The reign of tang dynasty "in oar" ideas

ZhouShangKun China's traditional Chinese medicine academy of sciences ophthalmic hospital

China's traditional Chinese medicine reported

        Central serous retinopathy (central serous chorioretinopathy, CEC) hereinafter referred to as "the oar", equivalent to traditional Chinese medicine "visual James' colored", "depending on the straight for the song", "visual greatly small" category. After illness often appear vision loss, inspect content fuzzy, inspect content deformation, smaller, and some are still with center or the center other relative or absolute the dark spots, etc. China's traditional Chinese medicine academy of sciences by researchers in the treatment of the tang dynasty in the rich experience, the author to study with teacher, the teacher study summarized the experience with the following:

        For this evil in virtual made for standard

        "Classic" cloud: "vital qi, and do not put in." "Evil, that the gas will virtual together." When human viscera function is low or hyperthyroidism, upright relatively weak, or the human body the imbalance of Yin and Yang, disease and easy to ChengXu invades the body, bring about human body organs and tissues such as opening the meridians function disorder, and then to produce all sorts of disease. From "in oar" triggers on look, often in overworked, stay up late, excessive drinking, mental pressure is too large, or emotional happened after, these adverse factors in the long-term effects of human body, as consumption, and the evil force decline, the wind, and to step in, inside and outside and evil, lung, spleen blocked kidney function, water in the wet stop, pan in the eye, eye edema, oozy, nerve layer serous from forming. In the whole process of the lung disease and XuanFa lowering the waterway, the function, the spleen carry of kidney function and the water wet water and the relevant functions. So by that of the tang dynasty, and the oar "to the pathogenesis of within the virtual should be, the virtual lung, spleen and kidney; Evil make for standard, the standard, wind chill wind hot.

        Both the local syndrome differentiation body

        Traditional Chinese medicine is able to endless, syndrome differentiation and treatment is the key; In the modern inspection instrument's help, we can see the eye, and macular edema of the area and the quantitative observation. So by using local syndrome differentiation of tang dynasty give priority to, take into account the whole body method for treatment.

        If the clinical systemic symptom is not obvious, it was mainly local syndrome differentiation. Such as: eye to macular nerve layer or pigment epithelium serous from, edema as the main behavior, consider for wet water retention, many from the lungs differentiation, the mission of drink lung, spleen and the method of water treatment; Retinal edema basic disappearance, mainly to the leak, the spleen in the water on the basis of medicine and eliminating phlegm to increase blood estate medicine, to promote the absorption; For one condition, eye symptoms are not obvious, but look matter deformation, color changing symptoms still put patients, are considering disease long will be empty. According to the liver begin to understand in eye, the pupil of the water god kidney five wheel theory and so on, is clear for kidney and liver. If the clinical systemic symptom obvious, or have significant incentives, who is in the local based on syndrome differentiation both the whole body. Such as: patients who have NaCha insomnia is heavy, consider glove for two empty, choose to spleen tonga minus; Because the job stress, fatigue caused by, god is weary force symptoms, then consider for blood deficiency, should be reuse astragalus mend angry medicine, etc.

        Tang of drug use by that like, is the so-called "soldier is growing, water is no form", the key lies in a "live" word, should be based on the disease of different incentives, and the different stage, with reference to the whole body and eye, syndrome differentiation and treatment.

        Classification to lay particular stress on treatment

        According to the different stage of the disease and the eye and systemic expression, tang of the disease will be divided into by the spleen deficiency water pan, the wind evil attack; Water the spleen deficiency, blood stasis sluggish; Liver and kidney deficiency, blood less than three basic card type.

        For patients with early hair, eye with macular edema often disk for the main performance from, according to the "yellow emperor" in "the wet swollen spleen is full, belong to" (" the element to a big to ask · of "), "the wind, the length of the impediment" (" the meat asked · wind theory "), "injury in the wind, the first by the" (the grain asked · too Yin and Yang Ming theory ") of the judgment, the spleen deficiency syndrome differentiation for water pan, the wind evil to invade. The spleen and the water, heat treatment method of breeze, invigorating spleen solid protect stomach healthy atmosphere, the breeze heat the water, remove inside and outside of the evil. Choose born astragalus, Fried white atractylodes, pig tuckahoe, ze, diarrhea, CheQianZi, gardenia, fructus forsythiae, thorns divaricata, TingLi treatment such as the son.

        When retinal edema basic disappearance, a decrease in the residual heat the dosage of the drug breeze, invigorating spleen to solve selection, the method of removing stasis and soft firm, invigorating spleen to solve in the basis of drug use yellow, turmeric, danshen philips, rhiozma, etc.

        Disease to late, the eye swelling already away, but still in sight of patients with shadow, inspect content deformation still save, then for liver and kidney deficiency syndrome differentiation, blood shortage, treatment to make up for kidney and liver bright eye is given priority to, appropriate chooses the blood of the agent water, reuse dodder, medlar, Chu real son, fructus rosae laevigatae to consolidate curative effect, promote the recovery of visual function.

        For repeated attacks or chronic "in oar" patients, many from deficiency, choose bolus of 6 flavour glutinous rehmannia add and subtract treatment. If the clinical systemic symptom obvious, it will cause the combination of disease and syndrome differentiation, reference incentives, and observed between the primary and the secondary contradictions, neatly, do not get bogged down in a card, a party.

        Prevention daily life have often

        "In plasma" most patients with 3 ~ 6 months without any treatment can also be the self healing. After the restoration of central vision most patients can be back to normal. But many recurrence, course long cases can have light-moderate ision loss even inspect content deformation not subsidise, visual function can't completely normal. So by that of the tang dynasty prevention is key to protect vital qi solid to, formed the good life habit; Right with the working stress and setbacks, learn to relax mood, avoid excessive fluctuations mood; Assure enough sleep. Once it has the disease to active treatment, in order to shorten the duration of symptoms, prevent recurrence.