期刊论文

中文

中国中医眼科杂志

1002-4379

2020

30

6

381-385

10.13444/j.cnki.zgzyykzz.2020.06.001

国家自然科学基金面上项目(81874492,81574031) 国家中医药管理局中医眼科学重点学科建设项目(ZK1801YK015) 中医药防治五官科疾病湖南省重点实验室建设项目(2017TP1018) 湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心开放项目(2018YGC05)。

本校为第一机构

本文就黄斑水肿产生的中医病因病机、辨证论治及遣方用药特色进行了详细阐述.认为导致黄斑水肿的直接病机是"血瘀水停",该病机产生多与脾失健运、肝失疏泄、肾阳气化失司及气阴亏虚等气机运动障碍有关.活血利水法应贯穿黄斑水肿治疗始终,同时应遵循治水、治血必治气的原则,配合健脾益气、疏肝解郁、温阳益气、益气养阴及理气行滞等治气之法.利水渗湿药物车前子在治疗黄斑水肿过程中可重用,常用量为20～30 g,最大剂量可达60 g,这对黄斑水肿治疗可收意想不到之效.文章还对黄斑水肿的中医治疗进行了病案举隅.

In this paper,the etiology and pathogenesis of macular edema in Traditional Chinese Medicine,syndrome differentiation and treatment,as well as the characteristics of the use of prescription and drugs were discussed in detail.It was believed that the direct pathogenesis of macular edema was blood stasis and water retention,which was mainly related to dysfunction of spleen in transportation,liver dysfunction,kidney Yang qi dysfunction and qi-yin deficiency.The method of promoting blood circulation and inducing diuresis should be used throughout the treatment of macular edema.At the same time,it ...