床医学]