首页|彭清华教授治疗围绝经期干眼经验

彭清华教授治疗围绝经期干眼经验

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围绝经期女性是干眼的好发人群,其发生与性激素水平失调密切相关.围绝经期干眼的发病率逐年升高,其临床表现为眼睛干涩、有异物感、灼热感、容易疲乏等,严重影响患者的生活质量.彭清华教授认为围绝经期干眼以肾虚为本,肾阴阳失衡是病机关键.其证型包括肾阴不足、水不涵木,肾阳虚衰、脾失温煦,以及肝经郁热、气机壅滞,在临床上采用补益肝肾、上病下取,温阳益气、阴中求阳,清肝解郁、身心同调为法,辅以针刺眼周穴位攒竹、睛明、承泣及体穴三阴交、养老、合谷等联合密蒙花颗粒剂中药熏蒸仪熏蒸治疗,临床疗效显著.
Professor Peng Qinghua's experience in treating perimenopausal dry eye disease
Perimenopausal women are prone to dry eye disease,which is closely related to the imbalance of sex hor-mones.The incidence of perimenopausal dry eye disease is increasing year by year,and its clinical manifestations are dry eyes,foreign body sensation,burning sensation,easy fatigue,etc.,which seriously affects the quality of life of patients.Professor Peng Qinghua believes that perimenopausal dry eye disease is based on kidney deficiency,and the imbalance be-tween kidney-Yin and kidney-Yang is the key pathogenesis.Its syndrome types include insufficiency of kidney-Yin causing failure of water to nourish wood,deficiency and decline of kidney-Yang causing loss of warming function of spleen,and stagnated heat of liver meridian causing stagnation of Qi activity.In clinical practice,the treatment should adopt the meth-ods of tonifying the liver and kidney to achieve treating disease in the upper part by managing the lower,warming Yang and nourishing Qi to achieve reinforcing Yang from Yin,and clearing the liver and relieving depression to achieve regulating the body and mind,combined with acupuncture at the periocular acupoints of Cuanzhu,Jingming and Chengqi,Sanyinjiao,Yanglao and Hegu,etc.,and the fumigator treatment with Mimenghua Granules,and the clinical effect is remarkable.

perimenopausal dry eye diseasetonifying the liver and kidneyYang deficiencyclearing the liver and relieving depression

赵盼、钟缘、彭清华

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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

围绝经期干眼 补益肝肾 阳虚 清肝解郁

国家自然科学基金面上项目湖南中医药大学中医学国内一流建设学科建设项目

818041502017TP1018

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(5)
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