中醫(yī)眼科學(xué)教學(xué)課件瞳神疾病論述

第十二章瞳神疾病Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL大綱要求1.掌握瞳神緊小、綠風(fēng)內(nèi)障、青風(fēng)內(nèi)障、各類暴盲的病因病機、臨床表現(xiàn)及辨證論治。熟悉圓翳內(nèi)障、視瞻昏渺、視瞻有色、青盲、消渴目病的病因病機、臨床表現(xiàn)及辨證論治。3.了解視衣脫離、云霧移睛、髙風(fēng)內(nèi)障、青盲的病因病機、臨床表現(xiàn)及治療。EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL瞳神的含意1.別名2狹義瞳神3.廣義瞳神、瞳神疾病與五輪學(xué)說瞳神疾病的特點1外不見癥,從內(nèi)而蔽之2初期,有實有虛,或虛實夾雜;后期,虛癥居多。3病情復(fù)雜,治療較外障眼病困難EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第一節(jié)瞳神緊小(虹膜睫狀體炎)、病名含義1.瞳神緊小:黃仁受邪,以瞳神持續(xù)縮小,展縮失靈為主要癥狀的眼病。(相當(dāng)于急性前葡萄膜炎)2瞳神干缺:瞳神緊小失治、誤治,致瞳神與其后晶珠粘著,邊緣參差不齊,失去正圓為特征的眼病。(相當(dāng)于慢性前葡萄膜炎)EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機肝經(jīng)風(fēng)熱肝膽蘊熱火邪上攻肝膽火熾外感風(fēng)濕內(nèi)熱邪三邪相搏上添清旁灼傷黃仁勞傷肝腎瞳神緊小肝腎陰虧虛火上炎久病傷陰瞳神干缺邪毒內(nèi)侵EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL、臨床表現(xiàn)1、急性者自覺癥狀:紅痛、視力下降、或見眼前黑影飛動檢查:1)視力下降2)抱輪紅赤、白睛混赤3)黑睛后沉著物(塵狀、羊脂狀)4)神水混濁5)黃仁紋理不清、色暗6)瞳神緊小、干缺,或見黃液上沖慢性者病情緩慢,癥狀較輕,反復(fù)發(fā)作。可能神膏混濁較為明顯瞳孔膜閉神水流出受阻眼壓瞳孔閉鎖EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLOnlinejournalofophthalmolog-vvivi.chjophEvaluationonry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL圖8-3-3虹膜后粘連圖示陳舊性前葡萄膜炎已發(fā)生廣泛虹膜后粘連,散瞳后表現(xiàn)為典型的梅花狀瞳孔Valadononry.chAsposeslidesforNET4od