亢泽峰辨治非动脉炎性前部缺血性视神经病变的思路

The Strategy for Identifying and Treating Non-arteritic Anterior Ischemic Optic Neuropathy by KANG Zefeng

非动脉炎性前部缺血性视神经病变(NAION)是危害中老年人视功能的重要原因之一,能导致不可逆的视功能损害。随着我国人口老龄化程度持续加深,疾病谱的年轻化,发病率不断升高。现代医学缺乏有效且公认的治疗方案,中医药治疗措施多样,临床疗效显著。亢泽峰认为,本病急性发病期应行气利水以治其标,慢性进展期需知其形气顺逆,调其虚实,后期宜补益气血以固其本,全程祛瘀通络以消其因,针对本病伏邪内藏的特点,灵活使用凉血清络法、温阳通络法、搜剔通络法,以祛除深藏之伏邪。本文通过总结亢泽峰辨治NAION的思路,发挥中医药特色优势,保护患者视功能,积极应对人口老龄化的战略目标。

Non-arteritic anterior ischemic optic neuropathy(NAION)is a significant cause of irreversible visual impairment in middle-aged and elderly individuals.With the continuous aging of the population in China and a trend toward younger disease onset,the incidence of NAION is rising.Modern medicine lacks effective and recognized treatment strategies,while Traditional Chinese Medicine(TCM)offers diverse clinical approaches and shows significant efficacy.KANG Zefeng suggests that during the acute phase,promoting Qi and diuresis are crucial.In the chronic stage,understanding the appearance,Qi movement,and balancing deficiency and excess are essential.In the later stages,reinforcing Qi and nourishing blood are needed to stabilize the foundation,while clearing stasis and opening collaterals help eliminate the root cause.Based on the unique characteristics of latent pathogenic factors,a flexible application of methods like cooling blood and clearing collaterals,warming Yang and opening collaterals,and exploring and clearing collaterals is essential to eliminate deeply hidden pathogenic factors.This study summarizes KANG Zefeng's approach to diagnosing and treating NAION,leveraging the strengths of TCM to safeguard patients'visual functions and proactively address the strategic goal of aging population.