基于“玄府-腠理-三焦”理论探讨干眼  

Dry eye disease treatment based on the theory of"sweat pores-interstices-three jiao"

作　　者：周晓容 戴金辉 白海霞 曾梅艳 吴权龙[2] 彭清华[2,3] ZHOU Xiaorong;DAI Jinhui;BAI Haixia;ZENG Meiyan;WU Quanlong;PENG Qinghua(The First Clinical School of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Hunan Engineering Technology Research Center for Prevention&Treatment of Ophthalmology and Otolaryngology Diseases and Visual Function Protection with Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007 [3]湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心,湖南长沙410208

出　　处：《湖南中医药大学学报》2024年第7期1313-1317,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82004427);湖南省自然科学基金青年科学基金项目(2023JJ40474);中医药防治眼耳鼻咽喉疾病湖南省重点实验室建设项目(2017TP1018);湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心项目(2018TP2008);湖南中医药大学研究生创新课题项目(2023CX101)。

摘　　要：“玄府-腠理-三焦”皆是人体气血津液运行的门户通路,从微观到宏观,辩证统一,形成一个相对连贯的气液循环系统,共同维系着人体气血津液的运行以及生命活动的正常进行。玄府启闭,腠理开合,三焦畅达,对调节人体正常的水液代谢具有重要作用。干眼是以泪膜稳态失衡为特点并伴有眼部不适症状的多因素眼表疾病之一,随着社会压力增大、环境污染、视频终端品广泛使用等,本病发病率逐渐增加。遵循“玄府-腠理-三焦”理论,提出以“开宣玄府、疏固腠理、畅达三焦”为治法,以期丰富干眼内涵和提高临床疗效,为干眼的中医防治提供新思路。As the gateways and pathways for the circulation of qi,blood,and body fluids in the human body,"sweat pores-interstices-three jiao",from a microcosmic scale to a macrocosmic scale,dialectically unite as a relatively coherent qi-fluid circulation system,jointly maintaining the circulation of qi,blood,and body fluids as well as normal life activities.The regular opening and closing of the sweat pores and interstices,and the unblocked three jiao play important roles in regulating the normal water metabolism of the human body.Dry eye disease is one of the multifactor-induced ocular surface diseases characterized by the instability of tear film and accompanied by eye discomfort.With the increase of social pressure,environmental pollution,and the widespread use of video terminals,the incidence of this disease has gradually increased.Based on the theory of"sweat pores-interstices-three jiao",this paper proposes"opening and dispersing the sweat pores,dredging and consolidating the interstices,and unblocking the three jiao"as the treatment methods,hoping to enrich the connotation of dry eye disease and improve the clinical efficacy for it,and providing new ideas for its prevention and treatment with Chinese medicine.

关 键 词：干眼 白涩症 玄府 腠理 三焦 气血津液 

分 类 号：R276[医药卫生—中医五官科学]