Optic nerve atrophy is a pathological change in the optic nerve fibers, ganglion cells and their axons before the lateral geniculate body due to conduction dysfunction caused by various diseases. Optic nerve atrophy is not an independent disease, but a result of severe damage to the optic nerve. The etiology of optic nerve atrophy is complex, and the treatment and prognosis of optic nerve atrophy due to different etiologies vary greatly. The determination of the treatment plan and prognosis is closely related to the professional level of the attending physician and the depth and breadth of knowledge of neuro-ophthalmology, making the clinical diagnosis and treatment process very difficult. Prof. Wei summarizes more than 30 years of clinical experience and believes that for optic nerve fibers that are not completely atrophied, it is possible to restore or improve visual function as long as the cause is identified and treated as soon as possible. The combination of Chinese medicine evidence-based treatment and acupuncture therapy is an economic and relatively simple and effective means of treating this disease. Chinese medicine practitioners have classified this disease under the categories of “green blindness”, “dim vision” and “colored vision”. In the “Rules for the Treatment of the Evidence? It is pointed out in the “Vision and vision dimness” that: there is a God’s labor, there is less blood, there is a weakness of vital energy, there is a loss of vital essence and dimness, causing different harm; “Su Wen? Jin T true speech” said: the east green, into the liver, open the orifice in the eyes; “Su Wen? The five viscera generation chapter said: the liver receives blood and can see. It means that this disease is mainly related to the weakness of qi and blood and the deficiency of liver and kidney. Qi is the handsome blood, Qi has the function of blood production, blood movement and blood intake; blood is the mother of Qi, blood can carry Qi, and Qi also depends on the blood for sustenance. Qi deficiency is weak blood flow, stagnation of the veins and collaterals, no movement of Qi, no nourishment for the eyes and unclear. In the Nei Jing, there is also a statement that “the eyes are not clear when the Qi is removed, but the eyes can see when the blood is available. The liver is open to the eyes, and the foot sympathetic liver meridian is connected to the eyes. The liver is the master of qi, the liver qi is well-developed, the qi and blood are in harmony, the eyes can be nourished in order to see brightly without decay; on the contrary, if the liver orifice is depressed, the essence and blood cannot be carried up, the eyes will lose nourishment and the light will be unclear. External sudden or persistent mental stimulation can cause depression of liver qi, occlusion of the xuanfu, loss of nourishment of the eye system and blindness; or depression and unhappiness, unfavorable qi drainage, loss of nourishment of qi and blood for a long time, the eye system atrophy and gradually blue-blind. The key to the disease is the loss of nourishment of the eye system due to the occlusion of the xuanfu and the blockage of blood vessels. The treatment of optic nerve atrophy in Chinese medicine must start from the theory of Qi and Blood, and the fundamental method is to benefit Qi and invigorate Blood. As the gateway between the liver and the eyes, a smooth flow of qi can ensure the flow of qi in and out without stagnation, so the prescription should always include agents to regulate the qi flow and unblock the xuanfu. The method of “benefitting qi and invigorating blood, relieving depression and opening the orifice” has been widely used in clinical practice and has yielded good clinical results. Commonly used prescriptions] I. Commonly used drugs for nourishing qi are Radix et Rhizoma Ginseng, Radix Astragali, Rhizoma Atractylodes Macrocephala, Rhizoma Yam, Radix Glycyrrhiza Uralensis, etc. Blood invigorating and nourishing drugs are commonly used in Angelica sinensis, Radix Rehmanniae, Radix Paeoniae Alba, Radix Salviae Miltiorrhizae, Rhizoma Ligustici, Rhizoma Gastrodiae, Rhizoma Peach, Rhizoma Safflower, Radix Bupleurum etc. The agent of relieving depression and opening the orifice is often used as Chai Hu, Yu Jin, Shi Calamus, Manchuria, Mu Xiang, etc. In addition, Chinese wolfberry, chasteberry, codonopsis, kozozozi, and schisandra are commonly used to tonify the kidney and brighten the eyes. 2. Commonly used formulas 1. Blood Mansions and Blood Stasis Soup: 10 g of raw earth, 6 g of red peony, 10 g of angelica, 5 g of Chuanxiong, 6 g of peach kernel, 10 g of safflower, 10 g of nux vomica, 3 g of Caihu, 5 g of orris, 6 g of hedgehog, 3 g of licorice. 2. Tonic Yang Returning Five Soup: 15 g of astragalus, 6 g of gweiweiwei, 5 g of red peony, 6 g of Chuanxiong, 6 g of peach kernel, 6 g of safflower, 6 g of dilaemon. Patients with traumatic optic nerve disease often do not have Patients with traumatic optic nerve disease often do not have systemic symptoms, and the tongue and pulse often have no specific changes, so the identification of the symptoms is mainly based on the fundus. In the early stage after injury, the fundus is normal, which is often of the qi stagnation and blood stasis type; in the middle stage, the color of the optic disc becomes pale, which is often of the qi deficiency and blood stasis type; in the late stage, the optic disc becomes pale and the arteries become thin, which is often classified as the qi and blood deficiency type. In this case, the evidence belongs to qi deficiency and blood stasis, so the treatment is based on benefiting qi and activating blood, emphasizing the use of peach red four substances and astragalus and dang ginseng to benefit qi, accompanied by Chai Hu to dredge the liver and regulate qi, calamus to open the orifice, and subclasses to brighten the eyes. After the improvement of visual acuity, for psychogenic vision loss, Chai Hu and Yu Jin are used to detoxify the liver and relieve depression and unblock the Xuan Fu to achieve good results. For pediatric patients, attention should also be paid to regulating the spleen and stomach to nourish the essence of the latter.