原发性青光眼的中医证候与治疗分析

Traditional Chinese Medicinal Symptom and Curative Analysis of Primary Glaucoma

目的：了解原发性青光眼的治疗经验和对病因病机的认识,总结原发性青光眼的主要病因、病机及最佳治疗方案。方法：采用原发性青光眼调查登记表,对238例住院治疗原发性青光眼患者进行回顾性调查,对年龄、性别、发病时间、病程、证候构成、症状与体征、常用方剂与药物等进行频数和排序分析。结果：原发性青光眼发病年龄以60-70岁最多见,占总例数41.60%;性别中女性患者居多,占62.18%;发病时间以春季最多,占总病例数36.13%;本病以慢性发病为主,病程平均为2年2个月;常见证候为肝火上炎证（34.03%）、肝郁气滞证（17.23%）、肝肾阴虚证（13.45%）、阴虚火旺证（11.76%）、风火上扰证（11.76%）、阴虚阳亢证（9.24%）;视力下降、眼胀痛、前房浅等较为常见的症状与体征;常用方使用频率由高到低依次为绿风羚羊饮、六味地黄汤、逍遥散等;常用药物使用频率由高到低依次为：茯苓、车前子、知母、甘草、泽泻、丹皮等。结论：通过对原发性青光眼的流行病学调查,运用科学的分析方法,明确了原发性青光眼的发病特点、主要证型、常用方剂与药物,为规范对原发性青光眼的诊疗提供了依据。

Objective ：To know curative experiences of primary glaucoma and recognition of etiopathogenisis and pathogenesis, summarize main etiopathogenisis, pathogenesis and the best therapeutic regimen of primary glaucoma. Methods ： Used investigation registry of primary glaucoma to retrospective studied 238 hospitalized patients of primary glaucoma, analyzed frequency and rank of age,sex,invasive time, course, symptom composition, complaint and physical sign, usual prescription and medicine, etc. Results ： Primary glaucoma invasive age from 60 - 70 was crest - time, it was 41.60% of sum ; female patients were majority,it was 62.18% of sum;spring is high incidence time,it was 36.13% of sum;primary glaucoma was chronic disease, averaged course was two years - two months; usual symptom are hyperpyrexia of liver （34.03%） ,stagnation of QI due to depression of the liver（ 17.23% ） , hepatic and renal yin deficiency（ 13.45% ） , asthenic yin causing excessive pyrexia （ 11.76% ） , upward invading of wind - fire disturbing eye （ 11.76% ）, asthenic yin causing predominant yang（ 9.24% ） ; inpairment of vision, eyes＇pain, shallow of anterior chamber were usual complaint and physical sign ; using frequency usual prescription from hing to low were ： hoelen, isapgol, anemarrhenae, glycyrrhiza uralensis, alisma rhizoma, cortex moutan, etc. Conclusions ： Through epidemiologic survey of primary glaucoma and applied scientifical analysis methods, we have clearly known invasive feature, main types of syndrome,usual presciption and medicine of primary glaucoma,it can provid envidences to standard diacrisis and cure of primary glaucoma.