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黄雨, 李丹阳, 周亚莎, 彭清华.岐黄学者彭清华辨治青光眼视神经损伤的经验[J].湖南中医药大学学报,2025,45(7):1310-1314[点击复制] |
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岐黄学者彭清华辨治青光眼视神经损伤的经验 |
黄雨,李丹阳,周亚莎,彭清华 |
(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;福建中医药大学中医学院, 福建 福州 350122;湖南中医药大学第一附属医院眼科, 湖南 长沙 410007) |
摘要: |
总结彭清华教授辨治青光眼视神经损伤的经验。青光眼导致视神经损伤在现有西医治疗措施中存在两大瓶颈,主要为:抗青光眼术后,视神经损伤仍然持续进展;慢性闭角型或正常眼压性青光眼诊疗窗口滞后,病程已处于中、晚期,视神经受损严重。彭清华教授认为,上述多有“气阴两虚,血瘀水停”“肝肾亏损,气虚血瘀”之证。在治疗上,彭清华教授因证立法,随法组方,自创“青光安颗粒剂”益气养阴、活血利水,“青光安Ⅱ号方”滋补肝肾、益气活血。 |
关键词: 青光眼 视神经损伤 青光安 活血利水 名医经验 彭清华 |
DOI:10.3969/j.issn.1674-070X.2025.07.016 |
投稿时间:2024-11-23 |
基金项目:国家自然科学基金项目(82274588,81904260);湖南省教育厅科学研究青年项目(22B0398);湖南省研究生科研创新项目(CX20230790)。 |
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Qihuang Academic PENG Qinghua's experience in treating optic nerve injury in glaucoma |
HUANG Yu, LI Danyang, ZHOU Yasha, PENG Qinghua |
(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;School of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China;Department of Ophthalmology, the First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
Abstract: |
To summarize Professor PENG Qinghua's experience in treating optic nerve injury in glaucoma. There are two major bottlenecks in current western medical treatment for glaucoma-induced optic nerve injury:the optic nerve injury continues to progress after anti-glaucoma surgery; the diagnosis and treatment window for chronic closed-angle or normal intraocular pressure glaucoma is delayed, by which time the disease has already reached the middle or late stage. Professor PENG believes that the above of conditions often present with patterns such as "deficiency of qi and yin, blood stasis and water retention" and "deficiency of liver and kidney, qi deficiency and blood stasis". In terms of treatment, Professor PENG formulates therapeutic principles based on the specific pattern and then prescribes accordingly. He has independently developed "Qingguang'an Granules" which tonify qi and nourish yin, promote blood circulation and drain water retention, and "Qingguang'an Formula Ⅱ" which nourishes the liver and kidney, tonifies qi and promotes blood circulation. |
Key words: glaucoma optic nerve damage Qingguang'an promoting blood circulation and draining water retention famous physician's experience PENG Qinghua |
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