〔摘要〕 原发性开角型青光眼(primary open-angle glaucoma， POAG)是一种以眼压升高、房角开放、房水流出受阻为特征的眼科常见疾病，其早期病情隐匿，发病时已成为不可逆转的致盲性伤害。POAG的发病与营卫、络脉生理病理功能密切相关，产生“营卫-络脉-玄府”病机轴。营卫失和、玄府郁闭、气血升降失常、络脉循环瘀阻共同引起POAG发病，基于此病理发展过程探讨治疗POAG的基本原理，丰富从“营卫-络脉-玄府”理论治疗POAG的科学内涵，并附临床验案一则，以期为POAG的中医诊疗提供参考依据。

    〔关键词〕 原发性开角型青光眼;营卫;玄府;络脉;活血利水法

    〔中图分类号〕R276.7" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.08.018

    Treatment of open-angle glaucoma based on the theory of \"Ying-nutrient qi and Wei-defensive qi-collaterals-sweat pores\"

    CHEN Shuhao1， ZHOU Pai2， AI Min2， PENG Qinghua1*

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China

    〔Abstract〕 Primary open-angle glaucoma (POAG) is a common ophthalmic disease characterized by elevated intraocular pressure， wide and open anterior chamber angle， and obstructed aqueous humor outflow. Its early stages are often asymptomatic， and by the time symptoms manifest， it has already caused irreversible damage of blindness. The onset of POAG is closely related to the physiological and pathological functions of the Ying-nutritive and Wei-defensive qi and the collaterals ......