摘要
运用脏腑辨证,可将干眼症分为燥热伤肺证,肺阴亏虚证,脾虚湿热伤阴证,肝经郁热证,肝肾阴虚、阴血不足证,阴虚燥热证6型。燥热伤肺证,治以清热利肺为主,方以桑白皮汤加减;肺阴亏虚证,治以滋阴润肺为主,方以养阴清肺汤加减;脾虚湿热伤阴证,治以健脾、清利湿热、宣畅气机为主,养阴为辅,方以三仁汤加减,如脾虚重湿热轻,可合补中益气汤或升阳益胃汤加减,如湿热重,可合四妙丸加减;肝经郁热证,治以疏肝理气、清热养血为主,方以丹栀逍遥散加减;肝肾阴虚、阴血不足证,治以补益肝肾、滋阴养血为主,方以杞菊地黄丸加减;阴虚燥热证,治以养阴清热、润燥为主,方以百合固金汤、黄连阿胶汤、玉女煎加减。
According to the syndrome differentiation of zang-fu organs,xerophthalmia can be divided into six types:dryness-heat damaging lung syndrome,lung yin deficiency syndrome,spleen deficiency damp heat damaging yin syndrome,syndrome of stagnated heat in liver meridian,liver-kidney yin deficiency yin blood deficiency syndrome,yin deficiency and dryness-heat syndrome.For dryness-heat damaging lung syndrome,the treatment should focus on clearing lung heat,so Modified Cortex Mori Decoction can be used.For lung yin deficiency syndrome,the treatment should focus on nourishing yin and moistening lung,so Modified Yin-Nourishing and Lung-Clearing Decoction can be used.For spleen deficiency damp heat damaging yin syndrome,the treatment should focus on strengthening the spleen,clearing away dampness and heat,and promoting qi movement,supplemented by nourishing yin.If the spleen deficiency is severe and damp heat is light,Center-Supplementing and Qi-Boosting Decoction or Modified Yang-Raising and Stomach-Boosting Decoction can be combined.If damp heat is severe,Modified Wonderfully Effective Four Pill can be combined.For syndrome of stagnated heat in liver meridian,the treatment should focus on soothing liver qi,clearing heat and nourishing blood,so Modified Free Wanderer Powder of Cortex Moutan and Fructus Gardeniae Fruit can be used.For liver-kidney yin deficiency yin blood deficiency syndrome,the treatment should focus on tonifying liver and kidney,nourishing yin and blood,so Modified Lycium Berry and Chrysanthemum and Rehmannia Pill can be used.For yin deficiency and dryness-heat syndrome,the treatment should focus on nourishing yin,clearing heat and moistening dryness,so Bulbus Lilii Decoction for Strengthening the Lung,Coptis and Donkey-Hide Gelatin Decoction,and Modified Jade Lady Decoction can be used.
作者
王莎莎
王晶
李延萍
WANG Sha-sha;WANG Jing;LI Yan-ping(Chongqing Traditional Chinese Medicine Hospital,Chongqing,China,420000)
出处
《河南中医》
2021年第3期392-395,共4页
Henan Traditional Chinese Medicine
基金
重庆市科研院所绩效激励引导专项项目(cstc2017jxji30033,cstc2018jxj11130016)
重庆市技术创新与应用示范专项社会民生类重点研发项目(cstc2018jscx-mszdx0092)。
关键词
干眼症
燥热伤肺证
肺阴亏虚证
脾虚湿热伤阴证
肝经郁热证
肝肾阴虚、阴血不足证
阴虚燥热证
xerophthalmia
dryness-heat damaging lung syndrome
lung yin deficiency syndrome
spleen deficiency damp heat damaging yin syndrome
syndrome of stagnated heat in liver meridian
liver-kidney yin deficiency yin blood deficiency syndrome
yin deficiency and dryness-heat syndrome
