孙河诊治原发性青光眼学术思想初探

A Preliminary Discussion of SUN He's Academic Thoughts on the Diagnosis and Treatment of Primary Glaucoma

原发性青光眼是一类高致盲性眼病,包括原发性开角型青光眼和原发性闭角型青光眼。在中医学上属“五风内障”范畴。目前西医治疗多采用控制眼压、提高组织血供等方法,中医则多从肝肾气血经络论治,但患者逐渐下降的视力及缺损的视野已成为亟待解决的首要问题。孙河认为本病病位在肝,因肝郁失疏,经脉不通,官窍不得濡养,诸症渐生,继而影响他脏、经络随之受累。治疗以疏肝通窍明目为主,兼清热凉血、养阴止痛等诸法整体调理全身阴阳气血以及保持脏腑经络之间的平衡。笔者在跟师学习的过程中,总结了老师治疗原发性青光眼的辨证思路和诊疗特色,希望能为青光眼的中医诊疗提供新的思路。

Primary glaucoma refers to a type of severe eye disease characterized by elevated intraocular pressure accompanied by optic nerve damage.In Traditional Chinese Medicine(TCM),it falls under the category of"Five Wind Internal Obstruction".Current Western Medicine treatments often involve controlling intraocular pressure and improving tissue blood supply.TCM approaches the condition through the perspective of liver,kidney,Qi,blood,and meridians.However,the gradual decline in vision and visual field defects have become primary challenges to be addressed.SUN He believes that the pathological position of this disease lies in liver.The stagnation of liver Qi leads to meridian blockages,affecting nourishment of organ apertures,resulting in gradual emergence of various symptoms.Subsequently,other organs and meridians are affected.Treatment primarily focuses on promoting liver circulation,opening the apertures,and enhancing vision.It also includes the methods to clear heat,cool blood,nourish Yin,and alleviate pain,aiming to harmonize the overall balance of Yin and Yang,Qi,blood,and the coordination of organs,meridians,and collaterals.Through studying under a mentor,the author has observed and summarized SUN He's dialectical thinking and treatment characteristics for primary glaucoma,hoping to provide new insights and guidance for the diagnosis and treatment of eye diseases in the future.