基于心主血脉藏神理论探讨糖尿病视网膜病变的病因病机  

Etiology and pathogenesis of diabetic retinopathy based on the theory of“heart governs the blood and vessels and stores the spirit”

作　　者：张慧[1] 张玉福[1] 代婷 任秋月 冯志海[1] ZHANG Hui;ZHANG Yufu;DAI Ting;REN Qiuyue;FENG Zhihai(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]河南中医药大学,河南郑州450046

出　　处：《陕西中医》2025年第1期76-79,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助青年项目(82305019)。

摘　　要：糖尿病视网膜病变(DR)是糖尿病(DM)微血管并发症之一,严重影响了患者的身心健康与生活质量。中医学认为心主血脉藏神,血液运行受阻,久之形成瘀血,目络失于濡养进而发生DR,心主神明机能受损亦影响目之视物功能。众多医家多从肝、肾与瘀血等方面探讨分析DR,本文另辟蹊径从“心主血脉藏神”功能分析DR的病因病机,旨为临床辨证治疗提供新的思路和方法,以期防治或延缓DR进程。Diabetic retinopathy(DR)is one of the microvascular complications of diabetes mellitus(DM),seriously affecting the physical and mental health and the life quality of patients.According to the theory of Traditional Chinese medicine(TCM),the heart governs the blood and stores the spirit.Continued disruption of blood flow may lead to blood stasis and insufficiency of blood supply to the eyes,which in turn causes the DR.The impaired function of heart governing the spirit also affects the visual function of the eyes.Many TCM experts hold the view that DR is related to the blood stasis and the function of liver and kidney.While,this paperexplores the etiology and pathogenesis of DR based on the theory of“heart governs blood and vessels and stores the spirit”,aiming to provide new ideas and therapies for clinical dialectical treatment or delay DR.

关 键 词：糖尿病视网膜病变 心主血脉藏神 心脏 病因病机 中医 治疗 

分 类 号：R587.2[医药卫生—内分泌]