干眼证素辨证体系的理论研究

Theoretical study of the pattern elements differentiation system of dry eye

证素是构成证的基本要素,是中医学辨证的核心。以证素理论为切入点,从临床症状严重程度等方面对干眼不同证素的相关性进行总结。干眼以阴虚为本,燥热为标,津液耗伤、目络受损是其主要病机。干眼症状的严重程度与不同证素的诊断权值具有较强的相关性。针对干眼不同严重程度的症状,运用中医证素辨证探讨两者相关性,探索证素理论应用于干眼中医辨证诊断的可行性,以期为后续基础理论研究和干眼临床辨证论治提供新视角,从而优化干眼诊疗策略。

Pattern elements are the basic ones that constitute patterns and the core of TCM pattern differentiation.Based on the theory of pattern elements,the correlation among different pattern elements of dry eye was summarized from the aspects of clinical symptom severity.Taking yin deficiency as its root and dry heat as the manifestations,the main pathogenesis of dry eye is consumption of body fluid and damage of eye collaterals.There is a strong correlation between the severity of dry eye symptoms and the diagnostic weights of different pattern elements.In view of the symptoms of different severity of dry eye,the correlation between the two was discussed using TCM pattern elements differentiation and the feasibility of applying the pattern element theory to the diagnosis of TCM pattern differentiation in dry eye was explored,so as to provide a new perspective for the follow-up basic theoretical researches and clinical treatments of dry eye by pattern differentiation,thus optimizing the diagnosis and treatment strategy of dry eye.