巢国俊基于病证结合分期论治特发性息肉样脉络膜血管病变
Chinese Journal of Chinese Ophthalmology（2022）
Abstract
特发性息肉样脉络膜血管病变(PCV)以突发视力下降为主要临床表现,在亚洲人中具有较高的发病率.巢国俊基于病证结合原则,根据其临床症候演变,提出PCV的分期论治体系,将其分为出血期、瘀血期、瘢痕期3期,出血期以阴虚火旺、血溢脉外为基本病机,治疗以凉血止血、清热泻火为主,选用生蒲黄汤为基本方;瘀血期以瘀血阻络、痰瘀互结为基本病机,治疗以活血化瘀为主,兼以祛湿化痰、软坚散结,选用小柴胡汤为基本方;瘢痕期以肝肾不足,精血亏虚为基本病机,治疗以滋补肝肾、益精补虚为主,选用驻景丸为基本方.分期论治,取得一定疗效.
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