溢淚症中醫歷代典籍文獻回顧

Literatures Review of Traditional Chinese Medicine about Epiphora

溢淚症是指眼淚外溢。溢淚症的原因眾多，包括眼瞼及淚點位置異常，眼輪匝肌的功能障礙，或淚液排出系統的阻塞。大多數的情形對視力並沒有威脅，但病人常常會因流淚所帶來的視力模糊，皮膚紅腫，眼部不適等問題所困擾。傳統中醫藥有著悠久而豐富的歷史，是現今保留的最古老的醫學體系之一。有關溢淚症最早的描述可以追溯到隋朝。在這項研究中，我們試圖從古代溢淚症相關典籍文獻回顧中醫藥對於此病的病因病機認識。其中以補肝血、補益肝腎、補益氣血、疏散外邪為最常見的治療原則。這項研究或許可為臨床診治時提供參考。

Epiphora is an overflow of tears onto the face. There are various causes for the appearance of epiphora, which may include faulty apposition of the lacrimal puncta in the lacrimal lake, paresis of the orbicularis muscle or obstruction of the lacrimal drainage system. Most of these conditions are not vision-threatening, but patients often find tearing a serious problem causing blurred vision, skin irritation and ocular discomfort embarrassment. Traditional Chinese Medicine (TCM) has a long and rich history, and is one of the oldest retained medical systems. The earliest description about epiphora can be traced back to the Sui Dynasty. In this study, we tried to review the cognition of traditional Chinese medicine to the disease cause and pathogenesis of epiphora from ancient literatures or textbooks. We found that supplement liver blood, enrich the liver and kidney, supplement qi and blood, resolve exterior evil are the most common therapeutic principle. The study could be a reference for the implementation of clinical application.