从“阳化气,阴成形”探析中心性浆液性脉络膜视网膜病变的证治  

Analyzing the Pathogenesis and Treatment of Central Serous Chorioretinopathy Based on the Theory of“Yang Transforming Qi,Yin Forming Substance”

作　　者：刘悦 韩其琛 王佳娣[1] 姚靖[1] Liu Yue;Han Qichen;Wang Jiadi;Yao Jing(The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Heilongjiang Harbin,150400,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150400

出　　处：《中国中医急症》2025年第2期243-246,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY2024-096)。

摘　　要：本文基于“阳化气,阴成形”理论,提出中心性浆液性脉络膜视网膜病变(CSC)的病机为阳化气不足,阴成形太过,将CSC分期论治,初期治以温阳利水、助阳化气,中期治以调肝理肺、通利三焦,晚期治以活血利水、消散阴积,以助“阳化气”功能正常,“阴成形”太过治以温化消散,为临床治疗CSC提供新的方法和思路。Based on the theory of“Yang transforming qi,Yin forming substance”,this paper proposes that the pathogenesis of central serous chorioretinopathy(CSC)involves insufficient transformation of qi by yang and exces⁃sive formation by yin.Different stages of CSC are treated accordingly:in the early stage,treatments focus on warm⁃ing yang and promoting diuresis to assist the transformation of qi by yang;in the middle stage,treatments aim at regulating the liver and lungs and facilitating the flow through the three burners;in the late stage,treatments em⁃phasize activating blood circulation,promoting diuresis,and dispersing yin accumulation.These methods aim to re⁃store normal“Yang transforming qi”function and dissipate excessive“Yin forming substance”,which provides new approaches and ideas for the clinical treatment of CSC.

关 键 词：中心性浆液性脉络膜视网膜病变 阳化气 阴成形 分期论治 

分 类 号：R774[医药卫生—眼科]