浅析从目病多郁论治黄斑水肿  

Brief analysis on the treatment of macular edema from the Perspective of"Multiple Depression Syndrome in Eye Diseases"

作　　者：吴建国[1] 周婉瑜[1] 褚利群 韦东[1] WU Jianguo;ZHOU Wanyu;CHU Liqun;WEI Dong(Xi-yuan 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》2023年第5期459-463,共5页China Journal of Chinese Ophthalmology

基　　金：北京市海淀区卫生健康发展科研培育计划(HP2022-10-504002)。

摘　　要：目病患者,多因肝病,肝气郁结,气血不畅,阻闭目窍,遂发为病。目病引起的抑郁、焦虑对患者影响很大,部分患者由于黄斑水肿担心失明常伴有抑郁、紧张、焦虑,从而加重病情,造成恶性循环。临床上患者由于视力下降,引起情志不舒,气机郁滞,一系列脏腑功能失调等病证,属中医郁证。针对患者的不同情况,采取中医脏腑辨证论治,发挥中医特色异病同治优势,治疗黄斑水肿同时缓解抑郁症,有效地缓解了因视力下降而发生抑郁的双向恶性循环,起到较好疗效。Eye disease patients often suffer from liver disease,liver Qi stagnation,poor circulation of Qi and blood,and blockage of eye orifices,which leads to the onset of the disease.The depression and anxiety caused by eye disease have a great impact on the patients.Some patients with macular edema are worried about blindness and often accompanied by depression,tension,and anxiety,which worsens the condition and creates a vicious cycle.In clinical practice,the patients with decreased vision may experience emotional discomfort,stagnation of Qi,and a series of organ dysfunction,which belong to the category of"Yu syndrome"in Traditional Chinese Medicine.Depending on the patient's condition,the treatment strategy of Traditional Chinese Medicine based on the differentiation of symptoms and signs of internal organs can be adopted,and the advantages of treating different diseases with the same method can be fully utilized.This approach can effectively alleviate depression and treat macular edema,thus relieving the bidirectional vicious cycle caused by depression due to decreased vision,and achieving good therapeutic effects.

关 键 词：目病多郁 黄斑水肿 辨证论治 异病同治 

分 类 号：R276.7[医药卫生—中医五官科学]