〔摘要〕 渗出性老年性黄斑变性(wet age-related macular degeneration， wAMD)常见于老年人，病情呈进行性发展，对视力造成严重影响，降低患者生活质量。血水同治理论是基于血水同源互化、同病互害的生理病理特点，以活血利水法为基础，辨证施治，广泛应用于临床。根据wAMD的中医病机，可辨证分为肝肾阴虚、肝脾失衡及脏腑失调。本文基于血水同治理论，对wAMD进行分期论治，并对视网膜脱离、玻璃体积血等并发症辨证论治，在临床上疗效确切。

    〔关键词〕 渗出性老年性黄斑变性；血水同治；分期论治；活血利水；视网膜脱离；玻璃体积血

    〔中图分类号〕R276.7" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.05.019

    Treatment of wet age-related macular degeneration based on

    \"treating both the blood and water\" theory

    ZHAO Pan1，2， ZHONG Yuan1，2， PENG Qinghua1，2*

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. Hunan Engineering Technology Research Center for the Prevention amp; Treatment of Ophthalmology and Otolaryngology Diseases and Visual Function Protection with Chinese Medicine， Changsha， Hunan 410208， China

    〔Abstract〕 Wet age-related macular degeneration (wAMD) is commonly seen in the elderly， with a progressive course that seriously affects vision and reduces the life quality of patients. The theory of \"treating both the blood and water\" is based on the physiopathological characteristics of the homology and mutualization of blood and water ......