New thinking on the differentiation and treatment in diabetic dry eye based on the theory of spleen qi dispersing essence
Diabetic dry eye is one of the common eye complications in diabetic patients.Its formation is related to the inability of water and grain,such as qi-blood-body fluid,to transport to eyes.Spleen qi dispersing essence is the key link in the metabolism of qi-blood-body fluid.The function of spleen qi dispersing essence depends on the rich spleen yin to nourish the spleen soil,the healthy spleen yang to transfer water and grain,and the smooth spleen collaterals to help the spleen exercise its function.If the spleen yin fluid is deficient,dampness-heat obstructs the spleen yang and phlegm stasis damages the spleen collaterals,it will cause the function of the spleen qi dispersing essence to malfunction,and the water grain essence such as qi-blood-body fluid can not be transferred to eyes,which causic diabetic dry eye.In terms of treatment,it is to help spleen dispersing essence as the treatment principle,and transport spleen and nourish yin fluid to nourish spleen yin fluid,clearing heat and dampness to eliminate dampness-heat and qi stagnation,resolving phlegm and removing blood stasis to remove phlegm-stasis in spleen collaterals,which is to restore spleen qi dispersing essence.Based on the theory of spleen qi dispersing essence,it can provide a new idea for the differentiation and treatment of diabetic dry eye,so as to improve the clinical effect.