中国中医眼科杂志2026，Vol.36Issue(5)：450-454,5.DOI:10.13444/j.cnki.zgzyykzz.2026.05.009
基于"目得血而能视"探讨中医药防治近视的思路与方法
Exploring the Thinking and Methods of Traditional Chinese Medicine in the Preven-tion and Treatment of Myopia Based on"Blood in the Eyes and Vision"
摘要
Abstract
This study examines Traditional Chinese Medicine(TCM)approaches for myopia prevention and treatment based on the fundamental theory that"eyes require blood supply for vision".The author holds that the core pathogenesis of myopia lies in insufficient qi and blood leading to malnutrition of the eyes,which further results in failure of blood to nourish the tendons,thus forming the key pathogenesis of essence-tendon imbalance.Spleen-stomach deficiency causes inadequate production of Qi and blood,liver blood deficiency,and impaired heart Yang,collectively weakening blood circulation to ocular tissues.Chronic conditions affect liver and kidney functions,resulting in blood stasis that manifests as both vacuity and obstruction in ocular collaterals,ultimately causing fundus lesions.The clinical strategy combines syndrome differentiation and disease identification,focusing on regulating and supplementing Qi and blood while simultaneously invigorating heart Yang,strengthening spleen-stomach function,tonifying liver-kidney,and activating collaterals to resolve stasis.This comprehensive approach promotes harmonious Qi and blood circulation,unobstructed ocular collaterals,and unimpeded generation and movement of Qi and blood,thereby restoring visual acuity for distant vision.关键词
近视/目得血而能视/调补气血/辨证/中医药Key words
myopia/eyes require blood supply for vision/regulate and supplement Qi and blood/syndrome dif-ferentiation/Traditional Chinese Medi-cine分类
医药卫生引用本文复制引用
吴馨如,晏鑫,亢泽峰,李丹玉,王牧仁..基于"目得血而能视"探讨中医药防治近视的思路与方法[J].中国中医眼科杂志,2026,36(5):450-454,5.基金项目
1 国家重点研发计划"揭榜挂帅"重点专项(2022YFC3502500 （）
2022YFC3502505)2 国家中医药管理局中医药传承与创新"百千万"人才工程(岐黄工程)岐黄学者3 中国中医科学院科技创新工程重点协同攻关项目(CI2022C001) （岐黄工程）
