摘要
总结彭清华教授运用甘守津还法辨治干眼的临证经验.认为中土不足、津伤化燥是干眼的重要病机,以甘守津还为基本治法,用药以甘味药物为主.主张以白扁豆、茯苓、薏苡仁等甘淡之品健运中土以使气复津来;党参、太子参、山药、炙甘草等甘平之品培土生金以使气行津布;南沙参、北沙参、玉竹、天花粉等甘凉之品养阴增液以生津润燥.如此复津液之源头,助津液之布散,则津液生而不枯,源源不断,为干眼的中医药治疗提供新思路.
Abstract
This paper summarized PENG Qinghua's clinical experience in treating dry eye by applying therapeutic method of maintaining with sweet medicinals and restoring the body fluids.It is believed that the spleen earth insuffi-ciency and fluids damage transforming into dryness are the main pathogenesis of the disease,and the basic therapeutic principle is maintaining with the sweet and restoring the body fluids by mainly using sweet medicines.It is advocated to use mild-sweet herbs,such as Baibiandou(Lablab purpureus subsp.purpureus),Fuling(Smilax glabra Roxb.),and Yiyiren(Coix lacryma-jobi L.),to transport spleen earth,so that qi is restored and body fluids are recovered;moderate-sweet herbs,such as Dangshen(Codonopsis pilosula[Franch.]Nannf.),Taizishen(Pseudostellaria heterophylla[Miq.]Pax),Shanyao(Dioscorea oppositifolia L.)and Zhigancao(Glycyrrhiza glabra L.)are suggested to cultivate earth and generate metal,so as to move qi and circulate fluid;sweet-cool herbs,such as Nanshashen(Adenophora triphylla[Thunb.]A.DC.),Beishashen(Glehnia littoralis[A.Gray]F.Schmidt ex Miq.),Yuzhu(Polygonatum odoratum[Mill.]Druce),Tianhuafen(Trichosanthes kirilowii Maxim.)are suggested to nourish yin and increase body fluids,so as to promote fluid production to moisten dryness.In this way,when the source of fluid is restored and the fluid is circulated,the fluid can be produced continuously,which provides new ideas for the treat-ment of dry eyes with traditional Chinese medicine.
基金项目
国家自然科学基金(82274588)
国家自然科学基金(81860870)
第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)
湖南省科学技术协会科技人才托举工程(2023TJ-N25)
湖南省临床医疗技术创新引导项目(2021SK51402)
湖南省教育厅重点项目(22A0241)
国家科技期刊平台
NSTL
维普
万方数据