金梅基于虚痰瘀从脾胃论治糖尿病视网膜病变

打开文本图片集

[关键词］糖尿病视网膜病变；健脾化痰；凉血活血；调畅气机；脾胃； [中图分类号］R249 [文献标志码］A [文章编号]0256-7415（2025）11-0229-04 DOl：10.13457/j.cnki.jncm.2025.11.042

JIN Mei's Experience in Treating Diabetic Retinopathy from the Perspective of SpleenStomach Based on Theory of Deficiency，Phlegm and Stasis

YANKaiming1，JINMei²，JIAJie²，LIUYu³ 1.GuangzhouUniversityofChineseMedicine，GuangzhouGuangdong5106，China；2.GuangdongProvincial HospitalofItegated TraditionalChineseand Western Medicine，Foshan Guangdong 52820o，China；3.JinanUniversity，Guangzhou Guangdong 510632， China

Abstract：Diabetic retinopathy（DR），acommon complication of diabetes，often leads to blurred vision and significantly impairs thequalityoflifeof patients.ProfesorJINMei proposes thatthe pathogenesis of DRis rooted inthe spleenand stomach，with "deficiency，stasis，and phlegm" as key pathogenic factors.This perspective is basedonthe geographical characteristicsofLingnan region-particularlythe humid climate in Lingnan region and insufficiencyof "earth qi"—which predispose patients to dysfunction of the middle energizer.For the non-proliferative stage，JIN's treatment emphasizesstrengthening thespleen，resolving phlegm，and harmonizing thestomach，while for the proliferative stage the treatment focuses onregulating theqi movementof middle energizer，coling bloodand stopping bleeding，and invigorating blood and promoting urination.JIN flexiblymodifies prescriptions，makeqi movement free and eye collaterals unblocked，and this ofers novel insights into Chinese medicine treatment of DR.

Keywords：Diabetic retinopathy； Strengthening the spleen and resolving phlegm；Coling blood and invigorating blood；Regulating qi movement；Spleen-stomach； JIN Mei

糖尿病性视网膜病变（DR）是糖尿病引起的视网膜微血管病变，是糖尿病患者致盲的主要原因。（剩余5595字）