通讯作者: 陈梅, 523866483@qq.com

DOI：10.12201/bmr.202608.00032

An analysis of the diagnosis and treatment approach for dry eye syndrome based on the theory that the liver opens into the eyes

• 摘要：干眼症病在目窍，其本在肝。肝主疏泄、藏血，开窍于目，泪液之化生与敷布赖肝气条达、肝血充盈。本文基于“肝开窍于目”理论，提出肝郁气滞、肝血亏虚、肝经郁热为其核心病机，三者呈“郁—虚—热”动态演变，并可相互交织、虚实夹杂。临证应以调肝为枢，立疏肝解郁、养血柔肝、清肝润目三法，兼健脾、益肾，使肝气条达、肝血充盈、目络通畅、泪液自生。

  关键词： 干眼症；肝开窍于目；从肝论治；辨证论治；病机演变; ; ; ; 

   

  Abstract: Dry eye syndrome lies in the eye orifices, with its root root in the liver. The liver governs dispersion and blood storage, opening the orifices to the eyes. The transformation and application of tears help liver qi flow smoothly and liver blood is abundant. Based on the theory that the liver opens the orifices to the eyes, this paper proposes that liver qi stagnation, liver blood deficiency, and liver meridian heat stagnation are the core pathogenesis. The three exhibit a dynamic evolution of stagnation—deficiency—heat, which can be interwoven and intertwined. In clinical practice, liver regulation should be the pivot, establishing three methods: soothing the liver to relieve depression, nourishing blood and softening the liver, clearing the liver and moistening the eyes, while also strengthening the spleen and benefiting the kidneys, so that liver qi flows smoothly, liver blood is abundant, the eye vessels are smooth, and tears are produced spontaneously.

  Key words: dry eye syndrome; The liver opens its orifices to the eyes; Treatment is based on the liver principle; Syndrome differentiation and treatment; Pathogenesis and evolution

  提交时间：2026-08-16

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• 序号	提交日期	编号	操作
  1	2026-07-24	10.12201/bmr.202608.00032V1	下载

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