结膜干燥症（神气枯瘁、神水将枯）二
魏氏中医眼科创始人魏儒正所著《眼科集要》中详细记载着关于结膜干燥症的描述：如诉夜盲，眼球结膜干燥。现污秽，色恰如涂脂肪。不受泪液之湿润。甚则角膜两侧之结膜当眼裂之部。如附泡沫、如撒银屑。曰结膜干燥症。重者角膜奕干燥失光泽稍混浊。做灰白色。恰如磨玻璃。曰角膜干燥症。甚至角膜侵润化脓而溃疡终致失明曰角膜软化症，即疳眼是神气枯瘁、神水将枯实疳眼之前驱症也。
中医检查：
令其急合睑合渠静坐半晌。再掀再见状如前。少间始复最不易识。虽形于外而不知其内。治疗措施:
应用鱼肝油滴眼，同时应用抗生素溶液及眼膏，以预防和治疗继发感染、角膜溃疡及角膜软化，并要滴阿托品散瞳及抗生素眼膏局部治疗 食物治疗及全身治疗，主要是改善患者的营养状况，防止继发感染。食用含维生素A丰富的食物，如牛奶、鸡蛋、猪肝含胡罗卜素的蔬菜；口服鱼肝油，如有消化不良或胃肠道疾病患者可肌肉注射维生素A或AD，每天1次；全身合并症应与儿科或内科协助共同采取积极治疗措施.西医目前尚无有效治疗，主要是对症处理，为了减少痛苦可频繁滴入生理盐水、人工泪液或抗生素眼膏；或用电烙封闭小泪点，以减少泪液的流出；亦有人施行腮腺管移植术对改善症状有一定好处，但当就餐时由于腮腺分泌量过多，常使患者流泪不止，而近年来则用亲水性软角膜接触镜，局部治疗效果尚不确切。对于眼睑闭合不全所致的眼球干燥，可行眼睑成形术。一旦睑裂闭合不全得到矫正，结膜还可在一定程度上得到恢复。预防:
养成多眨眼的习惯。干眼病是一种压力型病症，问题出在眼睛长时间盯着一个方向看。因此避免眼睛疲劳的最好方法是适当休息，切忌连续操作。魏氏中医眼科辨证论治:
中医认为此证为目日觉干涩不爽利，而视昏花也。多因劳瞻竭视，过虑过思，耽酒恣燥之人，不忌房事、劳伤神水，目必有此证。如细细赤脉及不润泽等冰生焉。合眼养光，久则得泪略润，开则明爽，可见水少之故。若不谨戒保养，甚则伤神水，而枯涩之病变生矣。惟急滋阴养水，略带抑火以培其本，本立则清纯之气和，而化生之水润。若误认为火症，妄用开烙针泄之治，则有紧缩细小之患。 治则：养心肾不足，疗眼目昏暗、滋阴养神、通调水道 ，宣肺理气。有补无泻庭境之言甚合理，而不立方。子所不知善缺如也。不知病为疳眼之先兆。凡疳眼之方皆对症，尤以魏氏中医眼科第二代传人魏纯讷在古人所创之“鸡肝散”加入自己调制的方剂加以配伍曰：“化翳鸡肝散"此实为我中医最得手之症也。补津液之虚损、然补益精髓。则自然而愈，两目如久旱逢甘霖，自然流利顺畅。具体治疗方案因人而异，辨证是关键，辩证不准确，一切治疗则无从谈起。如果不是急性炎症、单纯性的眼睛干涩、则尽量多从食物中改善、从睡眠调理中改善，尽量不要长期滴用各类抗生素眼药水。Service Box Type 1
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