邱礼新运用益脾汤治疗黄斑疾病经验  

Experience of QIU Lixin in Treating Macular Diseases with Yipi Decoction

作　　者：于静 王辉 邱礼新 YU Jing;WANG Hui;QIU Lixin(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心,北京100730

出　　处：《中国中医眼科杂志》2024年第12期1126-1131,共6页China Journal of Chinese Ophthalmology

基　　金：全国第七批老中医药专家(邱礼新)学术经验继承工作项目。

摘　　要：脾为后天之本,是仓廪之官,气血生化之源,为后天之大元。脾主运化,主统血,主升清,其对于人体水液代谢、消化吸收、气血生成及运行和营养吸收等起着至关重要的作用。中医临证较多关注脾阳虚证,对脾阴虚证的讨论较少。然而人体脏腑均有阴阳,阴阳调和才能正常发挥脏腑功能,脾阴虚证在临床上并不少见。本文通过整理全国第七批学术经验继承工作指导老师邱礼新治疗脾阴虚证相关眼病的临床经验,总结出脾阴虚证的主要辨证证候如唇干、皮干、口干、便干、疲劳、纳差、舌边齿痕等,提出应用益脾汤进行治疗,效果确切。本文旨在通过分析益脾汤诊治的相关黄斑疾病病例,介绍益脾汤在眼科临证中的一些应用体会。Spleen is the foundation acquired after birth,known as the"storehouse official"and the source of Qi and blood biosynthesis,representing the great Yuan acquired after birth.Spleen governs transportation and transformation,controls blood,and promotes the ascent of pure Qi.It plays a crucial role in body fluid metabolism,digestion and absorption,Qi and blood generation and circulation,and nutrient absorption.In Traditional Chinese Medicine(TCM)clinical practice,more attention is paid to spleen Yang deficiency syndrome in spleen Qi disorders,while spleen Yin deficiency syndrome is less discussed.However,all human organs have Yin and Yang,and only when Yin and Yang are in harmony can the functions of the organs be normally performed.Spleen Yin deficiency syndrome is not uncommon in clinical practice.This article summarizes the clinical experience of QIU Lixin,a mentor in the seventh batch of academic experience inheritance work nationwide,in treating eye diseases related to spleen Yin deficiency syndrome.The main syndrome differentiation signs of spleen Yin deficiency syndrome,such as dry lips,dry skin,dry mouth,dry stool,fatigue,poor appetite,and tooth-marked edges of the tongue,are summarized.The application of Yipi Decoction for treatment is proposed,with proven effectiveness.This article aims to introduce some application experiences of Yipi Decoction in ophthalmic clinical practice by analyzing cases of macular diseases diagnosed and treated with Yipi Decoction.

关 键 词：脾阴虚 益脾汤 黄斑病 

分 类 号：R774.5[医药卫生—眼科] R276.7[医药卫生—临床医学]