岐黄学者彭清华基于“血水同治”辨治视网膜静脉阻塞的经验  

Qi Huang Academic PENG Qinghua's experience in differentiating and treating retinal vein occlusion from"treating both the blood and water"

作　　者：李江伟 彭清华[1,2] 吕怡 彭静娴 彭俊[1] 姚小磊[1] LI Jiangwei;PENG Qinghua;LYU Yi;PENG Jingxian;PENG Jun;YAO Xiaolei(The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

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

出　　处：《湖南中医药大学学报》2023年第11期1997-2001,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)——国家中医药领军人才支持计划项目(国中医药人教函[2022]6号);湖南省人才托举工程——年青优秀科技人才培养计划项目(2023TJ-N25);湖南省科学技术厅临床创新引导项目(2021SK51402);湖南省科学技术厅临床医疗技术创新引导项目(S2021SFYLJS0471);白求恩·朗沐中青年眼科科研基金项目(BJ-LM2021009J);湖南省教育厅重点项目(22A0241);湖南省中医药科研计划项目(D2022045,A2023001)。

摘　　要：岐黄学者彭清华认为,血水互结为视网膜静脉阻塞的病机关键。其中,气血逆乱为发病的先决条件,气滞水停为发病的始动因素,最终血水互结导致视力下降、眼内出血等症。治疗上,以活血利水为基础,活血散瘀、凉血止血、利水行气、化痰通络,方选生蒲黄汤合四苓散加减;注重肝肾同治、育阴潜阳,常用天麻钩藤饮。并附验案加以阐明。PENG Qinghua,Qi Huang Academic,believes that intertwined blood and water is the key to the pathogenesis of retinal vein occlusion.Among them,disordered qi and blood is a prerequisite for the disease onset,qi stagnation and water retention are the initiating factors of the disease.Eventually,intertwined blood and water results in diminution of vision,intraocular hemorrhage,and other symptoms.In terms of treatment,based on the principle of circulating blood and draining water retention,the therapeutic methods of circulating blood and transforming stasis,cooling blood and stopping bleeding,draining water retention and circulating qi,and transforming phlegm and unblocking collaterals are applied,and the modified Shengpuhuang Decoction combined with Siling Powder is administered.Furthermore,much attention is paid to treating both the liver and kidney as well as cultivating yin and submerging yang,with the usual use of Tianma Gouteng Drink.In addition,the medical records are attached to illustrate.

关 键 词：彭清华 视网膜静脉阻塞 血水同治 活血利水 育阴潜阳 行气通络 化瘀止血 

分 类 号：R276.7[医药卫生—中医五官科学]