基于藏象学说构建以“治肝为本”的眼病证治体系  

Constructing a Syndrome Differentiation and Treatment System for Ocular Diseases Based on Liver According to the Theory of Zangxiang

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作  者:庄曾渊[1] 张津京[1] 孙婉钰 袁雨薇 杨永升[1] ZHUANG Zengyuan;ZHANG Jinjing;SUN Wanyu;YUAN Yuwei;YANG Yongsheng(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区:[1]中国中医科学院眼科医院,北京100040

出  处:《中国中医眼科杂志》2025年第5期401-405,共5页China Journal of Chinese Ophthalmology

基  金:北京市薪火传承“新3+3”工程项目(2023-SZ-F-18);中国中医科学院眼科医院高水平中医医院课题(GSP1-07、GSP2-13)。

摘  要:中医学强调治病求本,眼病虽表现为眼部症状,但其根本在于肝。《黄帝内经》等古籍中详细论述了肝与目之间的生理病理关系,为眼病从肝论治提供了理论基础。历代医家虽有相关论述,但缺乏系统性。本文通过研究“肝窍学说”“五轮学说”等理论,结合“王旭高治肝30法”,构建了“以肝为本”的眼病证治体系框架。该体系以“藏象理论”为指导,将肝的生理病理特点与眼病的病机相结合,形成系统规范的治疗模式。同时,借助五轮辨证作为临床基础,进一步完善了这一证治体系,使其更具针对性和实用性。该体系多适用于内伤类眼病及肝经郁热引发的伏邪病变,为眼科临床提供了新的思路和方法。Traditional Chinese medicine(TCM)emphasizes the importance of treating the root cause of diseases.Ocular diseases,although manifested in the eyes,are fundamentally related to liver.Classical texts such as the Huang Di Nei Jing(Inner Canon of the Yellow Emperor)have elaborated on the physiological and pathological relationships between liver and the eyes,providing a theoretical foundation for the treatment of ocular diseases based on liver.Although previous medical scholars have discussed this topic,their approaches lack systematicity.This paper constructs a framework for a syndrome differentiation and treatment system of ocular diseases based on liver,guided by the theory of"liver orifice"and the"five-wheels theory,"and combined with WANG Xugao´s 30 methods for treating liver diseases.This system integrates the physiological and pathological characteristics of liver with the pathogenesis of ocular diseases,forming a systematic and standardized treatment model.Additionally,by using the five-wheels differentiation as the clinical basis,this syndrome differentiation and treatment system is further perfected,making it more targeted and practical.This system is applicable to internal injuryrelated ocular diseases and latent pathogenic changes caused by liver meridian stagnation and heat,providing new ideas and methods for the clinical treatment of ophthalmology.

关 键 词:藏象学说 肝窍学说 五轮学说 治肝为本 眼病证治体系 

分 类 号:R77[医药卫生—眼科] R276.7[医药卫生—临床医学]

 

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