Exploring the Prescription Strategy of Using Shenming Decoction by the Eminent Chi-nese Physician TANG Youzhi for Treating Amblyopia
Amblyopia,a common childhood eye disease,belongs to the category of"dimness of vision"and"obscuration of sight"in Traditional Chinese Medicine(TCM).The renowned Chinese physician TANG Youzhi believed that the etiology and pathogenesis of amblyopia lie in congenital deficiency and postnatal improper nurturing.In treatment,the emphasis is on nourishing both congenital and acquired aspects.Based on his clinical experience,TANG Youzhi made modifications to Shenming Decoction,focusing on the principle of reinforcing kidney to supplement essence and marrow.The distinctive features of Shenming Decoction include:The disease originates from deficiency,with kidney being the root deficiency;Emphasizing tonification of kidney,enriching essence,and nourishing marrow;The essence of pediatric treatment lies in regulating spleen and stomach,nurturing the earth element,and enhancing spleen function to benefit digestion;Harmonizing spleen and kidney,mutually complementing each other,promoting mutual generation,and achieving mutual enhancement;The treatment methods are flexible,not confined to tonification,ensuring tonification without stagnation,maintaining dynamism within tranquility;Balancing medication selection,emphasizing adaptability,integrating the four diagnostic methods,and combining both TCM and Western Medicine.This article provides a detailed analysis of TANG Youzhi's academic thoughts on the diagnosis and treatment of amblyopia in children,exploring the rationale behind his treatment and the formulation strategy.
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