Optic nerve atrophy is not the name of a disease, but a formative change in any disease that causes lesions in the retinal ganglion cells and their axons, resulting in the thinning of the entire optic nerve, a common term in pathology, and generally occurs in the axonal degeneration of the ganglion cells between the retina and the lateral geniculate body. Optic nerve atrophy is the end result of optic nerve lesions. It is characterized by degeneration and loss of optic nerve fibers, conduction dysfunction, visual field changes, and loss of visual acuity. It is generally divided into two categories: primary and secondary. Acupuncture mainly treats primary and inflammation-induced secondary optic nerve atrophy. Optic nerve atrophy is called “green blindness” in Chinese medicine. Optic nerve atrophy is mostly caused by the evolution of pupil disease such as dizzying vision and high wind cataract over time. The main manifestation of optic nerve atrophy is that the eye looks good, but the eyes are dull and the vision gradually decreases, leading to blindness. The etiology and risk factors of optic nerve atrophy are classified into the following two major categories according to its pathogenesis: 1, primary optic nerve atrophy: some intracranial occupying lesions or optic nerve injury are primary or simple optic nerve atrophy. 2, secondary optic nerve atrophy: which includes inflammatory, degenerative or hereditary three categories. It mainly includes episodic atrophy after optic papillitis or retinitis. Degenerative atrophy of retrobulbar lesions, retinitis pigmentosa, hypoxic optic papilla edema, central retinal artery obstruction, and hereditary optic nerve atrophy. Symptom presentation: The symptoms are mainly vision loss, and in severe cases, complete blindness, reduced visual field or central dark spot, and color vision impairment. In primary optic nerve atrophy, the optic papilla is pale, its realm and the small holes of the sieve plate are clear, the retinal blood vessels become thin and capillaries disappear. Secondary optic nerve atrophy, the optic papilla is grayish white, waxy yellow or light red, the border is blurred, the physiological depression disappears, the sieve plate hole is not clear, the retinal vessels become thin, and sometimes the arteries are accompanied by white sheaths. Chinese medicine etiology: 1, liver qi stagnation, occlusion of the xuanfu liver for anger injury, then qi stagnation. The essence of the five viscera and six internal organs is injected into the eyes, depending on the drainage of the liver, liver qi stagnation, the pulse channel is blocked, the essence can not be glorified in the eyes, the eyes lose moistening and blue blindness. 2, liver and kidney yin deficiency, blood deficiency liver collects blood, the eyes get blood and general vision; kidney collects essence, essence and blood is abundant, the eyes can see everything. The liver is wood, the kidney is water, water can produce wood, so there has been the same source of seborrhea. If the body is weak, or the room is not disciplined, can lead to liver and kidney yin deficiency, the blood is insufficient, and the light of God without root, the eyes do not see. 3, the two deficiencies of Qi and blood, the eyes have no nourishment Most often seen in serious illness, long-term depletion of essence and blood, or trauma to Qi and blood, or post-surgery trauma has not yet recovered, resulting in the two deficiencies of Qi and blood, the eyes have no nourishment, and become blue-blind. 4. Insufficient kidney yang, the light of the gods is the essence of natural vision in the eyes, the light of the gods originates from the Gate of Life, passes through the bile, and develops in the heart. If it is due to weak endowment, Yang deficiency, or long-term illness, injury to the kidney Yang, resulting in the kidney in the true fire of the vital gate is weak, can not warm the internal organs, resulting in the failure of the divine light, the eyes blind and can not see. Treatment: The specific treatment is based on the identification of the evidence, and the treatment is mostly combined with the disease mechanism. The cause of primary optic nerve atrophy is often unknown, but it is often related to the disorders of the internal organs and meridians, and through conditioning, the visual function of some patients is quickly restored. In general, it seems that regardless of the cause of optic nerve atrophy, the root cause lies in the deficiency of spleen and kidney yang, lack of transformation of essence, deficiency of both liver and kidney and deficiency of essence and blood. Therefore, the best way to treat optic nerve atrophy is to recharge the patient’s qi and blood, moisten the nerves, regenerate the dead nerve fibers and revive the dying ganglion cells, and then completely absorb the nerve to achieve the purpose of cure. In terms of specific medication, the first step is to use Qi-enhancing drugs to enrich the Qi and blood and moisten the nerves. Then, appropriate drugs are used to open up the nerves for the cause. The treatment is combined with acupuncture, massage, and western medicine to achieve satisfactory results. If the optic nerve has already started to atrophy, it is difficult to heal it. However, it is possible to restore or maintain the function of the remaining nerve fibers as long as treatment is directed at the cause of the disease. Therefore, it is very important for patients to build up enough confidence to adhere to the treatment.