针药结合治疗中心性浆液性脉络膜视网膜病变1例
One Case of Central Serous Chorioretinopathy Treated by Acupuncture Combined with Medicine
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1.中国中医科学院西苑医院,北京 100091
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周婉瑜, 吴建国, 韦东, 等. 针药结合治疗中心性浆液性脉络膜视网膜病变1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=27756871&Fpath=home&index=0
ZHOU Wanyu, WU Jianguo, WEI Dong, et al. One Case of Central Serous Chorioretinopathy Treated by Acupuncture Combined with Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=27756871&Fpath=home&index=0
周婉瑜, 吴建国, 韦东, 等. 针药结合治疗中心性浆液性脉络膜视网膜病变1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=27756871&Fpath=home&index=0 DOI:
ZHOU Wanyu, WU Jianguo, WEI Dong, et al. One Case of Central Serous Chorioretinopathy Treated by Acupuncture Combined with Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=27756871&Fpath=home&index=0 DOI:
病史摘要,2,患者,女,41岁,右眼视物变形、变暗、变小反复发作5年,休息可缓解,外院诊断为中心性浆液性脉络膜视网膜病变,未予治疗。2021年3月因斑秃口服醋酸泼尼松片30 mg起始,2021年5月4日自觉右眼视物变形、变暗、变小,休息后不消失,伴视物模糊,视久疲劳,畏光,5月11日来中国中医科学院西苑医院寻求中医治疗。初诊时患者右眼视物变形、变暗、变小,外院眼底荧光血管造影提示:右眼静脉期黄斑区点状高荧光,随时间推移,荧光逐渐增强(墨渍样扩大),范围增大,晚期黄斑区持续高荧光区(积存);吲哚菁绿血管造影提示:早期与黄斑区点状高荧光对应处脉络膜高灌注,可见1处点状高荧光(hotspot),晚期呈高荧光。眼光学相干断层扫描提示:右眼黄斑中心凹神经上皮层脱离;全身伴见情绪欠佳,失眠头痛,两胁胀痛,神疲食少,大便稀溏;舌淡红、苔薄,脉细弦。中医诊断 视瞻有色,肝郁脾虚证。治法 疏肝解郁,健脾益气。西医诊断 中心性浆液性脉络膜视网膜病变(右眼)。干预措施 中药及针刺治疗。经2个月针刺及中药治疗,现右眼视力恢复,无不适。
Summary of case history,Symptoms and signs ,Patient, female, 41 years old, right eye visual distortion, darkening, shrinking, recurrent attacks for 5 years,Rest can ease,The diagnosis of Central Serous retinopathy in another hospital. No treatment.Beginning of 30 mg oral prednisone acetate tablets for alopecia areata in March 2021.May 4,2021 consciously right eye vision deformation, darker, smaller, do not disappear after rest, accompanied by blurred vision, long visual fatigue, photophobia,On May 11, he came to Xiyuan Hospital of Chinese Academy of Chinese Medical Sciences to seek TCM treatment At the initial diagnosis, the patient's right eye was deformed, darker, and smaller,fundus fluorescence angiography suggests: venous macular area in the right eye, over time, fluorescence gradually increased (ink, expanded), late macular area continued high fluorescence (accumulation), indopine green angiography suggests: early point high fluorescence corresponding to choroidal hyperperfusion in the macular area, visible 1 point high fluorescence (hotspot), late high fluorescence.Para-foveal ink leakage in the right eye, visual coherence tomography indicates: detachment of the macular foveal nerve epithelial layer in the right eye, poor mood, insomnia, headache, pain, fatigue and food, loose stool, light red tongue, thin moss and thin veins.,TCM disease and syndrome, syndrome of stagnation of liver qi and spleen deficiency,TCM treatment, Thin the liver to relieve depression, invigorate the spleen and replenish qi,TCM diagnosis, Vision and color, liver depression and spleen deficiency syndrome,Western medicine diagnosis, central serous chorioretinopathy;CSC,Therapeutic methods, Traditional Chinese medicine and acupuncture treatment,Clinical outcomes, After 2 months of acupuncture and traditional Chinese medicine treatment, now the vision of the right eye has recovered, no discomfort
中心性浆液性脉络膜视网膜病变反复发作糖皮质激素诱发中药针刺
Central serous chorioretinopathyrecurrentglucocorticoid inducedChinese medicineacupuncture【
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