飛蚊症中醫歷代典籍文獻回顧

飛蚊症是指在視野中有黑點飄動的症狀，是存在於玻璃體的浮游物體。玻璃體的液化是造成飛蚊症的眾多因素中，最常見的原因之一。在一般情形下，它是一種正常的老化過程。但有時飛蚊症代表著危急的情形。如果飛蚊症伴隨著閃光感或部分視野喪失，患者應及時就醫。嚴重的飛蚊症可經由手術治療，然而在一般情形下，西醫並沒有適當的藥物可以治療玻璃體退化。傳統中醫藥（TCM）有著悠久而豐富的歷史，是現今保留的最古老的醫學體系之一。有關飛蚊症最早的描述可以追溯到隋朝。在這項研究中，我們試圖從古代飛蚊症相關典籍文獻回顧中醫藥對於此病的病因病機認識。其中以補益肝腎、清利濕熱、行氣活血為最常見的治療原則。這項研究或許可為臨床診治時提供參考。

關鍵字

飛蚊症；雲霧移睛；蠅翅黑花；文獻回顧

並列摘要

Eye floaters are small moving spots that appear in the field of vision. Eye floaters are suspended in the vitreous humour. There are various causes for the appearance of floaters, of which the most common is shrinkage of the vitreous humour. Normally, it is a aging process. But sometimes eye floaters are a sign of a more serious condition. Patients should seek immediate medical attention if the floaters are accompanied by flashes of light or a loss of side vision. While surgeries do exist to correct for severe cases of eye floaters, there are no appropriate medications that can correct for this vitreous deterioration. Traditional Chinese Medicine (TCM) has a long and rich history, and is one of the oldest form of medicine. The earliest description about eye floaters can be traced back to the Sui Dynasty. In this study, we tried to review the cognition of traditional Chinese medicine to the disease cause and pathogenesis of eye floaters from ancient literatures or textbooks. We found that enrich the liver and kidney, clear heat and disinhibit dampness, quicken the blood and move qi are the most common therapeutic principle. The study could be a reference for the implementation of clinical application.

並列關鍵字

floaters ； clouds and mist moving over the eye ； flies wings and black flowers ； review article

參考文獻

林文弘、蔡武甫、郭淑純、呂瑾立(2003)。以飛蚊症為主訴之153眼之分析。中眼醫誌。42(1)，63-9。

Google Scholar

Hollands, H,Johnson, D,Brox, AC,Almeida, D,Simel, DL,Sharma, S(2009).Acuteonset floaters and flashes: is this patient at risk for retinal detachment?.JAMA..302(20),2243-9.