摘要
视网膜所需营养物质大部分是由血液承载的精和津液,在气的推动下,经眼底血络输送而来。内燥消耗人体阴液(精、血、津、液),视衣失养,神光失灵,人体发挥自稳调节的本能,眼络另辟通道,变成新的血管网络以自救。因此将视网膜新生血管的病因病机总括为“内燥枯耗精血津液,视衣失养乱脉自生”。这与西医学中视网膜缺血缺氧,诱导促血管因子分泌调控新生血管形成的过程相吻合。治疗上当以“燥者濡之”“燥者润之”作为基本原则,并针对具体疾病种类,病机变化兼施不同的治法。
Most of the nutrients required for the retina are carried by the essence and body fluid in the blood,which are transported through the blood vessels of the fundus of the eye under the push of Qi.Internal dryness consumes the body′s Yin(essence,blood,and body fluid),and when the retina loses nourishment,the divine light fails.The human body exerts its instinct of self stabilization and regulation,opening up new channels and generating new blood vessel networks for self rescue.Therefore,the etiology and pathogenesis of retinal neovascularization can be summarized as“internal dryness,depletion of essence,blood and body fluids,loss of nourishment of retina,and spontaneous generation of abnormal veins”.This is consistent with the understanding in Western medicine that retinal ischemia and hypoxia induce the secretion of provascular factors,and regulate the formation of new blood vessels.In treatment,the basic principle should be“moistening the dry”,and different treatment methods should be applied according to specific types of diseases and changes in pathogenesis.
作者
李佳贤
金昱
梁丽娜
贾楠
祁宝玉
LI Jiaxian;JIN Yu;LIANG Lina;JIA Nan;QI Baoyu(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China;The First Affiliated Hospital of Yunnan University of Chinesse Medicine,Kunming 650021,Yunnan China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《辽宁中医杂志》
北大核心
2026年第2期72-75,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(82274589,81973912)
中国中医科学院科技创新工程(CI2021A02602)
中国中医药循证医学中心“业务研究室主任专项”(2020YJSZX-2)。
关键词
视网膜新生血管
内燥
病机
retinal neovascularization
internal dryness
pathogenesis
