〔摘要〕 干眼是一种多因素的慢性眼部疾病，其病情迁延反复、难以完全治愈，与伏邪特点相合。结合本病目失濡泽的基本特征，导致干眼的可伏之邪主要为伏燥、伏湿、伏火等，藏伏之处为肺、脾、肝，另外因三焦既可布津液润目又可行伏邪害目，故邪可伏于三焦。治疗上祛邪与扶正并重，祛邪以养阴利邪，即通利三焦、祛邪生津贯穿治疗始终，扶正以顾护正气、调和阴阳，同时强调养生调摄的重要性。并附临床案例1则，以期为干眼的防治提供新思路。

    〔关键词〕 干眼；伏邪；三焦；正邪交争；养阴利邪

    〔中图分类号〕R276.7" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.11.027

    Treating dry eye from the perspective of latent pathogenic factors

    HOU Wanjun1，2， JIANG Pengfei3， LIU Pei1， TAN Kang1， LONG Xi1， PENG Jun2*， PENG Qinghua1，2*

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Clinical School of Chinese Medicine， Hunan University of Chinese Medicine， Changsha， Hunan 410007， China; 3. Zhejiang Medical amp; Health Group Quzhou

    Hospital of Hangzhou Medical College， Quzhou， Zhejiang 324004， China

    〔Abstract〕 Dry eye is a chronic ocular disease with multiple etiologies， characterized by lingering and recurrent symptoms that are difficult to completely cure， which is in accordance with the characteristics of latent pathogenic factors. Based on the fundamental feature of the disease—the loss of nourishing and moistening in the eyes ......