彭清华教授运用补虚活血法治疗视网膜色素变性经验  

Professor PENG Qinghua's experience in treating retinitis pigmentosa by tonifying deficiency and activating blood

作　　者：钟缘 蒋鹏飞[1,3] 彭俊 彭清华[1,3] ZHONG Yuan;JIANG Pengfei;PENG Jun;PENG Qinghua(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Hunan Engineering Technology Research Center for thePrevention and Treatment of Otorhinolaryngologic Diseases and Protection of Visual Function with Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007 [3]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,湖南长沙410208

出　　处：《湖南中医药大学学报》2022年第10期1762-1766,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金面上项目(81804150、82074196);中医药防治五官科疾病湖南省重点实验室建设项目(2017TP1018);国家中医药管理局中医眼科学重点学科建设项目(ZK1801YK015);湖南省自然科学基金面上项目(2019JJ40226)。

摘　　要：彭清华教授根据多年临床经验,认为视网膜色素变性的中医病机属虚中夹瘀,临床中分脾胃气虚夹瘀型、脾肾阳虚夹瘀型、肝肾阴虚夹瘀型,主张以补虚活血法为主,处方用药时重视阴阳互根、善用枸杞子-丹参药对、常配升阳疏肝之品、善用虫类药,并总结研制出了益气明目汤、滋阴明目汤等经验方剂,临床疗效明显。Based on years of clinical experience,Professor PENG Qinghua believes that the pathogenesis of retinitis pigmentosa is the deficiency complicated with blood stasis,which is further divided into spleen and stomach qi deficiency complicated with blood stasis,spleen and kidney yang deficiency complicated with blood stasis,and liver and kidney yin deficiency complicated with blood stasis.He thus proposes the treatment focusing on tonifying deficiency and activating blood.He applied the products of raising yang and soothing the liver,payed attention to the mutual root of yin and yang,and made good use of insect medicines;he concluded the empirical formulas such as Yiqi Mingmu Decoction and Ziyin Mingmu Decoction to treat retinitis pigmentosa and got remarkable clinical efficacy.

关 键 词：视网膜色素变性 补虚活血法 脾胃气虚夹瘀型 脾肾阳虚夹瘀型 肝肾阴虚夹瘀型 益气明目汤 滋阴明目汤 彭清华 

分 类 号：R276.7[医药卫生—中医五官科学]