How does traditional Chinese medicine prevent diabetic retinopathy?

Abstract: diabetic retinopathy is a serious complication caused by diabetes. It is an important cause of blindness for patients over 50 years old. The incidence rate of diabetic retinopathy is directly related to the course of

. A domestic study shows that the incidence rate of diabetic retinopathy is 26% in patients with diabetes in 10~14 years, and 63% in 15 years or more. The disease often produces self-conscious flash feeling due to light scattering caused by retinal edema, or vision loss due to pathological changes such as fundus hemorrhage and exudation.

can be divided into non proliferative stage and proliferative stage according to the severity of the disease.

patients in non proliferative stage have relatively mild disease, and microvascular tumors can appear in the fundus. It is a cystic bulge of capillaries, which is due to the thickening of basement membrane of capillary endothelial cells, the decrease of pericytes and Endothelial cell proliferation. At the same time, the accompanying symptoms include fundus hemorrhage and hard exudation. In severe cases, gray white lint like plaques with unclear boundaries can be seen, indicating atresia and ischemia of peripheral arterioles in the donor area, blockage of axoplasmic flow of nerve fibers in the nutritional fundus, and intracellular edema.

proliferative phase the most important sign of this phase is neovascularization, which can grow in the optic disc, near the optic papilla, and near the temporal vessels. With the formation of neovascularization, the dimensional tissue also grows gradually, and finally forms a fibrous vascular membrane. Generally speaking, there is a potential gap between the posterior limiting membrane of the vitreous and the retina, which provides a space for neovascularization to grow from the retina to the posterior surface of the vitreous, optic disc, upper and lower vascular arch, etc. The contraction of these fibroproliferative membranes can cause vitreous detachment, rupture of neovascularization, vitreous hemorrhage, organization, retinal traction detachment and so on.

with the aggravation of retinal ischemia and hypoxia, diffuse and localized edema of macular retina occurs. Vascular growth factor produced in retinal ischemic area can also enter the anterior chamber to induce iris redness and block the atrial angle, resulting in neovascular cyanosis, which seriously affects vision. The treatment is very difficult. The early prevention of

and

is very important. We must make sure that the disease is not prevented before the disease is first prevented, the disease has been prevented and changed, and the

and

have been discovered. After the discovery of diabetes, we should promptly ask the medical department to help regulate the blood sugar and keep the blood sugar within normal limits. The detection of glycosylated hemoglobin is also very important. Secondly, we should have a reasonable diet, control blood pressure and blood lipids, and regularly check the fundus. Generally speaking, when there is no change in the fundus, the fundus should be checked regularly once a year. When the fundus has mild non proliferative manifestations, such as bleeding and a small amount of hard exudation, it should be checked every six months or once a year. However, in case of macular edema, it is necessary to shorten the follow-up period, generally once every 2 ~ 4 months, and conduct fundus fluorescence angiography if necessary to further clarify the degree of fundus damage, and determine whether local laser photocoagulation is required according to the degree of macular edema. When the disease develops to a very serious stage of proliferation period, it is necessary to increase the frequency of follow-up visits and take appropriate treatment according to the disease. In case of serious proliferative changes or pre proliferative changes, local or whole retinal laser therapy should be carried out under the guidance of fluorescence angiography to eliminate the non perfusion area and ischemic and hypoxic area and prevent the generation of retinal neovascularization.

some patients are afraid of fundus laser treatment. In fact, for this disease, fundus laser treatment can produce scars in the area of retinal ischemia, and the emerging neovascularization can be eliminated naturally due to insufficient oxygen supply; On the other hand, it can promote the absorption of subretinal fluid and maintain the structure and function of macular region; Laser can also destroy microvessels and diseased retinal vessels to reduce the leakage caused by diseased vessels. Although the thermal effect produced by laser can damage the retina, it is generally more advantageous than disadvantages, which can reduce the blindness rate of patients with diabetic retinopathy. If there is no timely treatment in the prophase of proliferation, retinal neovascularization membrane contraction, repeated fundus hemorrhage, and when it develops to the stage of traction retinal detachment, the treatment will be very difficult and the blindness rate will be high.

can treat both symptoms and signs, and carry out syndrome differentiation treatment according to the ocular and systemic conditions.

