乾眼症的現代中西醫治療

The Modern Treatment of Dry Eye Syndrome on Traditional Chinese Medicine and Western Medicine

身處3C產品普及的世代，現代人使用3C產品的頻率和時間升高，對於眼睛的傷害增加，其中常見衍生疾病之一即為乾眼症，其病因、症狀表現多樣化。在西醫眼科診療中，首先以現有評估工具，作為診斷依據，依照病因分作兩種類型：蒸發型、水份不足型，前者與瞼板腺功能不良，或眼部結構異常相關，後者則與淚腺破壞或功能異常有關，治療選擇取決於病因及病情嚴重度，方法包含藥物治療（抗生素、類固醇、眼藥水等）、手術治療（淚管栓塞術）等。中醫觀點中，與乾眼症相關的文獻記載繁多，對於症狀、病因及治療方法皆有論述，病因涵蓋內因、外因及不內外因，依據臨床辨證分作常見的五型：肝腎陰虛型、肺陰不足型、脾肺虛弱型、脾胃濕熱型、肝經鬱熱型，治療上選用相對的方藥，合併針灸治療，促進淚液分泌增加，增加淚膜穩定性，改善臨床症狀。透過中、西醫在診治乾眼症上各自扮演的優勢角色，給予患者適切的治療，並落實日常眼睛保健，緩解乾眼症症狀。

Living in a generation with vigorous popularization of 3C products, a greater time people spend on it, as well as the damage to eyes. One of the common diseases derived from it—Dry eye syndrome, with various causes and clinical symptoms. In the diagnosis of it, ophthalmologists assess the conditions with multiple tools, and then classify into two typical types, evaporative and aqueous-deficient. The former is related to Meibomian gland dysfunction or malconformation of eyes, the latter is attributed to tear gland damage or dysfunction. Treatments including medications and operations, are mainly depends on the cause and disease severity. Besides, there are lots of related literature within the Traditional Chinese Medicine, involving descriptions of symptoms, causes, and treatments. According to the clinical symptom differentiation, five most common types are presented, liver-and-kidney yin-deficiency, lung-yin-deficiency, spleen-and-lung-weakness, spleen-stomach-damp-heat, liver-stagnating-heat. Choosing the corresponding medications in the light of specific type, doctors can also combine acupuncture treatment, which help enhance tear production and secretion, and increase tear film stability. Finally, through the traditional Chinese medicine and western medicine exerting its own superiority on treating dry eye syndrome, and implementing the daily eyes care, patients can receive a comprehensive care, and be prospected a better prognosis.