彭清华从“伏燥”分期辨治干燥综合征型干眼症经验  

Peng Qinghua's experience in staged differentiation and treatment of Sjögren's syndrome-related dry eye based on"latent dryness"theory

作　　者：崔宏达 李江伟 彭俊[1,2] 彭清华[1,2] CUI Hongda;LI Jiangwei;PENG Jun;PENG Qinghua(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;First Affiliated Hospital of 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附属医院,湖南长沙410007

出　　处：《上海中医药杂志》2025年第4期51-54,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81574031);国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);湖南省科学技术协会科技人才托举工程项目(2023TJ-N25);湖南省科学技术厅临床医疗技术创新引导项目(2021SK51402);湖南省教育厅科学研究项目(22A0241,23A0300)。

摘　　要：介绍彭清华教授从“伏燥”辨治干燥综合征型干眼症的临床经验。认为本病的关键病机为燥热内伏,提出分期辨治,早期以外燥引动,伏燥窜络,津液不足为主,治以清疏燥热、滋养津液,方以沙参麦冬汤加减;中期以内燥锢结,气阴枯涸,营血虚滞为主,治以益气养阴、补血润燥,方以生脉散加减;晚期以肝肾亏耗,阴损及阳,燥瘀阻络为主,治以阴阳双补、化瘀润燥,方以右归丸合二至丸加减。This paper summarizes Professor Peng Qinghua's clinical experience in staged differentiation and treatment of Sjögren's syndrome-related dry eye based on the"latent dryness"theory.The key pathogenesis of this condition is identified as the internal accumulation of dry heat.A staged differentiation and treatment approach is introduced.The early stage is characterized by external dryness triggering latent dryness,which disrupts the collaterals,leading to insufficient body fluids.The treatment focuses on clearing and dispersing dry heat while nourishing body fluids,using a modified Shashen Maidong Decoction.The middle stage is marked by the entrenched internal dryness,depletion of qi and yin,and deficiency and stagnation of nutrient-blood.The treatment emphasizes replenishing qi,nourishing yin,tonifying blood and moistening dryness,using a modified Shengmai Powder.The late stage is dominated by the exhaustion of liver and kidney,yin deficiency affecting yang,and dryness and stasis obstructing the collaterals.The treatment involves dual supplementation of yin and yang,resolving stasis,and moistening dryness,using a modified combination of Yougui Pill and Erzhi Pill.

关 键 词：干燥综合征 干眼症 “伏燥”理论 中医药疗法 名医经验 

分 类 号：R24[医药卫生—中医临床基础]