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近视患病率连年攀升,其发病机制尚未完全阐明,且缺乏真正安全可靠的治疗方法.近视在中医古籍中早有记载,然其病名缺乏规范统一,增加了研究的难度.本研究通过查阅《中医大辞典》《中医眼科学》不同版本教材的书籍,结合近视的现代临床诊断标准,确定检索关键词,通过文献学的研究方法,以书同文古籍数据库及《中华医典》为文献检索平台,搜集整理历代中医古籍中有关近视的记载.通过对近视代表性病名的考证,发现"近视"病名首见于清代《目经大成》.自秦汉时期萌芽以来,历代医家对本病的命名和认识各不相同,但都围绕视近清晰、视远模糊的症状特点展开记述.本文通过梳理近视的病名沿革,助力中医病名术语规范,促进近视的中医理论和临床研究的发展.
An Exploration of the Origin and Evolution of Myopia
The prevalence of myopia has been steadily increasing,and its pathogenesis remains incompletely understood,with a lack of truly safe and reliable treatment methods.Myopia has been documented in Traditional Chinese Medicine(TCM)literature for a long time,but its disease names lack standardized uniformity,adding to the complexity of research.This study utilized The Comprehensive Dictionary of Chinese Medicine and various editions of textbooks on Ophthalmology of Traditional Chinese Medicine,combined with modern clinical diagnostic criteria for myopia,to establish search keywords.Employing a bibliographic research method and using the Books Same as Text ancient literature database and the Chinese Medical Classics as the literature retrieval platform,we collected and organized relevant records of myopia from ancient TCM literature.Through the textual analysis of representative disease names for myopia,we discovered that the term"myopia"first appeared in the Qing Dynasty's Mu Jing Da Cheng.Since its inception during the Qin and Han Dynasties,successive medical scholars have had varying names and understandings of this condition,but all descriptions revolve around the symptom characteristics of clear near vision and blurred distant vision.This paper,by delineating the historical evolution of myopia disease names,aims to standardize TCM disease terminology and promote the development of TCM theories and clinical research related to myopia.

myopiadisease namesorigin and evolutionancient literature

吕喜月、商蕴波、黄玉容、杨森、刘迎辉

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长春中医药大学,长春 130117

吉林省中医药科学院,长春 130021

近视 病名 源流 古籍

2024

中国中医眼科杂志
中国中医科学院

中国中医眼科杂志

CSTPCD
影响因子:0.476
ISSN:1002-4379
年,卷(期):2024.34(12)