浅探络脉学说论治视网膜色素变性  

Discussion on Treatment of Retinitis Pigmentosa by Theory of Collateral Vessel

作　　者：周维 梁丽娜[1] 许凯[1] 黄子杨 李亚敏 李晓宇 ZHOU Wei;LIANG Lina;XU Kai;HUANG Ziyang;LI Yamin;LI Xiaoyu(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：《辽宁中医杂志》2024年第4期64-67,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81973912);首都卫生发展科研专项项目(2020-2-4183);中国中医药循证医学中心业务研究室主任专项项目(2020YJSZX-2);中央级公益性科研院所基本科研业务费专项项目(ZZ13-036-1)。

摘　　要：视网膜色素变性(RP)是具有遗传异质性的视网膜营养不良性眼病。视网膜血管纤细,属于中医络脉,络脉与目有着密切的联系。该文对络脉的生理、病理特点进行概述,以络脉理论作为着眼点,论证络脉病变与RP发病机制的相关性,证实从络脉治疗RP的可行性。基于络脉易滞易瘀的特点,络病的病机变化实质为“不通”,故“络以通为用”适用于络病的治疗原则。Retinitis pigmentosa is a retinal dystrophic eye disease with genetic heterogeneity.The retinal blood vessels which are similar to the collateral vessel are tiny.Collateral has a close relationship with eyes.In this paper,the physiological and pathological characteristics of collateral vessel were summarized,and the correlation between collateral and RP pathogenesis was demonstrated based on the theory of collaterals.Besides,the feasibility of treating retinitis pigmentosa from collateral vessel was confirmed.Based on the characteristics of easy stagnation and blood stasis of collateral,the essence of the pathogenesis of collateral diseases is“blood stasis”.Therefore,the principle of“making collaterals normal by dredging method”is applicable to the treatment of collateral vessel.

关 键 词：视网膜色素变性 高风内障 络脉 络病理论 络以通为用 

分 类 号：R276[医药卫生—中医五官科学]