How to diagnose and treat “amblyopia disease” in Chinese Medicine

Abstract: Amblyopia means that there are no organic lesions inside and outside the eyeball, and the corrected vision can not reach normal. As early as Sui chaoyuanfang’s “on the sources of various diseases”, there were records similar to this disease. “On the sources of various diseases · miscellaneous diseases of children · symptoms of blindness” says that “if the eyes have no obscuration and can not see things, it is called blindness”.

amblyopia means that there are no organic lesions inside and outside the eyeball, and the corrected vision can not reach normal. As early as Sui chaoyuanfang’s “on the sources of various diseases”, there were records similar to this disease. “On the sources of various diseases · miscellaneous diseases of children · symptoms of blindness” says that “if the eyes have no obscuration and can not see things, it is called blindness”. In 1920, Mr. Liu Guangyao wrote “ophthalmic golden mirror · blindness”, which said that “from the beginning of the disease, it is not painful or itchy, not red or swollen, if there are no symptoms, but you can’t see things, and your parents don’t know it is blind for a long time”. This disease belongs to the category of “dim vision” in traditional Chinese medicine. Traditional Chinese medicine believes that “the liver stores blood”, “the liver opens its orifices in the eyes” and “the eyes can see when they get blood”, indicating that if the liver is full of blood, they can see things wisely and distinguish five colors. The kidney is the innate foundation and the internal organs of yin and Yang. The kidney is the main water, which is hidden by the essence of the five zang organs. The essence generates marrow, which connects to the brain, and the brain is the sea of marrow. Essence is the basic material to maintain human life activities. Only when the Yin and Yang of the kidney are balanced and energetic can the medullary sea be full and sharp. If the liver and gallbladder lose, the kidney essence is insufficient, and the eyes lose nourishment, the eyes are unclear and amblyopia. As Zhang Jingyue said, “if the Qi of the liver and kidney is sufficient, the eyes are wonderful and bright, and if the Qi of the liver and kidney is insufficient, the eyes are dim and dizzy.”

TCM clinical syndrome differentiation and treatment are often divided into liver and kidney deficiency and Qi and blood loss.

(1) liver and kidney deficiency

clinical symptoms: dry and dark eyes, dizziness and tinnitus, weak waist phlegm, forgetfulness, insomnia and dreaminess, light red tongue, thin white fur, thin and weak pulse string.

and

treatment principles: nourishing blood and essence, nourishing liver and kidney. Prescription of

and

: Siwu Wuzi Decoction plus and minus the prescription of “examining Yaohan”. 10 grams of Angelica sinensis, 10 grams of Paeonia alba, 6 grams of Ligusticum chuanxiong, 10 grams of Schisandra chinensis, 12 grams of prepared land, 10 grams of dodder, 10 grams of wolfberry fruit, 10 grams of Fupenzi and 10 grams of plantain seeds.

and

prescriptions: this prescription is composed of Siwu Decoction and zhudanxi Wuziyanzong pill, in which radix rehmanniae, Angelica sinensis, peony and Ligusticum chuanxiong nourish liver blood; Cuscuta chinensis and semen papyriferae supplement the liver, nourish the kidney and consolidate the essence; Qi Zi tonifying liver and kidney and brightening eyes; Schisandra chinensis nourishing yin and astringent essence; Cheqianzi clears the liver and brightens the eyes. The combination of various drugs can nourish blood and Yin, replenish liver and kidney, and have sufficient blood essence. If the eyes can be nourished, the syndrome of dizziness can be eliminated.

(2) loss of Qi and blood

clinical symptoms: blurred vision, sudden absence of sight, or deviated eye position, dizziness, mental fatigue, poor appetite, dull complexion, light tongue, thin white or no moss, thin and heavy pulse. Treatment principle: Supplementing Qi and nourishing blood, tonifying deficiency and brightening eyes. Prescription of

and

: ametropia and TCM therapy by Buyuan Zengming decoction. Ziheche powder 10g, Chinese wolfberry 15g, dodder 18G, Broussonetia papyrifera 15g, ginseng 4G (or dangshen 12g), Achyranthes bidentata 10g, papaya 10g, yam 15g, cooked land 15g, Shenjincao 15g, Salvia miltiorrhiza 20g and Angelica 12g. Solution of

