刘静霞临证辨治年龄相关性黄斑变性撮要  

Summary of LIU Jingxia's Clinical Diagnosis and Treatment of Age-Related Macular Degeneration

作　　者：魏永楠 李松奇 刘静霞[2] WEI Yongnan;LI Songqi;LIU Jingxia(Heilongjiang University of Chinese Medicine,Harbin 150006,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150006 [2]黑龙江中医药大学附属第一医院,哈尔滨150040

出　　处：《中国中医眼科杂志》2023年第9期837-840,共4页China Journal of Chinese Ophthalmology

摘　　要：年龄相关性黄斑变性(AMD)是临床难治性、致盲性眼病,刘静霞认为本病的始动因机与精、气、血虚亏相关,随病程进展呈现虚、郁、湿、热、痰、瘀并见的特点,主张病证合参,全身辨证与眼部辨证相结合,中医药早期干预,治未病为先,标本兼顾,针药并用,内外兼治的原则,主要从肝、脾、肾、湿、痰、瘀着手,提出“疏肝健脾益肾、化痰祛瘀散结”为基本治法,自拟复方“加味当归芍药散”联合针刺、离子导入、穴位注射等治法具有临床特色优势。探识其辨治AMD的临证撮要,可为中医药防治AMD提供思路参考。Age-related macular degeneration(AMD)is a clinically refractory and blinding eye disease.LIU Jingxia believes that the underlying cause of this disease is related to deficiency of essence,Qi,and blood.As the disease progresses,it presents characteristics of deficiency,stagnation,dampness,heat,phlegm,and stasis.The author advocates combining systemic syndrome differentiation with eye syndrome differentiation,early intervention of Traditional Chinese Medicine(TCM),prioritizing preventive treatment,considering both the root cause and the manifestations,and applying acupuncture and Chinese medicine simultaneously.The treatment principle focuses mainly on liver,spleen,kidneys,dampness,phlegm,and stasis,proposing the basic treatment method of"soothing liver,invigorating spleen,benefiting kidneys,transforming phlegm,eliminating stasis,and dispersing accumulations."The self-formulated compound prescription"Modified Danggui Shaoyao Powder"combined with acupuncture,iontophoresis,and acupoint injections demonstrates clinical advantages.Understanding the key points of diagnosing and treating AMD can provide a reference for TCM prevention and treatment of AMD.

关 键 词：年龄相关性黄斑变性 加味当归芍药散 针刺 离子导入 穴位注射 名医经验 

分 类 号：R276.7[医药卫生—中医五官科学]