首页|袁爱红针刺治疗糖尿病视网膜病变经验

袁爱红针刺治疗糖尿病视网膜病变经验

Yuan Aihong's experience in treating diabetic retinopathy with acupuncture

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糖尿病视网膜病变(DR)以视网膜血管渗漏、新生血管形成和纤维增生为特征,随病情进展可出现视力减退、视野缺损、眼前黑影、失明等视觉功能障碍,是糖尿病最常见的血管并发症之一.袁爱红主任遵循先人理论,结合多年针灸治疗内分泌代谢性疾病的临床经验,提出DR病位在眼,气阴两虚为病之根本,目络热瘀是病之关键;强调治病必求于本,以益气养阴为治则,气阴同调,从瘀论治.临床注重近部取穴、远部取穴、辨证取穴的原则,常用穴位包括睛明、视区、百会、攒竹、项五针、光明.针刺治疗DR时重用输刺,气至病所;善用头针,辅以电针;注重既病防变,瘥后防复思想;能有效改善DR患者生活质量、提高或维持视力、延缓DR病变.
Diabetic retinopathy(DR)is one of the most common vascular complications of diabetes mellitus,charac-terized by retinal vascular leakage,neovascularization and fibroplasia.With the progression of DR,visual dysfunction such as vision loss,visual field defect,shadow before eyes and blindness may occur.Following the theory of ancestors and com-bining with years of clinical experience in acupuncture and moxibustion treatment of endocrine and metabolic diseases,Di-rector Yuan Aihong proposes that DR is located in the eye,both deficiency of Qi and Yin is the root of the disease,and the heat and blood stasis blocking the eye meridians is the key to the disease.She emphasizes that the treatment should focus on the root cause,and replenishing Qi and nourishing Yin should be the treatment principle,which can achieve the effects of regulating both Qi and Yin and treating the disease from blood stasis.In clinical practice,attention should be paid to the principles of proximal acupoint selection,distal acupoint selection and acupoint selection based on syndrome differentiation.The commonly used acupoints include Jingming,Shiqu,Baihui,Cuanzhu,Xiangwuzhen and Guangming.In the treatment of DR with acupuncture,transport needling is attached great importance to make Qi reach the affected area;scalp acupunc-ture is recommended,supplemented by electropuncture;attention should be paid to the idea of guarding against pathological changes when falling sick,and protecting recovering patients from relapse.The treatment of DR with acupuncture can effec-tively improve the quality of life of DR patients,improve or maintain vision,and delay DR lesions.

DRacupuncturefamous doctor's experienceYuan Aihong

李飞跃、解鸿宇、叶敏、叶盛、李群威、张乐乐、韦艳、袁爱红

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安徽中医药大学第一临床医学院,安徽 合肥 230031

安徽中医药大学第一附属医院针灸康复二科,安徽 合肥 230031

糖尿病视网膜病变 针刺 名医经验 袁爱红

第五批全国中医优秀人才研修项目安徽省级临床重点专科建设项目袁爱红安徽省名中医工作室杨骏全国名中医传承工作室

国中医药人教函[2022]1号皖卫医秘[2022]105号皖中医药发展秘[2023]23号皖中医药发展秘[2022]19号

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(6)
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