and

: Ziheche powder in the formula greatly replenishes vitality; Ginseng, yam, rehmannia, angelica can replenish qi and blood; Chinese wolfberry, dodder and Broussonetia papyrifera benefit the liver and kidney, replenish essence and blood, and brighten the eyes; Salvia miltiorrhiza and Achyranthes bidentata promote blood circulation and disperse blood stasis; Stretch tendon grass, papaya, relax muscles and activate collaterals, and invigorate blood circulation. Sufficient Qi, blood and kidney essence will brighten the eyes and increase vision. Clinical addition and subtraction: if the eyes are skewed, add stiff silkworm and double hook, or even add whole insect and centipede to dispel wind and dredge collaterals; If amblyopia lasts for a long time and vision is difficult to recover, add horse QIANZI and Ganoderma lucidum to supplement deficiency and strength. If you are stunned, add Jiao Sanxian and chicken Neijin to appetize and strengthen the spleen and help the source of blood and biochemistry; If Qi deficiency, laziness and fatigue are serious, add Astragalus membranaceus, Atractylodes macrocephala and other herbs to replenish qi and strengthen the spleen; If the mouth is dry, nervous, red tongue and little moss, add Anemarrhena, Cortex Phellodendri, Herba Cassiae, valley essence grass, etc. to nourish yin and reduce fire, clear the liver and brighten the eyes.

and

in addition, acupuncture, qigong and medicated diet can be selected in combination with the patient’s condition. 207。 How to apply acupuncture to treat amblyopia and acupuncture to treat eye diseases has its own uniqueness. Although it has many advantages, it is not omnipotent. The idea of “one needle for every disease” is unrealistic. In the Tang Dynasty, Sun Simiao said, “if the needle but not moxibustion, moxibustion but not needle, it is not a good doctor; acupuncture but not medicine, medicine but not acupuncture, especially not a good doctor.” Acupuncture and moxibustion is only one of the methods to treat diseases and must not replace all treatment methods.

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. Abstract: Amblyopia refers to the person who has no organic lesions inside and outside the eyeball and whose corrected vision cannot reach normal. As early as Sui chaoyuanfang’s “on the sources of various diseases”, there were records similar to this disease. “On the sources of various diseases · miscellaneous diseases of children · symptoms of blindness” says that “when the eyes are not obscured and see nothing, it is called blindness”., Amblyopia means that there are no organic lesions inside and outside the eyeball, and the corrected vision can not reach normal. As early as Sui chaoyuanfang’s “on the sources of various diseases”, there were records similar to this disease. “On the sources of various diseases · miscellaneous diseases of children · symptoms of blindness” says that “if the eyes have no obscuration and can not see things, it is called blindness”. In 1920, Mr. Liu Guangyao wrote “ophthalmic golden mirror · blindness”, which said that “from the beginning of the disease, it is not painful or itchy, not red or swollen, if there are no symptoms, but you can’t see things, and your parents don’t know it is blind for a long time”. This disease belongs to the category of “dim vision” in traditional Chinese medicine. Traditional Chinese medicine believes that “the liver stores blood”, “the liver opens its orifices in the eyes” and “the eyes can see when they get blood”, indicating that if the liver is full of blood, they can see things wisely and distinguish five colors. The kidney is the innate foundation and the internal organs of yin and Yang. The kidney is the main water, which is hidden by the essence of the five zang organs. The essence generates marrow, which connects to the brain, and the brain is the sea of marrow. Essence is the basic material to maintain human life activities. Only when the Yin and Yang of the kidney are balanced and energetic can the medullary sea be full and sharp. If the liver and gallbladder lose, the kidney essence is insufficient, and the eyes lose nourishment, the eyes are unclear and amblyopia. As Zhang Jingyue said, “if the Qi of the liver and kidney is sufficient, the eyes will be brilliant and bright, and if the Qi of the liver and kidney is insufficient, the eyes will be dizzy.”, TCM clinical syndrome differentiation and treatment are often divided into two types: deficiency of liver and kidney and loss of Qi and blood.,

amblyopia means that there are no organic lesions inside and outside the eyeball, and the corrected vision can not reach normal. As early as Sui chaoyuanfang’s “on the sources of various diseases”, there were records similar to this disease. “On the sources of various diseases · miscellaneous diseases of children · symptoms of blindness” says that “if the eyes have no obscuration and can not see things, it is called blindness”. In 1920, Mr. Liu Guangyao wrote “ophthalmic golden mirror · blindness”, which said that “from the beginning of the disease, it is not painful or itchy, not red or swollen, if there are no symptoms, but you can’t see things, and your parents don’t know it is blind for a long time”. This disease belongs to the category of “dim vision” in traditional Chinese medicine. Traditional Chinese medicine believes that “the liver stores blood”, “the liver opens its orifices in the eyes” and “the eyes can see when they get blood”, indicating that if the liver is full of blood, they can see things wisely and distinguish five colors. The kidney is the innate foundation and the internal organs of yin and Yang. The kidney is the main water, which is hidden by the essence of the five zang organs. The essence generates marrow, which connects to the brain, and the brain is the sea of marrow. Essence is the basic material to maintain human life activities. The balance of yin and Yang of the kidney is full of energyCan make the sea plump and have sharp eyes. If the liver and gallbladder lose, the kidney essence is insufficient, and the eyes lose nourishment, the eyes are unclear and amblyopia. As Zhang Jingyue said, “if the Qi of the liver and kidney is sufficient, the eyes are wonderful and bright, and if the Qi of the liver and kidney is insufficient, the eyes are dim and dizzy.”

