中国中医眼科杂志2026，Vol.36Issue(6)：540-544,561,6.DOI:10.13444/j.cnki.zgzyykzz.2026.06.007
基于"玄府气液"理论辨治眼底血症
Treatment of Ocular Fundus Hemorrhage Based on the Theory of Xuanfu Qiye
摘要
Abstract
Xuanfu is a fundamental concept in Traditional Chinese Medicine(TCM)theory describing the microscopic structural pathways in the body,responsible for the movement of Qi and body fluids(Qiye)as well as information transmission.This article proposes that the core pathogenesis evolution of ocular fundus hemorrhage follows a dynamic chain:Organ dysfunction-Xuanfu disorder-Qiye dysregulation-collateral damage-blood extravasation-Xuanfu obstruction-vision impairment.The central mechanism involves dysfunction of organs leading to stagnation in ocular Xuanfu,abnormal Qiye movement resulting in collateral damage and bleeding.Extravasated blood,as a pathological product,further obstructs Xuanfu,creating a vicious cycle and ultimately causing severe visual impairment.The clinical treatment focuses on unblocking Xuanfu,using Mingyi Tongxuan Decoction as a base prescription.This formula integrates pungent aromatics to open Xuanfu,tonify Qi to control bleeding,and activate collaterals to remove stasis.It aims to restore the normal flow of Qiye,harmonize Qi and blood,and promote vision.This approach provides a new theoretical perspective and diagnostic framework for understanding the nature of ocular fundus hemorrhage in TCM and improving clinical efficacy.关键词
玄府气液/眼底血症/病机/辨证论治/明益通玄饮Key words
Xuanfu Qiye/ocular fundus hemorrhage/pathogenesis/treat-ment based on pattern differentiation/Mingyi Tongxuan Decoction分类
医药卫生引用本文复制引用
曾敏,徐海燕,王超,廖炳光,李开楊,罗向霞..基于"玄府气液"理论辨治眼底血症[J].中国中医眼科杂志,2026,36(6):540-544,561,6.基金项目
1国家自然科学基金(81960888)2甘肃省中医药管理局重点研发计划(20YF3FA019)3兰州市人才创新创业项目(2019-RC-62)4绵阳市卫生健康委员会科技项目(2025099) （81960888）