from the perspective of traditional Chinese medicine, the disease belongs to the complication caused by “eliminating thirst” and belongs to the eye disease with deficiency and excess. Among them, the deficiency of Qi and Yin is the foundation, the eyes and collaterals are blocked, the blood overflows outside the collaterals, and the organic matter becomes the standard. During treatment, we should treat both symptoms and root causes on the basis of Supplementing Qi and nourishing yin. At the same time, according to the patient’s overall situation, choose some food to balance yin and Yang, regulate viscera, enhance physique and delay the development of disease. If the patient is partial to Qi deficiency and sees mental fatigue and limb fatigue, Astragalus membranaceus, yam, Codonopsis pilosula can be used to replenish qi; Partial to yin deficiency, those who see weak waist and knees, night sweat and night sweat should take medlar, mulberry, turtle meat, fungus and Tremella to nourish yin; Those with kidney yang deficiency, cold shape, cold limbs and frequent urination at night can often take leek, mutton and other foods to warm yang. In daily life, we should work and rest regularly and exercise properly. We can play taijiquan, take a walk after dinner and do less intense exercise. At ordinary times, we should also pay attention to the adjustment of spirit to avoid being too excited or depressed, so as to smooth the Qi machine. In short, the development of diabetic retinopathy is a gradual process. The earlier it is discovered, the more timely the treatment is, the lower the probability of blindness will be caused by

. In addition to controlling blood sugar, blood pressure and blood lipids, diabetics should try to dilate the pupil once a year. Once diabetic retinopathy occurs, early treatment is necessary to prevent the progression of the disease.

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Qiming granules: Supplementing Qi and promoting fluid, nourishing liver and kidney, dredging collaterals and brightening eyes. For type 2 diabetic retinopathy simple type, TCM syndrome differentiation is deficiency of Qi and Yin, deficiency of liver and kidney, obstruction of eye and collaterals and stasis. Symptoms include faint vision, dry eye, fatigue, irritated five hearts, spontaneous sweating, thirst, drinking, constipation, low back and knees, dizziness and tinnitus. Compound Xueshuantong capsule: promoting blood circulation and removing blood stasis, supplementing qi and nourishing yin. It is used to treat retinal vein occlusion with blood stasis and deficiency of Qi and Yin. The symptom is visual acuityDecline or visual abnormalities, signs of fundus blood stasis, mental fatigue, dry throat, dry mouth, etc; As well as the stable fatigue angina pectoris for blood stasis and Qi and yin deficiency, the

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diabetic neuropathy; Diabetic retinopathy; Various neuritis and neuralgia; Autonomic neurological disorder; CVA sequelae and brain injury; Megaloblastic anemia. Price of

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replenish qi, nourish body fluid, nourish liver and kidney, dredge collaterals and brighten eyes. For type 2 diabetic retinopathy simple type, TCM syndrome differentiation is deficiency of Qi and Yin, deficiency of liver and kidney, obstruction of eye and collaterals and stasis. Symptoms include faint vision, dry eye, fatigue, irritated five hearts, spontaneous sweating, thirst, drinking, constipation, low back and knees, dizziness and tinnitus.

price: ¥ 44

for the treatment of central serous chorioretinopathy, central exudative chorioretinopathy, vitreous hemorrhage, vitreous opacity, central retinal vein occlusion, etc. The price of

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are used for diabetic retinopathy. The price of

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are used for diabetic retinopathy. Price of

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replenish qi, nourish body fluid, nourish liver and kidney, dredge collaterals and brighten eyes. For type 2 diabetic retinopathy simple type, TCM syndrome differentiation is deficiency of Qi and Yin, deficiency of liver and kidney, obstruction of eye and collaterals and stasis. Symptoms include faint vision, dry eye, fatigue, irritated five hearts, spontaneous sweating, thirst, drinking, constipation, low back and knees, dizziness and tinnitus. Price of

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are mainly used for cerebral, peripheral and other blood circulation disorders. 1. Acute and chronic cerebral insufficiency and its sequelae: stroke, inattention, memory decline, dementia. 2. Ear blood flow and nerve disorders: tinnitus, vertigo, hearing loss, ear labyrinth syndrome. 3. Ocular blood flow and neurological impairment: diabetic retinopathy and neurological disorders, age-related macular degeneration, blurred vision, and chronic glaucoma. 4. Peripheral circulation disorders: various arterial occlusions, intermittent claudication, hand and foot paralysis, cold, limb pain.

