中医杂志

总结亢泽峰教授从“瞳神络病”辨治非动脉炎性前部缺血性视神经病变（NAION）经验。根据NAION视力减退、视野缺损、视盘水肿的临床特征，认为其病变多属本虚标实，以肝血亏虚为本，目络瘀阻为标。据此提出以“络以通为用”为治疗总则，采用行气畅络、活血通络、益气荣络等治法，分别选用丹栀逍遥散、自拟经验方通络活血汤、补阳还五汤等方剂加减，灵活化裁。

This paper summarizes Professor KANG Zefeng's clinical experience in the syndrome differentiation and treatment of non-arteritic anterior ischemic optic neuropathy(NAION) based on the theory of "pupil-spirit collateral disease". In light of the clinical characteristics of NAION, namely decreased visual acuity, visual field defects, and optic disc edema, the condition is considered to be predominantly characterized by a deficiency in the root and excess in the manifestation, with deficiency of liver blood as the fundamental pathogenesis and obstruction of the ocular collaterals as the manifest aspect. Accordingly, the general therapeutic principle of "free flow of the collaterals as the key to treatment" is proposed. Treatment strategies such as regulating qi to unblock the collaterals, activating blood to free the collaterals, and tonifying qi to nourish the collaterals are adopted. Correspondingly, modified prescriptions including Danzhi Xiaoyao Powder （丹栀逍遥散）, a self-formulated empirical prescription Tongluo Huoxue Decoction （通络活血汤）, and Buyang Huanwu Decoction （补阳还五汤） are flexibly applied with appropriate modifications.