摘要
糖尿病视网膜病变(diabetes retinopathy,DR)是糖尿病的主要微血管并发症之一,是导致成人失明的重要原因。DR可归属于中医学之"雀目""内障""暴盲""视瞻昏渺""云雾移睛"等范畴。DR病因病机较为复杂,古之对DR病因认识主要为先天禀赋不足、饮食不节、情志失调、失治误治、多服温热燥药、或三消日久等。近年来中医药在DR病因病机、防治中发挥了独特优势并占有关键性地位。此综述总结了近几年从中医病因病机、辨证治疗方面对中医药治疗DR的现状,介绍了中医药的实际临床应用及实验研究,进一步证实了中医药防治DR的独特优势。比如,在古之DR病因病机基础上,现代医家更认识到虚(气、阴、脾肾肝)、瘀(络脉瘀阻)、痰(痰湿、痰瘀互结)、郁(血瘀、痰湿、郁热、气滞等)、水(水饮)在DR发生发展中的作用;在对DR进行分期分型基础上,结合临床及实验研究探讨复方、中成药、单味药、针灸等防治DR的有效性及内在机制。
Diabetes retinopathy(DR)is one of the major microvascular complications of diabetes and is an important cause of adult blindness.DR can be classified into“sparrow eye”,“internal ophthalmopathy”,“sudden blindness”,“blurred vision”and“fog moving before eye”in traditional Chinese medicine(TCM).The etiology and pathogenesis of DR is complex,and the causes mainly include congenital insufficiency,improper diet,lack of proper treatment,taking more warm and dry drugs,long course of three Xiao diseases,etc.In recent years,TCM has played a unique role in the etiology and pathogenesis,and treatment of DR.This review summarized the current situation of TCM in the treatment of DR from the etiology,pathogenesis and syndrome differentiation.It introduced the practical clinical application and experimental research of TCM,and further confirmed the unique advantages of TCM in the prevention and treatment of DR.On the basis of the ancient etiology and pathogenesis of DR,modern physicians have realized the role of deficiency(Qi,Yin,spleen,kidney and liver),blood stasis(obstruction of collaterals),phlegm(phlegm-dampness,intermingled phlegm and blood stasis),stagnation(blood stasis,phlegm-dampness,heat stagnation,Qi stagnation,etc)and water(fluid retention)in the occurrence and development of DR.Based on the classification of DR,combined with clinical and experimental studies,the effect and internal mechanism of compound medicine,Chinese patent medicine,single drug and acupuncture in the prevention and treatment of DR were discussed.
作者
邸莎
王天铬
李敏
DI Sha;WANG Tiange;LI Min(Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《辽宁中医杂志》
CAS
2022年第1期208-213,共6页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81774296)
关键词
糖尿病视网膜病变
中医药
综述
diabetes retinopathy
traditional Chinese medicine
review
