任征从“瘀”论治视网膜静脉阻塞临证经验

Experience of REN Zheng in Treatment of Retinal Vein Occlusion Based on"Blood Stasis"

视网膜静脉阻塞(RVO)属中医学“暴盲”的范畴,病因复杂,是常见的可致盲的视网膜血管疾病。RVO容易反复出血、水肿,严重影响视功能。由于目前治疗手段存在局限性,故疾病预后疗效不一。中医辨证论治思想在本病的治疗上有独特之处,可缩短病程、促进水肿消退、提升视功能。任征总结分析本病的病因病机,认为RVO应责之于“瘀”,提出对其治疗应以“通”为原则。故临床上将其分为肝郁化火证、阴虚火旺证和痰湿瘀阻证进行辨证分型论治,获得了良好疗效,本文对其经验进行总结,并附临床医案说明,以期为临床诊治本病提供指导。

Retinal vein occlusion(RVO)belongs to the category of"acute blindness"in Traditional Chinese Medicine(TCM),with complex etiology.It is a common retinal vascular disease that can lead to blindness.RVO often results in recurrent bleeding and edema,severely affecting visual function.Due to the limitations of current treatment methods,the prognosis and efficacy of treatment vary.TCM's diagnostic and therapeutic principles have unique features in the treatment of this disease,which can shorten the course of the disease,promote the resolution of edema,and improve visual function.REN Zheng summarized and analyzed the etiology and pathogenesis of this disease,believed that RVO is attributed to"stagnation"and proposed that treatment should focus on"circulation".Therefore,clinically,it is classified into patterns of liver depression transforming into fire,kidney Yin deficiency leading to fire,and phlegm-dampness stagnation,each requiring different treatment approaches.Good therapeutic effects have been achieved,and this article summarizes the experiences,accompanied by clinical cases,aiming to provide guidance for the clinical diagnosis and treatment of the disease.