Principles of TCM treatment of macular hole

In traditional Chinese medicine, the treatment principle of macular fissure is mainly based on syndrome differentiation and treatment, because the symptomatic treatment and medication should be based on the patient's specific cause of the diseased area, as well as the characteristics of the pathology and symptoms. At the same time, it is also necessary to replenish blood, nourish blood, clear the heart and reduce fire.

1. A macular hole (primary retinal detachment, retinal detachment) is a separation between the nine inner layers of the retina and the pigment epithelium. Most patients have myopic refractive error. The formation of retinal holes and the liquefaction and condensation of vitreous are two interrelated necessary conditions for causing this disease. The patient experienced photopsias and floaters. The intraocular pressure was significantly reduced. Corresponding visual field loss. If the retina is completely detached, the vision may be limited to light perception or movement of the eyes; in advanced cases, the patient may be completely blind.

2. Traditional Chinese Medicine treatment of macular hole. Traditional Chinese Medicine has always attached great importance to the principle of syndrome differentiation and treatment in treating diseases, but it also includes the content of disease differentiation and treatment. Disease differentiation is to analyze and diagnose the disease based on the specific causes, pathologies and symptoms of the diseased part. Therefore, disease differentiation and treatment is to treat the specific causes, pathologies and symptoms of the diseased part to achieve the goal of curing the disease. That is, the comprehensive diagnosis reflects the whole process of the disease and is relatively stable. Syndrome differentiation and treatment reflects the clinical diagnosis of a certain stage in the whole process of the disease, and determines the treatment based on the diagnosis of that stage.

3. In clinical treatment, the comprehensive therapy of the five wheels and five organs focuses on the close integration of the five wheels and the five organs. Wind wheel eye diseases are mostly treated from the liver, targeting excessive liver qi and liver fire, insufficient liver yin and liver blood, and are treated with methods of calming the liver, purging the liver, softening the liver, and nourishing the liver to improve eyesight. Blood wheel and eye diseases are mainly caused by the heart. For diseases such as the heart not producing blood, blood not nourishing the liver, water not controlling fire attacking the eyes, hot blood not stopping, stabbing pain in the eyes, ulcers in the mouth and tongue, and red and astringent urine, they can be treated with products that replenish blood, nourish blood, cool blood, stop bleeding, clear the heart, drain fire, and improve eyesight. Meat-wheel eye diseases are mainly caused by spleen deficiency and stomach weakness, or due to insufficient spleen qi, sinking of the middle qi, or the spleen’s failure to transport water and the accumulation of moisture into phlegm, or the decline of spleen function and ptosis of the eyelids. The treatment is based on the methods of strengthening the spleen and promoting diuresis, eliminating phlegm and dispersing nodules, invigorating qi and raising yang, and strengthening the spleen and stomach.

4. Qilun eye disease, the disease is in the lungs. The pathogenesis is mostly due to imbalance of cold and heat, the lungs not producing water, the fire without water to control it, and it attacks the eyes. It can be treated by nourishing yin and moistening the lungs, nourishing yin and clearing heat, and clearing and draining lung fire. The treatment for water wheel eye disease lies in the kidney. It is mostly caused by excessive sexual intercourse, worries, insufficient kidney water or kidney yang deficiency. It can be treated with nourishing yin and tonifying the kidney, nourishing yin and reducing fire, warming and tonifying kidney yang, and nourishing kidney yin to improve eyesight. At the same time, due to the diversity and complexity of the lesions, a round of lesions may be the result of the joint action of multiple organs, and the same disease may also cause lesions in multiple wheels of organs. Therefore, in clinical treatment, we focus on starting from multiple organs, paying attention to the changes in the five wheels, and not forgetting to combine with the five organs and the five elements to diagnose diseases and treat diseases comprehensively.