基于“大气一转,其气乃散”理论探析糖尿病黄斑水肿  

An Analysis of Diabetic Macular Edema was Made Based on the Theory of"When the Great Qi changes direction,its Qi dissipates"

作　　者：岳冰洁 王建伟[1] 接传红[1] YUE Bingjie;WANG Jianwei;JIE Chuanhong(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

出　　处：《中国中医眼科杂志》2024年第12期1156-1160,共5页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院眼科医院中央高水平中医医院项目资助(GSP1-05)。

摘　　要：“大气一转,其气乃散”出自《金匮要略》,认为邪扰气滞,聚水为患。糖尿病黄斑水肿(DME)患者消渴日久,阴阳两虚,脏腑衰弱,“大气”运行不畅,水邪汇聚黄斑,可见于视物模糊、视直如曲等症状。历代医家多认为“大气”即宗气,本文基于“大气一转,其气乃散”理论,探析DME发病机制,从宗气的生理功能出发,围绕“大气”运转,提出宣肺、化瘀、温阳的相关治气利水方案,使大气运转无碍,避免气滞水停,以期达到气畅水散的目的,为临床防治DME提供新思路。When the Great Qi changes direction,its Qi dissipates"originates from the Synopsis of Golden Chamber Prescriptions.It suggests that pathogenic factors disturb the flow of Qi,leading to the accumulation of water and resultant pathology.Patients with diabetic macular edema(DME)suffer from prolonged consumption of body fluids,deficiency of both Yin and Yang,and weakness of the zangfu organs.This results in impaired circulation of the"Great Qi",causing water-like pathogenic factors to accumulate in the macula,manifesting as symptoms such as blurred vision and straight lines appearing curved.Many ancient physicians had equated"Great Qi"with Zong Qi.Based on the theory of"When the Great Qi changes direction,its Qi dissipates",this paper analyzes the pathogenesis of DME.Starting from the physiological functions of Zong Qi and centering on the circulation of"Great Qi",we propose treatment strategies aimed at promoting lung diffusion,resolving blood stasis,and warming Yang to regulate Qi and disperse water.These strategies aim to ensure smooth circulation of the Great Qi,preventing Qi stagnation and water retention,thereby achieving the goal of smooth Qi flow and water dispersion.This provides new insights for the clinical prevention and treatment of DME.

关 键 词：大气 宗气 黄斑水肿 气畅水散 

分 类 号：R774.1[医药卫生—眼科] R276.7[医药卫生—临床医学]