中国中医眼科杂志2026，Vol.36Issue(3)：265-269,5.DOI:10.13444/j.cnki.zgzyykzz.2026.03.012
基于"血水同治"理论探讨青光眼及其围手术期的治疗
Treating Glaucoma and Its Perioperative Period Based on the Theory of Simultane-ous Treatment of Blood and Water
摘要
Abstract
Glaucoma is an irreversible blinding eye disease that severely damages visual function.Western Medicine primarily relies on intraocular pressure(IOP)reduction through medications,laser,or surgery,yet these approaches carry certain risks and recurrence rate.Traditional Chinese Medicine(TCM)can overcome the limitations of conventional Western Medicine and offer unique advantages in glaucoma management.Based on the theory of simultaneous treatment of blood and water,this paper explores the etiology and pathogenesis of glaucoma and its perioperative period in detail,and clarifies the feasibility of applying this theory.The pathogenesis is primarily attributed to dysfunction of liver,kidney,and Sanjiao,leading to impeded circulation of Qi and blood,accumulation of static blood,impaired distribution of body fluids,internal retention of dampness,malnutrition of the ocular system,obstruction of Xuanfu,and stasis of the aqueous humor(Shenshui).Static blood and dampness interact as both cause and effect,intertwining to precipitate the disease.Therefore,the treatment principle should be activating blood and promoting water discharge,with flexible pattern differentiation.According to different stages,medicinals for boosting Qi and nourishing Yin,or boosting Qi and nourishing blood,are added to unblock stagnant collaterals in the eye and accelerate the circulation of the aqueous humor(Shenshui).This provides a basis for the clinical treatment of glaucoma and its perioperative period.关键词
血水同治/青光眼/围手术期/五风内障/分期论治Key words
simultaneous treat-ment of blood and water/glaucoma/perioperative period/five-wind glau-coma/staging treatment分类
医药卫生引用本文复制引用
陈洁,李建超,张春,夏梦雪,姚宥佃,苏嘉怡..基于"血水同治"理论探讨青光眼及其围手术期的治疗[J].中国中医眼科杂志,2026,36(3):265-269,5.基金项目
陕西省中医药管理局重点研究室项目(2024-024) （2024-024）
