The prevention and control of myopia has always been a global challenge, as high myopia can lead to visual field defects, distorted vision, blindness, and other serious risks. Traditional Chinese Medicine (TCM) believes that myopia is the external manifestation of the overall physical condition in the eyes, which is related to the function of the eyes and the overall body functions. Based on the meridians and zang-fu organs theory, this article explores the associations of meridians and the zang-fu organs with the eyes, as well as their influence on myopia. Obstruction of meridians and disharmony of the zang-fu organs were found to be the fundamental pathological mechanisms that lead to the inability of the eyes to see distant objects. As one of the myopia prevention and control techniques, tuina shows significant therapeutic efficacy and green safety. On the one hand, it helps transport essence and brighten the eyes by unblocking the meridians around the eyes, neck, shoulder, and back to promote the flow of qi and blood. On the other hand, it can generate essence and brighten the eyes by harmonizing cold, heat, deficiency, and excess in the zang-fu organs to tonify qi and blood. Under a combination of localized and holistic action, this ultimately promotes the generation of essence and qi, unobstructed the flow of the visual pathway, and restoration of visual function, effectively preventing the occurrence and progression of myopia.