彭清华基于相火学说辨治年龄相关性干眼经验

PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire

总结彭清华教授基于相火学说辨治年龄相关性干眼的临证经验。以相火学说为指导,认为年龄相关性干眼的关键病机是相火僭越,而肾阳虚寒、肾阴亏损、脾土不足是导致相火僭越的缘由。提出以潜藏相火为治疗总则,针对肾阳虚寒、相火浮游,治宜补肾温阳、引火归元,方予引火汤;针对肾阴亏损、相火妄动,治宜补肾填精、滋阴降火,方予三才封髓丹;针对脾土不足、相火熏蒸,治宜健运脾气、敦土伏火,方予黄芪人参汤。

This paper summarized PENG Qinghua's experience in treating age-related dry eye based on the theory of ministerial fire.Guided by the theory of ministerial fire,it is believed that the key pathogenesis of age-related dry eye is transgression of ministerial fire,and kidney yang deficiency-cold,kidney yin depletion,and spleen-earth insufficiency are the causes of transgression of ministerial fire.The general principle of treatment is to conceal the ministerial fire.For kidney yang deficiency-cold and floating ministerial fire,the treatment should tonify the kidney and warm yang,and return fire to its origin,with Yin Huo Decoction(引火汤);for kidney yin depletion and frenetic stirring of ministerial fire,the treatment should tonify the kidney and supplement essence,enrich yin and reduce fire,with Sancai Fengsui Pellet(三才封髓丹);and for spleen-earth insufficiency,and fumigation of ministerial fire,the treatment should strengthen and activate spleen qi,and reinforce soil and hidden fire,with Renshen Huangqi Decoction(人参黄芪汤).