中医药治疗年龄相关性黄斑变性的研究进展  

Research Progress on Traditional Chinese Medicine in the Treatment of Age-related Macular Degeneration

作　　者：秦程遥 魏伟[2] 孙文秀 朱淑君 QIN Chengyao;WEI Wei;SUN Wenxiu;ZHU Shujun(Liyang Hospi-tal of Chinese Medicine,Liyang 213300,China;Jiangsu Province Hospital of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]溧阳市中医医院,溧阳213300 [2]江苏省中医院,南京210023

出　　处：《中国中医眼科杂志》2025年第4期388-390,394,共4页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(82074177);常州市科技计划项目(CJ20239002)。

摘　　要：年龄相关性黄斑变性(AMD)为黄斑区结构的衰老性改变,主要影响中老年人的视力健康。近年来,中医治疗AMD的相关研究已经取得了一定的进展。本文总结分析AMD的病因病机,突出强调了中医理论中肝、脾、肾失调,精、气、血亏虚的基本病机;在辨证论治方面,对气血辨证和脏腑辨证进行详细阐述,包括益气养血、补益肝肾等治疗原则;在药物及疗法方面深入探讨近年来中药汤剂、中成药、针刺和中西结合治疗AMD的方案。总体而言,中医药在AMD治疗领域的理论和实践为患者提供了多样的治疗选择,这不仅丰富了治疗手段,也为未来深入研究提供了参考。Age-related macular degeneration(AMD)is a degenerative disorder of the macular region that primarily affects the visual health of elderly individuals.In recent years,significant progress has been made in the study of Traditional Chinese Medicine(TCM)for the treatment of AMD.This article reviews and analyzes the etiology and pathogenesis of AMD,emphasizing the fundamental TCM pathomechanisms,including liver-spleen-kidney dysfunction and deficiencies of essence,Qi and blood.In terms of syndrome differentiation and treatment,this review elaborates on Qi-blood differentiation and Zangfu differentiation,outlining therapeutic principles such as tonifying Qi,nourishing blood,and reinforcing liver and kidney.Furthermore,it explores recent advancements in the application of Chinese medicine decoctions,proprietary Chinese medicines,acupuncture,and integrated TCM and Western Medicine approaches for AMD.Overall,the theoretical and practical advancements in TCM for AMD provide patients with diverse treatment options,enriching therapeutic strategies and offering valuable insights for future research.

关 键 词：年龄相关性黄斑变性 中医药 针刺 病因病机 

分 类 号：R778.11[医药卫生—眼科] R276.7[医药卫生—临床医学]