Professor PENG Qinghua's Experience in Treating Dry Eyes based on "Moistening with Acrid Medicinals" Theory
10.13288/j.11-2166/r.2024.23.003
- VernacularTitle:彭清华基于“辛以润之”治疗干眼经验
- Author:
Yi LYU
1
;
Yuan ZHONG
1
;
Jun PENG
1
;
1
Author Information
1. The First Hospital of Hunan University of Chinese Medicine,Changsha,410000
- Publication Type:Journal Article
- Keywords:
dry eyes;
moistening with acrid medicinals;
experience of famous doctors;
PENG Qinghua
- From:
Journal of Traditional Chinese Medicine
2024;65(23):2399-2403
- CountryChina
- Language:Chinese
-
Abstract:
This article summarized Professor PENG Qinghua's experience in treatment of dry eyes with principles of "moistening with acrid medicinals". It is believed that the root cause of dry eyes with "yin fluids deficiency" phenomenon is that yang qi deficiency, deficient cold generating, and yin fluids stagnation; yang qi blocking inside, yin fluids fail to move; yin exhaustion and fluid consumption, deficient yang rising. In clinic, "moistening with acrid medicinals" could be the basic therapeutic methods. For patients with yang-deficiency and fluids-stagnation syndrome, acrid and warm medicinals could be used for warming yang and dispersing cold, moving fluids, and transforming yin stagnation, commonly choosing Fuizi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiber officinale Rosc), Xixin (Asari Radix et Rhizoma) and so on. If there is spleen yang deficiency, modified Fuzi Lizhong Pill (附子理中丸) could be used, if lung yang deficiency, modified Xiaoqinglong Decoction (小青龙汤) could be used, and if kidney yang deficiency, modified Jinkui Shenqi Pill (金匮肾气丸) could be used. For patients with yang-stagnation and fluids-retention syndrome, acrid and warm and opening medicinals could be used for expelling yang and resolving constraint, unblocking stagnation and moving fluids, to spread yang qi and free yin fluids, commonly choosing Mahuang (Ephedra sinica Stapf), Guizhi (Ramulus Cinnamomi), Chaihu (Bupleuri Radix) and so on. If there is yang stagnation in exterior parts, modified Mahuang Guizhi-Like Formulas (麻桂类方) were commonly used, and for yang stagnation inside the body, modified Sini Powder (四逆散) were commonly used. For patients with yin-deficiency and fluids-exhaustion syndrome, on the basis of tonifying yin and generating fluids medicinals like Xiyangshen (Panax quinquefolius L.), Nanshashen (Adenophorae Radix), Beishashen (Glehniae Radix), Yuzhu (Polygonati Odorati Rhizoma) or Zengye Decoction (增液汤), combined with the method of moistening with acrid medicinals, so yin and yang transforming with each other without dryness, and the common medicinals include Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Roucongrong (Cistanches Herba), Rougui (Cinnamomi Cortex) and so on.