从"肝、脾、肾"三脏生克失衡探讨干眼的辨证施膳OA

Dry eye is a chronic ocular surface disease caused by multiple factors and is characterized by high incidence,frequent recurrence,and protracted and refractory progression.Its occurrence and progression are closely associated with the dysregulation of fluid on the ocular surface.Based on the TCM theory of the mutual generation and restriction among the five elements,this article explores the pathogenesis evolution of dry eye from the perspective of dynamic imbalance among the liver,spleen,and kidney.It is proposed that dysfunction in the mutual generation and restriction among these three zang-organs may affect the production,distribution,and nourishment of fluids,thereby participating in the occurrence and development of dry eye.Accordingly,it suggests that the pathogenesis of dry eye exhibits stage-specific evolutionary characteristics:in the early stage,the main pattern is liver qi stagnation with stagnated heat injuring fluids;in the progressive stage,the key pattern is disharmony between wood(liver)and earth(spleen)leading to improper distribution of fluids;in the advanced stage,the disease involves the kidney,presenting as essence depletion and fluid scarcity.Based on these findings,this article proposes a stage-based dietary nursing strategy for dry eye guided by pattern differentiation.It advocates integrating appropriate food-medicine homologous substances into daily diet according to the core pathogenesis of each stage,so as to regulate zang-fu functions and improve ocular surface nourishment.This provides a simple,economical,and sustainable TCM-based care approach for the chronic management of dry eye.