The Traditional Chinese Medicine Literature Study Of Myopia And Meta Analysis Of The Myopia Risk Factors In Children

ObjectiveBy literature research,we explore the traditional Chinese medicine theory in ancient books to explain the pathogenesis of myopia,learn from the ancients’understanding of myopia,summarize the experience of ancient people in the treatment of myopia,give full play to the advantages of traditional Chinese medicine,highlight the characteristics of treating diseases,and explore the evidence of ancient and modern doctors.The similarities and differences of treatment,and provide ideas and basis for the clinical research of modern Chinese medicine treatment of myopia.By the meta-analysis of myopia risk factors,the risk factors of myopia in children are discussed,which provides schools,parents and relevant departments with scientific evidence for prevention of myopia.MethodsBy referring to the "National Catalogue of Chinese Medicine Books",combined with manual examination of ancient Chinese medicine literatures before the Qing Dynasty,computer search "Chinese Medical Code" and "Chinese Medicine Ophthalmology Ancient Literature Data Database",search for the monographs of Chinese medicine ophthalmology and related chapters and articles in the book The classification and summary of the Chinese medicine ancient books related to myopia collected in the field of Chinese medicine,etiology,pathogenesis,prevention and care.According to the literature search related to risk factors,35 related documents were obtained through computerized search of the well-known database China Knowledge Network(CNKI),VIP database,Wanfang,etc.,and the NOS scale was used as the evaluation standard to evaluate the score.The relevant factors were extracted,and the collected data were analyzed by Meta Man5.3 software for the risk factors.At the same time,the heterogeneity test was carried out,and the funnel chart was observed.The symmetry of the funnel chart was good,and no obvious offset was observed.Otherwise,it was found.The problem is.Results1.In terms of disease name research:"Myopia" is a modern clinical disease name.which was rarely mentioned in ancient Chinese medicine books before the Sui and Tans Dynasties.Modern generation in the "Theories of Diseases and Sources",there is a record of "the eyes can’t be farsighted".According to the analysis of the names of myopia in modern literature,"the eyes can’t be farsighted","can be near the far-sightedness","the long-term disease"."near-in-law" "Myopia can not be farsighted" is the name of the ancient Chinese medicine recognized by modern doctors.It traces the description of its clinical features,etiology and pathogenesis in ancient literature,and it is also consistent with myopia.In 1741,Qing.Emperor Qianlong’s six-year-old Huang Tingjing’s "Ming Jing Dacheng" Volume II firstly proposed the name of "myopia",which was followed by later generations.Before this,there was also the title of "not farsighted" "myopia",which means "vision far" and"close to",appearing as a symptom name,not a disease name.2.Etiology and pathogenesis research:The ancient Chinese doctors believe that the causes of myopia in myopia are mainly:yin and yang disorders,lack of endowment,and liver blood loss caused by exhaustion of the liver and liver.If the wind and heat invade,the fascia is lost.Hepatobiliary congestion,so that the light can not be sent farther and farther into myopia.3.Risk factors of myopia in children:genetic factors were included in 21 articles.The heterogeneity test results were:I2=17.4%,P=0.78,OR=2.88.95%Cl(2.75-3.01),Z test P<0.05,suggesting that genetic factors have statistical significance.The meta-analysis of the relationship between preterm birth factors and myopia included 7 articles.The heterogeneity test results were:I2=13.1%.P=0.94.and the results of the fixed effect model were applied:OR=2.76.95%CL(2.42-3.51),Z test P<0.05.suggesting that the preterm birth factor has statistical significance.The study on bad eye habits included 23 articles.The results:I2=l3.5%,P=0.49.no obvious heterogeneity.The study was statistically significant,suggesting that poor eye habit is the risk of myopia,factor;The meta-analysis of frequent use of electronic products and myopia was included in a total of 19 articles.The results showed:I2=11.6%,P=0.34,Z test P<0.001,OR=1.20,95%CL(1.15-1.25).No significant heterogeneity was found,and frequent use of electronic products was a risk factor for myopia.A meta-analysis of sleep time and myopia was included in a total of 8 articles.The results showed:I2=10.2%,P=0.86,OR=2.43,95%CI(2.25-2.62).Without obvious heterogeneity,it can be concluded that lack of quality sleep is one of the risk factors for myopia,suggesting a link between sleep disorders and myopia.There is a lack of meta-analysis of outdoor sports and myopia.A total of 20 articles were included in the literature.The results showed:I2=11.7%,P=0.63,no obvious heterogeneity,OR=1.46,95%CI(1.40-1.52)The study was statistically significant,so the lack of outdoor exercise was a risk factor for myopia.Conclusion1.Ancient doctors have a clear understanding of the disease and detailed discussion.Insufficient endowment,problems in heart and kidney function,lack of endowment or genetic factors or weak function of premature dysplasia "heart" and"kidney" leading to the emergence of early onset of myopia,and may form high myopia;2.Looking forward to ignoring,it is because of the "six desires" in the day after tomorrow,"seeing desire" is too prosperous,useless and harmless liver blood,affecting the wood function of "liver" manifested as disorder and form myopia.3.Poor eye habits,excessive use of electronic products,and lack of sleep may lead to exhaustion,The theory in ancient books guides us in the direction of modern clinical practice and basic research to find solutions.