Gao Jiansheng's Experience in Differentiating and Treating Herpes Simplex Keratitis Based on the Theory of Hidden Pathogens
10.13288/j.11-2166/r.2025.05.003
- VernacularTitle:高健生从伏邪辨治单纯疱疹病毒性角膜炎经验
- Author:
Xi CHEN
1
;
Yina CHEN
1
;
Xiaonan YANG
1
;
Danyu LI
1
;
Wei YANG
1
Author Information
1. Eye Hospital，China Academy of Chinese Medical Sciences，Beijing，100040
- Publication Type:Journal Article
- Keywords:
herpes simplex keratitis;
hidden pathogens;
experience of famous doctors;
Gao Jiansheng
- From:
Journal of Traditional Chinese Medicine
2025;66(5):448-452
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes Professor Gao Jiansheng's clinical experience in treating herpes simplex keratitis （HSK） based on the theory of hidden pathogens. It is believed that the core pathogenesis of HSK involves deficiency of vital qi and the internal presence of pathogenic factors. In the early stage， the pathogenesis is characterized by lung and spleen qi deficiency and invasion of external pathogens. In the middle stage， pathogenesis worsens due to latent pathogens damaging the vital qi and spleen deficiency with dampness. In the late stage， kidney yang deficiency and lingering pathogenic toxins are the root cause of recurrent attacks. In clinical practice， it is recommended to strengthen and protect the vital qi. In the early stage， the Modified Yupingfeng Powder （玉屏风散） is used. In the middle stage， the Modified Linggui Zhugan Decoction （苓桂术甘汤） is used. In the late stage， a self-formulated Modified Bushen Tuodu Fomulation （补肾托毒方） is applied. Additionally， herbs of tonifying qi and strengthening the exterior are used throughout the treatment to reduce recurrence.