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for the treatment of central serous chorioretinopathy, central exudative chorioretinopathy, vitreous hemorrhage, vitreous opacity, central retinal vein occlusion, etc. Price of

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nourish yin and kidney, generate fluid and quench thirst, clear away heat and annoyance, and reduce urine sugar. For mild to moderate diabetes. Price of

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nourish yin and kidney, replenish qi and moisten lung, harmonize stomach and generate fluid, and regulate metabolic function. It is used for polydipsia, polydipsia, polyuria, limb weakness and other diseases caused by diabetes to reduce blood sugar and urine sugar. Price of

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nourish yin and kidney, replenish qi and moisten lung, harmonize stomach and generate fluid, and regulate metabolic function. It is used for polydipsia, polydipsia, polyuria, limb weakness and other diseases caused by diabetes to reduce blood sugar and urine sugar. Price of

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nourish yin and kidney, replenish qi and moisten lung, promote stomach and fluid, and regulate metabolic function. It is used for polydipsia, polydipsia, polyuria, limb weakness and other diseases caused by diabetes to reduce blood glucose and urine sugar. Price of

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nourish yin and kidney, replenish qi and moisten lung, harmonize stomach and generate fluid, and regulate metabolic function. It is used for polydipsia, polydipsia, polyuria, limb weakness and other diseases caused by diabetes to reduce blood sugar and urine sugar. Price of

and

: ¥ 12

and

nourish yin and kidney, replenish qi and moisten lung, harmonize stomach and generate fluid, and regulate metabolic function. It is used for polydipsia, polydipsia, polyuria, limb weakness and other diseases caused by diabetes to reduce blood glucose and urine sugar. The price of

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, and nunda, combined with diet and exercise therapy, are used for metformin monotherapy in patients with type 2 diabetes who are still poorly controlled or are receiving the combined treatment of the two groups.

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1 Treatment of microvascular disease:? Diabetic microangiopathy – retinopathy, glomerulopathy. Non diabetic microangiopathy – microcirculation disorders associated with chronic organic diseases such as hypertension, arteriosclerosis and cirrhosis. 2. Treatment of varicose vein syndrome:? Primary varicose veins – cyanosis of hands and feet, purpura dermatitis, muscle painful spasm, pain, down to heaviness. Variceal status – thrombotic syndrome, phlebitis and superficial thrombophlebitis, variceal ulcer, gestational varices, chronic venous insufficiency (CVI). 3. Price of

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1 Treatment of microangiopathy: diabetic microangiopathy – retinopathy, glomerulopathy. Non diabetic microangiopathy – microcirculation disorders associated with chronic organic diseases such as hypertension, arteriosclerosis and cirrhosis. 2. Treatment of varicose vein syndrome: primary varicose veins – cyanosis of hands and feet, purpura dermatitis, muscle painful spasm, pain, down to heaviness. Variceal status – thrombotic syndrome, phlebitis and superficial thrombophlebitis, variceal ulcer, gestational varices, chronic venous insufficiency (CVI). 3. Price compared with micro

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: ¥ 26

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nourish yin and kidney, replenish qi and moisten lung, promote stomach and fluid, and regulate metabolic function. It is used for polydipsia, polydipsia, polyuria, limb weakness and other diseases caused by diabetes to reduce blood glucose and urine sugar. The price of

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are: 17

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in the treatment of diabetic peripheral neuropathy.

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beprost sodium tablets: improve the symptoms of ulcer, intermittent claudication, pain and cold caused by chronic arterial occlusive diseases. Cilostazol tablets: improve ischemic symptoms such as ulcer, limb pain, cold sensation and intermittent claudication caused by chronic arterial occlusion. Adjuvant treatment of atherosclerosis, thromboarteritis obliterans, diabetes caused by limb ischemia, aorta.

price: ¥ 1160

compound Xueshuantong capsule: promoting blood circulation and removing blood stasis, supplementing qi and nourishing yin. It is used to treat retinal vein occlusion with blood stasis and deficiency of Qi and Yin, such as decreased vision or abnormal vision, signs of fundus blood stasis, mental fatigue, dry throat, dry mouth, etc; And for blood stasis andStable tired angina pectoris with deficiency of Qi and Yin. Symptoms include chest tightness and pain, palpitation, panic, shortness of breath, fatigue, upset and dry mouth. Lecithin complex iodine tablets: for the treatment of central serous chorioretinopathy, central exudative chorioretinopathy, vitreous hemorrhage, vitreous opacity, central retinal vein occlusion, etc. Price of

