Abstract:
This article summarizes Professor Wang Yuliang's clinical experience using the "soothing the liver, regulating qi, and resolving stasis method" in the treatment of diabetic retinopathy (DR). Based on the theoretical foundation of the close physiological connection and pathological influence between the liver and eyes, and incorporating the pathological characteristics of retinal disease, Professor Wang believes that liver qi stagnation is the initiating factor in DR, with qi stagnation and blood stasis, as well as obstruction of the collateral vessels, as the core pathological components of DR. Qi stagnation and blood stasis transform into fire over time, damaging yin, burning the collaterals, and transforming fluid into phlegm, leading to liver and kidney yin deficiency, the intertwining of phlegm and stasis, and the superposition of multiple pathological factors. Treatment should consistently adhere to the principle of "soothing the liver, regulating qi, and removing stasis". Based on the pathological changes of DR at different stages, treatment should incorporate liver and kidney tonification, cooling blood and stopping bleeding, and resolving phlegm and dampness. While soothing the liver and regulating qi, it can also dispel pathogenic factors such as stasis, phlegm, and heat, thereby restoring retinal function. This provides new insights into the clinical diagnosis and treatment of DR.