| 引用本文: |
宋焰,李翔,聂辅娇,符超君,秦裕辉.秦裕辉教授治疗上睑下垂验案三则[J].湖南中医药大学学报,2022,42(1):95-98[点击复制] |
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| 秦裕辉教授治疗上睑下垂验案三则 |
| 宋焰,李翔,聂辅娇,符超君,秦裕辉 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学, 湖南 长沙 410208;湖南省中医药研究院, 湖南 长沙 410006) |
| 摘要: |
| 秦裕辉教授系湖南省名中医、眼科专家，从医37年，具有丰富的临床经验。上睑下垂有先天与后天之分：先天多因禀赋不足，脾肾阳虚，睑肌发育不全而致升举乏力；后天多由脾胃气虚，升阳无力或气血亏虚，风邪客睑所致。秦教授认为胞睑在五轮学说中为肉轮，在脏属脾，脾与胃相表里，故本病多从脾胃论治，同时要将患者眼的局部症状与全身症状及体质特征结合起来辨析病因病机，从整体出发，分清扶正与祛邪的轻重缓急。处方用药上以牵正散、人参败毒散、补阳还五汤经典方剂为基础，以补气、祛痰、通络为主，调整患者气血阴阳，使其气血充足，脉络通畅，胞睑得精气充养则能开合自如。秦教授在临床上治疗上睑下垂用药经典，直中病机，疗效显著，记录其医案三则，以飨后学。 |
| 关键词: 上睑下垂 牵正散 人参败毒散 补阳还五汤 医案 秦裕辉 |
| DOI：10.3969/j.issn.1674-070X.2022.01.019 |
| 投稿时间：2021-10-09 |
| 基金项目:国家自然科学基金项目（81874493）；湖南省自然科学基金青年项目（2020JJ5413）；湖南省教育厅科学研究优秀青年项目（19B431）；中医药防治眼耳鼻喉疾病湖南省重点实验室。 |
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| Three effective medical cases of ptosis treated by professor Qin Yuhui |
| SONG Yan,LI Xiang,NIE Fujiao,FU Chaojun,QIN Yuhui |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Academy of Chinese Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| Professor Qin Yuhui is a famous doctor of traditional Chinese medicine in Hunan Province, as well as an ophthalmological expert. He has been practicing medicine for 37 years and has extensive clinical experience. Ptosis can be divided into congenital and acquired. Congenital is often due to insufficient endowment, Yang deficiency of the spleen and kidney, and hypoplasia of the eyelid muscles, which lead to lack of lift. The acquired disease is mostly caused by spleen and stomach Qi deficiency, weakness of rising Yang or deficiency of Qi and blood, and wind evil staying on the eyelids. Professor Qin believes that the eyelid is the flesh wheel in the five-wheel theory. It belongs to the spleen, and the spleen and the stomach are on the outside, therefore, the disease is usually treated from the spleen and stomach, and the patient's local eye symptoms should be combined with systemic symptoms and physical characteristics. Identify the cause and pathogenesis of the disease, and proceed from the overall perspective to distinguish the priority of strengthening the vital Qi and removing the evil. Prescriptions are based on classic prescriptions of Qianzheng Powder, Renshen Baidu Powder and Buyang Huanwu Decoction, focusing on invigorating Qi, eliminating phlegm and dredging collaterals. The Qi and blood, Yin and Yang are adjusted to make the patient's Qi and blood sufficient, the vessels are unobstructed, and the eyelids can be opened and closed freely if they are filled with essence Qi. Professor Qin used classic drugs to treat ptosis in the clinic, hitting the key pathogenesis and the curative effect was remarkable. Three medical cases of ptosis treated by him are now recorded for future scholars to learn. |
| Key words: ptosis Qianzheng Powder Renshen Baidu Powder Buyang Huanwu Decoction medical cases Qin Yuhui |
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