摘要
“精筋失衡论”是本团队在继承国医大师唐由之、国医名师庄曾源等的学术思想的基础上,结合多年临床经验所提出的创新性理论。“精”既包括先天之精,也包括后天生长发育所需的五脏六腑之精;“筋”指包括神经、软组织和结缔组织在内的综合体,既有表征特点,又有连接、支持、营养、保护等功能。目之所以能视物,精是其物质基础,筋是其功能的保障。在近视的发生、发展过程中“精筋失衡”贯穿始终,是近视发生、发展的核心环节。“失衡”二字不仅指的是精与筋的稳态被破坏,还具有生物节律失衡的内涵。现代研究认为,生物节律在近视的发生、发展中具有重要作用。本文基于“精筋失衡论”探讨其与生物节律的关系,初步提出以补真精、柔筋膜、利头目、调节律治疗近视。以“精筋失衡论”指导近视的治疗,有助于深入认识其病因病机,并拓宽临床诊疗思路。
The"theory of imbalance of the essence and tendon"is an innovative theory proposed by our team that is based on the academic ideas of Chinese medicine master Tang Youzhi and famous master Zhuang Zengyuan and combines years of clinical experience."Essence"includes both innate essence and the essence of the five zang-organs and six fu-organs required for postnatal growth and development,respectively."Tendon"refers to a complex of nerves,soft tissue,and connective tissue,which not only has characteristic features but also functions such as connection,support,nutrition,and protection.The reason why the eye can see things is that essence is its material foundation,and tendon is the functional guarantee.During the occurrence and development of myopia,the"imbalance of the essence and tendon"runs through the entire process and is the core link in the occurrence and development of myopia.The word"imbalance"not only includes the disruption of the steady state of the essence and tendon,but also carries the connotation of biological rhythm imbalance.Modern research suggests that biological rhythms play an important role in the occurrence and development of myopia.This article explores the relationship between the imbalance of essence and tendon and biological rhythms based on the"theory of imbalance of essence and tendon"and preliminarily proposes that the main treatment method for treating myopia is to replenish essence,soften tendon,benefit the head,and regulate the rhythm.Guiding the treatment of myopia with the"theory of imbalance of essence and tendon"helps to deeply understand the etiology and pathogenesis of myopia and broaden clinical diagnosis and treatment ideas.
作者
晏鑫
亢泽峰
孙宏睿
吴馨如
王健全
侯昕玥
曹珂儿
张丽霞
杨迎新
YAN Xin;KANG Zefeng;SUN Hongrui;WU Xinru;WANG Jianquan;HOU Xinyue;CAO Ke'er;ZHANG Lixia;YANG Yingxin(Eye hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China;National Center for the Prevention and Treatment of Myopia in Children and Adolescents with Traditional Chinese Medicine,Beijing100040,China;Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710021,China;China Academy of Chinese Medical Sciences,Beijingg100700,China;Beijing Hospital of Traditional Chinese Medicine,Beijing 100010,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2023年第12期1750-1755,共6页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家重点研发计划项目(No.2022YFC3502500)
国家中医药管理局岐黄工程亢泽峰岐黄学者工作室项目
深圳市医疗卫生三名工程(No.SZSM201812090)
中国中医科学院科技创新工程重点协同攻关项目(No.CI2022C001)。
关键词
近视
精筋失衡论
生物节律
核心病机
治法
myopia
theory of imbalance of the essence and tendon
biological rhythm
core pathogenesis
method of treatment
