睑板腺功能障碍型干眼的中医研究进展

Research progress of Traditional Chinese Medicine on meibomian gland dysfunction dry eye

睑板腺功能障碍是导致干眼的主要原因,中医学认为该类型干眼与脾胃、肝、肾等脏腑功能失调密切相关,本文通过回顾近年来睑板腺功能障碍型干眼的相关文献,发现脾胃湿热证、肝郁脾虚证、肝肾阴虚证、阴虚燥热证、肝血不足证是其常见的5个临床证型,并对以上5个证型对睑板腺功能障碍型干眼的证型分析及辨证论治展开综述,旨在进一步证实中医辨证治疗的效果,以便于日后更好地指导临床治疗。

Meibomian gland dysfunction is the main cause of dry eye. According to Traditional Chinese Medicine(TCM), this type of dry eye is closely related to dysfunction of spleen,stomach, liver, kidney and other viscera. By reviewing the related literature of meibomian gland dysfunction dry eye in recent years, it was found that spleen-stomach dampness-heat, liver depression and spleen deficiency, liver-kidney Yin deficiency, Yin deficiency with dryness-heat, liver blood deficiency are the most common five syndrome types. In addition, it reviewed the syndrome analysis and syndrome differentiation and treatment of meibomian gland dysfunction dry eye based on the five syndrome types mentioned above, aiming to further confirm the effect of TCM syndrome differentiation and treatment, so as to better guide clinical treatment in the future.