基于“六郁”理论辨治视网膜静脉阻塞  

Diagnosis and Treatment of Retinal Vein Occlusion Based on the Theory of"Six De⁃pressions"

作　　者：王丹 郝晓凤[1] 谢立科[1] 罗傑 孙梅 苗梦璐 张孟姣 WANG Dan;HAO Xiaofeng;XIE Like;LUO Jie;SUN Mei;MIAO Menglu;ZHANG Mengjiao(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》2023年第8期755-757,769,共4页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(81603666);国家中医药创新骨干人才专项(202021);北京市科委首都临床特色应用研究重点研发项目(Z181100001718183);北京市自然科学基金项目(7192235);中国中医科学院中央级公益性科研院所基本科研业务“优势病种-医院制剂-新药”研发专项(ZZ15-XYPT-09)。

摘　　要：视网膜静脉阻塞(RVO)是临床常见的视网膜血管病之一,属中医学“络瘀暴盲”的范畴,其发病常与气滞血瘀、痰瘀阻络、血热灼络等密切相关,且患者多伴有不同程度的焦虑、抑郁倾向,与中医学“郁证”相关。朱丹溪首次提出六郁致病理论,认为“气血冲和,万病不生,一有怫郁,诸病生焉。”此外,郁证日久,脏腑皆有虚损,气、血、阴、阳更加亏虚,会进一步加重病情。本文以“六郁”理论为指导,提出从郁论治RVO,以期为临床医师提供新的治疗思路。Retinal vein occlusion(RVO)is one of the common retinal vascular diseases in clinical practice,which belongs to the category of"sudden visual loss due to blood statis in the collaterals"in Traditional Chinese Medicine(TCM).It is believed that its onset is often closely related to Qi stagnation and blood stasis,phlegm and blood stasis blocking the collaterals,blood heat hurting collaterals,etc.,and patients are often accompanied with anxiety and depression to varying degrees,which is related to"depression syndrome"in TCM.ZHU Danxi firstly put forward the theory of"six depressions",stating that"When Qi and blood flow together in harmony,all diseases will not arise;once there is irritable depression,all diseases arise."Furthermore,over time,the stagnation syndrome leads to deficiency and damage in all organs,with even more deficiency in Qi,blood,Yin and Yang,which can further exacerbate the condition.Guided by the theory of"six depressions",this paper puts forward the treatment of RVO from the perspective of depression,in order to provide new treatment ideas for clinical doctors.

关 键 词：视网膜静脉阻塞 六郁 从郁论治 

分 类 号：R276.7[医药卫生—中医五官科学]