从肺论治内障眼病初探

Preliminary Exploration of Treating Internal Visual Obstruction Diseases from the Perspective of Lung

内障眼病外无见症,在现代眼科中主要包括眼后段疾病,其病因病机十分复杂。“目病常统于肺”是阐述内障眼病病因病机的重要理论。肺为相傅之官,主一身之气,在眼的生理功能和病因病机中具有关键作用。肺对眼内气、血、津液有疏通和调节作用,尤以肺气宣降为要,在视网膜血氧调节中可见一斑;玻璃体属于手太阴肺经,手太阴肺经为阴经气化活动的开始,玻璃体在内眼中亦是如此。在现代研究中也可发现,玻璃体微粒在内障眼病中起着调节和信使的作用。本文分别从理论研究和现代研究2个方面,分析从肺论治内障眼病的依据,着重从经络和藏象的角度进行探讨。

Internal visual obstruction diseases often manifest no external symptoms and are mainly comprised of posterior segment diseases in modern ophthalmology,with highly complex etiology and pathogenesis.The theory that eye diseases are closely related to lung is an important concept in explaining the etiology and pathogenesis of internal visual obstruction diseases.Lung,as the"prime minister"of the body,govern Qi of the entire body and play a crucial role in the physiological functions and pathogenesis of the eyes.Lung regulate and coordinate Qi,blood,body fluids within the eyes,particularly through the dissemination and descent of lung Qi,which is evident in the regulation of retinal blood oxygenation.The vitreous body belongs to hand Taiyin lung meridian,which initiates the activity of Yin Qi transformation.Similarly,the vitreous body functions in the same manner within the eyes.Modern research also indicates that vitreous particles play a regulatory and messenger role in internal visual obstruction diseases.This paper analyzes the basis of treating internal visual obstruction diseases from the perspective of lung,focusing on theoretical and modern research,and discusses it from the perspectives of meridians and organ theory.