彭清华教授运用补虚活血法治疗视网膜色素变性经验

〔摘要〕 彭清华教授根据多年临床经验，认为视网膜色素变性的中医病机属虚中夹瘀，临床中分脾胃气虚夹瘀型、脾肾阳虚夹瘀型、肝肾阴虚夹瘀型，主张以补虚活血法为主，处方用药时重视阴阳互根、善用枸杞子-丹参药对、常配升阳疏肝之品、善用虫类药，并总结研制出了益气明目汤、滋阴明目汤等经验方剂，临床疗效明显。

〔关键词〕 视网膜色素变性；补虚活血法；脾胃气虚夹瘀型；脾肾阳虚夹瘀型；肝肾阴虚夹瘀型；益气明目汤；滋阴明目汤；彭清华

〔中图分类号〕R276.7       〔文献标志码〕B        〔文章编号〕doi：10.3969/j.issn.1674－070X.２０22.10.028

Professor PENG Qinghua's experience in treating retinitis pigmentosa by

tonifying deficiency and activating blood

ZHONG Yuan1，2， JIANG Pengfei1，3， PENG Jun2，3*， PENG Qinghua1，3*

（1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China; 3. Hunan Engineering Technology Research Center for the

Prevention and Treatment of Otorhinolaryngologic Diseases and Protection of Visual Function with Chinese Medicine，

Changsha， Hunan 410208， China）

〔Ａｂｓｔｒａｃｔ〕 Based on years of clinical experience， Professor PENG Qinghua believes that the pathogenesis of retinitis pigmentosa is the deficiency complicated with blood stasis， which is further divided into spleen and stomach qi deficiency complicated with blood stasis， spleen and kidney yang deficiency complicated with blood stasis， and liver and kidney yin deficiency complicated with blood stasis. He thus proposes the treatment focusing on tonifying deficiency and activating blood. He applied the products of raising yang and soothing the liver， payed attention to the mutual root of yin and yang， and made good use of insect medicines; he concluded the empirical formulas such as Yiqi Mingmu Decoction and Ziyin Mingmu Decoction to treat retinitis pigmentosa and got remarkable clinical efficacy.

〔Ｋｅｙｗｏｒｄｓ〕 retinitis pigmentosa; tonifying deficiency and activating blood; spleen and stomach qi deficiency complicated with blood stasis; spleen and kidney yang deficiency complicated with blood stasis; liver and kidney yin deficiency complicated with blood stasis; Yiqi Mingmu Decoction; Ziyin Mingmu Decoction; PENG Qinghua

视网膜色素变性（retinitis pigmentosa， RP）是一种以光感受器细胞及色素上皮营养不良性退行性病变为特征的遗传性眼病，属于眼科疑难病症，以视力下降、夜盲、进行性视野缩小等为主要临床表现，多数患者于青少年时期发病，中年或老年时期即丧失有用视力[1]。（剩余8304字）