基于伏邪理论以化浊扶正法辨治真菌性角膜炎  

Differentiation and Treatment of Fungal Keratitis with the Method of Removing Turbidity and Supporting Healthy Qi Based on the Theory of Incubative Pathogenic Factors

作　　者：吕怡 钟缘 黄雨 彭俊 彭清华[1,2] LYU Yi;ZHONG Yuan;HUANG Yu;PENG Jun;PENG Qinghua(Hunan University of Chinese Medicine,Changsha 410208,China;Hunan Engineering Technology Research Center for the Prevention and Treatment of Otorhinolaryngologic Diseases and Protection of Visual Function with Chinese Medicine,Changsha 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]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 [3]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中国中医药信息杂志》2024年第11期175-179,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82274588);湖南省人才托举工程-年轻优秀科技人才培养计划(2023TJ-N25);湖南省科技厅临床创新引导项目(2021SK51402);湖南省教育厅重点项目(22A0241、23A0300);国家中医药管理局中医眼科学重点学科建设项目(ZK1801YK015);中医药防治眼耳鼻咽喉疾病湖南省重点实验室开放基金(2018YZD02);湖南省自然科学基金青年基金(2020JJ5436)。

摘　　要：笔者认为,伏邪是引起真菌性角膜炎的重要因素。本文结合伏邪理论进行探析,可知真菌性角膜炎常因伏湿、伏毒胶结眼表,壅滞气机,影响气血运行,久则血败肉腐,呈秽浊之态,并指出病邪深伏的本质在于正气亏虚。针对以上病机,提出化浊扶正应贯穿本病治疗的始终:正气损伤严重者当以固护正气为先,未见明显正气损伤或毒力较轻微者可直接以祛湿化浊通络之法驱散眼表之邪。并根据伏湿、伏毒致病特点,权衡选用宣畅气机、化浊通络、温阳扶正等具体治法,以期改善疾病预后。The author believes that incubative pathogenic factors play an important role in the pathogenesis of fungal keratitis.Based on the theory of incubative pathogenic factors,this article analyzed that fungal keratitis often affects the circulation of qi and blood due to the accumulation of dampness and toxin on the surface of the eyes,which obstructs the qi movement.Over time,the blood deteriorates and the flesh rots,presenting a polluted state.It also pointed out that the essence of the deep accumulation of pathogenic factors lies in the deficiency of healthy qi.In response to the above pathogenesis,this article proposed that removing turbidity and supporting healthy qi should be integrated throughout the entire treatment process of this disease:for patients with severe damage to the healthy qi,priority should be to protect the healthy qi.If there is no obvious damage to the healthy qi,or the toxicity is mild,the treatment can be used directly to avoid impurities and turbidity.And based on the pathogenic characteristics of incubative dampness and incubative pathogenic factors,specific treatment methods such as promoting qi circulation,removing turbidity and unblocking collaterals,and warming yang and supporting healthy qi were proposed for balance and selection,in order to improve the prognosis of the disease.

关 键 词：伏邪 真菌性角膜炎 化浊 扶正 

分 类 号：R276.722[医药卫生—中医五官科学]