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Professor Zhou Jian’s experience in treating Graves’ ophthalmopathy from liver and lung theory |
GAO Miaoran1 HUANG Sheng2 YAN Xiaoling3 SUN Wu1 LI Shimeng1 SHI Suisui1 LUO Xianke1 ZHOU Jian3 |
1.The Second Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100078, China;
2.the First Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100700, China;
3.Department of Ophthalmology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China
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Abstract Graves’ ophthalmopathy (GO) is a common disease in the department of ophthalmology and thyroidology. Because it causes ocular changes, the patient’s appearance is affected at least, the patient’s vision is impaired at most, and the patient’s quality of life is significantly affected, clinical treatment is more difficult. Professor Zhou Jian believes that liver and lung qi disorders are the important pathogenesis of GO. He is good at treating GO by syndrome differentiation and staging based on the rise and fall theory of liver and lung qi. He has clear clinical ideas and accurate medication. This article summarizes Professor Zhou Jian’s experience in long-term syndrome differentiation treatment of GO, and expounds the typical clinical cases, in order to provide reference for traditional Chinese medicine treatment of GO.
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[1] Lin C,Song X,Li L,et al. Detection of active and inactive phases of thyroid-associated ophthalmopathy using deep convolutional neural network [J]. BMC Ophthalmol,2021, 21(1):39.
[2] Hodgson NM,Rajaii F. Current Understanding of the Progression and Management of Thyroid Associated Orbitopathy:A Systematic Review [J]. Ophthalmol Ther,2020,9(1):21-33.
[3] 彭清华.中医眼科学[M].北京:中国中医药出版社,2017:194.
[4] Mimura T,Yamagami S,Usui T,et al. Changes of conjunctivochalasis with age in a hospital-based study [J]. Am J Ophthalmol,2009,147(1):171-177.
[5] 沈金鳌.《杂病源流犀烛·瘿瘤》[M].北京:中国中医药出版社,1994:423.
[6] 巢元方.诸病源候论[M].北京:中国医药科技出版社,2011.
[7] 杨永杰,龚树全.《黄帝内经》[M].北京:人民出版社,2009:208.
[8] 赵勇,徐文华,陈继东,等.陈如泉从肝风论治甲状腺相关眼病眼睑退缩经验[J].河南中医,2015,35(10):2337-2339.
[9] 薛玲,石岩.中医瘿病病因病机理论框架结构研究[J].辽宁中医杂志,2018,45(10):2088-2089.
[10] 刘臻,朱虹,张铭倩,等.“肝肺气机升降循环”理论治法探讨[J].山东中医杂志,2018,37(8):631-633.
[11] 巢国俊.内障眼病从肺论治概述[C]//邢台:世界中医药学会联合会眼科专业委员会学术年会,中国中西医结合学会眼科专业委员会学术年会,中华中医药学会眼科分会学术年会暨中国国际眼科学术研讨会,2014:8-9.
[12] 刘元培,陈贵海,郑云阳,等.“肺恶燥”的理论内涵及其与“肺喜润”的区别[J].中华中医药杂志,2020,35(4):1777-1780,
[13] 刘建新,马丽莉.甲状腺疾病患者个性特点的调查[C]//乌鲁木齐:中国心理卫生协会心身医学专业委员会第六届学术研讨会,2006:87-88.
[14] 王英娜,高天舒,李品,等.基于“气有余便是火”探讨甲亢发病机制及治疗原则[J].环球中医药,2021,14(9):1593-1597.
[15] 王开成,王秀芳,卢成杰,等.崔金海应用调气化痰法预防缺血性中风病复发的经验探讨[J].中国医药导报,2022, 19(21):140-143.
[16] 杨永杰,龚树全.《黄帝内经》[M].北京:人民出版社,2009:15.
[17] 杨磊,李良长,吴晓阳,等.熄风缓急方联合眶周注射曲安奈德治疗TAO上睑退缩的临床研究[J].中国中医眼科杂志,2019,29(2):115-118.
[18] 崔何晴,尚莉丽.尚莉丽教授基于“治痰先治气”理论辨治小儿哮喘经验[J].中医儿科杂志,2019,15(4):18-20.
[19] 王东,刘冰,李敬林.从疏肝健脾论治甲状腺相关眼病[J].辽宁中医杂志,2017,44(10):2082-2085.
[20] 邓璐璐,牛桂芳,冯彩霞,等.加味逍遥散治疗肝郁脾虚型慢性萎缩性胃炎临床疗效观察[J].中华中医药学刊,2022,40(4):104-106.
[21] 祁宝玉.祁宝玉眼科方药心得[M].北京:科学出版社,2010:16.
[22] 谢鸣.《方剂学》[M].北京:人民卫生出版社,2016:262.
[23] 何莉莎,叶茹,逄冰,等.仝小林运用夏枯草枯矾治疗突眼验案1则[J].上海中医药杂志,2015,49(10):32-34.
[24] 滕金艳,李扬,王洁钰,等.益气养阴方结合眶内电针治疗Graves眼病的临床效果[J].中国医药导报,2019,16(34):134-137. |
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