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象思维视域下基于“肝开窍于目”理论探究干眼的治疗

Exploring the Treatment of Dry Eye based on the Theory of "Liver Opening to Eye" from the Perspective of Xiang Thinking

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【作者】 崔宏达刘溪源寻馨彭清华

【Author】 CUI Hongda;LIU Xiyuan;XUN Xin;PENG Qinghua;Hunan University of Chinese Medicine;The First Hospital of Hunan University of Chinese Medicine;

【通讯作者】 彭清华;

【机构】 湖南中医药大学湖南中医药大学第一附属医院

【摘要】 象思维是中医学一种独特的思维方式,是一种全面认识、探索人体生理、病理现象及疾病治疗的方法。本文基于中医象思维与“肝开窍于目”理论,以肝木“曲直”特性为纲,探讨干眼的病机与治疗,提出干眼核心病机为肝脏“曲直”功能失衡,肝血亏虚致泪液化生无源;肝气郁结化火致津液输布障碍。据此确立“补曲涵木、达直疏郁”治法,凸显象思维“以象释理、以理用药”的诊疗优势,为干眼的中医精准防治提供新思路。

【Abstract】 Xiang Thinking is a unique way of thinking in Traditional Chinese Medicine(TCM). It is a way to fully understand and explore human physiology, pathology and disease treatment. Based on the image thinking and the theory of "liver opening to eye", this paper discusses the pathogenesis and treatment of dry eye. It is proposed that the core pathogenesis of dry eye is the imbalance of liver function, the deficiency of liver blood leading to the transformation of lacrimal fluid, and the stagnation of liver-Qi leading to the disorder of body fluid transfusion. Accordingly, the therapeutic principle of "nourishing the pliant to harbor wood and promoting the upright to disperse stagnation" is established, highlighting the diagnostic and therapeutic advantages of Xiang thinking "interpreting principles through images and applying principles to prescribing", thus providing new insights for the precise prevention and treatment of dry eye in TCM.

【基金】 国家中医药管理局高水平重点学科《中医眼科学》建设项目(ZK1801YK015);中医药防治五官科疾病湖南省重点实验室建设项目(2017TP1018);湖南中医药大学研究生创新课题项目(CX20240745)
  • 【文献出处】 中国中医眼科杂志 ,China Journal of Chinese Ophthalmology , 编辑部邮箱 ,2025年12期
  • 【分类号】R276.7
  • 【下载频次】93
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