罗向霞从“脾虚湿困”论治中心性浆液性脉络膜视网膜病变
Treatment of Central Plasmacytoid Chorioretinopathy from "Spleen Deficiency and Dampness Trapping" by LUO Xiangxia
DOI:10.13729/j.issn.1671-7813.Z20211380
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1.甘肃中医药大学,甘肃 兰州 730000
2.甘肃省中医院,甘肃 兰州 730000
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曾敏, 罗向霞, 苏梅贵, 等. 罗向霞从“脾虚湿困”论治中心性浆液性脉络膜视网膜病变[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20211380
ZENG Min, LUO Xiangxia, SU Meigui, et al. Treatment of Central Plasmacytoid Chorioretinopathy from "Spleen Deficiency and Dampness Trapping" by LUO Xiangxia[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20211380
曾敏, 罗向霞, 苏梅贵, 等. 罗向霞从“脾虚湿困”论治中心性浆液性脉络膜视网膜病变[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20211380 DOI:
ZENG Min, LUO Xiangxia, SU Meigui, et al. Treatment of Central Plasmacytoid Chorioretinopathy from "Spleen Deficiency and Dampness Trapping" by LUO Xiangxia[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20211380 DOI:
罗向霞教授认为,诸湿肿满,皆属于脾,脾气虚,失于健运,湿邪困阻,滞于黄斑,引起黄斑区水液潴留,水湿之邪通过病变的色素上皮进入视网膜,造成视网膜神经上皮层脱离,发为中心性浆液性脉络膜视网膜病变(CSC),危害患者视力,据此确立“温阳健脾、渗湿利水”为脾虚湿困型CSC基本治法,从脾虚湿困论治本病,结合辨证思维遣方用药,可取得较好疗效,为临床改善CSC患者生活质量提供治疗新思路、新策略。
Prof. LUO Xiangxia believed that"all dampness and swelling and fullness belong to the spleen", spleen qi deficiency, loss of healthy movement, and dampness trapped in the macula, causing water and dampness retention in the macula. The evil of water and dampness (water, drink and dampness are all changes of fluids, so this article collectively refers to the evil of water and dampness, without detailed investigation) enters the retina through the diseased pigment epithelium, causing detachment of the retinal neuroepithelial layer, which develops into CSC and endangers the patient's vision. Accordingly, the basic treatment method of "warming Yang and strengthening the spleen, permeating dampness and promoting water circulation" was established for spleen deficiency and dampness trapped type CSC. The treatment of this disease is based on the theory of spleen deficiency and dampness, and by following this method and combining it with the thinking of Chinese medicine, we can achieve better results and provide new ideas and strategies for clinical treatment to improve the quality of life of CSC patients.
中心性浆液性脉络膜视网膜病变脾虚湿困温阳健脾渗湿利水
central serous chorioretinopathyspleen deficiency and dampnesswarming Yang and strengthening spleenInfiltration and diuresis
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