文章摘要
钟莉,严京,吴正正,等.从“经筋-经脉-脏腑”角度讨论视疲劳的发病机制及治疗[J].浙江中医药大学学报,2024,48(1):99-102.
从“经筋-经脉-脏腑”角度讨论视疲劳的发病机制及治疗
The Pathogenesis and Treatment of Visual Fatigue Discussed from the Perspective of “Sinew Meridan-Channel-Viscera”
DOI:10.16466/j.issn1005-5509.2024.01.017
中文关键词: 视疲劳  经筋系统  经脉系统  脏腑系统  解结  通经调腑  消补共用
英文关键词: visual fatigue  sinew meridian system  meridian system  visceral system  dredge the nodules  adjusting the meridians and regulating viscera  dispersing and reinforcing
基金项目:中央级公益性科研院所基本科研课题(ZZ15-XY-CT-07);中国中医科学院眼科医院院内课题(202005)
作者单位
钟莉 中国中医科学院眼科医院 北京 100040 
严京 中国中医科学院眼科医院 北京 100040 
吴正正 中国中医科学院眼科医院 北京 100040 
那爽 中国中医科学院眼科医院 北京 100040 
吴琦 中国中医科学院眼科医院 北京 100040 
马若楠 中国中医科学院眼科医院 北京 100040 
高健生 中国中医科学院眼科医院 北京 100040 
郭欣璐 中国中医科学院眼科医院 北京 100040 
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中文摘要:
      [目的] 以“经筋-经脉-脏腑”理论为脉络,阐释视疲劳的发病机制、病理进程以及治疗,为临床治疗视疲劳提供新的诊疗思路。[方法] 通过整理医案,阅读相关古籍、文献,深入探讨“经筋-经脉-脏腑”理论在视疲劳发生、发展以及治疗中的应用。[结果] 视疲劳的基本病机在于结阻各部,所以将“通经调腑、消补共用”作为总治则,治疗过程中强调整体观念,注重疏通经筋郁结,畅通经脉气血,调整脏腑功能,根据疾病进展的程度不同,灵活调整“解结”“畅气血”“调功能”三方面的相关用药。本文所附病案,运用了本团队的经验方,体现了“通经调腑、消补共用”的核心要义,并取得了较好的临床疗效。[结论] 运用“经筋-经脉-脏腑”理论,从整体出发,抓住结阻经络关键点,遵循“通经调腑、消补共用”原则灵活用药,为治疗视疲劳提供了新思路,值得推广。
英文摘要:
      [Objective] Taking the theory of “sinew meridan-channel-viscera” as the context, to explain the pathogenesis of visual fatigue from a new perspective, and to provide a new diagnosis and treatment idea for the clinical treatment of visual fatigue. [Methods] By summarizing with teachers, sorting out medical cases, reading relevant ancient books and documents, the application of the theory of “sinew meridian-channel-viscera” in the occurrence, development and treatment of visual fatigue is deeply discussed. [Results] The basic pathogenesis of visual fatigue is in the formation of nodules, so the treatment should take “adjusting the meridians and regulating viscera, dispersing and reinforcing” as the general guidelines, emphasize the overall concept in the process of treatment, pay attention to dredge the nodules, get through the meridian system, adjust the body system, according to the degree of the progress of different,using flexible adjustment of “dredge the nodules” “get through the meridian system” “adjust the body function” three aspects of related drugs. In the attached medical records, using the experience of the team, embodying the core principles of “adjusting the meridians and regulating viscera, dispersing and reinforcing” , and it achieved good clinical curative effect. [Conclusion] Based on this theory, firmly grasping the overall concept, connecting with all parties, and using drugs flexibly provide a new idea for the treatment of visual fatigue, which is worth promoting.
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