Analysis on Diagnosis and Treatment of Eye Diseases from"Clear Yang moving Upward into the Upper Orifices of the Body"

CHEN Lingling; LI Dian

doi:10.16295/j.cnki.0257-358x.2025.05.008

Abstract：The theory of"clear yang moving upward into the upper orifices of the body"proposed in Inner Canon of Huangdi provides diagnostic and therapeutic ideas for diseases of the orifices and has important guiding significance for the diagnosis and treatment of eye diseases.Clear yang refers to the essence generated and transformed by the five zang-organs,including qi that functions to warm,defend,and promote,as well as blood and body fluids that function to nourish and moisturize.Under the coordinated functions of the five zang-organs and six fu-organs,the congenital essence qi,qi from food and water,and the clear qi from nature can all be transformed into clear yang.The clear yang is transported upward to the head and face,nourishing the eyeballs and enabling clear vision.Based on the analysis of"clear yang moving upward into the upper orifices of the body",the pathogenesis of eye diseases can be classified into two aspects:deficiency and excess.The damage to the five zang-organs and six fu-organs,as well as the depletion and injury of qi,blood,and body fluids,leading to the failure of transformation or ascent of clear yang,is considered deficiency.The obstruction by pathogenic turbidity,which prevents the ascent of clear yang,is regarded as excess.Therefore,in the clinical treatment of eye diseases,one can start from tonifying deficiency or dispelling pathogenic factors based on syndrome differentiation.For deficiency syndromes,the emphasis is on regulating and tonifying the zang-fu organs,qi,blood,and body fluids.For excess syndromes,the emphasis is on dispelling pathogenic factors and reducing turbidity.Through tonifying deficiency and purging excess,the qi movement can be unobstructed,clear yang can ascend,and the eye orifices can be nourished.