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老年性黄斑变性病变分期的中医辨证
引用本文:黄仲委,关国华,詹宇坚,李景恒. 老年性黄斑变性病变分期的中医辨证[J]. 广州中医药大学学报, 1995, 0(4)
作者姓名:黄仲委  关国华  詹宇坚  李景恒
摘    要:本文从中医辨证角度对不同阶段的老年性黄斑变性(AMD)进行证型分析,以探讨AMD各期病理变化的中医辨证规律,结果显示,早期AMD以虚证表现为主,中后期则以实证表现为主,且伴有较明显的外显证候。中后期出现视网膜下新生血管及出血以实证为多。提示在AMD的中医治疗上,早期应以健脾益气为主,兼以补益肝肾,对中后期则应在扶正的基础上,兼以疏肝理气、清热化痰、行气通络或活血化瘀。

关 键 词:黄斑变性/诊断,老年人,辨证分型

TCM Syndrome Diffrerentiation for Different Stages of Senile Macular Degeneration
Huang Zhongwei,et al.. TCM Syndrome Diffrerentiation for Different Stages of Senile Macular Degeneration[J]. Journal of Guangzhou University of Traditional Chinese Medicine, 1995, 0(4)
Authors:Huang Zhongwei  et al.
Affiliation:Dept. of Ophthalmology.the lst Affiliated Hospital
Abstract:The regular patterns of TCM syndrome differentiation for various stages of senile macular degeneration(SMD)have been investigated.The results showed that deficiency syndrome wasmanifested predominantly in the early stage,and excess syndrome with subre tinalneovascularization and retinal hemarrhage in the intermediate and later stages.It suggested that the TCM treatment for SMD should be benefiting qi and invigorating spleenand kidney and liver as well in the early stage,and supporting healthy- qi with dispersing thestagnated liver-qi, clearing away heatveil,eliminating sputum,activating qi,dredging meridians,or promoting blood circulation and removing blood stasis in the intermediate and late stages.
Keywords:MACULAR DEGENERATION /diag. AGED ZNENG DIFFERENTIATION-CLASSIFICAION
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