首页|张风梅从"痰湿质"论治视网膜静脉阻塞经验

张风梅从"痰湿质"论治视网膜静脉阻塞经验

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视网膜静脉阻塞(RVO)是由多种因素导致视网膜静脉血栓形成,血流受阻,表现为视网膜静脉迂曲扩张、视网膜出血及水肿等症状,影响患者视力甚至导致失明.其作为常见的第二大视网膜血管疾病,发病群体主要为中老年人,发病率高,预后不良.RVO归属中医学"血证""络损暴盲"等范畴,中医学认为气、火、痰湿、瘀血是RVO发病的主要病理因素.在体质学说的指导下,张风梅擅长应用"辨体-辨病-辨证"诊疗模式诊治RVO,认为RVO的发生与痰湿质关系密切,本文从"痰湿质"出发,总结张风梅以化痰、利湿、祛瘀法治疗RVO的经验方法.
ZHANG Fengmei's Experience in Treating Retinal Vein Occlusion with"Phlegm-Dampness Constitution"
Retinal vein occlusion(RVO)is a condition where retinal vein thrombosis is caused by various factors,leading to impaired blood flow.It is characterized by the dilation and tortuosity of retinal veins,retinal hemorrhage,edema,and other symptoms,which can adversely affect a patient's vision and even lead to blindness.As one of the most common retinal vascular diseases,RVO primarily affects middle-aged and elderly individuals,with a high incidence and poor prognosis.Traditional Chinese medicine(TCM)categorizes RVO under the domains of"blood stasis"and"collateral damage leading to sudden blindness."TCM believes that factors such as Qi,fire,phlegm-dampness,and blood stasis are the main pathological factors contributing to the development of RVO.Guided by the theory of constitution,ZHANG Fengmei specializes in applying the"constitution differentiation-disease differentiation-syndrome differentiation"diagnostic and treatment model to address RVO.She believes that the occurrence of RVO is closely related to the phlegm-dampness constitution.This article begins with the"phlegm-dampness constitution"and summarizes ZHANG Fengmei's experience in treating RVO using methods aimed at resolving phlegm,eliminating dampness,and dispelling blood stasis.

phlegm-dampness constitutionretinal vein occlusionexpert experience

刘莹莹、李清雅、张风梅

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河南中医药大学第二临床医学院,郑州 450003

河南中医药大学第二附属医院,郑州 450002

痰湿体质 视网膜静脉阻塞 名医经验

国家中医药管理局专科专病循证能力提升项目

2019XZZX-YK005

2024

中国中医眼科杂志
中国中医科学院

中国中医眼科杂志

CSTPCD
影响因子:0.476
ISSN:1002-4379
年,卷(期):2024.34(2)
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