基于"扶阳学说"论治中心性浆液性脉络膜视网膜病变OA

Central serous chorioretinopathy(CSC)is a common ophthalmic disease with complex etiology and pathogenesis.It is prone to recurrent attacks and protracted course,which seriously impairs visual function.Western Medicine mainly adopts laser or intravitreal injection and other methods for treatment,but the treatment options are quite limited due to the easy occurrence of various adverse reactions.In recent years,Traditional Chinese Medicine(TCM)has achieved certain results in the treatment of CSC,and has gradually occupied an advantageous position in clinical treatment due to its characteristics of safety and effectiveness.TCM holds that the main pathogenesis of CSC is the accumulation of water dampness that attacks the ocular collaterals upward,and the accumulation of water dampness is mostly caused by the body's Yang deficiency which leads to inability to transport and transform body fluids.Therefore,based on the"Yang-supporting theory",this paper proposes that one of the pathogenesis of CSC is"Yang deficiency",and expounds the pathogenesis of CSC from the perspectives of spleen-Yang deficiency and kidney-Yang deficiency respectively.The treatment is to warm spleen-Yang,tonify kidney-Yang and eliminate water dampness,so as to provide new methods and ideas for the clinical treatment of CSC.