韦企平论治儿童青少年近视临证思路

WEI Qiping's Approach to the Treatment of Myopia in Children and Adolescents

我国近视患病基数大、治疗困难,若进展至高度近视,可造成多种并发症,包括黄斑出血、视网膜裂孔、视网膜脱离等。韦企平认为,本病的病机为先天不足、后天失养、神光失调,主张内外同治、补养结合、注重调护,强调“健脾不在补贵在运”是近视防治的关键,体现了“运脾”在论治中的重要地位,但治脾又不唯脾,兼顾补肝、养心、滋肾。同时根据病情给予个性化的外治疗法,包括针法、推拿、药物外敷、耳穴压丸等。在治疗的过程中,当注重改善用眼习惯及生活调护等。本文通过总结韦企平防治儿童青少年近视的思路,发挥中医药的特色优势,预防近视的发生,减缓近视的进展,为近视防控的国家战略贡献力量。

Myopia has a high prevalence and is difficult to treat in China.If it progresses to high myopia,it can lead to various complications,including macular hemorrhage,retinal tears,and retinal detachment.WEI Qiping believes that the pathogenesis of this condition involves congenital deficiency,acquired malnutrition,and disturbance of spiritual light.He advocates for a combination of internal and external treatments,emphasizing both supplementation and nourishment,and paying attention to regulation and care.He highlights that"strengthening spleen lies not in supplementation but in transportation"as a key aspect of myopia prevention and treatment,showcasing the importance of"transporting spleen"in his approach.However,he does not focus solely on spleen,but also considers supplementing liver,nourishing heart,and enriching kidney.Individualized external treatments are provided based on the condition,including acupuncture,massage,external application of Chinse medicines,and auricular acupressure.During the treatment process,attention should be paid to improving eye habits and lifestyle care.This article summarizes WEI Qiping's approach to the prevention and treatment of myopia in children and adolescents,leveraging the unique advantages of Traditional Chinese Medicine to prevent the onset of myopia,slow its progression,and contribute to the national strategy for myopia prevention and control.