Treating Diabetic Retinopathy Based on the Theory of Yuanzhen Smoothness from the Perspective of Shaoyin Heart and Kidney
Diabetic retinopathy(DR)is one of the microvascular complications of diabetes.Traditional Chinese Medicine(TCM)believes that the disease is caused by the pathological products of blood stasis,phlegm,water,dampness,and heat obstructing the retinal vessels,leading to impaired circulation.This obstruction causes the retinal vessels to degenerate and detach,resulting in the loss of nourishment to the retina.Based on the Yuanzhen Smoothnes theory,this article analyzes the etiology,pathogenesis,progression,and treatment of DR from the perspective of Shaoyin heart and kidney.It suggests that the cause of DR is the disruption of the Shaoyin pivot,leading to a disharmony between water and fire,resulting in a deficiency of Yuanyin.This deficiency causes instability of the monarch and minister organs,leading to Yuanyang deficiency,and the lack of coordination between Yin and Yang,causing mutual damage.This disruption of Yuanzhen leads to a series of fundus changes characteristic of DR.Combining the experiences of our team,this article further explores the application of nourishing Yuanzhen and harmonizing Shaoyin in the treatment of DR,providing a new theoretical approach for the TCM understanding of DR.
diabetic retinopathyYuanzhen SmoothnessShaoyinheart and kidney
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