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干性年龄相关性黄斑变性的中医药治疗进展

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干性年龄相关性黄斑变性是引起老年人不可逆的中心视力损害甚至丧失的主要原因,目前西医暂无确切有效的治疗方法。为进一步明确中医药在本病治疗的优势及治疗进展,本文从病因病机、辨证施治、临床研究、中医外治法等方面对相关文献进行归纳和梳理。中医药以整体观念和辨证论治理念为指导,认为本病病性为本虚标实,肝、脾、肾失调,病因病机为精气血亏虚,即肝脾肾亏虚为本,瘀血、痰浊贯穿疾病始终为标,临床常见证型有肝肾不足、脾气虚弱、气阴两虚、痰瘀互结等,通过辨证施治及中医外治法治疗本病取得了一定优势,但其中医药及中医外治法多靶点、多环节的作用机制相关报道较少,为笔者提供了研究方向,在中医药治疗的作用机制上值得继续深入研究探索。
Progress of traditional Chinese medicine treatment for dry age-related macular degeneration
Dry age-related macular degeneration is the main cause of irreversible central vision impairment and even loss in the elderly.In order to further clarify the advantages and progress of traditional Chinese medicine in the treatment of this disease,the relevant literature was summarized and sorted out from the aspects of etiology and pathogenesis,syndrome dif-ferentiation and treatment,clinical research and external treatment of traditional Chinese medicine in this study.Traditional Chinese medicine is guided by the holistic concept and dialectical treatment idea,and believes that the disease is character-ized by the deficiency of the essence and the deficiency of the liver,spleen and kidney,the etiology and pathogenesis of the disease is the deficiency of the essence and blood,that is,the deficiency of the liver,spleen and kidney is the foundation,and blood stasis and phlegm are always the standard throughout the disease.The common clinical witness types include de-ficiency of the liver and kidney,weakness of the temper,deficiency of Qi and Yin,and intermingled Chinese medicine has achieved certain advantages,but there are few reports on the multi-target and multi-link mechanism of medicine and exter-nal treatment of traditional Chinese medicine,which provides the research direction for the author and is worth further re-search and exploration on the mechanism of traditional Chinese medicine treatment.

Dry age-related macular degenerationTraditional Chinese medicineTraditional Chinese medicine external treatmentTreatment progress

李妍、周璠、陈廷

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西南医科大学附属中医医院眼科,四川泸州 646000

干性年龄相关性黄斑变性 中医药 中医外治法 治疗进展

四川省中医药管理局科学技术研究专项课题

2021MS455

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(5)
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