湖南中医药大学学报2025，Vol.45Issue(3)：538-542,5.DOI:10.3969/j.issn.1674-070X.2025.03.023
彭清华从"一气周流"辨治原发性开角型青光眼经验
PENG Qinghua's clinical experience in pattern-differentiating and treating primary open-angle glaucoma under the theory of"Qi Circulation"
摘要
Abstract
This paper has summarized PENG Qinghua's clinical experience in the pattern identification and treatment of primary open-angle glaucoma(POAG)under the theory of"Qi Circulation".The theory,which describes the basic model of the ascending and descending movements of qi in the human body,holds that the qi movement of the human body is a dynamic circulation activity centered on the middle qi generated and controlled by the spleen-earth located in the central axis,with the fire(heart),water(kidney),wood(liver),and metal(lung)driving qi flow around in tandem.Based on this theory,and according to the pathogenesis changes at different stages of POAG,a Chinese Medicine pattern identification system has been proposed,which consists of four stages of disease progression:"deficiency-fire-obstruction-decline."As for the treatment,attention should be paid to regulating the ascending and descending movements of middle qi as the core principle,and to addressing the overall dynamic changes of qi movement in the heart,kidney,liver,and lung.The following therapeutic methods have been proposed:tonifying the spleen to regulate the ascending and descending movements of middle qi,promoting the free flow of liver qi to regulate qi movement,harmonizing the liver and lung to balance qi movements,and clearing the heart and nourishing the kidney to coordinate them.These approaches aim to promote the smooth circulation of qi throughout the body,thereby curing the disease.关键词
原发性开角型青光眼/一气周流/气机升降/名医经验/彭清华Key words
primary open-angle glaucoma/qi circulation/ascending and descending movements of qi/famous doctors'experience/PENG Qinghua分类
医药卫生引用本文复制引用
崔宏达,李江伟,彭俊,彭清华..彭清华从"一气周流"辨治原发性开角型青光眼经验[J].湖南中医药大学学报,2025,45(3):538-542,5.基金项目
国家自然科学基金项目(81574031) （81574031）
国家中医药管理局人才支持项目-岐黄学者(国中医药人教函[2022]6号) （国中医药人教函[2022]6号）
湖南省教育厅重点项目(22A0241) （22A0241）
湖南省中医药科研计划项目(D2022045,A2023001). （D2022045,A2023001）
