中医目诊的研的究进展与评述_黄惠勇.pdf

书第 31 卷 第 7 期 2 0 1 3 年 7 月 中 华 中 医 药 学 刊 CHINESE ARCHIVES OF TRADITIONAL CHINESE MEDICINE Vol． 31 No． 7 Jul． 2 0 1 3 博 士 导 师 新 论 中 华 中 医 药 1479 学 刊 中医目诊的研究进展与评述 黄惠勇，胡淑娟，彭清华 ( 湖南中医药大学，湖南 长沙 410007) 摘 要: 综述了近 30 年来中医目诊的研究进展并对其进行了评述。中医目诊的理论依据是目是五脏六腑的 缩影，目与脏腑经络的密切关系; 眼分五轮八廓，分属于脏腑; 及现代生物全息理论、虹膜诊断理论的进一步支撑。 其研究进展主要体现在: 一是对《内经》、《伤寒杂病论》、《小儿药证直决》、《景岳全书》等经典著作中目诊文献资 料进行整理发掘; 二是在临床上将中医目诊应用到消化性溃疡、慢性胃炎、乙型肝炎、肝癌、子宫肌瘤、大肠癌、糖 尿病、高血压病、甲状腺功能亢进症、腰椎间盘突出症等疾病的诊断中。现代虹膜诊断和球结膜微循环诊察虽然 丰富中医目诊方法和内容，但目诊仍存在有些理论如八廓学说尚有待进一步的临床验证; 缺乏多中心、大样本的 临床研究等一些问题。 关键词: 目诊; 五轮八廓; 生物全息律; 虹膜诊断; 球结膜微循环; 临床应用 中图分类号: R241． 2 文献标志码: A 文章编号: 1673 － 7717( 2013) 07 － 1479 － 05 Research Progress and Review of Eye Diagnosis of Chinese Medicine HUANG Huiyong，HU Shujuan，PENG Qinghua ( Hunan University of Chinese Medicine，Changsha 410007，Hunan，China) Abstract: This paper summarized and reviewed research progress of eye diagnosis of Chinese medicine for nearly 30 years． The theoretical basis of eye diagnosis of Chinese medicine was the epitome of five Zang and six Fu． Eyes had the close relationship of the Zang － fu organs and meridians． Eye was divided into five Lun and eight Kuo，corresponding to Zang － fu organs． And according to modern biological holographic theory，iris diagnostic theory supported that further． The research progress was reflected in three aspects: one was Neijing，Treatise on Febrile and Miscellaneous Diseases， Xiaoer Yaozheng Zhijue，Jingyue Quanshu and other classic literatures in the eye diagnosis for finishing excavation; the second was in clinic diagnosis of Chinese medicine orders would be applied to the diagnosis of peptic ulcer，chronic gas- tritis，hepatitis B，liver cancer，uterine fibroids，colon cancer，diabetes，hypertension，thyroid function of the hyperthy- roidism，prolapse of lumbar intervertebral disc，etc． Modern iris diagnosis and bulbar conjunctiva microcirculation exami- nation enriched methods and contents of eye diagnosis of Chinese medicine，but still some theories of eye diagnosis such as the eig