摘要
总结彭清华教授基于相火学说辨治年龄相关性干眼的临证经验.以相火学说为指导,认为年龄相关性干眼的关键病机是相火僭越,而肾阳虚寒、肾阴亏损、脾土不足是导致相火僭越的缘由.提出以潜藏相火为治疗总则,针对肾阳虚寒、相火浮游,治宜补肾温阳、引火归元,方予引火汤;针对肾阴亏损、相火妄动,治宜补肾填精、滋阴降火,方予三才封髓丹;针对脾土不足、相火熏蒸,治宜健运脾气、敦土伏火,方予黄芪人参汤.
Abstract
This paper summarized PENG Qinghua's experience in treating age-related dry eye based on the theory of ministerial fire.Guided by the theory of ministerial fire,it is believed that the key pathogenesis of age-related dry eye is transgression of ministerial fire,and kidney yang deficiency-cold,kidney yin depletion,and spleen-earth insuf-ficiency are the causes of transgression of ministerial fire.The general principle of treatment is to conceal the ministe-rial fire.For kidney yang deficiency-cold and floating ministerial fire,the treatment should tonify the kidney and warm yang,and return fire to its origin,with Yin Huo Decoction(引火汤);for kidney yin depletion and frenetic stir-ring of ministerial fire,the treatment should tonify the kidney and supplement essence,enrich yin and reduce fire,with Sancai Fengsui Pellet(三才封髓丹);and for spleen-earth insufficiency,and fumigation of ministerial fire,the treatment should strengthen and activate spleen qi,and reinforce soil and hidden fire,with Renshen Huangqi Decoction(人参黄芪汤).
基金项目
国家自然科学基金(81574031)
国家中医药管理局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)
湖南省科技人才托举工程项目(2023TJ-N25)
湖南省临床医疗技术创新引导项目(2021SK51402)
湖南省教育厅科学研究项目(22A0241)
湖南省教育厅科学研究项目(23A0300)
国家科技期刊平台
NSTL
万方数据