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作 者:彭耀崧[1] 王幼生[1] 詹敏[1] 黄小瑛[1]
机构地区:[1]广州中医药大学第一附属医院眼科,广东广州510405
出 处:《中医药学刊》2004年第12期2233-2234,共2页Study Journal of Traditional Chinese Medicine
基 金:广州中医药大学中医药研究与发展总体规划课题(GH9913)
摘 要:高度近视是一个漫长的病理过程。从屈光度和黄斑病变与辨证分型关系可见,随着近视度的不断加深及眼底病变的叠次出现,虚损呈现气虚阴虚、阳虚、或脾虚肝肾虚的规律发展,符合中医"久病必虚"、"久病及肾"的理论。目的:探讨高度近视中医辨证分型与眼部病变的关系。方法:观察高度近视72例中医辨证分型与眼部黄斑病变和屈光度之间关系,对比不同病变中医辨证分型的规律。结果:高度近视中医辨证分型以虚证为主,其中又以脾气虚、肝肾阴虚和脾肾阳虚为多。各型患者在不同年龄组中的分布相同(P>0.25),但脾肾阳虚者表现为屈光度较高(P<0.05)及具有更高的黄斑病变发生率(P<0.005)。结论:高度近视中医辨证分型与屈光度和黄斑部病变密切相关。Objective: To explore the pathogenesis and Bian Zheng rules in high myopia. Method: Observing 72 cases of high myopia for the classification of Bian Zheng basing on the symptom complex of the patients. Results :The majority of the presented the deficiency syndrome, of which the deficiency of the splenic qi, the deficiency of the liver and kidney yin, and the deficiency of the liver and kidney yang had the higher rates. The distributions of the three in different age groups were the same ( P >0.25), but the last two had higher dioptry ( P <0.05), and higher morbidity of macular disorders ( P <0. 005 ). Condusions: High myopia is a deficiency syndrome. The early stage is mainly the deficiency of the splenic qi. Yet in the late stage, it would develop into the deficinecies of the splenic, liver and kidney.
分 类 号:R276.7[医药卫生—中医五官科学]
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