放射性视网膜病变中医证治规律探析  

Discussion on Therapeutic Principle and Therapeutic Method of Radiation Retinopathy

作　　者：严然[1] 叶河江[2] 刘爱琴[3] 祝捷[1] 

机构地区：[1]成都中医药大学,四川成都610075 [2]成都中医药大学附属医院,四川成都610072 [3]中国人民解放军第四五二医院,四川成都610061

出　　处：《成都中医药大学学报》2014年第4期107-109,共3页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:81072856);四川省中医药管理局基金项目(编号:2014E063)

摘　　要：放射性视网膜病变常在头颈部肿瘤放疗后1~3年出现,严重威胁视力。通过探索历代医家对该病的辨证、治疗规律分析,应用中医经、络理论角度分析放射性视网膜病变在其不同阶段的病因病机符合病邪由经脉向络脉传变的规律。认为研放射性视网膜病变症候治疗规律为感受放射邪毒,初期以肝肾阴亏表现为主的＂经病＂阶段,治疗当清热凉血,补益脾肺或补益肝肾;病程日久以脉络瘀滞表现为主的＂络病＂阶段则以活血祛瘀理气、络以辛为卓泄、络虚通补为主进行治疗。Radiation Retinopathyis a kind of Radiation injury of eye with a concealed onset. The onset time was 1 to 3 years after radiotherapy to head and neck tumor. The Radiation Retinopathy can seriously harm vision, moreover, it always be confused with other diseases in clinic. This paper analyses that Radiation Retinopathy＇ s etiology and pathogenesis in different stages is in accordance with the rules of Pathogenic Evils＇ transferring from meridians to collaterals and studies the therapeutic principle and therapeutic method.

关 键 词：放射性视网膜病变病因病机 治则治法 

分 类 号：R774.1[医药卫生—眼科] R276.7[医药卫生—临床医学]