王东“消眼方”健脾固摄-益气补血-化瘀止血辨治糖尿病视网膜病变

WANG Dong(王东) Xiaoyan Fang(消眼方) Spleen and Controlling Actions(健脾固摄) Replenish Qi and Enrich the Blood(益气补血) Removing Blood Stasis and Hemostasis(化瘀止血) Treatment of Diabetic Retinopathy Experience

王东教授认为糖尿病视网膜病变是脾失健运导致消渴,日久则导致肝肾阴虚,瘀血阻滞,脾气亏虚则气虚无以推动血液运行,以致血瘀,瘀血阻于目络,脏腑精气不能上输目窍,目络失养。从脾论治,健脾固摄,益气补血,滋肾养肝明目,化瘀止血,自拟消眼方(归脾汤合杞菊地黄丸合桃红四物汤加减)治疗,王师强调:活血化瘀药治疗,不用峻烈之品,活血而不破血,防过于活血而造成新的出血;不投以寒凉止血之品,止血而不留瘀,防凝滞造成瘀血久留,宜采用化瘀止血,养血活血之品;要注意虚和瘀之间的关系,DR为久病,久病必虚,虚久必瘀;同时注意DR发生与脏腑虚损程度的关系,辨证论治,临证加减。附消眼方治疗糖尿病视网膜病变验案一则。

Professor WANG Dong that diabetic retinopathy is spleen health lead to diabetes, long lead to liver and kidney Yin deficiency, blood stasis block, temper deficiency Qi deficiency, can promote blood running, while blood stasis, blood stasis resistance in mesh, viscera essence can＇t lose about ocular, alongwith the ice. Treated from the spleen, spleen and controlling actions, Qi blood tonic, zi kidney nourishing the liver bright eye, blood hemostasis, since plans to eliminate Xiaoyan Fang（spleen-invigorating peach siwu decoction and Qi chrysanthemum rehmannia pill and tonga subtraction） therapy, syndrome differentiation and treatment, clinical add and subtract. Professor WANG stressed： traditional medicine treatment, without the goods Jun strong, blood without expelling, anti overly promoting blood circulation caused by the new bleeding; do not vote to stop the bleeding of the goods cold, bleeding without leaving stasis, anti-stagnation caused by bleeding Kurume , should adopt stasis to stop bleeding, nourishing blood of the product; pay attention to the relationship between virtual and stasis, DR chronic illness, chronic illness will be empty, empty for a long time will stasis; while paying attention to the relationship of DR and wasting organs extent, diagnosis and treatment, clinical and subtraction. Eliminate Xiaoyan Fang a proven case treatment diabetic retinopathy.