〔摘要〕 总结彭清华教授基于“一气周流”理论辨治原发性开角型青光眼的经验。认为人身之气机是以脾土位居中轴，斡旋中气为主，“火、水、木、金”四维之轮并驱的动态周流活动，阐述了人体气机升降运动的基本模型。基于“一气周流”理论，根据原发性开角型青光眼不同阶段的病机变化，提出“虚-火-闭-衰四段病程”的中医辨证体系。基于“一气周流”理论论治原发性开角型青光眼，在治疗上以利中气升降协调为核心，把握心、肾、肝、肺四脏气机的整体变化，提出补益脾土、斡旋中轴，畅发肝木、升调气机，调木敛金、协调气机，清心滋肾、水火互济等治法，促使一身之气循环周流，进而治愈本病。

    〔关键词〕 原发性开角型青光眼；一气周流；气机升降；名医经验；彭清华

    〔中图分类号〕R276.7" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2025.03.023

    PENG Qinghua's clinical experience in pattern-differentiating and treating primary open-angle glaucoma under the theory of \"Qi Circulation\"

    CUI Hongda1，2， LI Jiangwei1，2， PENG Jun1，2， 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

    〔Abstract〕 This paper has summarized PENG Qinghua's clinical experience in the pattern identification and treatment of primary open-angle glaucoma (POAG) under the theory of \"Qi Circulation\". The theory， which describes the basic model of the ascending and descending movements of qi in the human body ......