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〔摘要〕 在朱文锋教授提出的“证素辨证”理论与彭清华教授提出的“眼科专科辨证体系”的基础上，总结了混合型青光眼的主要病位证素、病性证素特点，发现混合型青光眼病位证素主要以肝、脾、肾为主;病性证素较多，包括阴虚、阳亢、热、气滞、痰、湿、血虚、动风、气虚、血瘀等13种主要病性证素，并探讨了混合型青光眼的眼科专科证素辨证分型，将混合型青光眼分为11个证型，分别为水轮阴虚阳亢证、水轮气滞证、水轮实热证、水轮郁火证、水轮痰火證、水轮痰湿证、水轮阴亏证、水轮气虚证、水轮气虚血亏证、水轮气虚血瘀证、水轮气滞血瘀证。“证素辨证”与“眼科专科辨证体系”结合起来能较好地反映出混合型青光眼气阴亏虚、痰火瘀滞的特点。
〔关键词〕 证素辨证;眼科专科辨证体系;混合型青光眼;辨证分型;水轮阴虚阳亢证;水轮气虚血瘀证;气阴亏虚;痰火瘀滞
〔中图分类号〕R241;R276.7 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.01.011
Discussion on TCM Syndrome Differentiation of Mixed Glaucoma Based on Syndrome Element Differentiation Theory and Ophthalmological Syndrome Differentiation System
JIANG Pengfei1，3， PENG Jun2，3*， PENG Qinghua1，2，3*
（1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Affiliated Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China; 3. Key Laboratory of Traditional Chinese Medicine for Prevention and Treatment of Eye， Ear， Nose and Throat Diseases in Hunan Province， Changsha， Hunan 410208， China）
〔Abstract〕 Based on the "syndrome element differentiation theory " proposed by Professor Zhu Wenfeng and the" ophthalmological syndrome differentiation system" proposed by Professor Peng Qinghua， this article summarizes the characteristics of main syndrome elements of disease location and syndrome elements reflecting the nature of disease of mixed glaucoma， and discusses the classification of mixed glaucoma in the ophthalmological syndrome differentiation system. Mixed glaucoma is divided into 11 syndrome types， namely， Yin deficiency and Yang hyperactivity syndrome in water wheel， Qi stagnation syndrome in water wheel， excessive heat syndrome in water wheel， stagnant fire syndrome in water wheel， pyrophlegm syndrome in water wheel， phlegm-dampness syndrome in water wheel， Yin insufficiency syndrome in water wheel， Qi deficiency syndrome in water wheel， Qi deficiency and blood insufficiency syndrome in water wheel， Qi deficiency and blood stasis syndrome in water wheel， and Qi stagnation and blood stasis syndrome in water wheel. The "syndrome element differentiation theory" combined with the" ophthalmological syndrome differentiation system" can provide a relatively adequate description on the characteristics of pyrophlegm stagnation and deficiency of both Qi and Yin of mixed glaucoma.
〔Keywords〕 syndrome element differentiation; ophthalmological syndrome differentiation system; mixed glaucoma; syndrome differentiation; Yin deficiency and Yang hyperactivity syndrome in water wheel; Qi deficiency and blood stasis syndrome in water wheel; deficiency of Qi-Yin; stasis of phlegm-fire
相关热词搜索： 辨证 青光眼 眼科 专科 混合型
