基于"肝-脑-目"轴探讨中医药论治干眼
Treatment of dry eyes with Chinese Medicine based on "liver-brain-eye" axis
雷竣显 1周派 1彭俊 1田赛男 1彭清华2
作者信息
- 1. 湖南中医药大学,湖南 长沙 410208
- 2. 湖南中医药大学,湖南 长沙 410208;湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心,湖南 长沙 410208
- 折叠
摘要
"肝""脑""目"三者在生理及病理上相互联系,形成了"肝-脑-目"轴交互体系.其关系存在多向交互串扰,影响干眼的发生发展.应用脏腑辨证理论从生理和病理两个层面对"肝-脑-目"轴的内涵进行阐述,并提出"肝-脑-目"轴的 3 种失衡状态及其与干眼发病的关系,且肝、肾与目的关系为"肝-脑-目"轴理论之关键.提出清肝疏肝以畅"肝-脑-目"轴、益精生髓以充"肝-脑-目"轴、补肝肾阴以理"肝-脑-目"轴的中医药治疗干眼思路,以期为临床治疗干眼提供参考.
Abstract
The"liver","brain",and"eye"are intimately connected both physiologically and pathologically,constituting an interactive system known as the"liver-brain-eye"axis.This axis exhibits multi-directional interactions and crosstalk,influencing the onset and progression of dry eyes.This paper employs the theory of pattern identification of zang-fu organs to expound on the connotations of the"liver-brain-eye"axis from both physiological and pathological perspectives.It proposes three states of disequilibrium within the"liver-brain-eye"axis and their associations with the pathogenesis of dry eyes,emphasizing that the relationship among the liver,kidney,and eyes is pivotal to the"liver-brain-eye"axis theory.To offer ideas to dry-eye treatment as clinical references,this paper introduces the concepts of Chinese medicine:clearing and soothing the liver to harmonize the"liver-brain-eye"axis,tonifying essence and generating marrow to replenish the"liver-brain-eye"axis,and nourishing liver and kidney yin to regulate the"liver-brain-eye"axis.
关键词
干眼/"肝-脑-目"轴/脏腑辨证/肝肾阴虚/清肝疏肝/益精生髓/补肝肾阴Key words
dry eyes/"liver-brain-eye"axis/pattern identification of zang-fu organs/yin deficiency of the liver and kidney/clearing and soothing the liver/tonifying essence and generating marrow/nourishing liver and kidney yin引用本文复制引用
基金项目
国家中医药局人才支持项目(岐黄学者)(国中医药人教函[2022]6号)
湖南省人才托举工程——年轻优秀科技人才培养计划(2023TJ-N25)
湖南省科技厅临床创新引导项目(2021SK51402)
湖南省教育厅科研项目(22C0191)
出版年
2024