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can dissipate blood stasis and swelling, promote blood circulation and relieve pain. For local pain caused by arthritis and soft tissue injury.

price: ¥ 33

1 Treatment of microangiopathy: diabetic microangiopathy – retinopathy, glomerulopathy. Non diabetic microangiopathy – microcirculation disorders associated with chronic organic diseases such as hypertension, arteriosclerosis and cirrhosis. 2. Treatment of varicose vein syndrome: primary varicose veins – cyanosis of hands and feet, purpura dermatitis, muscle painful spasm, pain, down to heaviness. Variceal status – thrombotic syndrome, phlebitis and superficial thrombophlebitis, variceal ulcer, gestational varices, chronic venous insufficiency (CVI). 3. Price of

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associated with microcirculation disorder: RMB 30

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this product is a non steroidal anti-inflammatory drug, which can only be used when at least one other non steroidal anti-inflammatory drug fails to treat. It can be used for the treatment of pain such as chronic arthritis (such as osteoarthritis), operation and acute post-traumatic pain, and treatment of primary dysmenorrhea. The price of

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are used to relieve mild to moderate pain, such as joint pain, muscle pain, neuralgia, headache, migraine, toothache, dysmenorrhea, and also for fever caused by common cold or influenza.

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. Abstract: diabetic retinopathy is a serious complication caused by diabetes. It is an important cause of blindness for patients over 50 years old. The incidence rate of diabetic retinopathy is directly related to the course of disease. A domestic study shows that the incidence rate of diabetic retinopathy is 26% in patients with diabetes in 10~14 years, and 63% in 15 years or more. The disease often produces self-conscious flash sensation due to light scattering caused by retinal edema, or vision loss due to pathological changes such as fundus hemorrhage and exudation., According to the severity of the disease, it is divided into two types: non proliferative stage and proliferative stage. The incidence of

diabetic retinopathy is directly related to the course of disease. A domestic study shows that the incidence rate of diabetic retinopathy is 26% in patients with diabetes in 10~14 years, and the incidence rate is 63% in 15 years or more. The disease often produces self-conscious flash feeling due to light scattering caused by retinal edema, or vision loss due to pathological changes such as fundus hemorrhage and exudation.

can be divided into non proliferative stage and proliferative stage according to the severity of the disease.

patients in non proliferative stage have relatively mild disease, and microvascular tumors can appear in the fundus. It is a cystic bulge of capillaries, which is due to the thickening of basement membrane of capillary endothelial cells, the decrease of pericytes and Endothelial cell proliferation. At the same time, the accompanying symptoms include fundus hemorrhage and hard exudation. In severe cases, gray white lint like plaques with unclear boundaries can be seen, indicating atresia and ischemia of peripheral arterioles in the donor area, blockage of axoplasmic flow of nerve fibers in the nutritional fundus, and intracellular edema.

proliferative phase the most important sign of this phase is neovascularization, which can grow in the optic disc, near the optic papilla, and near the temporal vessels. With the formation of neovascularization, the dimensional tissue also grows gradually, and finally forms a fibrous vascular membrane. Generally speaking, there is a potential gap between the posterior limiting membrane of the vitreous and the retina, which provides a space for neovascularization to grow from the retina to the posterior surface of the vitreous, optic disc, upper and lower vascular arch, etc. The contraction of these fibroproliferative membranes can cause vitreous detachment, rupture of neovascularization, vitreous hemorrhage, organization, retinal traction detachment and so on.

