再论玄府与干眼

Further discussion on Xuanfu and dry eye

刘完素建立了玄府学说,明清以后医家尤其是眼科医家发展了玄府理论并拓展了临床应用范围,建立了完善的眼科玄府理论。干眼属于中医“白涩症”“神水将枯”等范畴,其发病责之于泪液不足,或生成不足,或输布不及。中医学中泪液属于津液的一部分,而玄府为精、气、血、津液运行输布的微观结构功能单位,因此,玄府与干眼关系密切。本文从津液的输布、排血与脏腑的关系出发,详细论述了五脏之玄府输布津液功能与干眼的关系;以及五脏功能失调,玄府闭塞,津液代谢失常导致干眼的病因病机;同时还探讨了开通玄府治法在干眼中的具体应用。

The Xuanfu theory was established by LIU Wansu.Medical specialists,especially ophthalmologists developed the Xuanfu theory,expanded the scope of clinical application,and established a perfect opthalmoc Xuanfu theory after the Ming and Qing Dynasties.Dry eye belongs to the category of"white astringency"and"impending desiccation of spirit water"in Traditional Chinese Medicine(TCM),which is due to the lack of tears,the lack of generation,or dysfunctional distribution.In TCM theory,tears belong to a part of body fluid,and Xuanfu is the microstructural functional unit for the operation and distribution of essence,Qi,blood and body fluid.Therefore,Xuanfu is closely related to dry eye.This paper discusses in detail the relationship between the function of body fluid distribution of Xuanfu in the five internal organs and dry eye from the perspective of the relationship between the distribution of body fluid,blood excretion and Zang and Fu.Also,it discusses the etiology and pathogenesis of dry eye caused by the dysfunction of the five internal organs,the obstruction of Xuanfu,the abnormal metabolism of body fluid.At the same time,the specific application of the treatment methods that dredge Xuanfu in dry eyes is discussed.