通讯作者: 刘劲松, 781022557@qq.com

DOI：10.12201/bmr.202509.00047

• 摘要：:本文基于中医“玄府理论”，探讨情志因素在干燥综合征发病与加重中的作用机制，并提出相应治疗思路。本文认为，情志内伤导致的肝失疏泄、气机阻滞，进而引起微观玄府闭塞，津液输布障碍，是情志型干燥综合征的核心病机，其本质为“非水之亏，乃路之塞”。针对传统单一滋阴法疗效局限的问题，提出以“解郁开玄”为根本治法，确立“充能、开户、清道、补源”四步治疗策略。此治法注重疏肝解郁、开通玄府与滋阴增液相结合，以恢复津液正常输布为最终目的。文末通过临床验案佐证该思路的有效性，为情志型干燥综合征的中医诊疗提供了新的理论依据与临床参考。

  关键词： :情志型干燥综合征; 玄府理论; 情志内伤; 津液不布; 解郁开玄; 

   

  Abstract: Based on the Xuanfu Theory in Traditional Chinese Medicine (TCM), this article explores the mechanism of emotional factors in the onset and exacerbation of Sj?grens Syndrome (SS) and proposes corresponding treatment strategies. The study suggests that the core pathogenesis of emotion-related SS involves emotional distress leading to liver dysfunction in smoothing Qi, resulting in Qi stagnation, which further causes microscopic occlusion of the Xuanfu and disrupts body fluid distribution. The essence of this condition is not a deficiency of fluid, but a blockage in its pathway. In response to the limited efficacy of traditional moisturizing therapies alone, the study proposes resolving stagnation and opening Xuanfu as the fundamental treatment principle. A four-step strategy—boosting energy, unblocking portals, clearing pathways, and replenishing sources—is established, emphasizing the combination of soothing the liver and regulating Qi, opening the Xuanfu, and nourishing Yin to promote fluid production. This approach aims to restore normal fluid distribution. A clinical case is provided to support the effectiveness of this strategy, offering new theoretical and practical insights for the TCM diagnosis and treatment of emotion-related SS.

  Key words: Emotion-related Sj?grens Syndrome; Xuanfu Theory; Emotional Distress; Liver Qi Stagnation; Impaired Fluid Distribution; Resolving Stagnation and Opening Xuanfu

  提交时间：2025-09-22

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-09-08	10.12201/bmr.202509.00047V1	下载

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