| 引用本文: |
刘培,蒋鹏飞,周亚莎,陈立浩,胡艺,邓湖广,彭俊,彭清华.干眼环境病因及中医外邪属性的理论探讨[J].湖南中医药大学学报,2022,42(1):68-72[点击复制] |
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| 干眼环境病因及中医外邪属性的理论探讨 |
| 刘培,蒋鹏飞,周亚莎,陈立浩,胡艺,邓湖广,彭俊,彭清华 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心, 湖南 长沙 410208;湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 外邪是指自然界中能引起疾病的邪气或致病因素超过了机体的适应能力，引起机体病理变化。中医学认为引起干眼的外邪主要为燥邪、热邪、风邪，此3种邪气伤及目窍，易造成眼表阴液亏损，根据其外邪属性可将其归为西医学所述干眼不良环境之中。如干燥环境或低湿度环境，以及眼表蒸发增强均可导致眼表干燥，与燥邪致病相似，可归属于燥邪；环境温度增高、紫外线、蓝光等可归属于热邪；空气流动性增加、空气污染等可归属于风邪。本文从中西医角度论述了外邪引起干眼的病机，以期为干眼的诊疗提供思路。 |
| 关键词: 干眼 外邪 燥邪 热邪 风邪 中医 病机 |
| DOI：10.3969/j.issn.1674-070X.2022.01.013 |
| 投稿时间：2021-03-24 |
| 基金项目:国家自然科学基金面上项目（81804150，81574031）；2021年度“刘良院士工作站”指导项目（21YS002）；湖南省教育厅重点项目（21A0238）；中医药防治五官科疾病湖南省重点实验室建设项目（2017TP1018）；国家中医药管理局中医眼科学重点学科建设项目（ZK1801YK015）；湖南省研究生创新课题（CX20200783）；中医药防治眼耳鼻咽喉疾病湖南省重点实验室；湖南中医药大学中医学国内一流建设学科建设项目。 |
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| Theoretical discussion on the etiology of dry eye environment and the attributes of traditional Chinese medicine external pathogens |
| LIU Pei,JIANG Pengfei,ZHOU Yasha,CHEN Lihao,HU Yi,DENG Huguang,PENG Jun,PENG Qinghua |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Engineering Technology Research Center for the Prevention and Treatment of Otorhinolaryngologic Diseases and Protection of Visual Function with Chinese Medicine, Changsha, Hunan 410208, China;Hunan Engineering Technology Research Center for the Prevention and Treatment of Otorhinolaryngologic Diseases and Protection of Visual Function with Chinese Medicine, Changsha, Hunan 410208, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| External pathogens means that the evil Qi or pathogenic factors in nature that can cause diseases exceed the body's adaptability and cause pathological changes in the body. Traditional Chinese medicine believes that the external pathogens that cause dry eyes are mainly dry evil, heat evil, and wind evil, these three evil spirits can hurt the eyes and easily cause the loss of eye surface Yin fluid. According to their attributes, they can be classified into the bad environment of dry eyes described in western medicine. For example, dry environment or low humidity environment, as well as the enhancement of ocular surface evaporation can lead to ocular surface dryness, which is similar to the pathogenesis of dry evil, and can be attributed to dry evil; heat evil corresponds to increased ambient temperature, ultraviolet rays, blue light, etc; wind evil corresponds to increased air mobility, air pollution, etc. This article discusses the pathogenesis of dry eye caused by external pathogens from the perspective of Chinese and western medicine, hoping to provide ideas for the diagnosis and treatment of dry eye. |
| Key words: dry eye external pathogens dry evil heat evil wind evil Chinese medicine pathogenesis |
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