TU Jinwen's Experience in the Staged Treatment of Oculomotor Nerve Palsy Based on the Theory of Qi Collaterals
10.13288/j.11-2166/r.2026.18.004
- VernacularTitle:凃晋文运用气络学说分期论治动眼神经麻痹经验
- Author:
Yifei CHEN
1
;
Xiaomin CHEN
2
;
Xiao XIAO
2
;
Xiaolin TANG
2
;
Beibei ZHANG
2
;
Yanbing DING
2
Author Information
1. Hubei University of Chinese Medicine,Wuhan,430065
2. Hubei Provincial Hospital of Traditional Chinese Medicine/The Affiliated Hospital of Hubei University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
oculomotor nerve palsy;
qi collaterals;
experience of famous doctors;
TU Jinwen
- From:
Journal of Traditional Chinese Medicine
2026;67(18):1941-1945
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes the experience of Professor TU Jinwen in the staged treatment of oculomotor nerve palsy (ONP) based on the theory of qi collaterals. In the acute onset stage, the key pathogenesis is triggered by wind toxin and disharmony of the qi collaterlas, for which the treatment should prioritize the elimination of pathogenic factors, with therapeutic principles of dispelling wind and eliminating toxin, boosting qi and harmonizing collaterals, using modified Qianzheng Powder (牵正散) plus Buzhong Yiqi Decoction (补中益气汤). In the remission and recovery stage, the key pathogenesis is stagnation of blood stasis and damage to the qi collaterals, it is recommended to treat the branch, with principles of boosting qi and activating blood, resolving stasis and unblocking collaterals, using the modified Buyang Huanwu Decoction (补阳还五汤). In the sequela and protracted stage, the key pathogenesis is depletion of the liver, spleen, and kidney with non-nourishment of the qi collaterals; the treatment should focus on addressing the root cause, with principles of fortifying the spleen and boosting qi, tonifying the liver and kidney, using the modified Sijunzi Decoction (四君子汤) combined with Qiju Dihuang Pill (杞菊地黄丸).