摘要
糖尿病视网膜病变是糖尿病常见并发症之一,临床表现以视力下降最为多见,眼底可见出血斑、硬性渗出、视网膜血管病变、微血管瘤等.其病理机制复杂,目前临床西医治疗效果各有千秋,但都不甚满意.支楠教授是北京名医孔嗣伯的学术继承人,她认为本病的主要病机与肝、脾、肾三脏功能失调有关,湿热、瘀血为本病的关键核心.以疏肝理气、清热平肝、补气养阴、清热利湿、活血化瘀为主要治法,其疗效显著,值得总结与推广.
Abstract
Diabetic retinopathy is one of the common complications of diabetes.Clinically,it is most commonly manifested by decreased vision.Fundoscopic examination may reveal hemorrhages,hard exudates,retinal vascular changes,and microaneurysms.The pathophysiology of this condition is complex,and current clinical treatments in Western Medicine have varying degrees of effectiveness,but none are particularly satisfactory.Professor ZHI Nan,a disciple of academician KONG Sibo,believes that the primary pathogenesis of this condition is related to dysfunction in liver,spleen,and kidney,with damp-heat and blood stasis being the critical core factors.The main treatment principles include soothing liver and regulating Qi,clearing heat and calming liver,tonifying Qi and nourishing Yin,clearing heat and promoting urination,and invigorating blood and resolving stasis.These treatments have shown remarkable effectiveness and are worthy of summarization and promotion.
基金项目
全国名老中医药专家支楠传承工作室项目()
北京市中医管理局第六批北京市级中医药专家学术经验继承工作项目()
国家科技期刊平台
NSTL
万方数据