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基于"络病理论"探讨甲状腺相关眼病的病机特点OA

Pathogenesis Characteristics of Thyroid-associated Ophthalmopathy Based on "Col-lateral Disease Theory"

中文摘要英文摘要

瘿(甲状腺)、目与络脉系统存在广泛联系,"络病理论"中"气络""血络"在对机体的整体调节方面与甲状腺发挥的功能有统一性,且"气络"与神经-内分泌-免疫调节(NEI)网络、"血络"与微循环系统的共性体现在甲状腺相关眼病(TAO)的生理功能和病理变化上.本文在关于TAO的理论及临床研究进展的基础上,提出"络脉空虚,瘀毒滞络"是其核心病机,"虚、瘀、毒"是脏腑及目之血络的不同病理状态,也是其迁延难愈的病机关键,同时,"气络-NEI"网络关系机体阴阳平衡,治以平衡阴阳.基于"络病理论",从"气络""血络"角度探究TAO的发病机制,以期为TAO的临床诊治提供新的理论指导和辨证思路.

The thyroid gland,eyes,and collateral system are extensively interconnected.In"Collateral Disease Theory","Qi collaterals"and"blood collaterals"share functional unity with the thyroid in systemic regulation."Qi collaterals"exhibit similarities with the neuro-endocrine-immune(NEI)network,while"blood collaterals"align with the microcirculatory system,both reflected in the physiological functions and pathological changes of thyroid-associated ophthalmopathy(TAO).Based on theoretical and clinical research progresses on TAO,this paper proposes that"collateral deficiency with stasis-toxin stagnation"constitutes its core pathogenesis."Deficiency,stasis,and toxin"represent distinct pathological states in viscera and ocular blood collaterals,as well as key factors in its persistent and refractory nature.Additionally,the"Qi collateral-NEI"network governs the balance of Yin and Yang.Treatment should focus on harmonizing Yin and Yang.Guided by"Collateral Disease Theory",this study explores TAO's pathogenesis from the perspectives of"Qi collaterals"and"blood collaterals",providing novel theoretical insights and diagnostic approaches for clinical management.

贺娅丽;吴桂林;韩嘉静

广州中医药大学,广州 510006广州中医药大学附属湛江市第一中医医院,湛江 524033广州中医药大学,广州 510006

医药卫生

甲状腺相关眼病络病理论病机

thyroid-associated ophthalmopathycollateral disease theorypathogenesis

《中国中医眼科杂志》 2026 (2)

150-155,6

2021年湛江市高水平中医药人才团队科研项目(2021E05043)

10.13444/j.cnki.zgzyykzz.2026.02.010

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