彭清华从“一气周流”辨治原发性开角型青光眼经验  

PENG Qinghua's clinical experience in pattern-differentiating and treating primary open-angle glaucoma under the theory of"Qi Circulation"

作　　者：崔宏达 李江伟 彭俊[1,2] 彭清华 CUI Hongda;LI Jiangwei;PENG Jun;PENG Qinghua(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Clinical School of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一中医临床医学院,湖南长沙410007

出　　处：《湖南中医药大学学报》2025年第3期538-542,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金项目(81574031);国家中医药管理局人才支持项目-岐黄学者(国中医药人教函[2022]6号);湖南省教育厅重点项目(22A0241);湖南省中医药科研计划项目(D2022045,A2023001)。

摘　　要：总结彭清华教授基于“一气周流”理论辨治原发性开角型青光眼的经验。认为人身之气机是以脾土位居中轴,斡旋中气为主,“火、水、木、金”四维之轮并驱的动态周流活动,阐述了人体气机升降运动的基本模型。基于“一气周流”理论,根据原发性开角型青光眼不同阶段的病机变化,提出“虚-火-闭-衰四段病程”的中医辨证体系。基于“一气周流”理论论治原发性开角型青光眼,在治疗上以利中气升降协调为核心,把握心、肾、肝、肺四脏气机的整体变化,提出补益脾土、斡旋中轴,畅发肝木、升调气机,调木敛金、协调气机,清心滋肾、水火互济等治法,促使一身之气循环周流,进而治愈本病。This paper has summarized PENG Qinghua's clinical experience in the pattern identification and treatment of primary open-angle glaucoma(POAG)under the theory of"Qi Circulation".The theory,which describes the basic model of the ascending and descending movements of qi in the human body,holds that the qi movement of the human body is a dynamic circulation activity centered on the middle qi generated and controlled by the spleen-earth located in the central axis,with the fire(heart),water(kidney),wood(liver),and metal(lung)driving qi flow around in tandem.Based on this theory,and according to the pathogenesis changes at different stages of POAG,a Chinese Medicine pattern identification system has been proposed,which consists of four stages of disease progression:"deficiency-fire-obstruction-decline."As for the treatment,attention should be paid to regulating the ascending and descending movements of middle qi as the core principle,and to addressing the overall dynamic changes of qi movement in the heart,kidney,liver,and lung.The following therapeutic methods have been proposed:tonifying the spleen to regulate the ascending and descending movements of middle qi,promoting the free flow of liver qi to regulate qi movement,harmonizing the liver and lung to balance qi movements,and clearing the heart and nourishing the kidney to coordinate them.These approaches aim to promote the smooth circulation of qi throughout the body,thereby curing the disease.

关 键 词：原发性开角型青光眼 一气周流 气机升降 名医经验 彭清华 

分 类 号：R276.7[医药卫生—中医五官科学]