基于瞳神络病理论治疗视网膜静脉阻塞并发黄斑水肿

Treatment of retinal vein occlusion complicated with macular edema based on the theory of pupil collateral disease

文章以"瞳神络病"理论为指导,探讨络病在视网膜静脉阻塞性黄斑水肿发病中的作用。提出络脉闭阻、血瘀水停的发病机制。在整体与局部辨证相结合的基础上,针对本虚标实,病位在络,络阻水停的病机特点,以通络活血利水为治法,临证重视辛味和虫类药物的应用以及破血行血药物的用量。

Based on the theory of‘pupil collateral disease’,this paper discussed the role of collateral disease in the pathogenesis of retinal vein obstructive macular edema.We point out that the pathogenesis of this disease is the blockage of collaterals and blood stasis and water stagnation.On the basis of the combination of overall and local syndrome differentiation,aiming at the characteristics of this disease,the treatment method is to dredge collaterals,activate blood and promote water,and pay attention to the application of pungent and insect drugs and the dosage of blood breaking and blood circulation drugs in clinical syndrome.