基于“精筋失衡论”与生物节律探讨近视的病机与治疗

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

doi:10.3969/j.issn.1006-2157.2023.12.015

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基于“精筋失衡论”与生物节律探讨近视的病机与治疗

临床研究 | 更新时间：2024-01-03

- 基于“精筋失衡论”与生物节律探讨近视的病机与治疗
- Exploring the pathogenesis and treatment of myopia based on the " theory of imbalance of the essence and tendon" and biological rhythm
- 北京中医药大学学报 2023年46卷第12期页码：1750-1755
- 作者机构：
  
  1.中国中医科学院眼科医院　北京　100040
  2.全国中医药儿童青少年近视防治中心
  3.西安市中医院
  4.中国中医科学院
  5.首都医科大学附属北京中医医院
- 作者简介：
  
  晏鑫，男，在读博士生
  #亢泽峰，男，博士，教授，主任医师，博士生导师，主要研究方向：中西医结合防治眼病及低视力研究，E-mail: zefeng2531@163.com
- 基金信息：
  
  国家重点研发计划项目(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(SZSM201812090);中国中医科学院科技创新工程重点协同攻关项目(CI2022C001)
- DOI：10.3969/j.issn.1006-2157.2023.12.015
  中图分类号：
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晏鑫, 亢泽峰, 孙宏睿, 等. 基于“精筋失衡论”与生物节律探讨近视的病机与治疗[J]. 北京中医药大学学报, 2023,46(12):1750-1755.

YAN Xin, KANG Zefeng, SUN Hongrui, et al. Exploring the pathogenesis and treatment of myopia based on the " theory of imbalance of the essence and tendon" and biological rhythm[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(12):1750-1755.
晏鑫, 亢泽峰, 孙宏睿, 等. 基于“精筋失衡论”与生物节律探讨近视的病机与治疗[J]. 北京中医药大学学报, 2023,46(12):1750-1755. DOI： 10.3969/j.issn.1006-2157.2023.12.015.

YAN Xin, KANG Zefeng, SUN Hongrui, et al. Exploring the pathogenesis and treatment of myopia based on the " theory of imbalance of the essence and tendon" and biological rhythm[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(12):1750-1755. DOI： 10.3969/j.issn.1006-2157.2023.12.015.

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。

Abstract

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.

关键词

近视精筋失衡论生物节律核心病机治法

Keywords

myopiatheory of imbalance of the essence and tendonbiological rhythmcore pathogenesismethod of treatment

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