从阴虚湿热论治难治性RVO-ME  

Treating Refractory RVO-ME from the Perspective of Yin Deficiency and Damp heat

作　　者：高甜丽 冀佳豪 杜昕 戎曙欣 陈小华 GAO Tianli;JI Jiahao;DU Xin;RONG Shuxin;CHEN Xiaohua(Hebei University of Chinese Medicine,Shijiazhaung 050299,China)

机构地区：[1]河北中医药大学,石家庄050299 [2]河北省眼科医院,邢台054001 [3]河北中医药大学第一附属医院,石家庄050013

出　　处：《中国中医眼科杂志》2024年第7期666-669,共4页China Journal of Chinese Ophthalmology

基　　金：第四批全国中医(临床、基础)优秀人才研修项目(201724);河北省自然科学基金项目(H2714);河北省中医药管理局科研项目(2019019,2020555)。

摘　　要：视网膜静脉阻塞(RVO)是一种常见的高致盲性视网膜血管疾病,其影响患者视力的主要并发症为视网膜静脉阻塞继发黄斑水肿(RVO-ME)。中医学认为血瘀为RVO-ME致病关键因素,但仅从“化瘀”治疗效果却不尽如人意。本文通过阐释阴虚、湿热与ME的关系,将辨证与辨病相结合,从病因病机方面论述阴虚湿热为RVO-ME缠绵不愈的核心病机。以此为指导,提出养阴清热利湿的治疗法则,同时配合理气化瘀之法,并根据患者病情不同提出相应方药。养阴清热利湿的治法寓含盛者责之、虚者责之理论,养阴而不助邪,清热利湿而不伤阴,力求为RVO-ME缠绵不愈的治疗开拓出新的理论思路及临床方案。Retinal vein occlusion(RVO)is a common and high blindness retinal vascular disease,with its major complication affecting visual acuity being macular edema(RVO-ME).Traditional Chinese Medicine attributes blood stasis as a key pathogenic factor in RVO-ME.However,treatments solely focused on"dispelling blood stasis"often yield unsatisfactory results.This paper elucidates the relationship between Yin deficiency,damp-heat,and ME,integrating syndrome differentiation with disease diagnosis to discuss Yin deficiency and damp-heat as the core pathogenesis of refractory RVO-ME.Guided by this understanding,a treatment principle of nourishing Yin,clearing heat,and eliminating dampness is proposed,combined with methods to regulate Qi and dispel blood stasis,and tailored herbal formulas based on individual patient conditions.This treatment strategy adheres to the principles of addressing excess and deficiency,nurturing Yin without promoting pathogenic factors,and clearing heat and dampness without damaging Yin.The aim is to explore new theoretical perspectives and clinical approaches for the treatment of refractory RVO-ME.

关 键 词：阴虚湿热 视网膜静脉阻塞 黄斑水肿 养阴清热利湿 

分 类 号：R276.7[医药卫生—中医五官科学]