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从肝肺相关论治焦虑抑郁相关性干眼

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提出从肝肺相关认识焦虑抑郁相关性干眼的病机并进行辨证论治,以期为本病的中医治疗提供思路.认为焦虑抑郁相关性干眼与气血精微损伤、气血运行不畅相关.肝肺二脏为本病的主要病变脏腑,肝肺之气机、玄府、经络失常为病理基础,肝肺失调、目失所养、神失所安为基本病机.临证以恢复肝升肺降、开通玄府经络为治本,生津滋阴安神为治标,标本同治恢复其生理功能,常以丹栀逍遥散合生脉散加减作为治疗的基础方.
Treatment of Anxiety and Depression-related Dry Eyes from Regulating the Liver and the Lung
This paper proposed to understand the pathogenesis and provide syndrome differentiated treatment for anxiety and depression-related dry eyes from the perspective of the liver and the lung,in order to provide ideas for treatment of this disease with traditional Chinese medicine.It is believed that the occurrence and development of anxiety and depression-related dry eyes is related to the ethereal qi and blood damage and blocked circulation of qi and blood.The liver and the lung are the main located zang-fu(脏腑)organs of the disease,and the qi movement,sweat pores,meridians and collaterals abnormalities of the liver and the lung are the pathological basis.The basic pathogenesis is disharmony of the liver and the lung,loss nourishment of eyes,and loss calm of the mind.In clinical practice,the root treatment is to restore the functions of the liver governing ascent and the lung governing descent,and to open up the sweat pores,meridians and collaterals,while the branch treatment is to promote the production of body fluids,nourish yin and calm the mind.Both the root and the branch causes are treated to restore the physiological functions,and Danzhi Xiaoyao Powder(丹栀逍遥散)combined with Shengmai Powder(生脉散)with modification is often used as the basic prescription.

dry eyesanxietydepressionsimultaneous treatment of the liver and the lungqi movementsweat pores

侯宛君、刘培、彭俊、彭清华

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湖南中医药大学,湖南省长沙市岳麓区含浦科教园学士路300号,410208

湖南中医药大学第一附属医院

干眼 焦虑 抑郁 肝肺同治 气机 玄府

国家自然科学基金湖南省自然科学基金湖南省教育厅科学研究项目湖南省教育厅科学研究项目湖南中医药大学药食同源功性食品工程技术研究中心开放基金湖南中医药大学2021年"刘良院士工作站"指导项目

815740312023JJ4047921A023822A02412018YSTY0421YS002

2024

10.13288/j.11-2166/r.2024.14.015

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(14)