从"风"辨治浅析儿童目劄OA
An analysis on the differentiation and treatment of children's eyelid spasms from the perspective of"wind pathogen"
儿童目劄以眼睑频频眨动,不能自主控制为主要临床表现的一类疾病,排除眼部局部病变因素,现代医学认为精神、心理、饮食、家庭、环境等为常见诱发因素,早期容易被家长忽视,一旦发病则会给患儿身心带来很大的负面影响.该病为临床常见疾病,儿童及青少年多发,且越来越有低龄化趋势,具有多发性、反复性、难治性的特点.在跟随山西省眼科医院中医科程娟主任临诊学习期间,对该病的诊断与治疗有了更加深刻的认识和启发.认为目劄由"风"致病,表现为"风"的诸多症状,病位在胞睑,主要涉及肝脾二脏.临证之时需理清病机症候,把握用药时机,并能辨证论治,随证治之,做到防治结合,阻断疾病发展进程,缩短治疗时间.
Children's eyelid spasms refer to their eyes blink frequently,and they can't control themselves.Excluding the local pathological factors of eyes,modern medicine considers that spirit,psychology,diet,family and environment are common inducing factors,which are easily ignored by parents in the early stage,and once the disease occurs,it will bring great negative impact to children's body and mind.The disease is a common clinical disease,which is common in children and adolescents,and tends to be younger and younger,with the characteristics of multiplicity,repetitive and refractory.During the authors'clinical study with Cheng Juan,director of Department of Traditional Chinese Medicine of Shanxi Eye Hospital,they got a deeper understanding and enlightenment on the diagnosis and treatment of this disease.It is believed that eyelid spasms are caused by"wind pathogen",showing many symptoms of"wind pathogen",and the disease is located in the eyelid,mainly involving the liver and spleen.It is necessary to clarify the pathogenesis and symptoms,grasp the timing of medication,and treat according to syndrome differentiation,so as to combine prevention with treatment,block the development of the disease and shorten the treatment time.
马鹏飞;程娟;李琦;梁锐
山西省中医院眼科,山西 太原 030000山西省眼科医院中医科,山西 太原 030000山西省眼科医院中医科,山西 太原 030000山西医科大学第一医院儿科,山西 太原 030000
医药卫生
儿童目劄风辨治
ChildrenEyelid spasmsWind pathogenDifferentiation and treatment
《中国医药科学》 2025 (10)
66-69,4
第三批山西省老中医药专家学术经验继承项目(晋卫中医药函[2023]8号).
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