GUAN Guo-Hua's Experience in Differentiating and Treating Central Serous Chorioretinopathy in Lingnan Area
10.13359/j.cnki.gzxbtcm.2024.03.034
- VernacularTitle:关国华辨治岭南地区中心性浆液性脉络膜视网膜病变经验
- Author:
Ying-Zi LUO
1
;
Xiang-Yue ZHENG
;
Xiao-Yi YU
Author Information
1. 广州中医药大学第一附属医院,广东广州 510405;广东省中医临床研究院,广东广州 510405
- Keywords:
central serous chorioretinopathy(CSC);
Lingnan area;
strengthening the spleen and draining dampness;
nourishing the liver and kidney;
activating blood and promoting urination;
GUAN Guo-Hua
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(3):759-763
- CountryChina
- Language:Chinese
-
Abstract:
This article summarized Professor GUAN Guo-Hua's clinical experience in treating central serous chorioretinopathy(CSC)in Lingnan area.Based on the theory of"macula due to the spleen dysfunction",and by taking the geographical and climatic characteristics of Lingnan area as well as the body constitutional features of Lingnan residents into account,Professor GUAN Guo-Hua proposed that spleen deficiency leading to damp encumbrance was the fundamental pathogenesis of CSC in Lingnan area,and liver and kidney were gradually affected in the middle and late stages of CSC,which finally resulted into blood stasis and water retention.For the treatment of initial attack of CSC,the focus was on treating the spleen,and Erchen Decoction was adopted as the basic prescription for modified application to strengthen the spleen and drain dampness;for the treatment of CSC in the middle and late stages,the emphasis was on simultaneous treatment of the liver,spleen and kidney as well as blood and water,and Zhujing Pills and Wuling Powder were adopted as the basic prescriptions for nourishing the liver and kidney and for strengthening the spleen,activating blood and promoting urination.The treatment of the spleen is advocated throughout the whole treatment process,and the medication of drugs should be modified based on syndrome differentiation and according to the specific conditions,thus to achieve significant results.
