[1]刘星沈璐 马芳 陈楚.基于“玄府-络脉”理论探讨糖尿病视网膜病变[J].现代中医药,2023,(06):031-35.[doi:10.13424/j.cnki.mtcm.2023.06.007]
　LIU Xing SHEN Lu MA Fang CHEN Chu.Discussion on Diabetes Retinopathy Based on “Xuanfu Collateral” Theory[J].Modern Traditional Chinese Medicine,2023,(06):031-35.[doi:10.13424/j.cnki.mtcm.2023.06.007]
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基于“玄府-络脉”理论探讨糖尿病视网膜病变()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年06期
页码:
031-35
栏目:
出版日期:
2023-12-08

文章信息/Info

Title:
Discussion on Diabetes Retinopathy Based on “Xuanfu Collateral” Theory
文章编号:
1672-0571(2023)06-0031-05
作者:
刘星1沈璐2 马芳3 陈楚2
1.西安大兴医院，陕西 咸阳 710016：
2.陕西省中医医院，陕西 西安 710003;
3.中国人民解放军联勤保障部队第926医院,云南 开远 661600
Author(s):
LIU Xing1 SHEN Lu2 MA Fang3 CHEN Chu2
1.Xi’an Daxing Hospital, Shaanxi Xianyang 710016, China;
2.Shaanxi Provincial Hospital of Chinese Medicine, Xi’an 710003, China;
3.926 Hospital of the Joint Support Force of the People’s Liberation Army,Yunnan Kaiyuan 661600，China
关键词:
关键词：糖尿病视网膜病; 络脉; 玄府; 补虚通络; 开玄荣府; 辛味风药
Keywords:
Key words:Diabetes retinopathy;  Collateral vessels;  Xuanfu;  Supplementing deficiency and unblocking collaterals;  opening and nourishing Xuanfu;  Spicy wind drugs
分类号:
R224；R255.4
DOI:
10.13424/j.cnki.mtcm.2023.06.007
文献标志码:
A
摘要:
摘 要：玄府、络脉，遍及全身，二者共同作用维持全身气血津液的运行。糖尿病视网膜病变（diabetic retinopathy，DR）在中医上归属于消渴内障，由消渴病发展而来，日久脉络瘀阻，玄府闭塞，神机失用。文章基于“玄府-络脉”理论，通过对目络、目玄府的结构与功能进行阐述，分析“玄府-络脉”下DR的病机为玄府郁闭，络脉瘀滞，并且认为络脉致病多以虚为主，玄府致病多为闭塞，在此基础上，在确定治疗原则时应以通络脉，开玄府为主。临床治疗时倡导补虚以通络脉，辛味药以开玄府，为临床治疗DR提供思路。
Abstract:
Abstract：The Xuanfu and collateral channels cover the entire body, and maintain the circulation of Qi, blood, and body fluids throughout the body. Diabetes retinopathy in Chinese medicine belongs to the internal barrier of Xiaoke, which is developed from diabetes. After a long period of time, the veins are blocked, the Xuanfu is blocked, and the Shen activity is lost. Based on the theory of “Xuanfu Collateral”, this paper expounds the structure and function of the eye collateral and the eye Xuanfu, analyzes that the pathogenesis of diabetes retinopathy under the “Xuanfu Collateral” is Xuanfu stasis and collateral stasis, and believes that the main pathogenesis of collateral diseases is deficiency, and the main pathogenesis of Xuanfu is occlusion. On this basis, the treatment principle should be based on unblocking collateral and opening Xuanfu. In clinical treatment, we advocate tonifying deficiency to dredge collaterals, and pungent medicine to open Xuanfu, providing ideas for clinical treatment of diabetes retinopathy.

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备注/Memo

备注/Memo:
基金项目：国家中医药管理局中医学术流派传承工作室第二轮建设项目（国中医人教函（2019）62号）
更新日期/Last Update: 2023-11-23