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喻京生教授从脾胃论治儿童近视经验

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近视会对儿童生活、学习、身心健康造成严重影响.近年来,近视儿童年龄低,若未得到及时有效干预,很可能会发展为高度近视,还可引起青光眼、视网膜脱离、黄斑病变等严重眼病.目前,针对儿童近视的临床干预措施相对匮乏,现有治疗手段欠理想,因此寻找安全有效治疗儿童近视的药物具有重大临床意义.喻京生教授中医眼科临证40余年,在儿童近视诊疗方面积累了丰富经验.在长期临床实践中,喻京生教授发现大多数近视儿童存在脾胃虚弱的证候,并影响儿童近视的发生发展.基于这一发现,喻京生教授认为脾胃虚弱在儿童近视发病机制中占据着重要地位,从而提出从脾胃功能调理着手治疗儿童近视的理念.在具体治疗上,以益气健脾明目为主,喻教授自拟近视一号方加减辨证论治儿童近视.此外,喻教授内治与外治相结合,预防与治疗并举,取得了显著疗效.研究结合案例,探讨脾胃与儿童近视之间的关系,旨在阐明脾胃在近视形成发展中的作用及重要性,以期为临床防治儿童近视提供新思路.
Professor YU Jingsheng's experience in treating myopia in children from spleen-stomach
Myopia will have a serious impact on children's life,learning,physical and mental health.Due to the low age of myopia in children,without timely and effective intervention,it is likely to develop into high myopia,which can also cause glaucoma,retinal detachment,maculopathy and other serious eye diseases,which will bring a heavy burden to the family and society.Currently,clinical intervention measures for children myopia are relatively scarce,and the existing therapeutic methods are not ideal.Therefore,it is of great clinical significance to find safe and effective drugs to treat children's myopia.For more than 40 years,Professor YU Jingsheng has accumulated rich clinical experience in the diagnosis and treatment of children's myopia.In long-term clinical practice,Professor YU Jingsheng has observed a large number of children's myopia cases and found that most children with myopia have the syndrome of spleen-stomach weakness,which affects the occurrence and development of children's myopia.Based on this finding,Professor YU Jingsheng believed that the weakness of spleen-stomach played an important role in the pathogenesis of myopia in children,and thus proposed to treat myopia in children by regulating the function of spleen-stomach.In the specific treatment,the treatment is mainly to replenish Qi,strengthen the spleen and brighten the eyes,and the self-made myopia No.1 formula is to treat children's myopia according to syndrome differentiation.In addition,Professor YU also advocated the combination of internal and external treatment,prevention and treatment at the same time,to achieve the therapeutic effect on children's myopia.Professor YU's method has been applied in clinical practice and achieved remarkable curative effects.This paper focuses on the relationship between the spleen and stomach and myopia in children,aiming to clarify the role and importance of the spleen and stomach in the formation and development of myopia,in order to provide new ideas for clinical prevention and treatment of myopia in children.An empirical case is attached for support.

Children's myopiaSpleen and stomachFamous doctor experience

唐敏、杨芳、刘涵睿、喻京生

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湖南中医药大学第一附属医院,湖南 长沙,410007

儿童近视 脾胃 名医经验

国家中医药管理局中医药循证能力建设项目

2019XZZX-YK007

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(22)