| 张业.从“虚气留滞”论糖尿病视网膜病变的病机与临床治疗策略[J].浙江中西医结合杂志,2026,36(6): |
| 从“虚气留滞”论糖尿病视网膜病变的病机与临床治疗策略 |
| On the Pathogenesis and Clinical Treatment Strategies of Diabetic Retinopathy from the Perspective of “Deficiency of Qi and Stagnation” |
| 投稿时间：2025-06-08 修订日期：2025-07-25 |
| DOI： |
| 中文关键词: 糖尿病视网膜病变 虚气留滞 滋补肝肾 益气补虚 活血通络 治疗策略 |
| 英文关键词:diabetic retinopathy deficiency of qi and stagnation deficiency of both qi and yin blood stasis blocking the collaterals tonifying qi and nourishing yin treatment strategy |
| 基金项目:国家中医优势专科建设项目(国中医药医政函[2024]90号)；浙江省中医药科技计划项目(2024ZL887) |
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| 中文摘要: |
| “虚气留滞”理论描述了元气虚衰，精气血津液等流动物质发生郁滞，致实邪蕴积不去的病理过程。用“虚气留滞”理论阐释糖尿病视网膜病变病机，认为“虚气”形成于糖尿病，是其病变根本，而由此导致的“留滞”状态是本病的发生关键。在治疗方面，应当重视滋补肝肾、益气补虚以治其本，活血通络、祛湿化痰以治其标，并且依据证候虚实，灵活用药以兼顾虚实，序贯用方以精准辨治。附典型医案二则以论证。 |
| 英文摘要: |
| The theory of "deficiency of qi and stagnation" describes the pathological process in which the decline of vital qi leads to the stagnation of flowing substances such as essence, blood, qi, and body fluids, resulting in the accumulation of pathogenic factors. Applying this theory to interpret the pathogenesis of diabetic retinopathy, it is believed that the "deficiency of qi" originates from diabetes and is the root of its pathological changes, while the resulting "stagnation" is the key to the occurrence of the disease. In terms of treatment, it is essential to focus on nourishing yin and replenishing qi, as well as warming yang and supplementing deficiency to address the root cause, and to activate blood circulation, unblock collaterals, and eliminate dampness and phlegm to treat the symptoms. Moreover, it is necessary to use medicines flexibly according to the deficiency or excess of the syndrome, and to apply sequential prescriptions for precise differentiation and treatment. Two typical medical cases is attached to illustrate this argument. |
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