近视“肝肾-脑目”脏腑理论体系构建与应用

Construction and application of the Zangfu theoretical system of“Ganshen-Naomu”in myopia

根据儿童青少年近视发生发展的特点,将其分为近视临床前期、假性近视和真性近视3个关键阶段。结合经典理论,总结临证经验并分析近视证治特点,认为近视发病"肝肾为本,脑为枢纽,目为标",治疗近视当标本兼调,启枢明目,提出了近视"肝肾-脑目"脏腑相关理论学说。传统理论认识多强调肝肾不足为病,肝肾与脑目联系不够,对实际临床治则治法指导不足。新的"肝肾-脑目"脏腑理论全面地阐释了近视的病机,指导临床在近视发生发展的不同阶段采取相应的治则治法,取得了较好的临床效果,充分发挥了中医防治本病的优势。

According to the characteristics of the occurrence and development of myopia in children and adolescents,myopia can be divided into three key stages:pre-clinical myopia,pseudomyopia and true myopia.After summarizing clinical experience and analyzing the syndrome and treatment characteristics of myopia,the author believes that the occurrence of myopia is due to the pathogenesis that liver and kidney as the root,the brain as the pivot,the eye as the tip.Treatment of myopia should take into account the root and the tip,mobilize the pivot and improve eyesight.Thereafter,the author puts forward"Ganshen-Naomu"Zangfu theory of myopia.The traditional theoretical understanding emphasizes the insufficiency of liver and kidney leads to diseases without elucidation of the connection between liver,kidney and brain,thus it cannot provide too much guidance on therapeutic method and principle in clinical.The new Zangfu theory of"Ganshen-Naomu"comprehensively explains the pathogenesis of myopia,it guides the therapeutic method and principle targeting different stages of the disease,and achieves favorable clinical effects.It gives full play to the advantages of Traditional Chinese Medicine treatment and prevention of the disease.