TCM clinical syndrome differentiation and treatment are often divided into liver and kidney deficiency and Qi and blood loss.

(1) liver and kidney deficiency

clinical symptoms: dry and dark eyes, dizziness and tinnitus, weak waist phlegm, forgetfulness, insomnia and dreaminess, light red tongue, thin white fur, thin and weak pulse string.

and

treatment principles: nourishing blood and essence, nourishing liver and kidney. Prescription of

and

: Siwu Wuzi Decoction plus and minus the prescription of “examining Yaohan”. 10 grams of Angelica sinensis, 10 grams of Paeonia alba, 6 grams of Ligusticum chuanxiong, 10 grams of Schisandra chinensis, 12 grams of prepared land, 10 grams of dodder, 10 grams of wolfberry fruit, 10 grams of Fupenzi and 10 grams of plantain seeds.

and

prescriptions: this prescription is composed of Siwu Decoction and zhudanxi Wuziyanzong pill, in which radix rehmanniae, Angelica sinensis, peony and Ligusticum chuanxiong nourish liver blood; Cuscuta chinensis and semen papyriferae supplement the liver, nourish the kidney and consolidate the essence; Qi Zi tonifying liver and kidney and brightening eyes; Schisandra chinensis nourishing yin and astringent essence; Cheqianzi clears the liver and brightens the eyes. The combination of various drugs can nourish blood and Yin, replenish liver and kidney, and have sufficient blood essence. If the eyes can be nourished, the syndrome of dizziness can be eliminated.

(2) loss of Qi and blood

clinical symptoms: blurred vision, sudden absence of sight, or deviated eye position, dizziness, mental fatigue, poor appetite, dull complexion, light tongue, thin white or no moss, thin and heavy pulse. Treatment principle: Supplementing Qi and nourishing blood, tonifying deficiency and brightening eyes. Prescription of

and

: ametropia and TCM therapy by Buyuan Zengming decoction. Ziheche powder 10g, Chinese wolfberry 15g, dodder 18G, Broussonetia papyrifera 15g, ginseng 4G (or dangshen 12g), Achyranthes bidentata 10g, papaya 10g, yam 15g, cooked land 15g, Shenjincao 15g, Salvia miltiorrhiza 20g and Angelica 12g. Solution of

and

: Ziheche powder in the formula greatly replenishes vitality; Ginseng, yam, rehmannia, angelica can replenish qi and blood; Chinese wolfberry, dodder and Broussonetia papyrifera benefit the liver and kidney, replenish essence and blood, and brighten the eyes; Salvia miltiorrhiza and Achyranthes bidentata promote blood circulation and disperse blood stasis; Stretch tendon grass, papaya, relax muscles and activate collaterals, and invigorate blood circulation. Sufficient Qi, blood and kidney essence will brighten the eyes and increase vision. Clinical addition and subtraction: if the eyes are skewed, add stiff silkworm and double hook, or even add whole insect and centipede to dispel wind and dredge collaterals; If amblyopia lasts for a long time and vision is difficult to recover, add horse QIANZI and Ganoderma lucidum to supplement deficiency and strength. If you are stunned, add Jiao Sanxian and chicken Neijin to appetize and strengthen the spleen and help the source of blood and biochemistry; If Qi deficiency, laziness and fatigue are serious, add Astragalus membranaceus, Atractylodes macrocephala and other herbs to replenish qi and strengthen the spleen; If the mouth is dry, nervous, red tongue and little moss, add Anemarrhena, Cortex Phellodendri, Herba Cassiae, valley essence grass, etc. to nourish yin and reduce fire, clear the liver and brighten the eyes.

and

in addition, acupuncture, qigong and medicated diet can be selected in combination with the patient’s condition. 207。 How to apply acupuncture to treat amblyopia and acupuncture to treat eye diseases has its own uniqueness. Although it has many advantages, it is not omnipotent. The idea of “one needle for every disease” is unrealistic. In the Tang Dynasty, Sun Simiao said, “if the needle but not moxibustion, moxibustion but not needle, it is not a good doctor; acupuncture but not medicine, medicine but not acupuncture, especially not a good doctor.” Acupuncture and moxibustion is only one of the methods to treat diseases and must not replace all treatment methods.

