高健生从伏邪辨治单纯疱疹病毒性角膜炎经验  

Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens

作　　者：陈曦 陈一娜 杨潇楠 李丹玉 杨薇[1] 高健生(指导)[1] CHEN Xi;CHEN Yina;YANG Xiaonan;LI Danyu;YANG Wei(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing,100040)

机构地区：[1]中国中医科学院眼科医院,北京市100040

出　　处：《中医杂志》2025年第5期448-452,共5页Journal of Traditional Chinese Medicine

基　　金：北京市中医管理局北京中医药薪火传承“3+3”工程(2019-SZ-B-39);北京市中医管理局北京中医药薪火传承“新3+3”工程示范案例项目(2023-ZYSF-08);中国中医科学院基本科研业务费自主选题项目(ZZ11-040)。

摘　　要：总结高健生教授基于伏邪理论治疗单纯疱疹病毒性角膜炎的临证经验。认为单纯疱疹病毒性角膜炎的核心病机为正气亏虚、邪气内伏。早期病机以肺脾气虚、邪气侵袭为发病关键,中期病机以伏邪伤正、脾虚湿盛为加重原因,晚期病机以肾阳虚衰、邪毒留恋为反复发作根源。临证主张固护正气,早期使用玉屏风散加减,中期使用苓桂术甘汤加减,晚期使用自拟补肾托毒方加减;同时将益气固表药贯穿治疗全程,以减少复发。This paper summarizes Professor Gao Jiansheng's clinical experience in treating herpes simplex keratitis(HSK)based on the theory of hidden pathogens.It is believed that the core pathogenesis of HSK involves deficiency of vital qi and the internal presence of pathogenic factors.In the early stage,the pathogenesis is characterized by lung and spleen qi deficiency and invasion of external pathogens.In the middle stage,pathogenesis worsens due to latent pathogens damaging the vital qi and spleen deficiency with dampness.In the late stage,kidney yang deficiency and lingering pathogenic toxins are the root cause of recurrent attacks.In clinical practice,it is recommended to strengthen and protect the vital qi.In the early stage,the Modified Yupingfeng Powder(玉屏风散)is used.In the middle stage,the Modified Linggui Zhugan Decoction(苓桂术甘汤)is used.In the late stage,a self-formulated Modified Bushen Tuodu Fomulation(补肾托毒方)is applied.Additionally,herbs of tonifying qi and strengthening the exterior are used throughout the treatment to reduce recurrence.

关 键 词：单纯疱疹病毒性角膜炎 伏邪 名医经验 高健生 

分 类 号：R276.7[医药卫生—中医五官科学] R249[医药卫生—中医学]