基于"气血水"理论辨治黄斑水肿
Treatment of Macular Oedema with the Theory of"Qi-blood-water"
史向钊 1张彩霞 1陈兹满2
作者信息
- 1. 广州中医药大学,广州 510405
- 2. 广东省中医院,广州 510120
- 折叠
摘要
黄斑水肿是多种眼底疾病的主要并发症之一,属于中医眼科学"视瞻昏渺"范畴.基于"气血水"理论,其主要病机可归结于气、血、水运行和代谢障碍、阻塞络脉,其产生多与脾失健运有关.脾失健运,水湿停集于黄斑区,又因为脾主统血,当脾气不足,统摄作用受限,则血溢脉外形成离经之血,瘀血不去,新血不生,血液瘀滞加重;脉道不通,水液外渗,黄斑水肿加重.水肿、气滞、血瘀既可互为因果,也可因并存而难消难治.在治疗上,活血利水法贯穿治疗始终,同时遵循治水、治血必治气的原则,根据气滞、水肿、血瘀的偏重来加减用药,以达水行而不滞,亦能使血畅而不瘀之效.
Abstract
Macular edema is one of the main complications of various fundus diseases,belonging to the category of"blurred vision"in Ophthalmology of Traditional Chinese Medicine.Based on the theory of"Qi-blood-water",its main pathogenesis can be attributed to the movement and metabolic disorders of"Qi-blood-water",as well as blockage of collaterals.Its occurrence is often related to the loss of healthy spleen circulation.Spleen loses its healthy circulation,and water dampness stops gathering in the macular area.Additionally,because spleen is responsible for regulating blood,when spleen is insufficient and its control is limited,blood overflows outside the meridians,forming blood that deviates from the meridians.Blood stasis does not go away,new blood does not grow,and blood stasis worsens.Pulse obstruction,extravasation of fluid will aggravate macular edema.Edema,Qi stagnation,and blood stasis can be both causal and difficult to treat due to their coexistence.In terms of treatment,the method of promoting blood circulation and promoting diuresis runs through the entire treatment process,while adhering to the principle of treating water and blood must treat Qi.Medications are added or reduced according to the severity of Qi stagnation,edema,and blood stasis,in order to achieve the effect of water circulation without stagnation and blood circulation without stasis.
关键词
黄斑水肿/"气血水"理论/用药原则Key words
macular oedema/the theory of"Qi-blood-water"/medication principles引用本文复制引用
基金项目
全国名老中医药专家传承工作室建设项目张梅芳传承工作室项目(201420)
广东省中医院拔尖人才项目(2021138)
出版年
2024
国家科技期刊平台
NSTL
万方数据