Explanation of the theory of pupil-collateral disease and its application on ophthalmic disease

ZHANG Mingming; LI Shujiao; CAO Ke’er; YUAN Huiyan; KANG Zefeng

doi:10.3969/j.issn.1006-2157.2023.07.019

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Explanation of the theory of pupil-collateral disease and its application on ophthalmic disease

Clinical Studies | 更新时间：2023-08-07

- Explanation of the theory of pupil-collateral disease and its application on ophthalmic disease
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 7, Pages: 1004-1007(2023)
- 作者机构：
  
  中国中医科学院眼科医院　北京　100040
- 作者简介：
  
  Prof. KANG Zefeng, Ph.D., Chief Physician, Doctoral Supervisor. Eye Hospital, China Academy of Chinese Medical Sciences, No.33, Lugu Road, Shijingshan District, Beijing 100040. E-mail: zengfeng2531@163.com
- 基金信息：
  
  Capital Health Development Research Special Project(首发2022-1-4181);Qihuang Scholar Studio Project of Kangzefeng Qihuang Project of National Administration of Traditional Chinese Medicine(SZSM201812090)
- DOI：10.3969/j.issn.1006-2157.2023.07.019
  CLC： R276.7
- Received：07 January 2023，
  
  Published：30 July 2023
- 稿件说明：
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ZHANG Mingming, LI Shujiao, CAO Ke’er, et al. Explanation of the theory of pupil-collateral disease and its application on ophthalmic disease[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(7): 1004-1007.
DOI：

ZHANG Mingming, LI Shujiao, CAO Ke’er, et al. Explanation of the theory of pupil-collateral disease and its application on ophthalmic disease[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(7): 1004-1007. DOI： 10.3969/j.issn.1006-2157.2023.07.019.

摘要

瞳神络病学说是指将中医络病理论应用于瞳神疾病(眼底病变)的辨证治疗体系，是目络辨证与脏腑辨证相结合，通过调和脏腑、疏通气血、补虚泻实以达到目的稳态。该学说始于《黄帝内经》，方出仲景《伤寒论》，法于叶天士《临证指南医案》，并发展于后世。瞳神疾病的核心病机是目络瘀阻，临床特征可概括为久、瘀、顽、杂、固。根据其发病的特点，审因辨证、明辨病机，确立了通络明目法为其治疗总则。根据目络、气血损伤的程度及病程长短等因素创立了治络八法，即辛香畅络、活血通络、凉血清络、涤痰通络、搜剔通络、温阳通络、益气固络、荣养补络，获得了较好的疗效。瞳神络病学说丰富了中医络病的理论内涵，为疑难性眼病的治疗提供了新的思路。

Abstract

The theory of pupil-collateral disease

the combination of differentiation of ophthalmic collateral and differentiation of viscera

is applied to treat pupil-related diseases

such as diseases of the uvea

retina

macula

and optic nerve

based on the theory of collateral disease (a traditional Chinese medicine (TCM) term). The theory of pupil-collateral disease is also in accordance with the TCM principles of harmonizing the viscera

dredging qi and blood

and supplementing deficiency and reducing excess to achieve eye homeostasis. This theory originated from the

Yellow Emperor

s Internal Classic

followed by the

Treatise on Febrile Diseases

which was adapted from the

Clinical Guidelines and Medical Records

and developed in later generations. The core pathogenic mechanism of pupil-collateral disease is collateral stasis in the eyes. The characteristics of symptom can be summarized as prolonged

static

stubborn

miscellaneous

and solid. The general principle of treatment is dredging ophthalmic collateral and improving eyesight. Furthermore

considering the degree of damage to the ophthalmic meridians

sufficiency of qi and blood

and the duration of the disease

eight methods were established

including by dredging collateral by using condiment herbs

by promoting blood circulation

by cooling blood

by clearing phlegm

by using insect medicines

by warming yang

by benefiting qi

and by nourishing qi and blood. The theory of pupil-collateral disease will enrich the theoretical connotation of the theory of collateral diseases

providing a reference to improve the efficacy of treatment of eye diseases that are difficult to treat.

关键词

Keywords

references

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