| 引用本文: |
邓文倩, 彭清华, 周贤慧, 彭佳欣, 喻娟, 殷淑婷.彭清华教授分期辨治糖尿病视网膜病变的经验[J].湖南中医药大学学报,2026,46(2):400-404[点击复制] |
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| 彭清华教授分期辨治糖尿病视网膜病变的经验 |
| 邓文倩,彭清华,周贤慧,彭佳欣,喻娟,殷淑婷 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一中医临床学院, 湖南 长沙 410007) |
| 摘要: |
| 糖尿病视网膜病变（DR）是糖尿病所致最严重的眼部并发症之一，且致盲率高。本文总结彭清华教授中西医结合分期辨治DR体系：以“病证结合，分期治疗”为理论核心，融合中医与西医对DR的认识，DR中医病机以“五脏阴阳失衡”为本、“瘀血、水湿”为局部表现，西医则聚焦视网膜血管损伤的机制。DR治疗强调未病先防、既病防变，创新性提出分期治疗方案：早期基于治未病理念减轻视网膜神经细胞的病理性损害，保护视网膜结构；中期采用中西医协同抗渗漏治疗；晚期实施手术辅助的康复管理。通过构建中西医协同分期辨治体系，突破单一医学体系诊疗瓶颈。 |
| 关键词: 糖尿病视网膜病变 分期辨治 中西医结合 名医经验 彭清华 |
| DOI：10.3969/j.issn.1674-070X.2026.02.026 |
| 投稿时间：2025-09-19 |
| 基金项目:国家重大疑难疾病中西医临床协作项目(ZDYN-2024-A-067);国家重点研发计划项目(2024YFC3505400);湖南省眼科疾病(中医)临床医学研究项目(2023SK4038)。 |
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| Professor PENG Qinghua's experience in staged differentiation and treatment of diabetic retinopathy |
| DENG Wenqian, PENG Qinghua, ZHOU Xianhui, PENG Jiaxin, YU Juan, YIN Shuting |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Clinical School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Diabetic Retinopathy (DR) is one of the most severe ocular complications caused by diabetes and carries a high risk of blindness. This article summarizes Professor PENG Qinghua's integrated Chinese and Western medicine system for staged differentiation and treatment of DR. Centered on the theoretical core of integrating differentiation of both disease and pattern with stage-based treatment, the system combines Chinese and Western medical perspectives on DR. In Chinese medicine, the pathogenesis of DR is rooted in "imbalance of yin and yang in the five zang organs," with "stagnant blood and water-dampness" as its manifestations, while Western medicine focuses on the mechanisms of retinal vascular damage. Emphasizing the principles of preventing disease before its onset and controlling progression after onset, the treatment strategy innovatively proposes a stage-based protocol. In the early stage, guided by the concept of preventing a disease before it arises, the aim is to reduce pathological damage to retinal neuronal cells and preserve retinal structure; in the middle stage, integrated Chinese and Western anti-leakage therapy is applied; and in the late stage, surgically assisted rehabilitation management is implemented. By establishing an integrated staged differentiation and treatment system, this approach breaks through the limitations of single-medical-system diagnosis and treatment, offering a novel paradigm for DR management. |
| Key words: diabetic retinopathy staged differentiation and treatment integrated Chinese and Western medicine famous doctors' experience PENG Qinghua |
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