An Analysis of Diabetic Macular Edema was Made Based on the Theory of"When the Great Qi changes direction,its Qi dissipates"
When the Great Qi changes direction,its Qi dissipates"originates from the Synopsis of Golden Chamber Prescriptions.It suggests that pathogenic factors disturb the flow of Qi,leading to the accumulation of water and resultant pathology.Patients with diabetic macular edema(DME)suffer from prolonged consumption of body fluids,deficiency of both Yin and Yang,and weakness of the zangfu organs.This results in impaired circulation of the"Great Qi",causing water-like pathogenic factors to accumulate in the macula,manifesting as symptoms such as blurred vision and straight lines appearing curved.Many ancient physicians had equated"Great Qi"with Zong Qi.Based on the theory of"When the Great Qi changes direction,its Qi dissipates",this paper analyzes the pathogenesis of DME.Starting from the physiological functions of Zong Qi and centering on the circulation of"Great Qi",we propose treatment strategies aimed at promoting lung diffusion,resolving blood stasis,and warming Yang to regulate Qi and disperse water.These strategies aim to ensure smooth circulation of the Great Qi,preventing Qi stagnation and water retention,thereby achieving the goal of smooth Qi flow and water dispersion.This provides new insights for the clinical prevention and treatment of DME.
Great QiZong Qimacular edemapromote Qi to dissipate edema