冯俊治疗视网膜动脉阻塞之中医理论探微  

Theoretical Study of Traditional Chinese Medicine on the Treatment of Retinal Ar⁃tery Occlusion by FENG Jun

作　　者：杨二双 冯俊[1] YANG Ershuang;FENG Jun(Eye Hospital,China Academy of Chinese Mecical 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10期939-942,共4页China Journal of Chinese Ophthalmology

基　　金：北京市自然科学基金项目(7192237);中国中医科学院眼科医院院级课题(202101)。

摘　　要：视网膜动脉阻塞(RAO)是导致急性无痛性单眼视力丧失的主要疾病,分为视网膜中央动脉阻塞、视网膜分支动脉阻塞、睫状视网膜动脉阻塞、视网膜毛细血管前小动脉阻塞,是眼科危急重症,被称为“视网膜卒中”“眼中风”,致盲率极高。其归属于中医学“暴盲”的范畴,在中医脏腑辨证和气血理论的指导下,冯俊经过30余年的临床经验总结,提出脏腑失调,气血不和,致脉络瘀阻,目失血养为RAO的病因病机,并创新性地总结出“剔络化瘀、养血明目”的基本治疗原则,为临床治疗RAO提供了新的中医诊疗思路。Retinal artery occlusion(RAO)is the main disease leading to acute painless monocular vision loss,divided into central retinal artery occlusion,retinal branch artery occlusion,ciliary retinal artery occlusion,retinal capillary anterior arteriole occlusion.It is an ophthalmic critical disease which has an extremely high blindness rate,known as"retinal stroke""eye stroke".It belongs to the category of"sudden vision loss"in Traditional Chinese Medicine(TCM).Under the guidance of syndrome differentiation of Zang-fu and theory of Qi and blood,FENG Jun put forward the etiology and pathogenesis of Zang-fu disorders,disharmony of Qi and blood,which lead to blockage of collaterals,blood fails to nourish collaterals,after more than 30 years of clinical experiences.Based on the understanding of etiology and pathogenesis,the basic treatment principle of"removing collaterals and stasis,nourishing blood and brightening eyes"was innovatively summarized,which provided a new TCM treatment idea for clinical treatment of retinal artery occlusion.

关 键 词：视网膜动脉阻塞 脉络瘀阻 目失血养 剔络化瘀 养血明目 

分 类 号：R276.7[医药卫生—中医五官科学]