摘要
黄元御苦心研读《黄帝内经》《伤寒论》《金匮要略》等经典著作,在天人相应、阴阳互根的基础上著成《四圣心源》一书,其核心是“一气周流,土枢四象”。湿性年龄相关性黄斑变性(wAMD)是临床三大致盲疾病之一,虽然临床治疗手段多样,但远期疗效不理想。因此,继续探索本病的治疗方法意义重大,尤其是中医药治疗。本文基于黄元御“一气周流”理论,提出wAMD基本病机是土虚湿盛和肾虚水寒,疾病进展的关键因素是木陷血瘀。并基于此,提出临床治疗应以恢复一气的正常周流为最终目的,以燥土升木暖水为主要途径,从而为本病提供新的治疗思路。
HUANG Yuanyu studyed the Inner Canon of Huangdi,Treatise on Febrile Diseases,Synopsis of the Golden Chamber,and other classics with painstaking efforts.On the basis of correspondence between heaven and man,and the mutual roots of Yin and Yang,he wrote the Four Sages Study,whose core is"Qi cycles in round,and the earth pivots four organs".Wet agerelated macular degeneration(wAMD)is one of the three clinical blinding diseases.Although there are various clinical treatments,the long-term effect is not ideal.Therefore,it is of great significance to continue exploring treatment methods for this disease,especially treatment of Traditional Chinese Medicine.Based on"one-Qi circulation theory",this paper proposes that the basic pathogenesis of wAMD is spleen deficiency causing dampness excess and kidney Yang deficiency.The key factor of disease progression is liver depression and blood stasis.Moreover,this paper proposes that the ultimate goal of clinical treatment is to restore normal circulation of Qi,and the main strategy is to strengthen spleen,smooth liver and warm kidney,so as to provide new treatment ideas for this disease.
作者
李锦媛
苏风军
LI Jinyuan;SU Fengjun(Shandong University of Traditional Chinese Medicine,Jinan 250013,China)
出处
《中国中医眼科杂志》
2023年第8期762-765,共4页
China Journal of Chinese Ophthalmology
关键词
黄元御
“一气周流”理论
湿性年龄相关性黄斑变性
病因病机
辨证论治
HUANG Yuanyu
One-Qi circulation theory
wet age-related macular degenera⁃tion
etiology and pathogenesis
treatment based on syndrome differentiation
