从“肝开窍于目”论治儿童异常瞬目综合征

Treating Children’s Abnormal Blink Syndrome from the Perspective of “The Liver Opens into the Eyes”

摘要: 儿童异常瞬目综合征是临床常见的儿童疾病，以眼睑不自主频繁眨动为主要表现，近年来随着电子产品的普及和学业压力的增大，发病率呈逐渐上升趋势。中医学将其归属于“目劄”范畴。本文基于“肝开窍于目”的中医经典理论，系统探讨该病的病因病机与辨证治疗。认为儿童异常瞬目综合征的核心病机为肝脾失调、脾虚肝旺，具体可归纳为肝血不足、肝气郁结、肝火上炎、肝风内动四种证型，分别治以补肝血、疏肝郁、清肝火、平肝风。

Abstract: Pediatric Abnormal Blink Syndrome is a common clinical disorder in children, characterized by involuntary and frequent blinking of the eyelids. In recent years, with the widespread use of electronic devices and increasing academic pressure, its incidence has shown a gradual upward trend. In traditional Chinese medicine (TCM), it falls under the category of “Mu Zha” (eye flickering disorder). Grounded in the classic TCM theory that “the liver opens into the eyes”, this article systematically explores the etiology, pathogenesis, and syndrome-based treatment of this condition. We propose that the core pathogenesis of Pediatric Abnormal Blink Syndrome lies in the disharmony between the liver and spleen, specifically manifesting as spleen deficiency with liver hyperactivity. This can be further categorized into four syndrome patterns: liver blood deficiency, liver qi stagnation, liver fire flaring upward, and internal stirring of liver wind. The corresponding treatment principles are to nourish liver blood, soothe liver qi stagnation, clear liver fire, and calm liver wind, respectively.