Treatment of Macular Oedema with the Theory of"Qi-blood-water"
Macular edema is one of the main complications of various fundus diseases,belonging to the category of"blurred vision"in Ophthalmology of Traditional Chinese Medicine.Based on the theory of"Qi-blood-water",its main pathogenesis can be attributed to the movement and metabolic disorders of"Qi-blood-water",as well as blockage of collaterals.Its occurrence is often related to the loss of healthy spleen circulation.Spleen loses its healthy circulation,and water dampness stops gathering in the macular area.Additionally,because spleen is responsible for regulating blood,when spleen is insufficient and its control is limited,blood overflows outside the meridians,forming blood that deviates from the meridians.Blood stasis does not go away,new blood does not grow,and blood stasis worsens.Pulse obstruction,extravasation of fluid will aggravate macular edema.Edema,Qi stagnation,and blood stasis can be both causal and difficult to treat due to their coexistence.In terms of treatment,the method of promoting blood circulation and promoting diuresis runs through the entire treatment process,while adhering to the principle of treating water and blood must treat Qi.Medications are added or reduced according to the severity of Qi stagnation,edema,and blood stasis,in order to achieve the effect of water circulation without stagnation and blood circulation without stasis.
macular oedemathe theory of"Qi-blood-water"medication principles