中医导引术辅助治疗青光眼的可行性分析  

Feasibility Analysis of Traditional Chinese Medicine Conduction Exercise in the Auxiliary Treatment of Glaucoma

作　　者：林冀鲁 王影[1] 代金刚[2] 焦文鑫 周芷伊 龙思羽 LIN Jilu;WANG Ying;DAI Jingang;JIAO Wenxin;ZHOU Zhiyi;LONG Siyu(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040 [2]中国中医科学院医学实验中心,北京100091

出　　处：《中国中医眼科杂志》2024年第10期962-966,共5页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A02607);北京市石景山区医学重点专科;全国名老中医药专家宋军传承工作室。

摘　　要：导引术是中医外治法之一,也是一种无创、非介入的非药物治疗方式,其养生防病的理念符合中医“治未病”思想,此法作为药物治疗的辅助疗法值得引起临床工作者的重视。青光眼是一种以眼压升高及视神经功能损害为特点的疾病,也是眼科常见的身心疾病。导引术以意领气、形气相感、动静结合,能在一定程度上缓解青光眼患者焦虑抑郁等不良情绪,并改善其睡眠状况及生存质量,良好的情绪也有利于稳定眼压,延缓病情进展;另一方面此法通过形体运动与局部按摩疏通眼部气血,以利于眼部玄府开阖,神水流通,从而增加气血对目系的濡养。本文以青光眼为例,探讨了中医对青光眼病因病机的认识以及导引术作为辅助疗法治疗青光眼的理论基础,分析导引术治疗青光眼的可行性,并以此为基础探索该病的导引处方,以期为青光眼等情志相关性眼病的防治提供新思路,扩大导引术的临床应用范围。Conduction exercise is one of the external treatment methods in Traditional Chinese Medicine(TCM)and a non-invasive,non-pharmacological therapy.Its health-preserving and disease-preventing principles align with the TCM concept of"preventive treatment of disease".As an adjunctive therapy to pharmacological treatments,conduction exercise warrants attention from clinical practitioners.Glaucoma,characterized by elevated intraocular pressure and optic nerve dysfunction,is a common psychosomatic disorder in ophthalmology.Conduction exercise,which integrates the mind´s guidance of Qi,the interaction of form and Qi,and the combination of movement and stillness,can alleviate anxiety,depression,and other negative emotions in glaucoma patients to some extent,thereby improving their sleep quality and overall quality of life.Positive emotions also help stabilize intraocular pressure,potentially slowing disease progression.Additionally,conduction exercise employs physical movements and localized massage to promote the flow of Qi and blood in the eyes,facilitating the opening and closing of the ocular orifices and the circulation of"Shen Shui"(divine water),thereby enhancing the nourishment of the eyes by Qi and blood.This article uses glaucoma as a case study to explore the TCM understanding of the etiology and pathogenesis of glaucoma and the theoretical basis for conduction exercise as an adjunctive therapy for glaucoma.It analyzes the feasibility of conduction exercise in treating glaucoma,based on this,explores conduction exercise prescriptions for this condition,aiming to provide new insights into the prevention,health maintenance,and treatment of glaucoma and other emotion-related eye diseases,thereby expanding the clinical application of conduction exercise.

关 键 词：导引术 青光眼 中医 辅助治疗 

分 类 号：R775[医药卫生—眼科] R276.7[医药卫生—临床医学]