首页|肝肾理论在围绝经期干眼中的应用进展

肝肾理论在围绝经期干眼中的应用进展

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干眼是围绝经期女性易患的一种眼科疾病,常表现为眼部干涩、畏光、异物感、眼疲劳、眼痛不适,部分患者还伴有潮热、盗汗、心悸不适、情绪不稳定、记忆力减退、骨质疏松等全身多系统的围绝经期相关症状,严重影响患者的生活质量.目前西医对于围绝经期干眼治疗方法较少,以短时间缓解局部症状为主,无法从根本上解决患者的问题.对比之下,中医治疗方法多种多样,且治病必求于本,能在干眼的治疗中较好地兼顾标本,此外还具有不良反应少、疗效显著及依从性好等优势.中医治疗围绝经期干眼的优势与中医理论密不可分,在中医理论中"肾为先天之本,女子以肝为先天",围绕此观点,确认了"肝肾"在围绝经期干眼的发生发展中发挥至关重要的作用,由此,肝肾相关理论深刻地影响着围绝经期干眼的辨证论治.从病因病机出发,肾虚为发病之本,肝之藏泄失常为发病重要环节,同时根据"肝肾同源"的相关理论,肝肾两者还在围绝经期干眼发病中相互影响.根据相关的病因病机,临床上总结出基于疏肝养血、滋阴补肾、补益肝肾等相关理论论治围绝经期干眼.文章将从以上几方面出发对围绝经期干眼的病因病机、治疗方法、临床应用等展开论述,旨在日后更好地服务于临床.
A review on the application of TCM liver and kidney theory in treating perimenopausal dry eye
Dry eye is a common ophthalmology disease among the premenopausal women.The clinical manifestations include dry,photophobia,foreign body sensation,eyestrain,ophthalmalgia and other eye's discomfort.Some patients are companied with systemic symptoms of premenopausal period,such as hot flush,night sweat,palpitation,emotional instability,memory loss and osteoporosis,which seriously affect the quality of life of patients.At present,Western medicine has few treatment methods for perimenopausal dry eye,the treatment mainly alleviates local symptoms in a short time,but can not fundamentally solve the problem of patients.In contrast,traditional Chinese medicine has a variety of treatment methods,and the treatment must be based on the root cause.It can effectively balance the curative effect in the treatment of dry eyes,and has advantages such as fewer adverse reactions,significant ther-apeutic effects,and good compliance.The advantages of traditional Chinese medicine in treating perimenopausal dry eyes are closely relat-ed to traditional Chinese medicine theory."The kidney being the basis of congenital constitution,the female takes the liver as congenital".This sentence shows that the liver and kidney play a vital role in the occurrence and development of premenopausal dry eye.The theory of liver and kidney also profoundly impacts the syndrome differentiation and treatment of perimenopausal dry eye.In terms of the etiology and pathogenesis,kidney deficiency is the root cause of the disease,and the abnormal storage and drainage of the liver is an important link of the disease.At the same time,according to the theory of liver and kidney homogeny,the liver and kidney also affect each other in the pathogenesis of dry eye in perimenopause.Based on the relevant etiology and pathogenesis,clinical theories such as soothing the liver and nourishing blood,nourishing Yin(阴)and kidney,and tonifying the liver and kidney have been summarized to treat perimenopausal dry eye.This paper reviews the treatment of premenopausal dry eye from the above aspects of the causes of perimenopausal dry eye,treatment methods,clinical applications,etc.,to better serve the clinic in the future.

Dry eyesPerimenopauseLiver and kidney

李修宇、高卫萍

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南京中医药大学附属医院,江苏 南京,210029

干眼 围绝经期 肝肾

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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