李杲对眼病病因病机的认识

The Understanding of Li Gao on the Etiology and Pathogenesis of Ophthalmopathy

李杲为金元四大家之一,创立了脾胃学说,在眼科方面亦有独到的认识和丰富的经验,尤其是对眼病病因病机的见解是其临证处方的基础,对后世影响深远。通过全面整理其著作可见李杲认为眼病病因以饮食失宜、劳役过度为主,同时强调外来六淫对机体的影响;病机上以脏腑功能异常为主,尤其突出了脾胃的重要性,此外亦兼顾了维持眼正常生理功能的物质基础气、血、精、津的生成情况。

Li Gao is one of the four famous schools in Jin-Yuan Dynasty,who founded the spleen-stomach theory.He had unique opinions and rich experience in the field of eye disease.Especially that,his opinions on the cause and mechanism of eye disease,which was fundamental in his clinical practice and prescription,had magnificent influence on the future generations.It was observed that,by comprehensively sorting out his academic works,Doctor Li thought that,the major cause of eye disease were improper diet and excessive labour,meanwhile he emphasized the influence of the Six exopathogens on the body,and that the mechanism of the disease relied mainly on the dysfunctional viscera,he stressed,in particular,the importantce of spleen and stomach,as well as the generating condition of the material foundation of qi blood and body fluid which keep the eye function in order.