彭清华从肝脾论治细菌性角膜炎经验  

PENG Qinghua's experience in treating bacterial keratitis from liver and spleen

作　　者：李江伟 陈惠媚 姚小磊[1] 彭清华(指导)[2] LI Jiangwei;CHEN Huimei;YAO Xiaolei;PENG Qinghua(The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学第一附属医院,长沙410007 [2]湖南中医药大学,长沙410208

出　　处：《中华中医药杂志》2024年第8期4152-4155,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.82174443,No.81860870);国家中医药管理局人才支持项目-岐黄学者(No.国中医药人教函[2022]6号);湖南省自然科学基金面上项目(No.2021JJ30527);湖南省教育厅重点项目(No.2021JJ30527);湖南省中医药科研计划项目(No.2021023);湖南中医药大学一流学科开放基金项目(No.2021ZYX05)。

摘　　要：总结彭清华教授从肝脾论治细菌性角膜炎的临证经验。将细菌性角膜炎分为肝经风热型、肝经湿热型、脾虚气弱型、气血不足型进行辨证施治。在治疗用药方面,将明目退翳药贯穿始终,最常使用清肝泻火药,其次是疏散风热药、清热利湿药、补益脾气药和益气养血药。善用新制柴连汤、龙胆泻肝汤、益气聪明汤、八珍汤配合明目退翳药加减治疗,倡导整体观念。To summarize PENG Qinghua's experience in treating bacterial keratitis from liver and spleen.Bacterial keratitis is divided into liver wind-heat type,liver damp-heat type,spleen qi deficiency and qi and blood deficiency type for syndrome differentiation.In terms of therapeutic drugs,drugs to removing nebula to improve vision are used thoroughly,and the most commonly used drugs for clearing liver and purging fire followed by drugs for dispelling wind and heat,clearing heat and dampness,nourishing spleen qi and nourishing qi and blood.Xinzhi Chailian Decoction,Longdan Xiegan Decoction,Yiqi Congming Decoction,Bazhen Decoction with removing nebula to improve vision drugs are using continually,and advocate holism concept.

关 键 词：细菌性角膜炎 肝脾 名医经验 彭清华 

分 类 号：R276.7[医药卫生—中医五官科学] R249[医药卫生—中医学]