摘要
人为一整体,形、气、神相互关联,三位一体。形为载体,为气神之宅;气属动力,乃形神之充;神乃主宰,为形气之主。一者太过或不及,余二者必不善。先天禀赋不足,五脏阴虚燥热,消渴乃成,日久视衣为病。三焦通行元气,热酒熏蒸三焦,火郁内燔,精血津涸,五脏阴虚燥热,乃致消渴。火热灼损视衣脉络,血溢络外、入于神膏,或血停成瘀,则神光失用。三焦为水谷之道路,三焦不利,水谷精微不布视衣则目昏;水湿不下,泛于视衣则视衣水肿,湿聚成痰则视衣翳障,蒙蔽瞳神。元气不足,升降出入乏力,清阳不上则视衣失荣,浊阴不下则邪阻视衣,视衣水肿或翳障,神光不发。元阳不足,痰湿内阻,则视衣翳障;元阴不足,精血不足,则视衣失荣。消渴阴虚燥热,肺气阴伤损,魄化生乏源,精血失于充养,视衣失濡,则目暗。消渴日久,肝肾亏虚,魂虚及子,魂、神俱虚,魂弱不张,神虚不扬,魂神失用,则不可精明万物。七情失调则乱气机、伤五脏,致视衣为病。形气神三者生理病理一脉相通,形致本病者涵及气神失调,气致本病者兼形神失用,神致本病者不离形气失常,脏腑、三焦、元宗二气、元神、魂魄及七情等一者失常,必牵及余者,遂生本病。临床辨治当同审形气神,注重三者关联。
Man is a whole,with body,qi and spirit interrelated and integrated.The body is the carrier,the house of qi and spirit;qi is the power,the supplement of body and spirit;spirit is the master,the lord of body and spirit.If one is too excessive or too deficient,the other two will be damaged.Inborn endowment is insufficient,plus the five zang organs' yin deficiency and dry heat,consumptive thirst is formed,and retina is diseased after a long time.The triple energizer dredges original qi,if hot wine fumigates the triple energizer,fire will be stagnated inside the body,essence and blood will become dried up,five zang organs will have yin deficiency and dry heat,leading to yin deficiency and dry heat.The fire and heat burns the vessels of the retina,the blood overflows the vessels and enters the vitreous humor,or the blood stops and becomes stasis,and the divine light fails to function.The triple energizer is the path of water and grain,so if the triple energizer is in disorder,the food essence fails to enter the retina,then sight dizziness will occur.If water fails to flow downward,the retina will be filled with water,and attacked by edema;if water accumulates and transforms into phlegm,the retina will be blocked and the pupil will be blinded.Insufficient original qi due to consumptive thirst leads to weak ascending and descending.If lucid yang fails to flow upward,the retina will lose nutrients.If turbid yin fails to move downward,pathogen is accumulated in the retina,then edema or blockage in the retina will occur,leading to sight failing to see.If original yang is insufficient,phlegm dampness accumulates inside the body,the retina will be blocked.If original yin is insufficient,essence and blood has not enough supply,the retina will lose nourishment.Yin deficiency and dry heat caused by consumptive thirst damages the lungs' qi and yin,makes the soul lack of source,essence and blood fail to fill,so the retina will lose nourishment,leading to dark eyes.Long time's consumptive thirst causes liver-kidney deficiency.Deficient soul affects the son,leading to soul-spirit deficiency and dysfunction,then the retina will fail to see things clearly.The seven emotions' disorder disturbs the qi movement,injures the five zang organs,so the retina will be attacked by diseases.The physiological and pathological characteristics of body,qi and spirit are interconnected.Diabetic retinopathy caused by body leads to qi-spirit disorder;the disease caused by qi leads to body-spirit failing to function;and the disease caused by spirit is usually combined with abnormal body and qi.The abnormality of any zang-fu organs,the triple energizer,original qi,pectoral qi,original spirit,ethereal soul,seven emotions,etc.will affect each other,causing diabetic retinopathy.Therefore,the clinical diagnosis and treatment should consider body,qi and spirit together,and give full play to the advantages of TCM.
作者
王秋玲
李吉武
林春婷
卓小莉
WANG Qiuling;LI Jiwu;LIN Chunting;ZHUO Xiaoli(Guangxi University of Chinese Medicine,Nanning,Guangxi,China,530001;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning,Guangxi,China,530023)
出处
《河南中医》
2024年第3期337-342,共6页
Henan Traditional Chinese Medicine
关键词
糖尿病视网膜病变
消渴内障
形
气
神
形气神
三位一体观
diabetic retinopathy
internal visual obstruction caused by consumptive thirst
body
qi
spirit
body-qi-spirit
trinity view