, (1) liver and kidney deficiency, clinical symptoms: dry and dark eyes, dizziness and tinnitus, weak waist phlegm, forgetfulness, insomnia and dreaminess, light red tongue, thin white fur, thin and weak pulse string., Treatment principle: nourishing blood and essence, nourishing liver and kidney., Prescription: Siwu Wuzi Decoction plus or minus the prescription of “examining Yao letter”. 10 grams of Angelica sinensis, 10 grams of Paeonia alba, 6 grams of Ligusticum chuanxiong, 10 grams of Schisandra chinensis, 12 grams of prepared land, 10 grams of dodder, 10 grams of wolfberry fruit, 10 grams of Fupenzi and 10 grams of plantain seeds., Prescription: this prescription consists of Siwu Decoction and zhudanxi Wuziyanzong pill, in which radix rehmanniae, Angelica sinensis, peony and Ligusticum chuanxiong nourish liver blood; Cuscuta chinensis and semen papyriferae supplement the liver, nourish the kidney and consolidate the essence; Qi Zi tonifying liver and kidney and brightening eyes; Schisandra chinensis nourishing yin and astringent essence; Cheqianzi clears the liver and brightens the eyes. When combined with various drugs, it can nourish blood and Yin, tonify liver and kidney, and have sufficient blood essence. If the eyes can be nourished, the syndrome of dizziness can be eliminated., (2) loss of Qi and blood, clinical symptoms: blurred vision, sudden absence of sight, or deviated eye position, dizziness, mental fatigue, poor food intake, dull complexion, light tongue, thin white or no fur, thin and heavy pulse. Treatment principle: Supplementing Qi and nourishing blood, tonifying deficiency and brightening eyes., Prescription: Buyuan Zengming Decoction ametropia and traditional Chinese medicine therapy. Ziheche powder 10g, Chinese wolfberry 15g, dodder 18G, Broussonetia papyrifera 15g, ginseng 4G (or dangshen 12g), Achyranthes bidentata 10g, papaya 10g, yam 15g, cooked land 15g, Shenjincao 15g, Salvia miltiorrhiza 20g and Angelica 12g., Formula: Ziheche powder in the formula can greatly replenish vitality; Ginseng, yam, rehmannia, angelica can replenish qi and blood; Chinese wolfberry, dodder and Broussonetia papyrifera benefit the liver and kidney, replenish essence and blood, and brighten the eyes; Salvia miltiorrhiza and Achyranthes bidentata promote blood circulation and disperse blood stasis; Stretch tendon grass, papaya, relax muscles and activate collaterals, and invigorate blood circulation. Sufficient Qi, blood and kidney essence will brighten the eyes and increase vision. Clinical addition and subtraction: if the eyes are skewed, add stiff silkworm and double hook, or even add whole insect and centipede to dispel wind and dredge collaterals; If amblyopia lasts for a long time and vision is difficult to recover, add horse QIANZI and Ganoderma lucidum to supplement deficiency and strength. If you are stunned, add Jiao Sanxian and chicken Neijin to appetize and strengthen the spleen and help the source of blood and biochemistry; If Qi deficiency, laziness and fatigue are serious, add Astragalus membranaceus, Atractylodes macrocephala and other herbs to replenish qi and strengthen the spleen; If the mouth is dry, the mind is upset, the tongue is red and less moss, add Anemarrhena asphodeloides, Cortex Phellodendri, Herba Cassiae, valley essence grass, etc. to nourish yin and reduce fire, clear the liver and brighten the eyes., In addition, acupuncture, qigong and medicated diet can also be selected in combination with the disease. 207。 How to apply acupuncture to treat amblyopia and acupuncture to treat eye diseases has its own uniqueness. Although it has many advantages, it is not omnipotent. The idea of “one needle for every disease” is unrealistic. In the Tang Dynasty, Sun Simiao said, “if the needle but not moxibustion, moxibustion but not needle, it is not a good doctor; acupuncture but not medicine, medicine but not acupuncture, especially not a good doctor.” Acupuncture and moxibustion is only one of the methods to treat diseases and must not replace all treatment methods.