基于“厥阴病欲解时”治疗眼科病证

Treatment of ophthalmology diseases based on the time that Jueyin disease is about to heal

《伤寒论》提出“六经病欲解时”理论一直是历代医家研究的重点。当代龙砂医学流派代表性传承人顾植山教授依据《黄帝内经》“开阖枢”理论对三阴三阳进行时空定位,从而提出了“六经病欲解时”的特色临床辨治理论,建立“辨象-辨时-握机”的临床思维模式。临床上根据疾病变化的特定时间辨病在何经,当病证在阴尽阳生之时发作,出现阴阳之气不相顺接之病象,即可从“厥阴病欲解时”入手,投之以乌梅丸治疗。导师张丽霞师从顾植山教授,善用“厥阴病欲解时”理论,在人体正气“得天气之助”之时,疾病“解”与“不解”的正邪交争之际予乌梅丸治疗视神经病、视网膜血管病、青光眼等眼科疑难疾病,每获良效。

The theory of"the time of six-meridian disease is about to heal"proposed by On Cold Damage has always been the focus of medical scholars in the past dynasties.The representative inheritor of the contemporary Longsha Medical School,professor Gu Zhishan,based on the the Kaiheshu theory of the Yellow Emperor’s Canon of Medicine positioned Three Yin and Three Yang in time and space,and further put forward the characteristic clinical differentiation and treatment theory of"the time of six-meridian disease is about to heal",and established the clinical thinking mode of"appearance-differentiation,time-distinguishment,pathogenesis-determination".According to the specific time of disease change,we can identify the disease in certain meridian.When the disease occurs at the time when yin is exhausted and yang is engendered,the symptoms of yin and yang qi are not connected.We can start with the time that Jueyin disease is about to heal and treat it with Wumei pill.The tutor of Zhang Lixia under the tutelage of Professor Gu Zhishan is good at using the theory of the time that Jueyin disease is about to heal and using Wumei pill to treat optic neuropathy,retinal vascular disease,glaucoma and other difficult ophthalmic diseases,and thereafter receives favorable effects.