眼底黄斑水肿之三阴辨治思考

Thoughts on differentiation and treatment of three yin-meridian in fundus macular edema

眼底黄斑水肿可由多种眼科疾病引起,能造成患者中心视力减退、视物变形等。目前西医疗法尚不理想,中医药疗法显示出独特优势。笔者依据《内经》“三阴结谓之水”之论,从三阴经辨证角度探讨眼底黄斑水肿的中医病机和治疗。笔者认为眼底黄斑水肿多因肺脾肾三阴寒结,温煦失职,气化不利,水湿停聚,上犯于目而致。治疗首当详辨三阴,温补三阴之脏阳虚气弱以治本,并用宣肺、运脾、渗利、化瘀之法以祛水停、血瘀之标实。平治权衡,标本兼顾,方可取效。

Fundus macular edema can be caused by various eye diseases,it could result in central vision loss and visual distortion.At present,Western medicine treatment is not satisfactory,however Chinese medicine shows unique advantages.This paper discusses the pathogenesis and treatment of fundus macular edema by Chinese medicine from the viewpoint of“three yin-meridian obstruction can lead to water disease”in Huangdi Neijing.The auther thinks that chill obstruction in hand taiyin lung,foot taiyin spleen or foot shaoyin kidney meridian could lead to fundus macular edema,so the treatment is first to recognize the organ which is lack of vital energy,then to tonify them,and at the same time,to eliminate damp by freeing lung-qi,activating spleen,promoting diuresis and activating blood circulation.To cure both the symptoms and root causes is effective.