《黄帝内经》治水三法在糖尿病性黄斑水肿防治中的应用探讨  

Application of three methods of water control in Huangdi Neijing in prevention and treatment of diabetic macular edema

作　　者：岳冰洁 王建伟[1] YUE Bingjie;WANG Jianwei(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消渴目病科,北京100040

出　　处：《北京中医药》2024年第10期1181-1184,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：中国中医科学院眼科医院中央高水平医院项目(GSP1-05)。

摘　　要：糖尿病性黄斑水肿(DME)是糖尿病常见的眼底并发症,中医称其为消渴目病,多由肺脾肾阳虚不能治水,聚于黄斑所致,可影响患者视力。《素问·汤液醪醴论篇》追本溯源,认为五脏阳气衰弱,水液聚集,充斥形体,发为水肿,并针对水肿病提出“开鬼门”“洁净府”“去菀陈莝”的治水三法。DME属眼底水肿病变,运用治水三法治疗该病,可温阳利水,通过消散水邪,畅通阳气,达到气血调达、水消目明。Diabetic macular edema(DME)is a common ocular complication of diabetes,referred to as“eye disease in consumptive thirst”in traditional Chinese medicine(TCM),which is primarily caused by yang deficiency in the lungs,spleen,and kidneys,leading to an inability to regulate water,resulting in its accumulation in the macula.This condition can significantly affect a patient's vision.According to Huangdi Neijing(Su Wen:Tang Ye Lao Li Lun),the source of the disease is attributed to the weakness of the yang qi of the five organs,which causes the accumulation of body fluids,leading to edema.For edema,it proposes three methods of water treatment,i.e.,opening sweat pores,cleaning the bladder,and eliminating stagnated water.In the case of DME,which is considered a form of ocular edema,these three methods can be applied to warm yang,excrete water,promote water metabolism,expel the pathogenic water,smooth the flow of Yangqi,and achieve the effects of regulating Qi and blood,eliminating water retention,and improving vision.

关 键 词：《黄帝内经》 治水三法 糖尿病性黄斑水肿 开鬼门 洁净府 去菀陈莝 

分 类 号：R259[医药卫生—中西医结合] R276.7[医药卫生—中医内科学]