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基于邪之所凑 其气必虚论治复发性病毒性角膜炎

The Treatment of Recurrent Venereal Toxic Keratitis Based on Pathogenic Qi Attacking Undoubtedly Healthy Qi Being Deficiency
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摘要 “邪之所凑,其气必虚”出自《黄帝内经》,后世医家及著作对其内涵反复阐明并通过临床实践逐渐丰富,广泛运用于临床各科疾病,对中医眼科治疗有重要指导意义。病毒性角膜炎为眼表多发病、疑难病,反复发作是其特征,此病侵犯眼实质,严重影响视力。主要病因为正气虚弱、正不胜邪,多为本虚标实。此文从“邪之所凑,其气必虚”理论出发,分析复发性病毒性角膜炎的病因病机,探讨其在复发性病毒性角膜炎治疗中的指导意义。 The “pathogenic qi attacking undoubtedly healthy qi being deficiency” is derived from Huangdi Neijing.The connotation of this theory has been repeatedly clarified by later doctors and works and gradually enriched through clinical practice.It is widely used in various clinical diseases and has important guiding significance for the treatment of ophthalmology of traditional Chinese medicine.Viral keratitis is a common and difficult disease of the ocular surface,characterized by repeated attacks,which invade the ocular parenchyma and seriously affect vision.The main pathogenesis is the weakness of qi and the deficiency of qi and the deficiency of qi and the excess of qi.Based on the theory of pathogenic qi attacking and undoubtedly healthy qi being deficiency,this paper analyzed the etiology and pathogenesis of recurrent venereal keratitis and probed into its guiding significance in the treatment of recurrent venereal keratitis.
作者 段敏 胡平 陆诗佳 王金灿 龙达 DUAN Min;HU Ping;LU Shijia;WANG Jincan;LONG Da(Hunan University of Chinese Medicine,Hunan Province,Changsha 410007,China;Ophthalmology Department,Changsha Hospital of Traditional Chinese Medicine,Hunan Province,Changsha 410100,China;Department of Ophthalmology,The Sixth People’s Hospital Affiliated to Shanghai JiaoTong University,Shanghai 200233,China)
出处 《光明中医》 2024年第17期3440-3443,共4页 GUANGMING JOURNAL OF CHINESE MEDICINE
基金 国家自然科学基金项目(No.81973910) 中医学一流学科开放基金项目(No.2018ZYX16) 湖南中医药大学研究生科研创新基金项目(No.2018CX41,No.2019CX71) 国家中医药管理局中医眼科学重点学科建设项目 湖南省中医五官科学重点学科建设项目。
关键词 聚星障 复发性病毒性角膜炎 邪之所凑 其气必虚 正邪相争 superficial punctate keratitis recurrent viral keratitis pathogenic qi attacking undoubtedly healthy qi being deficiency struggle between the vital energy and the pathogenic factor
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