文献类型：期刊文献

中文题名：基于“补土法”论治干眼症

英文题名：Treating xerophthalmia based on the invigorating Tu method

作者：李雪[1];颉瑞萍[2]

第一作者：李雪

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2023

卷号：15

期号：10

起止页码：21

中文期刊名：中医临床研究

外文期刊名：Clinical Journal Of Chinese Medicine

语种：中文

中文关键词：干眼;白涩症;补土法

外文关键词：Xerophthalmia;Ocular dryness;The invigorating Tu method

摘要：干眼症又称角结膜干燥症,是指由多种因素导致的以眼睛干涩为主要症状的泪液分泌障碍性眼病,常见症状包括眼睛干涩、容易疲倦、眼痒、有异物感、灼热痛感等。西医临床治疗干眼症常用的方法为人工泪液替代疗法、抗炎等。用药期间患者症状可短暂得到缓解,但疗效不持久,且病情易于反复。中国金元时期著名医学家、中医“脾胃学说”创始人李杲(号东垣)首创“补土法”理论,其主导思想为“内伤脾胃,百病由生”,故治疗眼病也应兼顾脾胃。在接诊干眼症患者的过程中,笔者发现临床患者脾胃多有受损,此时运用“补土法”治疗干眼症往往可获得良效。文章通过案例探究古代文献中“补土法”治疗干眼症的理论,以期为中医治疗干眼症拓宽思路。
Xerophthalmia,also known as corneal and con-junctival xerosis,refers to tear secretion disorder disease caused by many factors,with dry eyes as the main symptom.The common symptoms of xerophthalmia include dry eyes,easy fatigue,itching,foreign body sensation,burning pain and so on.The common treatment methods in Western medicine are artificial tear replacement therapy and anti-inflammatory therapy.During the period of medication,patients’symptoms can be temporarily relieved,but the curative effect is not lasting,and the disease condition is prone to relapse.LI Gao,a famous medical scientist in the Jin and Yuan Dynasties(金元时期)and the founder of the spleen and stomach theory of TCM,initiated the invigorating Tu(土)theory.Its leading thought is many diseases are caused by damage to the spleen and stomach,so the treatment of xerophthalmia should also take into account the spleen and stomach.In the process of treating xerophthalmia,the author found that the spleen and stomach of clinical patients were often damaged,and the invigorating Tu method on xerophthalmia could often obtain good results.Based on this clinical situation,the theoretical basis for the treatment of xerophthalmia in ancient literature is explored in this paper,with a view to broadening research ideas for the treatment of xerophthalmia in TCM.