从肝肺相关论治焦虑抑郁相关性干眼

Treatment of Anxiety and Depression-related Dry Eyes from Regulating the Liver and the Lung

提出从肝肺相关认识焦虑抑郁相关性干眼的病机并进行辨证论治,以期为本病的中医治疗提供思路。认为焦虑抑郁相关性干眼与气血精微损伤、气血运行不畅相关。肝肺二脏为本病的主要病变脏腑,肝肺之气机、玄府、经络失常为病理基础,肝肺失调、目失所养、神失所安为基本病机。临证以恢复肝升肺降、开通玄府经络为治本,生津滋阴安神为治标,标本同治恢复其生理功能,常以丹栀逍遥散合生脉散加减作为治疗的基础方。

This paper proposed to understand the pathogenesis and provide syndrome differentiated treatment for anxiety and depression-related dry eyes from the perspective of the liver and the lung,in order to provide ideas for treatment of this disease with traditional Chinese medicine.It is believed that the occurrence and development of anxiety and depression-related dry eyes is related to the ethereal qi and blood damage and blocked circulation of qi and blood.The liver and the lung are the main located zang-fu(脏腑)organs of the disease,and the qi movement,sweat pores,meridians and collaterals abnormalities of the liver and the lung are the pathological basis.The basic pathogenesis is disharmony of the liver and the lung,loss nourishment of eyes,and loss calm of the mind.In clinical practice,the root treatment is to restore the functions of the liver governing ascent and the lung governing descent,and to open up the sweat pores,meridians and collaterals,while the branch treatment is to promote the production of body fluids,nourish yin and calm the mind.Both the root and the branch causes are treated to restore the physiological functions,and Danzhi Xiaoyao Powder(丹栀逍遥散)combined with Shengmai Powder(生脉散)with modification is often used as the basic prescription.