以“健脾疏肝”组方治疗动眼神经麻痹1例  

Prescription Following Principles of"Invigorating Spleen and Soothing Liver"in Treatment of One Case of Oculomotor Nerve Paralysis

作　　者：姚月姣 莫亚[1] YAO Yuejiao;MO Ya(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Eye School,Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China)

机构地区：[1]成都中医药大学附属医院,四川成都610075 [2]成都中医药大学眼科学院,四川成都610000

出　　处：《基层中医药》2025年第1期60-63,共4页Basic Traditional Chinese Medicine

摘　　要：动眼神经具有支配眼外肌、运动眼球等作用。动眼神经麻痹则可导致动眼神经所支配的眼外肌出现运动障碍,表现为转动受限、上睑下垂等症状。其发病原因复杂,西医学认为可分为先、后天原因,中医则认为与肝、脾、肾三脏关系最大。中医结合患者体质及病因准确辨证,运用整体观念,以四诊八纲为依据,因人制宜,随证加减治疗,可达到良好的疗效。笔者报道以“健脾疏肝”为组方思路开具中药,治疗动眼神经麻痹1例,疗效显著。The oculomotor nerve is responsible for controlling the extraocular muscles and eye movement.Paralysis of the oculomotor nerve can lead to dysfunction of the extraocular muscles it controls,manifesting as restricted eye movement and ptosis.The causes of the condition are complex.Western medicine divides the causes into congenital and acquired factors,while traditional Chinese medicine(TCM)attributes it mainly to imbalances in the liver,spleen,and kidney.In TCM,treatment is based on an accurate syndrome differentiation of the patient's constitution and etiology,employing a holistic approach guided by the four diagnostic methods and the eight principles.Treatment is individualized,with adjustments made according to the specific syndrome,leading to good therapeutic results. The author reports a case of oculomotor nerve paralysis treated with Chineseherbal medicine based on the principle of "invigorating the spleen and soothing the liver", withsignificant therapeutic efficacy.

关 键 词：动眼神经麻痹 健脾疏肝 中医 

分 类 号：R25[医药卫生—中医内科学]