基于“瞳神络病理论”的湿性年龄相关性黄斑变性的诊疗探析  

Academic thoughts on the the diagnosis and treatment of wet age-related macular degeneration based on the theory of Tongshen Luobing

作　　者：周雅琪[1] 李书娇 亢泽峰[1] ZHOU Yaqi;LI Shujiao;KANG Zefeng(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2021年第10期721-724,共4页China Journal of Chinese Ophthalmology

基　　金：北京市石景山区亢泽峰名医传承工作室项目;深圳市医疗卫生三名工程(SZSM201812090);中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者。

摘　　要：“瞳神络病理论”是亢泽峰教授以中医学络病理论为基础,结合目络特点提出的创新性理论。亢教授以“瞳神络病理论”指导湿性年龄相关性黄斑变性(AMD)的临床诊疗,提出该病的核心病机为“邪阻目络、目络空虚”,病因为“虚、滞、热、寒”,应治以“治络八法”,即辛香通络法、凉血清络法、温阳通络法、化痰通络法、搜剔通络法、活血通络法、荣养通络法和滋养通络法,临床取得了良好的疗效。并将其分为脉络膜新生血管(CNV)无出血期、CNV伴出血期和湿性非活跃期,对应的中医证型分别为肝肾亏虚兼痰瘀互结证、肝肾阴虚兼热迫血溢证和肝肾亏虚兼气血两虚证,并列举出3个基础方剂以供临床医师参考。Tongshen Luobing theory is summarized by professor Kang Zefeng based on collaterals disease theory of Traditional Chinese Medicine(TCM)and eyes collaterals characteristics.Professor Kang guids the clinical diagnosis and treatment of wet age-related macular degeneration(AMD)with Tongshen Luobing theory.He thinks the core of the pathogenesis is"Xiezu Muluo,Muluo Kongxu"and the core of wAMD is"virtual,hysteresis,hot,cold".He puts forward eight methods to treat the disease.They are Xinxiang Tongluo,Liangxue Qingluo,Wenyang Tongluo,Huatan Tongluo,Sougua Tongluo,Huoxue Tongluo,Rongyang Tongluo and Ziyang Tongluo treatment.Good clinical effect has been achieved.He divides AMD into three stages:CNV without bleeding,CNV with bleeding and inactive periods,and Chinese Medicine Syndrome Types are Ganshen Kuixu and Tanyu Hujie,Ganshen Kuixu and Qizhi Xueyu,Ganshen Kuixu and Qixue Liangxu.There are three basic prescriptions listed for clinicians'reference.

关 键 词：亢泽峰 瞳神络病理论 湿性年龄相关性黄斑变性 

分 类 号：R276.7[医药卫生—中医五官科学]