首页|分期辨治单纯疱疹病毒性角膜炎

分期辨治单纯疱疹病毒性角膜炎

Staged Differentiation and Treatment of Herpes Simplex Keratitis

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认为单纯疱疹病毒性角膜炎以风、热(火)、湿、虚为主要病理因素,临证将其分为发作期及间歇期进行辨治.发作早期以肝经风热或肝胆火炽为关键病机,其中肝经风热证常用祛风散热解毒方以疏风清热、退翳明目,肝胆火炽证常用龙胆泻毒方以清泻肝胆、退翳明目;发作中期以湿热内蕴为关键病机,常用三仁解毒方以清热除湿、退翳明目;发作后期以阴虚内热为关键病机,常用滋阴退翳明目方以滋阴降火、退翳明目;间歇期以气阴两虚、余热内伏为关键病机,常用益气养阴祛邪方以益气养阴、退翳明目.同时重视联合应用西药治疗、中药超声雾化熏眼治疗、食疗、中医运动养生功法等,以促进单纯疱疹病毒性角膜炎好转并预防复发.
It is believed that wind,heat(fire),dampness and deficiency are the main pathological factors of herpes simplex keratitis(HSK),which is divided into the attack phase and intermittent phase for the differentiation and treatment.In the early attack phase,liver meridian wind-heat or intense liver and gallbladder fire are the key pathogenesis;for the for-mer syndrome,Qufeng Sanre Jiedu Formula(祛风散热毒方)is often used to scatter wind and clear heat,remove nebula to improve vision,while for the latter,Longdan Xiedu Formula(龙胆泻毒方)is recommended to clear and drain liver and gallbladder,remove nebula to improve vision.In the middle attack phase,internal accumulation of dampness and heat is the key pathogenesis,for which Sanren Jiedu Formula(三仁解毒方)is commonly used to clear heat and remove dampness,re-move nebula to improve vision.In the late attack phase,yin deficiency and internal heat are the key pathogenesis,and Ziyin Tuiyi Mingmu Formula(滋阴退翳明目方)is commonly used to enrich yin and subdue fire,remove nebula to improve vision.In the intermittent phase,deficiency of both qi and yin,and internal latent residual heat are the key pathogenesis,for which Yiqi Yangyin Quqie Formula(益气养阴祛邪方)is recommended to boost qi and nourish yin,remove nebula to improve vision.Simultaneously,attention should be paid to the combined application of western medication,ultrasonic atomi-zation eye smoke treatment with traditional Chinese medicine,dietary therapy,traditional Chinese medicine exercise and health-preserving techniques,so as to promote the improvement of HSK and prevent recurrence.

herpes simplex keratitisclustered stars nebularemove nebula to improve vision

龙辉、喻京生

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湖南中医药大学,湖南省长沙市岳麓区学士路300号,410000

湖南中医药大学第一附属医院

单纯疱疹病毒性角膜炎 聚星障 退翳明目

国家中医药局中医药循证能力建设项目湖南省中医药领军人才和学科带头人培养项目(十四五)

2019XZZX-YK007

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(5)
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