with the aggravation of retinal ischemia and hypoxia, diffuse and localized edema of macular retina occurs. Vascular growth factor produced in retinal ischemic area can also enter the anterior chamber to induce iris redness and block the atrial angle, resulting in neovascular cyanosis, which seriously affects vision. The treatment is very difficult. The early prevention of

and

is very important. We must make sure that the disease is not prevented before the disease is first prevented, the disease has been prevented and changed, and the

and

have been discovered. After the discovery of diabetes, we should promptly ask the medical department to help regulate the blood sugar and keep the blood sugar within normal limits. The detection of glycosylated hemoglobin is also very important. Secondly, we should have a reasonable diet, control blood pressure and blood lipids, and regularly check the fundus. Generally speaking, when there is no change in the fundus, the fundus should be checked regularly once a year. When the fundus has mild non proliferative manifestations, such as bleeding and a small amount of hard exudation, it should be checked every six months or once a year. However, in case of macular edema, it is necessary to shorten the follow-up period, generally once every 2 ~ 4 months, and conduct fundus fluorescence angiography if necessary to further clarify the degree of fundus damage, and determine whether local laser photocoagulation is required according to the degree of macular edema. When the disease develops to a very serious stage of proliferation period, it is necessary to increase the frequency of follow-up visits and take appropriate treatment according to the disease. In case of serious proliferative changes or pre proliferative changes, local or whole retinal laser therapy should be carried out under the guidance of fluorescence angiography to eliminate the non perfusion area and ischemic and hypoxic area and prevent the generation of retinal neovascularization.

some patients are afraid of fundus laser treatment. In fact, for this disease, fundus laser treatment can produce scars in the area of retinal ischemia, and the emerging neovascularization can be eliminated naturally due to insufficient oxygen supply; On the other hand, it can promote the absorption of subretinal fluid and maintain the structure and function of macular region; Laser can also destroy microvessels and diseased retinal vessels to reduce the leakage caused by diseased vessels. Although the thermal effect produced by laser can damage the retina, it is generally more advantageous than disadvantages, which can reduce the blindness rate of patients with diabetic retinopathy. If there is no timely treatment in the prophase of proliferation, the retinal neovascularization membrane will contract, the fundus will bleed repeatedly, and develop to tractionAt the stage of retinal detachment, the treatment will be very difficult and the blindness rate will be high.

can treat both symptoms and signs, and carry out syndrome differentiation treatment according to the ocular and systemic conditions.

from the perspective of traditional Chinese medicine, the disease belongs to the complication caused by “eliminating thirst” and belongs to the eye disease with deficiency and excess. Among them, the deficiency of Qi and Yin is the foundation, the eyes and collaterals are blocked, the blood overflows outside the collaterals, and the organic matter becomes the standard. During treatment, we should treat both symptoms and root causes on the basis of Supplementing Qi and nourishing yin. At the same time, according to the patient’s overall situation, choose some food to balance yin and Yang, regulate viscera, enhance physique and delay the development of disease. If the patient is partial to Qi deficiency and sees mental fatigue and limb fatigue, Astragalus membranaceus, yam, Codonopsis pilosula can be used to replenish qi; Partial to yin deficiency, those who see weak waist and knees, night sweat and night sweat should take medlar, mulberry, turtle meat, fungus and Tremella to nourish yin; Those with kidney yang deficiency, cold shape, cold limbs and frequent urination at night can often take leek, mutton and other foods to warm yang. In daily life, we should work and rest regularly and exercise properly. We can play taijiquan, take a walk after dinner and do less intense exercise. At ordinary times, we should also pay attention to the adjustment of spirit to avoid being too excited or depressed, so as to smooth the Qi machine. In short, the development of diabetic retinopathy is a gradual process. The earlier it is discovered, the more timely the treatment is, the lower the probability of blindness will be caused by

. In addition to controlling blood sugar, blood pressure and blood lipids, diabetics should try to dilate the pupil once a year. Once diabetic retinopathy occurs, early treatment is necessary to prevent the progression of the disease.

