基于“六郁”理论采用“治未病”思想从脾胃论治针眼  

Treating Hordeolum Based on the"Six Depressions"Theory and the Idea of"Preventive Treatment of Disease"from the Perspective of Spleen and Stomach

作　　者：邓蒙蒙 关新 张月强 DENG Mengmeng;GUAN Xin;ZHANG Yueqiang(Beijing Rectum Hospital(Beijing Erlonglu Hospital),Beijing 100120,China)

机构地区：[1]北京市肛肠医院(北京市二龙路医院),北京100120 [2]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2024年第12期1165-1168,共4页China Journal of Chinese Ophthalmology

摘　　要：针眼作为常见且易复发的眼科疾病,其发病机制与中医“六郁”理论紧密相关,即气郁、血郁、痰郁、火郁、湿郁、食郁相互影响。肝失疏泄、情志不畅、饮食不节导致脾胃功能失调,痰湿内生,郁久化火,上攻于目,营卫失调,气血凝滞,热毒壅阻于胞睑皮肉经络形成针眼。鉴于脾胃主司眼睑,故本病多从脾胃论治。本文基于“六郁”理论,结合“治未病”思想,探讨从脾胃论治针眼的策略。临床之中,往往病情复杂,诸郁相因,相兼相化,故治疗需辨证施治,兼顾各郁之症,以达标本兼治、预防复发、提高疗效的目的。这不仅为针眼的中医诊疗开辟了新视角,也体现了中医“治未病”理念与整体治疗观的优势,为临床实践提供有力参考。Hordeolum,as a common and recurrent ophthalmic disease,is closely related to the"six depressions"theory in Traditional Chinese Medicine(TCM),which includes Qi depression,blood depression,phlegm depression,fire depression,dampness depression,and food stagnation,all of which interact with each other.Liver Qi stagnation,emotional distress,and improper diet can lead to dysfunction of spleen and stomach,internal generation of dampness and phlegm,prolonged stagnation transforming into fire,ascending to the eyes,disruption of nutrientdefensive Qi circulation,blood stasis,and heat-toxin accumulation in the eyelids,skin,and meridians,eventually forming a sty.Given that spleen and stomach govern the eyelids,the treatment of this disease is often approached from the perspective of the spleen and stomach.Based on the"six depressions"theory and the idea of"preventive treatment of disease",this paper discusses strategies for treating sty from the perspective of spleen and stomach.In clinical practice,the condition is often complex,with various depressions interacting and transforming into each other.Therefore,treatment requires syndrome differentiation and individualized treatment,taking into account the symptoms of all depressions to achieve the goals of addressing both the root and branch,preventing recurrence,and improving efficacy.This not only opens up a new perspective for the diagnosis and treatment of sty in TCM but also demonstrates the advantages of TCM concept of"preventive treatment of disease"and holistic treatment,providing a valuable reference for clinical practice.

关 键 词：六郁 针眼 治未病 脾胃 

分 类 号：R777.13[医药卫生—眼科] R276.7[医药卫生—临床医学]