论“使道学说”在慢性葡萄膜炎治疗中的应用

Application of the Theory of Shidao in the Treatment of Chronic Uveitis

葡萄膜炎是眼科常见的致盲性眼病之一,治疗主要采用糖皮质激素、免疫抑制剂以及生物制剂。慢性葡萄膜炎属于中医学“瞳神干缺”范畴,中医药以滋补肝肾、温补肾阳、清热除湿为治疗原则。“使道学说”出自《黄帝内经》,所有可通之物,皆可称为“使道”。外感六淫、七情内伤等病因均可导致使道闭塞不通。使道不通是各类疾病的病理基础,本文以“使道学说”为指导思想,以通法为纲领,灵活地运用中医药辨证施治,采用疏肝解郁、清热利湿、滋阴降火、益气健脾等方法对慢性葡萄膜炎患者展开个性化治疗,从而实现标本兼治,稳定病情,改善体质,减少复发的效果。

Uveitis is one of the common blinding eye diseases in ophthalmology,and its treatment mainly involves corticosteroids,immunosuppressive agents,and biological agents.Chronic uveitis belongs to the category of Tongshen Ganque in Traditional Chinese Medicine(TCM),and TCM principles focus on nourishing liver and kidney,warming kidney Yang,and clearing heat and dampness.The theory of Shidao originates from the The Yellow Emperor's Inner Canon,stating that all things that can be unblocked are referred to as"Shidao".External pathogens such as the six evils and internal factors like emotional stress can lead to blockages in the Shidao.Blockage of the Shidao is the pathological basis of various diseases.This article takes the theory of Shidao as the guiding ideology,with the principle of"unblocking"as the main focus,flexibly applying TCM syndrome differentiation and treatment,and using methods such as soothing liver and resolving depression,clearing heat and dampness,nourishing Yin and reducing fire,and tonifying Qi and strengthening spleen to provide personalized treatment for patients with chronic uveitis.This approach aims to address both the root cause and the symptoms,stabilize the condition,improve constitution,and reduce the risk of recurrence.