,

and

, the condition of patients in non proliferative stage is relatively mild, and microvascular tumors can appear in the fundus. It is a cystic bulge of capillaries, which is caused by the thickening of basement membrane of capillary endothelial cells, the decrease of pericytes and the proliferation of endothelial cells caused by long-term hyperglycemia. At the same time, the accompanying symptoms include fundus hemorrhage and hard exudation. In severe cases, gray white lint like plaques with unclear boundaries can be seen, indicating atresia and ischemia of peripheral arterioles in the donor area, blocking of axoplasmic flow of nerve fibers in the nutritional fundus, and intracellular edema., The most important sign of proliferation stage is neovascularization, which can grow near the optic disc, optic papilla and temporal vessels. With the formation of neovascularization, the dimensional tissue also grows gradually, and finally forms a fibrous vascular membrane. Generally speaking, there is a potential gap between the posterior limiting membrane of the vitreous and the retina, which provides a space for neovascularization to grow from the retina to the posterior surface of the vitreous, optic disc, upper and lower vascular arch, etc. The contraction of these fibroproliferative membranes can cause vitreous detachment, rupture of neovascularization, vitreous hemorrhage, organization, retinal traction detachment and so on., With the aggravation of retinal ischemia and hypoxia, diffuse and localized edema of macular retina occurs. Vascular growth factor produced in retinal ischemic area can also enter the anterior chamber to induce iris redness and block the atrial angle, resulting in neovascular glaucoma, which seriously affects vision, and the treatment is very difficult., Early prevention is very important. We should make sure that the disease is not preventable before the disease is preventable. We should promptly ask the medical department to help regulate the blood sugar and keep the blood sugar within normal limits. The detection of glycosylated hemoglobin is also very important. Secondly, we should have a reasonable diet, control blood pressure and blood lipids, and regularly check the fundus. Generally speaking, when there is no change in the fundus, the fundus should be checked regularly once a year. When the fundus has mild non proliferative manifestations, such as bleeding and a small amount of hard exudation, it should be checked every six months or once a year. However, in case of macular edema, it is necessary to shorten the follow-up period, generally once every 2 ~ 4 months, and conduct fundus fluorescence angiography if necessary to further clarify the degree of fundus damage, and determine whether local laser photocoagulation is required according to the degree of macular edema. When the disease develops to a very serious stage of proliferation period, it is necessary to increase the frequency of follow-up visits and take appropriate treatment according to the disease. In case of serious proliferative changes or pre proliferative changes, local or whole retina laser treatment should be carried out under the guidance of fluorescence angiography to eliminate the non perfusion area and ischemic and hypoxic area and prevent the generation of retinal neovascularization., Some patients are afraid of fundus laser treatment. In fact, for this disease, fundus laser treatment can produce scars in the area of retinal ischemia, and the emerging neovascularization can be eliminated naturally due to insufficient oxygen supply; On the other hand, it can promote the absorption of subretinal fluid and maintain the structure and function of macular region; Laser can also destroy microvessels and diseased retinal vessels to reduce the leakage caused by diseased vessels. Although the thermal effect produced by laser can damage the retina, it is generally more advantageous than disadvantages, which can reduce the blindness rate of patients with diabetic retinopathy. If there is no timely treatment in the prophase of proliferation, retinal neovascularization membrane shrinks, fundus bleeds repeatedly, and develops to the stage of traction retinal detachment, the treatment will be very difficult and the blindness rate will be high., Treat both symptoms and signs, and carry out syndrome differentiation treatment according to the ocular and systemic conditions. From the perspective of traditional Chinese medicine, the disease belongs to the complication caused by “thirst elimination”, which belongs to the eye disease of deficiency and excess. Among them, the deficiency of Qi and Yin is the foundation, the eyes and collaterals are blocked, the blood overflows outside the collaterals, and the organic matter becomes the standard. During treatment, we should treat both symptoms and root causes on the basis of Supplementing Qi and nourishing yin. At the same time, according to the patient’s overall situation, choose some food to balance yin and Yang, regulate viscera, enhance physique and delay the development of disease. If the patient is partial to Qi deficiency and sees mental fatigue and limb fatigue, Astragalus membranaceus, yam, Codonopsis pilosula can be used to replenish qi; Partial to yin deficiency, those who see weak waist and knees, night sweat and night sweat should take medlar, mulberry, turtle meat, fungus and Tremella to nourish yin; Those with kidney yang deficiency, cold shape, cold limbs and frequent urination at night can often take leek, mutton and other foods to warm yang. In daily life, we should work and rest regularly and exercise properly. We can play taijiquan, take a walk after dinner and do less intense exercise. At ordinary times, we should also pay attention to the adjustment of spirit to avoid being too excited or depressed, so as to smooth the Qi machine., In conclusion, the development of diabetic retinopathy is a gradual process. The earlier it is discovered, the more timely the treatment is, the lower the probability of blindness. In addition to controlling blood sugar, blood pressure and blood lipids, diabetics should strive for pupil dilation once a year, once diabetes occurs.Ill retinopathy should be treated as soon as possible to prevent the progress of the disease.