| 王瑶,尹连荣,康婷婷,等.尹连荣教授论治高度近视早期视网膜退行性病变经验探析[J].浙江中医药大学学报,2024,48(6):699-703. |
| 尹连荣教授论治高度近视早期视网膜退行性病变经验探析 |
| Professor YIN Lianrong’s Experience in the Treatment of Early Retinal Degenerative Disease in High Myopia |
| DOI：10.16466/j.issn1005-5509.2024.06.010 |
| 中文关键词: 高度近视 益气活血法 补阳还五汤 未病先防 验案 视网膜退行性病变 |
| 英文关键词: high myopia supplementing Qi and promoting blood circulation method Buyang Huanwu Decoction prevention beforedisease proved case retinal degenerative disease |
| 基金项目:首都卫生发展科研专项(首发 2022-1-4182) Fund project: Capital Health Development Research Project(S.F.2022-1-4182)通信作者:尹连荣，E-mail:yinlrye@126.com |
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| 中文摘要: |
| [目的] 总结尹连荣教授治疗高度近视早期视网膜退行性病变的临床经验及学术观点。[方法] 通过跟师临证，医案整理，从高度近视早期视网膜退行性病变的发病机制、理论依据入手，总结尹教授治疗本病的临证思想及化裁经验，并附验案加以佐证。 [结果] 高度近视视网膜退行性病变呈缓慢进展状态，近视性黄斑病变严重损害视力且不可逆转，目前尚无有效治疗手段。因此，尹教授临证时将“治未病”思想与“目受血而能视”理论相结合，提出将治疗节点前移，即在发生不可逆的黄斑病变前加以干预，尹教授认为本病早期病机关键为气血亏虚，脉络瘀阻，治疗时应紧扣益气养血、活血通络之法，灵活运用经方补阳还五汤加减以改善脉络膜、视网膜血流，从而延缓眼底病变进展，临床疗效肯定。所举医案中，尹教授综合脉症及眼底检查结果，辨其为气血亏虚、脉络瘀阻之证，以益气活血之补阳还五汤加减治疗，疗效卓著。[结论] 尹连荣教授将“治未病”思想与“目受血而能视”理论相结合，在高度近视视网膜退行性病变早期阶段给予干预，通过益气活血法使气旺血行、瘀去络通，从而改善脉络膜、视网膜血流，延缓疾病进展，其经验值得临床学习借鉴。 |
| 英文摘要: |
| [OObbjjeeccttiivvee] To summarize the clinical experience and academic views of Professor YIN Lianrong in the treatment of early retinaldegeneration in high myopia. [MMeetthhooddss] Through clinical diagnosis and medical records collection，starting from the pathogenesis and theoretical basis of early retinal degeneration of high myopia，the clinical thought and experience of Professor YIN in the treatment of this disease were summarized，and the experimental case was attached for support. [RReessuullttss] Retinal degeneration in high myopia progresses slowly，and myopic macular disease seriously impairs vision and is irreversible. Currently，there is no effective treatment. Therefore， Professor YIN combines the thought of“prevention before treatment of disease”with the theory of“eye is able to see with blood”in the clinic，and proposes to move the treatment node forward，that is，to intervene before the occurrence of irreversible macular lesions. Professor YIN believes that the key pathogenesis of the early stage of the disease is Qi and blood deficiency，vein stasis，and the treatment should be closely followed by the method of supplementing Qi and nourishing blood and promoting blood circulation，and flexible use of classical prescriptions Buyang Huanwu Decoction to improve choroidal and retinal blood flow，thereby delaying the progression of fundus lesions，the clinical effect is positive. In the medical case cited，Professor YIN’s comprehensive pulse and fundus examination resultsidentified it as the syndrome of Qi and blood deficiency and vein stasis; after treated with supplementation and reduction of Buyang HuanwuDecoction，excellent curative effect was achieved. [CCoonncclluussiioonn] Professor YIN combines the idea of“ prevention before treatment of disease”with the theory of“eye is able to see with blood”，and gives intervention in the early stage of retinal degeneration in high myopia.Through the method of supplementing Qi and activating blood to promote Qi and blood flow and removing blood stasis，the blood flow of choroid and retina is improved，and the disease progression is delayed，the experience is worth clinical learning and reference. |
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