亢泽峰辨治非动脉炎性前部缺血性视神经病变的思路  

The Strategy for Identifying and Treating Non-arteritic Anterior Ischemic Optic Neuropathy by KANG Zefeng

作　　者：孙宏睿 亢泽峰[1] 曹珂儿 SUN Hongrui;KANG Zefeng;CAO Ke'er(Eye Hospital,China Acad-emy 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 [2]西安市中医医院,西安710001

出　　处：《中国中医眼科杂志》2024年第5期434-437,共4页China Journal of Chinese Ophthalmology

基　　金：中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目;国家中医药管理局2020年中医药古籍文献和特色技术传承专项(GZY-KJS-2020-081);中国中医科学院拔尖创新博士研究生支持计划。

摘　　要：非动脉炎性前部缺血性视神经病变(NAION)是危害中老年人视功能的重要原因之一,能导致不可逆的视功能损害。随着我国人口老龄化程度持续加深,疾病谱的年轻化,发病率不断升高。现代医学缺乏有效且公认的治疗方案,中医药治疗措施多样,临床疗效显著。亢泽峰认为,本病急性发病期应行气利水以治其标,慢性进展期需知其形气顺逆,调其虚实,后期宜补益气血以固其本,全程祛瘀通络以消其因,针对本病伏邪内藏的特点,灵活使用凉血清络法、温阳通络法、搜剔通络法,以祛除深藏之伏邪。本文通过总结亢泽峰辨治NAION的思路,发挥中医药特色优势,保护患者视功能,积极应对人口老龄化的战略目标。Non-arteritic anterior ischemic optic neuropathy(NAION)is a significant cause of irreversible visual impairment in middle-aged and elderly individuals.With the continuous aging of the population in China and a trend toward younger disease onset,the incidence of NAION is rising.Modern medicine lacks effective and recognized treatment strategies,while Traditional Chinese Medicine(TCM)offers diverse clinical approaches and shows significant efficacy.KANG Zefeng suggests that during the acute phase,promoting Qi and diuresis are crucial.In the chronic stage,understanding the appearance,Qi movement,and balancing deficiency and excess are essential.In the later stages,reinforcing Qi and nourishing blood are needed to stabilize the foundation,while clearing stasis and opening collaterals help eliminate the root cause.Based on the unique characteristics of latent pathogenic factors,a flexible application of methods like cooling blood and clearing collaterals,warming Yang and opening collaterals,and exploring and clearing collaterals is essential to eliminate deeply hidden pathogenic factors.This study summarizes KANG Zefeng's approach to diagnosing and treating NAION,leveraging the strengths of TCM to safeguard patients'visual functions and proactively address the strategic goal of aging population.

关 键 词：亢泽峰 非动脉炎性前部缺血性视神经病变 瞳神络病理论 伏邪理论 辨治思路 

分 类 号：R276.7[医药卫生—中医五官科学]