首页|张风梅基于辨病-辨证-辨体诊疗模式治疗慢性CSC

张风梅基于辨病-辨证-辨体诊疗模式治疗慢性CSC

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中心性浆液性脉络膜视网膜病变(CSC)是眼科一种常见多发病,具自限性、易复发的特点,多次复发后严重影响患者视功能.王琦院士提出的"辨病-辨证-辨体"三辨诊疗模式,为中医眼科诊疗CSC提供了新的思路与方法.本文整理总结了张风梅运用三辨诊疗模式诊断及治疗慢性CSC的经验,主张临证时先辨病确定病名,再辨证确定证型,结合辨体判定体质与疾病内在联系.治疗上在症候明显的阶段以辨证治疗为主,结合调理体质,临床症状消失后或发病时无全身症状、缺乏明显的证候特点的个体,以辨体论治为主以调体质的偏颇,从而达到改善症状、调理体质而治愈慢性CSC、减少复发的目的.
Application of Constitution Differentiation-disease Differentiation-Syndrome Differ-entiation Diagnosis and Treatment Model in Chronic Central Serous Chorioretinopathy
Central plasma choroidal retinopathy(CSC)is a common and frequent disease in ophthalmology,which is self-limiting,easy to recur,and severely affects visual function of patients after repeated recurrences.Academician WANG Qi has proposed the"body-disease-evidence"triple diagnosis and treatment model,which provides a new idea and method for Ophthalmology of Traditional Chinese Medicine to diagnose and treat CSC.This article summarizes ZHANG Fengmei's experience in diagnosing and treating chronic CSC by using the three-dimensional diagnosis and treatment model,which advocates that the name of the disease should be determined by first identifying the disease,and then the type of evidence should be determined by identifying the symptoms,and then the body should be combined with the identification of the intrinsic connection between the body quality and the disease.In the treatment of the disease,the main focus is on the identification of the symptoms at the stage of obvious symptoms,combined with the regulation of the body,after the disappearance of clinical symptoms or the onset of no systemic symptoms,the lack of obvious characteristics of the symptoms of individuals,the main focus is on the identification of the body in order to regulate the bias of the body,in order to achieve the improvement of the symptoms,the regulation of the body to cure chronic CSC,and to reduce the recurrence of the purpose.

the model of constitution differentiation-disease differentiation-syndrome differ-entiationcentral serous chorioretinopathydiagnosis and treatment mode

武金燕、张砾元、高锦锦、张风梅

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河南中医药大学,郑州 450003

河南省中医院(河南中医药大学第二附属医院),郑州 450002

辨病-辨证-辨体 慢性中心性浆液性脉络膜视网膜病变 诊疗模式

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(5)
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