黄斑水肿的中医药治疗  

Treatment of macular edema with Traditional Chinese Medicine

作　　者：彭清华[1] 曾志成[1] 彭俊[1] 刘晓清 PENG Qinghua;ZENG Zhicheng;PENG Jun(Hunan University of Traditional Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学,长沙410208

出　　处：《中国中医眼科杂志》2020年第6期381-385,共5页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金面上项目(81874492,81574031);国家中医药管理局中医眼科学重点学科建设项目(ZK1801YK015);中医药防治五官科疾病湖南省重点实验室建设项目(2017TP1018);湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心开放项目(2018YGC05)。

摘　　要：本文就黄斑水肿产生的中医病因病机、辨证论治及遣方用药特色进行了详细阐述。认为导致黄斑水肿的直接病机是“血瘀水停”,该病机产生多与脾失健运、肝失疏泄、肾阳气化失司及气阴亏虚等气机运动障碍有关。活血利水法应贯穿黄斑水肿治疗始终,同时应遵循治水、治血必治气的原则,配合健脾益气、疏肝解郁、温阳益气、益气养阴及理气行滞等治气之法。利水渗湿药物车前子在治疗黄斑水肿过程中可重用,常用量为20~30 g,最大剂量可达60 g,这对黄斑水肿治疗可收意想不到之效。文章还对黄斑水肿的中医治疗进行了病案举隅。In this paper,the etiology and pathogenesis of macular edema in Traditional Chinese Medicine,syndrome differentiation and treatment,as well as the characteristics of the use of prescription and drugs were discussed in detail.It was believed that the direct pathogenesis of macular edema was blood stasis and water retention,which was mainly related to dysfunction of spleen in transportation,liver dysfunction,kidney Yang qi dysfunction and qi-yin deficiency.The method of promoting blood circulation and inducing diuresis should be used throughout the treatment of macular edema.At the same time,it should follow the principle that the treatment for water and blood must first treat the qi,and cooperate with the method of strengthening the spleen and replenishing qi,dispersing stagnated liver qi to relieve qi stagnation,warming Yang and benefiting qi,benefiting qi and nourishing yin and regulating qi-flowing to activate stagnancy.Plantain seed having the effect of inducing diuresis and excreting dampness could be reused in the treatment of macular edema.The common dose was 20~30 g,and the maximum dose could reach to 60 g,which had unexpected effect on the treatment of macular edema.The article also gave a medical record about macular edema with the TCM treatment.

关 键 词：黄斑水肿 血瘀水停 活血利水 治气 车前子 

分 类 号：R774.5[医药卫生—眼科]