基于“营卫-络脉-玄府”论治开角型青光眼  

Treatment of open-angle glaucoma based on the theory of"Ying-nutrient qi and Wei-defensive qi-collaterals-sweat pores"

作　　者：陈姝好 周派 艾民 彭清华[1] CHEN Shuhao;ZHOU Pai;AI Min;PENG Qinghua(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《湖南中医药大学学报》2024年第8期1484-1489,共6页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金面上项目(81874492,82274588);中医药防治眼耳鼻湖南省重点实验室项目(2017TP1018);湖南中医药大学校级科研基金揭榜挂帅项目(2022XJJB003)。

摘　　要：原发性开角型青光眼(primary open-angle glaucoma,POAG)是一种以眼压升高、房角开放、房水流出受阻为特征的眼科常见疾病,其早期病情隐匿,发病时已成为不可逆转的致盲性伤害。POAG的发病与营卫、络脉生理病理功能密切相关,产生“营卫-络脉-玄府”病机轴。营卫失和、玄府郁闭、气血升降失常、络脉循环瘀阻共同引起POAG发病,基于此病理发展过程探讨治疗POAG的基本原理,丰富从“营卫-络脉-玄府”理论治疗POAG的科学内涵,并附临床验案一则,以期为POAG的中医诊疗提供参考依据。Primary open-angle glaucoma(POAG)is a common ophthalmic disease characterized by elevated intraocular pressure,wide and open anterior chamber angle,and obstructed aqueous humor outflow.Its early stages are often asymptomatic,and by the time symptoms manifest,it has already caused irreversible damage of blindness.The onset of POAG is closely related to the physiological and pathological functions of the Ying-nutritive and Wei-defensive qi and the collaterals,based on which the pathogenesis axis of"Ying-nutrient qi and Wei-defensive qi-collaterals-sweat pores"has been proposed.The disharmony between the Ying-nutritive qi and Wei-defensive qi and occlusion of the sweat pores,which cause disturbances of qi ascending and descending and blood circulation,as well as obstruction in the collateral circulation collectively contribute to the onset of POAG.Based on this pathological development process,the basic principles of treating POAG are explored,aiming to enrich the scientific connotation of the"Ying-nutrient qi and Wei-defensive qi-collaterals-sweat pores"theory in treating POAG.A verified medical record is provided as a reference for the TCM diagnosis and treatment of POAG.

关 键 词：原发性开角型青光眼 营卫 玄府 络脉 活血利水法 

分 类 号：R276.7[医药卫生—中医五官科学]