| 引用本文: |
彭芷心, 刘志敏, 蔡玲, 陈向东.基于刘完素“玄府气液-阳热怫郁”学说辨治针眼[J].湖南中医药大学学报,2025,45(10):1953-1958[点击复制] |
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| 基于刘完素“玄府气液-阳热怫郁”学说辨治针眼 |
| 彭芷心,刘志敏,蔡玲,陈向东 |
| (湖南中医药大学第一中医临床学院, 湖南 长沙 410007;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 针眼，即现代医学所称睑腺炎，是眼睑腺体的急性化脓性炎症，以局部红肿热痛、硬结形成为主要临床表现。本文基于刘完素“玄府气液-阳热怫郁”理论，系统探讨针眼的病因病机，认为外感风热、脾胃湿热、情志郁火等因素均可导致玄府郁闭，致使阳气怫郁、气液壅滞，进而化火成脓。在辨证治疗方面，提出以“宣、清、透”三法为核心分期论治（初期宜宣散风热、开玄通络，中期须清解阳热、通玄排毒，后期当透托余邪、养玄复正），并辅以针对性方药内外合治，以恢复玄府气液宣通之职，促进疾病痊愈。 |
| 关键词: 针眼 玄府气液 阳热怫郁 宣清透法 中医治疗 |
| DOI：10.3969/j.issn.1674-070X.2025.10.021 |
| 投稿时间：2025-05-12 |
| 基金项目:湖南省眼科疾病（中医）临床医学研究中心（2023SK4038）；湖南省自然科学基金项目（2025JJ90006）；湖南省中医药科研计划一般项目（B2024048）；湖南中医药大学校院联合基金重点项目（2024XYLH342）；湖南中医药大学研究生创新课题（2024CX119）。 |
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| Differentiation and treatment of stye based on LIU Wansu's theory of "qi-fluid congestion due to mysterious mansion dysfunction leading to yang-heat stagnation" |
| PENG Zhixin, LIU Zhimin, CAI Ling, CHEN Xiangdong |
| (The First Clinical School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Stye, known as hordeolum in modern medicine, is an acute purulent inflammation of the eyelid glands, characterized by localized redness, swelling, heat, pain, and the formation of hard nodules. Based on LIU Wansu's theory of "qi-fluid congestion due to mysterious mansion dysfunction leading to yang-heat stagnation," this study systematically explores the etiology and pathogenesis of stye. It posits that exogenous wind-heat, damp-heat in the spleen and stomach, and emotional depression transforming into fire can all lead to obstruction of mysterious mansion (a collective term for the minute gateways of qi ascending, descending, exiting, and entering in the body, which function in regulating the circulation of qi, blood, and body fluids), resulting in stagnation of yang qi and qi-fluids, which subsequently transforms into fire and purulence. In terms of pattern differentiation and treatment, the study proposes a "dispersing, clearing, and expelling" tripartite approach for staged management. In the early stage, the treatment should focus on dispersing wind-heat and opening mysterious mansion to unblock collaterals; in the middle stage, it is essential to clear and resolve yang-heat while dredging mysterious mansion to expel toxins; in the late stage, the approach should shift to expelling residual pathogens and nourishing mysterious mansion to restore healthy qi. Complementary internal and external herbal therapies are employed to restore the unobstructed flow of qi and fluids in mysterious mansion, thereby promoting disease resolution. |
| Key words: stye qi-fluid congestion due to mysterious mansion dysfunction yang-heat stagnation dispersing, clearing, and expelling therapy Chinese medicine treatment |
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