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郭心仪, 黄栊瑢, 郭永红, 陈向东.陈向东教授运用桂枝茯苓丸加味治疗糖尿病黄斑水肿经验[J].湖南中医药大学学报英文版,2024,44(6):1058-1062.[Click to copy
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| 陈向东教授运用桂枝茯苓丸加味治疗糖尿病黄斑水肿经验 |
| 郭心仪,黄栊瑢,郭永红,陈向东 |
| (湖南中医药大学第一中医临床学院, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 4102083;衡阳市中医医院, 湖南 衡阳 421000) |
| 摘要: |
| 陈向东教授通过长期临床经验结合微观辨证理论得出，糖尿病黄斑水肿的病机特点为消渴耗气，气虚不运，阳气郁滞，血瘀视衣，病程日久，水湿停聚，痰湿内生，痰瘀互结，发为水肿，故以“通阳解郁，活血利水”为治疗原则，化裁经方桂枝茯苓丸临证加减，为治疗糖尿病黄斑水肿提供新的治疗思路。 |
| 关键词: 糖尿病视网膜病变 糖尿病黄斑水肿 微观辨证 痰瘀互结 活血利水法 桂枝茯苓丸 |
| DOI：10.3969/j.issn.1674-070X.2024.06.017 |
| Received:July 13, 2023 |
| 基金项目:国家自然科学基金项目（82374525）；湖南省自然科学基金项目（2021JJ30520）；湖南省中医药科研计划项目（C2022003）；湖南中医药大学校级科研项目（2022CX150，2023CX39）。 |
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| Professor CHEN Xiangdong's experience in treating diabetic macular edema with modified Guizhi Fuling Pill |
| GUO Xinyi, HUANG Longrong, GUO Yonghong, CHEN Xiangdong |
| (The First Clinical School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hengyang Hospital of Chinese Medicine, Hengyang, Hunan 421000, China) |
| Abstract: |
| Professor CHEN Xiangdong, based on long-term clinical experience and microscopic pattern differentiation theory, concluded that the pathogenesis of diabetic macular edema (DME) is characterized by qi deficiency, which is due to wasting thirst disorder, failing in transportation, stagnation of yang qi, blood stasis in the retina, retention of water-dampness in a prolonged disease course leading to endogenous phlegm-dampness, and, finally, intertwined phlegm and blood stasis. Therefore, taking "activating yang to relieve stagnation, and circulating blood and draining water retention" as the therapeutic principle, the classic formula Guizhi Fuling Pill is applied and modified according to different clinical conditions. This paper aims to provide a new therapeutic idea for the treatment of DME. |
| Key words: diabetic retinopathy diabetic macular edema microscopic pattern differentiation intertwined phlegm and blood stasis circulating blood and draining water retention Guizhi Fuling Pill |
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