周婉瑜应用半夏泻心汤加减治疗wAMD并发RPE撕裂的经验探讨  

ZHOU Wanyu's experience in treatmenting RPE tear complicated with wAMD with Banxia Xiexin Decoction

作　　者：吴建国[1] 周婉瑜[1] 韦东[1] WU Jianguo;ZHOU Wanyu;WEI Dong(Ophthalmology Department,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院,北京100091

出　　处：《中国中医眼科杂志》2021年第12期882-886,共5页China Journal of Chinese Ophthalmology

基　　金：北京市科技计划课题(Z161100000516107)。

摘　　要：视网膜色素上皮(RPE)撕裂是湿性年龄相关性黄斑变性(wAMD)的一种常见并发症,也属于中医眼科学的“视瞻昏渺”“暴盲”等范畴,从病因病机方面认为其可能与脏腑气机的升降失调、肝失疏泄、脾失健运以至气血运行不畅,不能濡养清窍,目失所养等有关。临床表现为视力骤降、视物遮挡等,黄斑区出现水肿、渗出、出血等病变。周婉瑜教授根据此中医诊疗思路运用半夏泻心汤加减治疗RPE撕裂肝郁脾虚证临床疗效显著,体现了治病求本,病证结合,标本兼治的思想,兹将其经验总结于此,供大家临床参考。Retinal pigment epithelium(RPE)tear is a common complication of wet age-related macular degeneration(wAMD),which belongs to the category of"dim vision"and"sudden blindness"in ophthalmology of Traditional Chinese Medicine(TCM).From the aspect of etiology and pathogenesis,it is considered that it may be related to the viscera disorder of Qi activity,the loss of liver drainage,and the loss of healthy movement of spleen,leading to the poor operation of Qi and blood,and the inability to nourish the orifices,especially the eyes.The clinical manifestations include sudden loss of vision,visual occlusion,as well as edema,exudation,bleeding and other lesions in the macular area.Professor ZHOU Wanyu used Banxia Xiexin Decoction to treat liver depression and spleen deficiency syndrome of RPE tear,which has a significant clinical effect,reflecting the idea of treating the root causes of the disease,combining disease and syndrome,and treating both symptoms and root causes.The experience is summarized here for your clinical reference.

关 键 词：湿性年龄相关性黄斑变性 视网膜色素上皮撕裂 肝郁脾虚 半夏泻心汤 

分 类 号：R276.7[医药卫生—中医五官科学]