六经辨证在中医眼科领域的传承与发展  

Inheritance and Development of Six-meridian Syndrome Differentiation in Ophthalmology of Traditional Chinese Medicine

作　　者：李晓宇 梁丽娜[1] LI Xiaoyu;LIANG Lina(Eye Hospital,China Acad-emy of Traditional Chinese Medicines,Beijing 100040,China;National Traditional Chinese Medicines Center for Senile Eye Diseases Prevention and Treatment,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040 [2]全国中医药老年眼病防治中心,北京100040

出　　处：《中国中医眼科杂志》2025年第4期356-360,379,共6页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(82274589,82405491);北京市中医药管理局重大疑难疾病协同攻关项目(2023BJSAYNJBXTGG-010);中国中医科学院优秀青年科技人才培养专项(ZZ18-YQ-034);中国中医科学院新入职青年科研人员培养专项(XJ2023001302);中国中医科学院眼科医院高水平中医医院项目(GSP4-02)。

摘　　要：六经辨证是辨证论治的主要方法之一,始创于张仲景,是从《黄帝内经》中六经分证发展而来,以经络、脏腑及其气化活动作为物质基础,阴阳为其纲要,贯穿虚实、表里、寒热。因眼是人体的重要器官,眼与全身组织器官有着共同的物质基础,且局部与整体关联密切。巴蜀眼科大家陈达夫为实现中医眼科临床更为精准的诊断,在几十年中医眼科的临证基础上,将六经辨证作为眼病的辨证纲领,形成眼科六经辨证,强调整体性,重在明病理,全面分析,删繁就简,用以指导眼科临床,是中医眼科领域的一项重要创新。本文对六经辨证应用于眼科的理论依据进行认识,对眼科六经辨证的具体特点进行分析,也对眼科六经辨证始终围绕和阴阳、调胃气、存津液的思路以及所体现的唯物论、整体观、辨证论治加以领会。Six-meridian Syndrome Differentiation is one of the primary methods of syndrome differentiation and treatment,originated by ZHANG Zhongjing.It evolved from the syndrome differentiation of the six meridians described in the"discussion of heat diseases"section of the Huang Di Nei Jing.It takes the meridians,Zangfu organs,and their Qi transformation activities as the material basis,with Yin and Yang as its framework,and integrates deficiency and excess,exterior and interior,cold and heat.The eyes are vital organs of the human body,sharing a common material basis with the body's tissues and organs,and exhibiting a close relationship between the local and the whole.CHEN Dafu,a renowned ophthalmologist in Sichuan and Chongqing district,in order to achieve more precise clinical diagnoses in Ophthalmology of Traditional Chinese Medicine,drew upon decades of clinical experience in this field to apply sixmeridian syndrome differentiation as the framework for diagnosing eye diseases.He formulated the ophthalmic six-meridian syndrome differentiation,emphasizing holism,clarifying pathology,conducting comprehensive analysis,and simplifying complex issues.This approach guides clinical ophthalmology and represents a significant innovation in Ophthalmology of Traditional Chinese Medicine.This article examines the theoretical basis for applying six-meridian syndrome differentiation in ophthalmology,analyzes the specific characteristics of ophthalmic six-meridian syndrome differentiation,and comprehends the underlying spirit of balancing Yin and Yang,regulating stomach Qi,preserving body fluids,as well as the materialism,holistic view,and dialectics embodied in this methodology.

关 键 词：六经辨证 伤寒论 传承发展 

分 类 号：R77[医药卫生—眼科] R276.7[医药卫生—临床医学]