基于"目得血而能视"探讨中医药防治近视的思路与方法OA

This study examines Traditional Chinese Medicine(TCM)approaches for myopia prevention and treatment based on the fundamental theory that"eyes require blood supply for vision".The author holds that the core pathogenesis of myopia lies in insufficient qi and blood leading to malnutrition of the eyes,which further results in failure of blood to nourish the tendons,thus forming the key pathogenesis of essence-tendon imbalance.Spleen-stomach deficiency causes inadequate production of Qi and blood,liver blood deficiency,and impaired heart Yang,collectively weakening blood circulation to ocular tissues.Chronic conditions affect liver and kidney functions,resulting in blood stasis that manifests as both vacuity and obstruction in ocular collaterals,ultimately causing fundus lesions.The clinical strategy combines syndrome differentiation and disease identification,focusing on regulating and supplementing Qi and blood while simultaneously invigorating heart Yang,strengthening spleen-stomach function,tonifying liver-kidney,and activating collaterals to resolve stasis.This comprehensive approach promotes harmonious Qi and blood circulation,unobstructed ocular collaterals,and unimpeded generation and movement of Qi and blood,thereby restoring visual acuity for distant vision.