魏伟从肺论治干眼症经验

Wei Wei′s Experience in Treating Dry Eye Syndrome from Perspective of Lung Function

干眼症的发生主要是津液代谢失常,不能润泽目珠,一方面是津液(泪液)生成不足,另一方面则是津液(泪液)输布不及。肺主治节,统摄全身气血津液的输布。肺脏功能正常,调节得当,津液充沛,上润目珠,则目视精明;肺为气之本,肺气旺盛,全身气机调畅,五脏六腑精阳之气顺达于目,目得其养则明视万物。若肺的功能失调,肺气阴不足或宣发肃降功能受损,则津液生成不足、输布不当,目失濡润,不润而干。临证提倡"从肺论治",调气、滋阴、养血并重,着重宣肺布津,行滞通络,重视脏腑五行,生克制化。

The occurrence of dry eye syndrome is mainly caused by abnormal fluid metabolism,which cannot moisturize the eyes.On the one hand,the production of fluid(tears)is insufficient;on the other hand,the fluid is not delivered well.Lung manages and regulates the delivery of the whole body′s Qi,Blood and Fluid.When the Lung function is normal,all of them are properly regulated,and with plenty fluid,eyes would be moisturized and people can see well;the Lung is the basis of Qi,when the Lung is strong,the whole body′s vitality is adjusted,and the Qi of the Five Fu and Six Fu would reach the eyes,which would see well too.If the Lung is dysfunctional,the lung Qi and Yin would be insufficient,or the function of the Lung would be impaired;when the fluid production is insufficient and the delivery is improper,the eyes are not wet but dry.Therefore,it is advocated that"treating from the perspective of Lung function"in clinic,bu focusing on regulating Qi,nourishing Yin,and nourishing Blood,which focusing on promoting Lung function,Qi and Fluid movement as well as the relationship between Five Zang and Six Fu,so as to treat the disease eventually.