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探讨从足太阴脾经论治中心性浆液性脉络膜视网膜病变 被引量:2

Discussion on the treatment of central serous chorioretinopathy from the spleen meridian of foot-Taiyin
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摘要 中心性浆液性脉络膜视网膜病变(简称“中浆”)的主要特征为黄斑区神经上皮层局限性浆液性脱离,病因不明,多为自限性疾病,部分患者可反复发作或迁延不愈。西医学主要以局部对症治疗为主,对难治性或者部分复发性患者疗效欠佳。中医学认为本病多由脾虚不运,聚湿成痰,凝结成核,随经络上扰目窍,使神光失守所致。本文据陈达夫教授的眼科六经辨证理论,从中医学的整体观念出发,讨论足太阴脾经的生理功能,脾经、脾脏与黄斑的关系,阐述本病的发病机制,探讨从足太阴脾经论治中浆,兼顾全身症状与局部眼病,望为临床治疗提供新思路。 Central serous chorioretinopathy(CSC)is mainly characterized by localized serous retinal detachment of the neuroepithelial layer in the macular region.The etiology is unknown and natural history of CSC shows a self-limiting course,but sometimes it may present with recurrent or persistent form.Western Medicine mainly focuses on local symptomatic treatment,which has poor efficacy on refractory or some recurrent patients.Traditional Chinese Medicine(TCM)believes that this disease is mostly caused by spleen deficiency,which causing accumulation of dampness into phlegm,condensation and nucleation,disturbing the eyes and orifices along with the meridians,thus resulting in the loss of vision.According to Professor CHEN Da-fu’s six-meridian syndrom differentiation theory,starting from the overall concept of TCM,this paper discusses the physiological function of the spleen meridian of foot-Taiyin,the relationship between spleen meridian,spleen and macula,clarifies the pathogenesis of the disease,discusses the treatment of CSC from the spleen meridian of foot-Taiyin,which taking into account both systemic symptoms and local eye disorders.We believe that this may provide new ideas for clinical treatment of CSC.
作者 徐宇秋 周维 乔令瑜 程娟 XU Yuqiu;ZHOU Wei;QIAO Lingyu(Shanxi University of Tradition-al Chinese Medicine,Taiyuan 030024,China)
出处 《中国中医眼科杂志》 2021年第11期811-814,共4页 China Journal of Chinese Ophthalmology
关键词 中心性浆液性脉络膜视网膜病变 足太阴脾经 中医药 central serous chorioretinopathy spleen meridian of foot-Taiyin Traditional Chinese Medicine
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