从“治痿独取阳明”论治动眼神经麻痹

Treating Oculomotor Nerve Paralysis from a Perspective of"Treating Flaccidity Syn⁃drome with Sole Emphasis on Yangming"

动眼神经麻痹(ONP)是导致眼睑下垂及复视的常见病因,因其病因诊断复杂,是目前尚未解决的医学难题。本病属于中医学“痿证”范畴,基于对《黄帝内经》“治痿独取阳明”的理解,本文以“痿”论治ONP,从病因病机、治疗等方面阐述ONP与痿证的关系,治疗上强调以“取阳明”为中心,结合辨证论治,从中药和针灸2个方面阐述其临床应用,以期为ONP的临床治疗提供新的思路。

Oculomotor nerve paralysis is a common cause of ptosis and diplopia,and its etiological diagnosis remains a challenging issue in medicine due to its complexity.This condition falls within the domain of"flaccidity syndrome"in Traditional Chinese Medicine.Based on an understanding of the principle in the Huangdi Neijing that"treating flaccidity syndrome with sole emphasis on Yangming",this article discusses oculomotor nerve paralysis from a flaccidity syndrome perspective.It elucidates the relationship between oculomotor nerve paralysis and flaccidity syndrome in terms of etiology,pathogenesis,and treatment.Emphasis is placed on the"sole emphasis on Yangming",incorporating pattern differentiation into the clinical treatment.Both herbal medicine and acupuncture are discussed as clinical applications,providing new insights for the clinical management of oculomotor nerve paralysis.