陈向东教授运用桂枝茯苓丸加味治疗糖尿病黄斑水肿经验

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中文摘要：陈向东教授通过长期临床经验结合微观辨证理论得出,糖尿病黄斑水肿的病机特点为消渴耗气,气虚不运,阳气郁滞,血瘀视衣,病程日久,水湿停聚,痰湿内生,痰瘀互结,发为水肿,故以"通阳解郁,活血利水"为治疗原则,化裁经方桂枝茯苓丸临证加减,为治疗糖尿病黄斑水肿提供新的治疗思路.

外文标题：Professor CHEN Xiangdong's experience in treating diabetic macular edema with modified Guizhi Fuling Pill

外文摘要：Professor CHEN Xiangdong,based on long-term clinical experience and microscopic pattern differentiation theory,concluded that the pathogenesis of diabetic macular edema(DME)is characterized by qi deficiency,which is due to wasting thirst disorder,failing in transportation,stagnation of yang qi,blood stasis in the retina,retention of water-dampness in a prolonged disease course leading to endogenous phlegm-dampness,and,finally,intertwined phlegm and blood stasis.Therefore,taking"activating yang to relieve stagnation,and circulating blood and draining water retention"as the therapeutic principle,the classic formula Guizhi Fuling Pill is applied and modified according to different clinical conditions.This paper aims to provide a new therapeutic idea for the treatment of DME.

外文关键词：

diabetic retinopathydiabetic macular edemamicroscopic pattern differentiationintertwined phlegm and blood stasiscirculating blood and draining water retentionGuizhi Fuling Pill

作者：

郭心仪、黄栊瑢、郭永红、陈向东

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作者单位：

湖南中医药大学第一中医临床学院,湖南长沙 410007

衡阳市中医医院,湖南衡阳 421000

湖南中医药大学,湖南长沙4102083

关键词：

糖尿病视网膜病变糖尿病黄斑水肿微观辨证痰瘀互结活血利水法桂枝茯苓丸

基金：

国家自然科学基金项目湖南省自然科学基金项目湖南省中医药科研计划项目湖南中医药大学校级科研项目湖南中医药大学校级科研项目

项目编号：

823745252021JJ30520C20220032022CX1502023CX39

出版年：

2024

DOI：

10.3969/j.issn.1674-070X.2024.06.017

湖南中医药大学学报

湖南中医药大学

湖南中医药大学学报

CSTPCD

影响因子：1.098

ISSN：1674-070X

年,卷(期)：2024.44(6)