李志英诊治视神经疾病学术思想探析

Discussion on LI Zhi-Ying’s Academic Thoughts for Diagnosis and Treatment of Optic Nerve Diseases

从视神经疾病的病名规范化、病因病机、辨证施治、疗效评价等方面探析李志英教授诊治视神经疾病的学术思想。李志英教授认为视神经疾病的诊断命名要根据其发病特点,结合患者自觉症状,严格把握定义和诊断要点;气滞血瘀或气虚血瘀而致的目之玄府闭塞是视神经疾病的基本病机,其辨证施治以活血通窍、开启玄府为主要方式,分期辨证治疗;急性期的视神经疾病治疗应采用中西医结合的综合疗法;可结合现代医学眼科疾病的检查手段与现代医学实验检测指标,以拓展中医治疗视神经疾病临床疗效的评价方法。李志英教授对视神经疾病的诊治形成了较系统的中医理论体系,其学术思想值得传承与发扬。

This paper discusses professor LI Zhi-Ying’s academic thoughts for the diagnosis and treatment of optic nerve diseases from the aspects of standardization of the name of the disease,etiology and pathogenesis,syndrome differentiation and treatment,and therapeutic effect evaluation. Professor LI Zhi-Ying believes that the diagnosis of optic nerve diseases should be based on the characteristics of the disease,and by combining with the patients’ symptoms and strictly grasping the definition and diagnostic points. The basic pathogenesis of optic nerve disease is related with the obstruction of the ocular pores due to qi stagnation and blood stasis or qi deficiency and blood stasis. Its treatment should follow the staging differentiation and the therapies mainly consist of activating blood and opening the ocular pores. The acute stage of optic nerve disease should be treated by integrated traditional Chinese and western medicine, and the evaluation method of clinical efficacy of traditional Chinese medicine for the treatment of optic nerve disease can be expanded by adopting the examination means and laboratory indexes for ophthalmic diseases in modern medicine. Professor LI Zhi-Ying has developed a systematic Chinese medicine theoretical system for the diagnosis and treatment of optic nerve diseases, which is worth inheriting and developing.