审平汤治疗青光眼睫状体炎综合征验案辨析
Case Analysis of the Treatment of Glaucomatous Ciliary Body Syndrome with
Shenping Decoction
扫 描 看 全 文
1.中国中医科学院眼科医院目系眼病科,北京100040
2.中国中医科学院医管处,北京100700
扫 描 看 全 文
陈爽, 张丽霞. 审平汤治疗青光眼睫状体炎综合征验案辨析[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29488137&Fpath=home&index=0
CHEN Shuang, ZHANG Lixia. Case Analysis of the Treatment of Glaucomatous Ciliary Body Syndrome with
陈爽, 张丽霞. 审平汤治疗青光眼睫状体炎综合征验案辨析[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29488137&Fpath=home&index=0 DOI:
CHEN Shuang, ZHANG Lixia. Case Analysis of the Treatment of Glaucomatous Ciliary Body Syndrome with
病史摘要,2,向某,女,54岁,双眼胀痛伴视物模糊反复发作21年。四诊可见神清,精神尚可,无怕冷怕热,无胸闷胸痛,无口干口苦,纳可,眠安,二便调畅。舌质暗红,苔少,脉弦细。中医诊断为青风内障(阳明阖降失司),中药方剂治以阖降阳明、抑火助金,西医以免疫抑制剂及激素抗炎治疗为主,治疗后患者双眼胀痛、视物模糊、视物疲劳等症状基本消失。四诊信息 神清,精神尚可,双眼胀痛,视物模糊,视物疲劳,不欲睁眼,无怕冷怕热,无胸闷胸痛,无口干口苦,纳可,眠安,二便调畅。舌质暗红,苔少,脉弦细。中医病证 青风内障(阳明阖降失司)。中医治法 阖降阳明,抑火助金。西医诊断 青光眼睫状体炎综合征。干预措施 口服中药汤剂,配合激素类口服药及激素类滴眼液治疗。疗效转归 患者双眼胀痛、视物模糊、视物疲劳等症状基本消失。
A typical case is Xiang Mou, a 54 years old female with bilateral eyes pain and blurred vision occurred repeatedly for 21 years. Four diagnoses show her mind is clear, the spirit is OK, there is no fear of cold or heat, no chest tightness or pain, no thirsty or bitter with her mouth. She has a good appetite and can sleep well at night. Her bowel movements and urination are normal as well. In addition, she had a dark red tongue, with little fur and thin and string pulse. It is diagnosed as bluish glaucoma (disorder of Yangming's closing and descending). Traditional Chinese Medicine prescriptions are used to close down Yang Ming, suppress fire and help gold. Western medicine is mainly used for anti-inflammatory treatment with immunosuppressants and hormones.After treatment, The symptoms of swelling and pain in both eyes, blurred vision and visual fatigue basically disappeared.,Summary of case history, Bilateral eyes pain and blurred vision occurred repeatedly for 21 years.,Symptoms and signs ,Her mind is clear, the spirit is OK, there is no fear of cold or heat, no chest tightness or pain, no thirsty or bitter with her mouth. She has a good appetite and can sleep well at night. Her bowel movements and urination are normal as well. In addition, she had a dark red tongue, with little fur and thin and string pulse.,TCM disease and syndrome, Bluish glaucoma (disorder of Yangming's closing and descending).,TCM treatment, Close down Yang Ming, suppress fire and help gold.,TCM diagnosis ,Bluish glaucoma,Western medicine diagnosis ,Posner-schlossman syndrome,Diagnostic methods, Integrated Traditional Chinese Medicine and Western Medicine.,Therapeutic methods ,Chinese medicine decoction combined with hormone oral drugs and eye drops.,Clinical outcomes ,The symptoms of swelling and pain in both eyes, blurred vision and visual fatigue basically disappeared.
青光眼睫状体炎综合征青风内障审平汤
posner-schlossman syndromebluish glaucomaShenping Decoction
Posner A, Schlossman A. Syndrome of unilateral recurrent attacks of glaucoma with cyclitic symptoms[J]. Arch Ophthalmol.1947,39:517-535.
章沐曦,张伟,周金红,等.舒肝明目汤治疗青光眼睫状体炎综合征的临床研究[J].中国中医眼科杂志,2020,30(12):860-864.
黄婧,石小佳,张文松.青光眼睫状体炎综合征的病因分析[J].中国实验诊断学,2020,24(10):1741-1745.
姚可,娄晓彤,周雄武,等.青光眼睫状体炎综合征病因及治疗的研究进展[J].眼科学报,2021,36(12):998-1005.
陶国水.因时识宜 随机达变[N].中国中医药报,2016-04-18(004).
陈爽,倘孟莹,张丽霞,等.论开阖六气针法及其眼科应用[J].中华中医药杂志,2021,36(9):5289-5292.
陶国水.顾植山谈六经病"欲解时"及临床应用[J].时珍国医国药,2017,28(7):1707-1709.
陆曙,陶国水,顾植山.基于«黄帝内经»五运六气学说的临证处方策略[J].中华中医药杂志,2020,35(2):565-568.
0
浏览量
8
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构