【作者】 刘玲；

【导师】 迟华基；

【作者基本信息】 山东中医药大学 ， 中医基础理论， 2005， 博士

【摘要】 “藏窍理论”是阐明人体内在脏腑与体表官窍相互关系的比较全面、系统的学术见解和主张,是“藏象学说”的重要分支。文中借助“藏窍理论”探讨脏腑与目内组织的相关性,认为“藏—目理论”的构建,是以《内经》理论为基础,以阴阳、五行为说理工具,结合临床实践,运用“取象比类”的思维方法升华的结果,是诊治眼科疾患的重要理论依据。目内组织是目窍的结构核心,产生视觉的主体。随着时代变迁,内障眼病已经成为我国致盲率最高的常见、疑难疾病。但受古代检查条件限制,“藏窍理论”极少论及目内状况,使临床无既成理论可供借鉴。 为满足临床需求,文中以“藏窍理论”为基础,以常态、直视下目内组织形、色变化为依据,经过对脏腑与目内组织在结构与功能方面联系规律的探讨,提出神水在脏属肝,视衣络分属心、肝、脾脏,视衣当由心、肝、脾、肾四脏主宰的假说,并通过测定人体24小时眼压波动和对多种内眼疾病真实图片分析,证明本观点的客观性和临床可行性。更多还原

【Abstract】 The "theory of Zang and Orifice" , an essential branch of the theory of ZangXian is an academic viewpoint and proposition posed by the author comprehensively and systemically, which aims to elucidate the correlation between Zangfu inside and orifices outside the body. This thesis focuses on the portions in the theory related with the eye, holding that the theory of Zang and Orifice is established on the basis of the combined theories of Internal Canon, Yinyang and Five elements, combine clinical practice by means of "analogy and classification", and that it may serve as an important theoretical basis in diagnosis and treatment. There is no doubt that the intraocular contents are the vitals in generating visual activities, and as times goes on, intraocular diseases (Nei zhang) have become the very factors which most frequently induce blindness-producing and intractable damage. Unfortunately, information concerning inner eye has been seldom discussed due to the limited ophthalmic workup in ancient, which makes a frustrating situation clinically as far as the theory is concerned.To satisfy clinical demands, the relationship between structures and functions have been investigated based on the changes of color and figuration of intraocular contents in normality in the light of the theory of Zang and Orifice. Then the hypothesis about the relationship between Zang and intraocular contents is proposed that aqueous humor (Shenshui) should be dominated by the liver, retinal vessel (Shiyiluo) the heart, liver and spleen together, and the retinal is supposed to correspond to the heart, liver, spleen and更多还原