糖尿病视网膜病变的病机探讨

TCM analysis on the pathogenesis of diabctic rctinopathy

通过对９０例眼底正常的糖尿病患者和９６例糖尿病视网膜病变患者的证候分析。结果显示：随着糖尿病视网膜病变的发生发展，病证逐渐由阴虚→气阴两虚→阴阳两虚演变，患者全身兼瘀血表现亦随之加重；糖尿病视网膜病变的发生发展与五脏虚损相关程度依次为：肾、肝、心、脾、肺。认为肝肾虚损、阴损及阳、目窍失养是导致糖尿病视网膜病变的基本病机；心脾亏虚、因虚致瘀、目络阻滞是本病发生发展过程中的重要因素；本虚标实、虚实夹杂是其证候特点。

An analysis on symptoms of90 diabetic patiens with normal eye fundus and 96 pa-tients with diabetic fundus showed that. with the occurences and developments of the pathalogicalchanges in retina and the representations of whole body′s symptom and blood stasi8(瘀血),the evo- lution of the symptom of the desease were as following. from deficiency of ying(阴虚)to deficiencyof both qi and ying(气阴两虚). then to deficiency of both ying and yang(阴阳两虚).The occurenceand development of diabatic correlated to the consumptive deseases of five zang(五脏虚损)in the foL-lo wing sequence.liver. kydney. heart. spleen lung. It is indicated that the basic factors leading tothe occurences of diabetic funfus are deficiency of liver-ying and kidney-ying(肝肾亏损).deficiencyofying affecting yang(阴损及阳)and denutrition ofqiao ofeye(目窍失养).the important factors for thedevelopment of the dedease deficiency of heart and apleen(心脾亏虚). stasis resulting from the defi- ciency(因虚致瘀)and sluggishiness in mu luo(目络阻滞). deficiency in origin and excess insuperficislity(本虚标实).mixture of deficiency and excess(虚实夹杂)are the charecter of the syptomcomplex of the desease.