基于血水同治理论探讨渗出性老年性黄斑变性的治疗  

Treatment of wet age-related macular degeneration based on "treating both the blood and water" theory

作　　者：赵盼 钟缘 彭清华[1,2] ZHAO Pan;ZHONG Yuan;PENG Qinghua(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;Hunan Engineering Technology Research Center for the Prevention&Treatment of Ophthalmology and Otolaryngology Diseases and Visual Function Protection with Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心,湖南长沙410208

出　　处：《湖南中医药大学学报》2024年第5期853-856,共4页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金面上项目(81804150);中医药防治五官科疾病湖南省重点实验室建设项目(2017TP1018);国家中医药管理局中医眼科学重点学科建设项目(ZK1801YK015);湖南中医药大学中医学国内一流建设学科建设项目;中医药防治眼耳鼻咽喉疾病湖南省重点实验室;中医药防治眼耳鼻咽喉疾病湖南省重点实验室开放基金项目(2018YZD02)。

摘　　要：渗出性老年性黄斑变性(wet age-related macular degeneration, w AMD)常见于老年人,病情呈进行性发展,对视力造成严重影响,降低患者生活质量。血水同治理论是基于血水同源互化、同病互害的生理病理特点,以活血利水法为基础,辨证施治,广泛应用于临床。根据w AMD的中医病机,可辨证分为肝肾阴虚、肝脾失衡及脏腑失调。本文基于血水同治理论,对w AMD进行分期论治,并对视网膜脱离、玻璃体积血等并发症辨证论治,在临床上疗效确切。Wet age-related macular degeneration(wAMD)is commonly seen in the elderly,with a progressive course that seriously affects vision and reduces the life quality of patients.The theory of"treating both the blood and water"is based on the physiopathological characteristics of the homology and mutualization of blood and water,as well as the mutual harm caused by the same disease.Based on pattern differentiation,it is widely used in clinical practice with the method of circulating blood and draining water retention.According to the pathogenesis of wAMD in Chinese medicine,it can be differentiated into liver and kidney yin deficiency,imbalance between liver and spleen,and zang-fu organs dysfunction.Therefore,based on the theory of"treating both the blood and water",this article discusses the staged treatment of wAMD,as well as the pattern differentiation and treatment of its complications including retinal detachment and vitreous hemorrhage,which has achieved precise clinical efficacy.

关 键 词：渗出性老年性黄斑变性 血水同治 分期论治 活血利水 视网膜脱离 玻璃体积血 

分 类 号：R276.7[医药卫生—中医五官科学]