Professor QIN Yuhui's experience in treating age-related macular degeneration based on the theory of"earth as the pivot of the four organs,unified qi in circular flow"
HUANG Yuanyu,a renowned physician of the Qing Dynasty,is best known for his seminal work Si Sheng Xin Yuan(Four Sages'Study).The main academic theory applied in this book can be summarized as"earth as the pivot of the four organs,unified qi in circular flow".The theory emphasizes the importance of the ascending,descending,floating,and sinking movements of the central qi in maintaining the physiological functions of the five zang and six fu organs.With the qi of the spleen earth as the axis and the heart,lung,liver,and kidney as the wheels,the axis operates the wheels,promoting the intergeneration,intertransformation,and mutual restraint among the four organs in an endless cycle.Based on the theory of"earth as the pivot of the four organs,unified qi in circular flow",this paper combines with QIN Yuhui's clinical practice,analyzes and studies the age-related macular degeneration,summarizing its pathogenesis as"deficiency of spleen earth and spleen encumbered by dampness and turbidity;insufficiency of liver wood and kidney water;stagnation of liver qi,obstruction of spleen earth."Following the principle of"operating the axis to move the wheels,moving the wheels to return to the axis,and the simultaneous operation of axis and wheels,"the method of"strengthening the earth to eliminate dampness and restore the middle jiao;nourishing liver wood and moistening kidney water;unblocking liver wood,and promoting the movement of earth"is employed,expanding the treatment based on pattern identification approaches for age-related macular degeneration.
age-related macular degenerationblurring visionearth as the pivot of the four organs,unified qi in circu-lar flowHUANG Yuanyu
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