基于“病痰飲者當用溫藥和之”簡析黃斑水腫的治療思路

【關鍵詞】黃斑水腫；《金匱要略》；痰飲病；張仲景

【中圖分類號】R249.2/.7 【文獻標志碼】A 【文章編號】1007-8517（2025）09-0099-04

DOI：10.3969/j. issn.1007 -8517. 2025.09. zgmzmjyyzz202509019

Analysisof Treatment Strategies forMacular Edema Based on thePrincipleof “Using Warming Medications for Phlegm-Dampness Diseases”

ZHANG Chang1LIU Rui1LI Ling1LEI Xinyue’HAN Guang2 1.ChangchunUniversity of Traditional ChineseMedicine，Changchun13O117，China 2.Changchun Hospital of Traditional Chinese Medicine，Changchun 13Oo22，China

Abstract：Macularedemarefers toinflammationandswelinginthemacularareacausedbyfluidleakage，leadingtosignificant visiondecline.ItisonofthemaincausesofvisionlossassociatedwithcentralretinalveinolusionanddiabeticretioathyThe primarysymptomsincludedistortedvisionandreducedvisualacuity，andifeftuntreatedforanextendedperiod，itcanresultinire versibleretinaldamage.TraditionalChineseMedicine（TCM）atributesmacularedematotheaccumulationofbodilyfluidsinthe macula，whichcanbelinkedtothepathogenicfactorof“phlegmretention.”O(jiān)vertwothousandyearsago，thephysician Zhang Zhongjingproposedtheprincipleofusingwarmingdrugstotreatphlegm-relatedconditionsinhis work JinguiYaolue.Basedonclassicaltextsandyearsofclinicalexperience，ProfesorHanGuangsugeststhattheformationandpersistenceof macularedemaare mainlydue toadeficiencyandimpairmentoftepatient’sYangQi.Thetreatmentemphasizestheuseof warmingherbs，combined with agents that promote circulation and reduce fluid retention，achieving satisfactory clinical outcomes.

Key words：Macular Edema；Jingui Yaolue；Phlegm Retention Disorder；Zhang Zhongjing

黃斑水腫是由于細胞外液滲入視網膜層，致使黃斑內液體量異常增加的眼病，可分為黃斑囊樣水腫和黃斑彌漫樣水腫。（剩余6661字）