基于“五轮学说”探讨脏腑辨证在RP的应用  

Exploring the Application of Viscera Differentiation in Primary Retinitis Pigmentosa Based on the Theory of Five Wheels Theory

作　　者：胡鑫 孙浩楠 白世淼[2] HU Xin;SUN Haonan;BAI Shimiao(The First Af-filiated Hospital of Hebei University of Traditional Chinese Medicine,Shijiazhuang 050011,China)

机构地区：[1]河北中医药大学第一附属医院,石家庄050011 [2]河北省中医院,石家庄050011

出　　处：《中国中医眼科杂志》2024年第6期558-562,573,共6页China Journal of Chinese Ophthalmology

摘　　要：原发性视网膜色素变性(RP)是以进行性夜盲、视野渐窄伴视力持续性下降为主要表现的眼病,因其不可逆的特性,被认为是常见的致盲眼病之一。中医学认为,本病病机以肝肾亏损为本,病理性质多以虚为主,瘀为标。“五轮学说”为中医眼科特有的重要理论之一,为后世中医眼科辨证施治提供核心理论依据。本文旨在基于“五轮学说”,运用脏腑辨证理论,深入探讨其在治疗RP中的临床应用,分辨病性,加深认识,并以此为诊疗此病提供新的临床思路和方法。Primary retinitis pigmentosa(RP)is an eye disease characterized by progressive night blindness,narrowing of the visual field,and continuous decline in vision.Due to its irreversible nature,it is considered one of the common causes of blindness.According to Traditional Chinese Medicine(TCM),the pathogenesis of this disease is rooted in deficiency of liver and kidney,with the pathological nature predominantly being deficiency with stagnation.The five wheels theory is one of the important theories in ophthalmology of TCM,providing a core theoretical basis for the diagnosis and treatment of RP in later generations of ophthalmology of TCM.This article aims to explore the clinical application of five wheels theory in the treatment of RP,using the theory of viscera differentiation,to distinguish the pathogenesis,deepen understanding,and provide new clinical ideas and methods for the diagnosis and treatment of this disease.

关 键 词：“五轮学说” 中医眼科 脏腑辨证 原发性视网膜色素变性 

分 类 号：R276.7[医药卫生—中医五官科学]