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.
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
Key words
diabetic retinopathy/diabetic macular edema/microscopic pattern differentiation/intertwined phlegm and blood stasis/circulating blood and draining water retention/Guizhi Fuling Pill