从“肾虚血瘀”理论论治老年眼病  

Treating Senile Ophthalmopathy from the Perspective of the"Kidney Deficiency and Blood Stasis"Theory

作　　者：王丹 郝晓凤[1] 谢立科[1] 孙梅 张孟姣 关小多 陈子扬 孙文督 WANG Dan;HAO Xiaofeng;XIE Like;SUN Mei;ZHANG Mengjiao;GUAN Xiaoduo;CHEN Ziyang;SUN Wendu(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 [2]天津中医药大学,天津301617

出　　处：《中国中医眼科杂志》2024年第7期651-654,665,共5页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(81603666);首都临床特色应用研究重点研发项目(Z18110000-1718183);中国中医科学院中央级公益性科研院所基本科研业务“优势病种-医院制剂-新药”研发专项(ZZ15-XY PT-09);中国中医科学院眼科医院高水平中医医院揭榜挂帅项目(GSP4-02)。

摘　　要：随着我国人口老龄化的加速,老年眼病呈高发趋势,其引发的视觉异常和低视力会严重影响患者的生活质量。在众多治疗老年眼病的方法中,国医大师张大宁提出的“肾虚血瘀”理论为临床诊治老年眼病提供了新视角。老年眼病病位主要在肾,多因肾虚不能涵目,虚则致瘀,瘀阻清窍所致。肾虚为本,血瘀为标,两者相互依存,互为因果。本文探讨了“肾虚血瘀”理论在老年眼病诊疗中的临床应用价值,提出补肾活血法可作为老年眼病的基本治疗方法,予以补肾活血之常用方药,既滋补一身元气,又攻除有形之邪,攻补之力相敌,实现补而不留瘀,祛瘀不伤正。With the acceleration of population aging in China,the prevalence of senile ophthalmopathy is on the rise.The resulting visual abnormalities and low vision severely impact the quality of life for affected patients.Among various treatment methods for senile ophthalmopathy,the"Kidney Deficiency and Blood Stasis"theory proposed by the Traditional Chinese Medicine(TCM)master ZHANG Daning offers a novel clinical perspective.The pathogenesis of senile ophthalmopathy is primarily located in kidney,often due to kidney deficiency failing to nourish the eyes,leading to blood stasis obstructing the clear orifices.Kidney deficiency is root,and blood stasis is the manifestation,with both interdependent and causative of each other.This paper explores the clinical application value of the"Kidney Deficiency and Blood Stasis"theory in diagnosing and treating senile ophthalmopathy,suggesting that the method of tonifying kidney and activating blood can serve as a fundamental treatment approach for senile ophthalmopathy.Common prescriptions for tonifying kidney and activating blood are provided,which both replenish vital energy and eliminate tangible pathogens,balancing the forces of tonification and elimination to achieve the goals of supplementing without retaining stasis and dispelling stasis without damaging the healthy Qi.

关 键 词：肾虚血瘀 补肾活血法 老年眼病 

分 类 号：R276.7[医药卫生—中医五官科学]