儿童眶下黑眼圈的中西医文献综述  

Review of Chinese and western medicine literature on infraorbital dark circles in children

作　　者：王海[1] 黎彦麟 WANG Hai;LI Yanlin(First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150000,China;Nantong Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nantong 226000,China)

机构地区：[1]黑龙江中医药大学附属第一医院儿科二科,哈尔滨150000 [2]南京中医药大学南通附属医院儿科,江苏南通226000

出　　处：《中国中西医结合儿科学》2024年第4期309-313,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：儿童眶下黑眼圈名称较多,比较混乱,流行病学研究较少,其局部病理虽然明确,但根本病因争议较大。通过分析局部的下睑静脉、眶下静脉、泪道静脉丛、面静脉、眶下间隙、眶下淋巴结等解剖结构,鼻、腺样体疾病引起的眶下静脉回流受阻的可能性较大。中医典籍对黑眼圈的论述丰富,眼与五脏在生理和病理方面都存在紧密关联,尤其肝、脾、肾三脏,此外经络理论、气血津液理论亦能解释此现象,非独“脾虚”。临床应避免误诊、漏治。There are many names for infraorbital dark circles in children,which are confusing,and there are few epidemiological studies.Although the local pathology is clear,the fundamental etiology is controversial.Analysis of the local anatomy of the inferior palpebral vein,infraorbital vein,lacrimal venous plexus,facial vein,suborbital space and infraorbital lymph nodes has shown that the possibility of obstruction of infraorbital venous return caused by nasal and adenoid diseases is greater.Traditional Chinese medicine classics have rich discussion on dark circles,and there is a close correlation between the eyes and the five viscera in terms of physiology and pathology,especially the liver,spleen,and kidney.In addition,the meridian theory and the theory of qi,blood and body fluid can also explain this phenomenon,not just"spleen deficiency".Misdiagnosis and missed treatment should be avoided in clinical practice.

关 键 词：鼻部疾病 黑眼圈 综述 儿童 

分 类 号：R779.7[医药卫生—眼科]