漏睛源流浅析

Brief Analysis on Origin and Development of Chronic Dacryocystitis

摘要: 漏睛是眼科的常见疾病，有关此病的最早记载可以追溯至隋朝巢元方《诸病源候论》中有关目脓漏的论述。其基本病因病机主要归责于心火旺盛、风热炽盛等原因致使泪窍受阻，或风热毒邪上行至眼，长期积火而成脓，浸渍泪窍所致。关于该病的治疗方法，古籍记录有外治法和内治法。临床上当急则治其标，缓则治其本，审察病因，辨证论治。本文欲通过整理相关古籍文献，阐述漏睛的病因病机以及治疗方法，为临床治疗提供更多的思路。

Abstract: Chronic dacryocystitis is a common ophthalmic disease. The related records of this disease can be traced back to the discussion on the ocular pyorrhea in the Treatise on the Origins and Symptoms of Diseases of the Sui Dynasty. Its basic etiology and pathogenesis is mainly attributable to conditions, such as the hyperactivity of heart fire, the congestion of wind-heat, or the invasion of wind-heat toxins into the eyes, leading to a chronic accumulation of fire and pus that infiltrates the lacrimal punctum. For the treatment of the disease, ancient books recorded external treatment and internal treatment. In clinical practice, clinicians prioritize addressing acute symptoms in emergent cases and targeting the root cause in chronic cases, while thoroughly investigating etiologies and formulating treatments based on syndrome differentiation. This paper aims to elaborate the causes, pathogenesis and treatment of chronic dacryocystitis by combing relevant ancient books and literature, so as to provide theoretical basis for research, and provide more ideas for clinical treatment.