朱维平基于少阴伏邪理论内外并治干燥综合征干眼经验

ZHU Weiping’s experience in treating dry eye of Sjogren’s syndrome based on the Shaoyin Fuxie theory

文章总结朱维平教授自拟方加味鳖甲散联合耳部刺络放血疗法内外并治干燥综合征干眼经验。朱维平教授提出内外并治干燥综合征所致干眼,综合考虑了干燥综合征患者正气亏虚,少阴伏邪,精亏血枯致瘀而燥的发病特点,提出基于少阴伏邪理论治疗干燥综合征干眼,认为正气亏虚是伏邪致燥的基础,邪伏少阴是内在核心致病因素,继而感受外邪,内外相合而发病。临床上常在中药汤剂加味鳖甲散透邪救阴、扶正养阴的基础上重视祛瘀通络,联合刺血疗法治疗干燥综合征所致干眼,认为邪祛一分、正缓一分,使邪祛正缓,临床疗效显著。文章简述“少阴伏邪”理论,以干燥综合征干眼的病因病机为切入点,结合刺络放血疗法的治疗优势,对朱维平教授治疗干燥综合征干眼的理论和临床经验进行介绍,并举验案一则,以期为临床治疗干燥综合征干眼提供具有参考意义的诊疗思路。

Professor ZHU Weiping’s experience in treating dry eye of Sjogren’s syndrome with Jiawei Biejia San(加味鳖甲散)plus ear blood-pricking therapy was summarized in this paper.Professor ZHU proposed to treat dry eye of Sjogren’s syndrome based on the theory of hidden pathogen arising from Shaoyin(少阴)meridian,holding that deficiency of healthy Qi(气)is the basis of dryness caused by latent evil,hidden pathogen arising from Shaoyin meridian is the internal core pathogenic factor,and then the exogenous evil is felt,and the internal and external factors are combined to cause the disease.In the treatment,we often pay attention to removing blood stasis and dredging collaterals on the basis of Jiawei Biejia San for purging pathogenic factors and restoring Yin(阴),and strengthening the body resistance and nourishing Yin.Combined with blood-pricking therapy,we treat dry eye caused by Sjogren’s syndrome,and think that removing one point of evil and slowing down one point of healthy Qi has obvious clinical effects.This paper briefly introduces the theory of hidden pathogen arising from Shaoyin meridian,taking the etiology and pathogenesis of dry eye of Sjogren’s syndrome as the breakthrough point,and combining the therapeutic advantages of pricking collaterals and bloodletting therapy,introduces Professor ZHU Weiping’s theory and clinical experience in treating dry eye of Sjogren’s syndrome,and gives one empirical case,in order to provide reference for clinical treatment of dry eye of Sjogren’s syndrome.