糖尿病视网膜病变中医病机初探  

Pathogenesis Analysis of Traditional Chinese Medicine on Diabetic-retinopathy

作　　者：张瀚文[1] 石岩[1] 

机构地区：[1]辽宁中医药大学

出　　处：《辽宁中医药大学学报》2018年第2期121-123,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省高等学校创新团队支持计划项目(LT2014020)

摘　　要：糖尿病视网膜病变是基于糖尿病患者病理基础之上的一种常见微血管并发症之一,严重者可导致失明。祖国医学并无该病对应病名,现大多认为该病属于中医＂暴盲＂＂视瞻昏渺＂＂血灌瞳神＂＂云雾移睛＂等疾病范畴。西医认为糖尿病视网膜病变多因糖尿病病程进展,长期高血糖或糖尿病并高血脂、高血压等异常指标对眼视网膜微血管长期的、慢性损害所引起的并发症,故该病中医病机也应在消渴病的基础上进一步剖析认识。该病在中医临床阶段可分为早、中、晚3个时期,病程演变的特征在这3个时期可归纳为气阴两虚过程转变为肝肾亏虚过程继而转变为阴阳两虚3个阶段。然而糖尿病患者随着病程进展,多出现本虚标实的病理状态,常夹杂瘀血、痰浊等病理产物,这些病理产物一直贯穿糖尿病整个病程,也是进一步直接导致糖尿病视网膜病变的诱因,故该病的病理特点大致也可以归纳为本虚标实,虚实夹杂。通过对糖尿病视网膜病变的整体机演化过程、病理产物致病的分析及中医临床研究结果提出的对该病的认识,来探析糖尿病视网膜病变的整体病机。Diabetic-retinopathy is one of the common microvascular complications based on the pathology of diabetic patients,which can lead to blindness.In traditional Chinese medicine,this disease can be divided into early-middle-late three periods in clinical stage.Diabetic patients often complicated with blood stasis,phlegm and other pathological products.These pathological products not only go through the whole process of diabetes,but also directly lead to diabetic retinopathy.In this paper,the whole pathogenesis of diabetic retinopathy is analyzed by analyzing the whole process of diabetic retinopathy,the pathogenesis of pathologic products and the consensus of the disease in clinical research.

关 键 词：糖尿病视网膜病变 气阴两虚 肝肾亏虚 阴阳两虚 血瘀 痰浊 病机演变 中医 

分 类 号：R587.1[医药卫生—内分泌]