基于"扶阳"理论论治伏邪所致眼病OA
Treatment of Ocular Diseases Caused by Latent Pathogens Based on Fuyang Theory
伏邪是指藏伏于体内而不立即发病的病邪,具有"动态时空""隐匿""自我积聚"等特点,许多眼病,例如病毒性角膜炎、免疫性结膜炎、葡萄膜炎、糖尿病视网膜病变等,均具有反复性、难治性、隐匿性等特点,其发病与伏邪致病的特点有相通之处.笔者将满足上述伏邪特点的眼病归为"伏邪眼病",从伏邪致病的角度总结其病因病机为阳虚无力驱邪外出,邪气潜伏于郁结之所,阳虚致气机与气化失常,病理产物堆积,导致伏风、伏湿、伏燥、伏瘀等伏邪搏结于目,玄府郁闭,发为伏邪眼病.基于"扶阳"理论探讨伏邪眼病的防治,伏邪眼病的治疗应及时辨别出潜在的阳虚证候群,尽早干预亚阳虚证候.外障眼病以通阳散邪为治疗原则,以通阳疏邪、升阳透邪为治疗方法;内障眼病以扶阳托邪为治疗原则,以扶阳祛邪、和阳调枢为治疗方法.总体治则为消解伏邪所致之病理产物,从阴引阳,以期调平.
Latent pathogens refer to pathogenic factors that hide within the body without causing immediate illness,characterized by"dynamic spatiotemporal progression""concealment"and"self-accumulation".Many ocular diseases,such as viral keratitis,immune-related conjunctivitis,uveitis,and diabetic retinopathy,exhibit features of recurrence,refractoriness,and occultation,which align with the pathogenic characteristics of latent pathogens.The authors categorize ocular diseases that meet these criteria as"latent pathogen-induced ocular diseases"and summarize their etiology and pathogenesis from the perspective of latent pathogen-induced illness:Yang deficiency leads to an inability to expel pathogens,allowing them to lurk in stagnated areas.Yang deficiency further disrupts Qi movement and transformation,resulting in the accumulation of pathological products,which manifest as latent wind,dampness,dryness,or stasis binding in the eyes,leading to the blockage of Xuanfu and the onset of latent pathogen-induced ocular diseases.Based on the"Fuyang"theory,the prevention and treatment of these diseases involve promptly identifying potential Yang-deficient syndromes and intervening in sub-Yang deficiency conditions as early as possible.For external ocular diseases,the treatment principle focuses on unblocking Yang to disperse pathogens,employing methods such as activating Yang to expel pathogens and elevating Yang to release pathogens.For internal ocular diseases,the principle emphasizes supporting Yang to expel pathogens,utilizing approaches like fortifying Yang to eliminate pathogens and harmonizing Yang to regulate pivot mechanisms.The overarching treatment strategy aims to resolve pathological products caused by latent pathogens and guide Yang from Yin to restore balance.
谭雅琴;吴正正;那爽;严京
中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040
医药卫生
扶阳伏邪眼病外障内障
Fuyanglatent pathogen-induced ocular diseasesexternal ocular diseasesinternal ocular diseases
《中国中医眼科杂志》 2026 (4)
359-364,6
中国中医科学院眼科医院中央高水平中医医院项目(GSP2-15)
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