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基于肝脏论治干眼

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随着社会节奏加快及生活压力增加,干眼的发病率逐年上升.干眼症又称角膜干燥症,是由泪液稳态的损害、眼部不适及神经感觉异常等多种因素导致眼表损伤的疾病,具体表现为眼睛干涩、容易疲倦、眼痒、有异物感、灼热痛感等.现代医学主要治法为人工泪液替代疗法和抗炎治疗等,短期疗效尚可,但症状易反复出现,不良反应多.中医学将干眼归属于"神水将枯""白涩症"等范畴,指白睛不赤不肿,自觉眼内干涩.中医理论认为,肝主疏泄、开窍于目,肝主藏血,精血同源,化生泪液,润养目珠.风邪、火邪、经络及脏腑虚损等多种因素致阴血不足则津液无以化生,故两目干涩;环境污染等外界刺激可伤及眼部脉络,使精血不能润泽眼目;久视伤血,血虚则津亏泪少,目失润泽而双眼干涩.结合现代医学,肝和眼在生理、病理之间有诸多复杂而密切的联系,形成了"肝病及眼""眼病及肝"的中医诊疗体系,表明肝在干眼的发病中有重要地位.临床中应以肝为重开展多种治疗,从肝论治干眼已被众多医家接受并广泛用于临床,临床疗效显著.
The treatment of dry eyes based on liver
With the accelerated pace of society and the increase of life pressure,the incidence of dry eye is rising year by year.Dry eye,also known as corneal desiccation,is a ocular surface injured disease caused by the damage of the tear homeostasis,eye discomfort and neurosensory abnormalities and other factors,the specific manifestations are the eyes dry,easy to fatigue,itchy eyes,a foreign body sensation,burning pain,etc..The main methods of modern medicine for its treatment are the artificial tear substitution therapy and anti-inflammatory treatment,etc..The short-term curative effect is adequate,but the symptoms are easy to recur,with many adverse reactions.Dry eye is attributed to the exhaustion of spirit water,white astringent syndrome and other categories,which refers to the white eye is not red and not swollen while self-conscious of dryness in the eye.Chinese medicine believes that the liver is in charge of drainage,opening the orifices of the eye,the liver is in charge of the storage of blood,blood and fluids is with the same source,transforming into the tears,moistening and nourishing the eyeballs.Because of wind,fire,meridians and visceral deficiency and other factors,Yin and blood deficiency is not enough to produce fluid,so the eyes are dry.Environmental pollution and other external stimuli can injury the eye veins and collaterals,so that the blood and fluids can not moisturize the eyes.Because of prolonged visual injury to the blood,blood deficiency is occurred,causing the loss of fluids and tears,the eyes lose moisturizing.Combined with the modern medicine there is a relationship between the liver and eyes in the physiology,pathology of the many complex and close links,a Chinese medicine diagnosis and treatment system of"liver disease affects eye"and"eye disease affects liver"has been formed,which indicates that the liver has an important position in the pathogenesis of dry eye,and a variety of therapies should be carried out with the liver as the main focus in the clinic.Nowadays,the treatment of dry eye based on liver has been accepted by many doctors and widely used in clinic,and the clinical efficacy is remarkable.

LiverDry eyeSyndrome differentiation and and treatmentAcupuncture

潘海珍、洒玉萍

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青海大学医学院,青海 西宁,810000

干眼症 辨证论治 针灸

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(31)