基于目络理论探讨调血通络法在糖尿病视网膜病变治疗中的应用
Application of Tiaoxue Tongluo Therapy in Treatment of Diabetic Retinopathy Based on Theory of Ocular Collaterals
庞午 1张越 1张铭连 1李亚 1杨赞章 1毛爱玲 1冯琳1
作者信息
- 1. 河北省眼科医院/河北省眼部疾病临床医学研究中心/河北省眼科学重点实验室,河北邢台 054001
- 折叠
摘要
糖尿病视网膜病变(diabetes retinopathy,DR)是最常见的糖尿病(diabetes mellitus,DM)慢性并发症之一,是工作年龄人群首位的致盲性眼病.其眼底表现为视网膜微血管瘤、出血、水肿、渗出、玻璃体积血,甚至视网膜脱离等,归属于中医眼科"消渴目病""视瞻昏渺""云雾移睛"等范畴.其眼底病变进行性加重,病因病机虚实夹杂,错综复杂.张铭连教授基于目络理论和多年的临床研究,认为其主要病理机制为"目络郁(瘀)阻",调血通络法为其主要治法.本文将阐释基于目络理论制定的调血通络法在治疗DR的认识和临床应用.
Abstract
Diabetic retinopathy(DR)is one of the most common chronic complications of diabetes mellitus(DM)and is the leading cause of blindness among working-age populations.Its fundus manifestations include retinal microaneurysms,hemorrhage,ede-ma,exudation,vitreous hemorrhage,and even retinal detachment,which fall into the categories of xiao ke mou bing(diabetes-in-duced ophthalmic disease),shi zhan hun miao(blurred vision),and yun wu yi jing(floating cloud-like vision)in traditional Chinese ophthalmology.The fundus lesions progressively worsen,and the etiology and pathogenesis are complex,involving both deficiency and excess.Based on the theory of ocular collaterals and years of clinical research,Professor Zhang Minglian believes that the main patho-logical mechanism of DR is ＂obstruction of ocular collaterals due to stagnation(or blood stasis)＂,and the Tiaoxue Tongluo Therapy(Therapy of regulating blood circulation and unblocking collaterals)is the primary treatment approach.This article will elaborate on the understanding and clinical application of Tiaoxue Tongluo Therapy in the treatment of DR based on the theory of ocular collaterals.
关键词
调血通络/目络郁(瘀)阻/糖尿病视网膜病变Key words
Tiaoxue Tongluo Therapy/obstruction of ocular collaterals due to stagnation(or blood stasis)/diabetic reti-nopathy引用本文复制引用
基金项目
国家中医药局高水平重点学科建设项目()
邢台市重点研发计划(2022zz073)
河北省医学科学研究项目(20231996)
出版年
2024
国家科技期刊平台
NSTL
万方数据