What Chinese herbs can be used for macular degeneration?
Age-related macular degeneration falls under the category of "blurred vision" in traditional Chinese medicine (TCM). Commonly used herbal medicines include Lycium fruit (Gouqizi), chrysanthemum, salvia (Danshen), astragalus (Huangqi), and cassia seeds (Juemingzi). These should be prescribed according to specific TCM patterns such as liver-kidney yin deficiency or qi-blood insufficiency. Self-medication is not recommended. If symptoms such as sudden vision loss or visual distortion occur, prompt medical evaluation for accurate diagnosis is advised.
1. **Lycium fruit (Gouqizi)**: Sweet in taste and neutral in nature, it targets the liver and kidney meridians. It nourishes the liver and kidneys, enriches essence, and improves vision. It is commonly used to address blurred vision, dry eyes, and dim sight caused by liver-kidney yin deficiency. Often combined with chrysanthemum to enhance its therapeutic effect.
2. **Chrysanthemum**: Slightly cold in nature with a sweet-bitter taste, it enters the lung and liver meridians. It clears liver heat, improves vision, and disperses wind-heat, helping relieve redness, swelling, pain, and blurred vision due to ascending liver fire. It serves as an adjunctive treatment for macular degeneration accompanied by dry or irritated eyes.

3. **Salvia (Danshen)**: Bitter in taste and slightly cold in nature, it affects the heart and liver meridians. It promotes blood circulation, removes blood stasis, unblocks meridians, and relieves pain. It improves ocular blood flow and alleviates vision decline due to blood stasis, making it suitable for macular degeneration associated with obstructed collateral circulation.
4. **Astragalus (Huangqi)**: Sweet in taste and mildly warm in nature, it enters the spleen and lung meridians. It tonifies qi, raises yang, strengthens the exterior, and stops sweating. By enhancing qi to promote blood and qi circulation, it nourishes ocular vessels and is particularly beneficial for macular degeneration due to qi-blood deficiency, improving symptoms like blurred vision and fatigue.
5. **Cassia seeds (Juemingzi)**: Slightly cold with a bitter-sweet-salty taste, it targets the liver and large intestine meridians. It clears liver heat, improves vision, moistens the intestines, and promotes bowel movements. It helps relieve redness, swelling, pain, and blurred vision associated with liver fire, and is especially suitable for patients with constipation.
Herbal medicine should be prescribed under the guidance of a licensed TCM practitioner based on individual pattern differentiation; single herb use should be avoided. A light diet rich in vitamin-containing fruits and vegetables is recommended. Avoid staying up late and excessive eye strain. Moderate eye massage may help improve circulation and support eye recovery.