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2012年05月15日
Chronic conjunctivitis diagnosis and treatment technology
China's traditional Chinese medicine reported
Chronic conjunctivitis is by all sorts of causes of conjunctival chronic inflammation. For eye diseases, its cause complex, one condition, often of eyes, no seasonal, eyesight not affected.
The disease of traditional Chinese medicine "white astringent disease" category, and dry name is evil disease, some cases is to "red silk Qiu pulse" disease.
A, causes and pathology
1. The western medicine etiology pathology
(1) infection: including acute conjunctivitis and into the rate of chronic, also can be used for other poisonous force of the fungus infection and not strong performance for chronic inflammation. Pathogenic bacteria including staphylococcus aureus, escherichia coli, streptococcus, proteus, card he coccus, etc.
(2) the infection factors: the poor working or living environment, such as dust, smoke chemical stimulation; Long-term use of harsh eye local drug, such as long-term drops eye drops, with antibiotics resistance to glaucoma drugs, eye drops of preservatives stimulation, etc.
(3) other factors: the disease can also be seen in patients with other diseases, such as according to pour, blepharitis, chronic lacrimal sac inflammation, lacrimal duct, chronic rhinitis, dry eye syndrome, eyelid board gland exuberant, some also and correct refractive error correction, did not get enough sleep, cigarettes, and causing the long-term use of eye cosmetics relevant.
2. TCM etiology
(1) the storm guest hot or day red eye treatment is not proper, waste heat has been cleared, concealed lung, spleen caused by the winding.
(2) and sand storms hit the dust, smoked light stimulates the cause lung health gas yu not xuan, dry injury of tianjin, lung Yin deficiency, visual loss embellish affect each other.
Second, Chinese medicine diagnosis and classification
(1) evil hot miss: common guest hot or day storm red eye treatment is not proper, tiny feeling dry eye pain, itching, photophobia tears, a little YanChi, left a little red silk so white fine veins, has not retreated, eyelid inside mild red red; Tongue quality red, moss thin yellow, pulse number.
(2) lung Yin deficiency: dry eye not great, instant mesh frequently, itching, not depending on durable, eyelid inside the red red, white eye as usual or slightly red veins, black eye can have XiDian star ", repeatedly refractory; With dry cough little phlegmy, dry throat, constipation, red tongue less tianjin, pulse count.
(3) taste damp and hot: the eyelid heavy object, the eye to home dry, itchy, angular department often white foam sample YanChi, upper eyelid inside the red red sandwiched between small sample (the bubble, white eye red veins slightly, and the disease may be associated with mouth sticky or bad breath, defecate not great, Sou red and short, red tongue, moss yellow greasy, pulse this number.
(4) kidney Yin deficiency: the eye dry not great, binocular frequency blinking, shame Ming photophobia, not depending on durable, or a timid far, nearly as timid nearly, inspect content are dim wait for disease, upper eyelid inside the red red, white eye faint reddish, black eye can have XiDian star "; Be associated with lumbar debility, dizziness tinnitus, a night of sleep much dream, dry mouth little tianjin, red tongue less moss, pulse count.
Three, syndrome differentiation
1. The evil hot miss
[treatment] heat the lungs.
[herbs] white mulberry tonga decreases. Major drug: white mulberry, ze, diarrhea, scrophula-riacede, liquorice, MaiMenDong, radix scutellariae, britannica, chrysanthemum, bone skin, balloonflower, poria cocos.
If evil heat injury Yin, add raw land, pollen, stone dendrobium nourish "Yin" clear heat; No ShiXie, diarrhea, poria cocos to jersey.
2. Lung Yin deficiency
[treatment] Yin embellish lung.
[herbs] keep Yin qing lung tonga decreases. Major drug: scrophula-riacede, liquorice, peony, raw land, mint, dwarf lilyturf, fritillary, Dan skin.
Can add on the side and, stone prince duhu, pollen, jade bamboo, fructus schisandrae qi; White eye red red person, add white mulberry, bone skin clear heat back purging lung red; Black eye have XiDian star "person, can add cicada skin, chrysanthemum, secret flowers to bright eye be back".
3. Taste damp and hot
[treatment] clear the hot and humid, publicize angry machine.
[herbs] three benevolence tonga decreases. Major drug: almond, YiRen, white Kou benevolence, sprouting, cortex magnoliae officinalis, talc, TongCao, bamboo leaves.
Red red heavy, add raw land, root, Dan skin cool blood red back; What itch, add a. dahurica, son, and to the skin (shaggy fruited dittany relieve itching.
4. Kidney Yin deficiency
[treatment] having liver kidney, immunity.
[herbs] qi chrysanthemum dihuang pill to add and subtract. Major drug: medlar, chrysanthemum, ripe tuberous root, mountain Yu meat, yam, ze, diarrhea, tuckahoe, Dan skin.
Dry mouth less obvious jin, who often add scrophula-riacede, containing, radix ophiopogonis straight ladybell, to increase the power of the Yin; So the faint reddish white, can add bone skin, white mulberry red back to clear away heat.
Four, experience party
1. SangJu drink to add and subtract
[drug composition] mulberry, chrysanthemum, forsythia, balloonflower, almond, mint, reed root, liquorice.
[efficacy] breeze heat.
[indication] is applicable to the disease by the lung heat syndromes. See the eye itch astringent, foreign body sensation, since morning the angular secretion of during the day, the angular visible white foamy secretion; Conjunctival normal or mild congestion; Tongue quality red, moss thin white, pulse number.
[usage and dosage] water frying take a daily agent.
[clinical application] heavy gaza and dry eyes, radix ophiopogonis nourish "Yin" such as oneself.
2. Xie reduce heart tonga
[drug composition] coptis chinensis franch of 3 g, radix scutellariae 3 g, 6 grams of rhubarb, Montenegro 9 g gd, forsythia 9 g, four 9 g, cinnabar mix "god 12 grams, and the tender hook cane 9 g (later Fried).
[efficacy] clear stores and ease of god.
[indication] of chronic conjunctivitis heart-qi deficiency.it, card see inside and outside angular conjunctival congestion, secretion is more, have mild symptoms of irritation; With thirsty like drinking, vexed hot not mei, quality Jiang red tongue, pulse condition count.
[usage and dosage] water frying take a daily agent.
[use notice] local not dropping.
Five, the appropriate technology
1. The eye drops
Available miles eye drops, 10% light bear gallbladders zhengzhu mingmu eye drops or eye drops, 3 ~ 4 times daily.
2. Acupuncture
Choose the light, and saving bamboo, set the sun, wind, the pool, silk and empty, four white, and all such as lack of hole. Each choose 3 ~ 4 acupuncture point, once per day, 10 times for one period of treatment.
3. The foot bath
[drug composition] cangzhu, mulberry leaf, papaya, each ~ 15 g, prevent has 12 grams, chamomile, cortex phellodendri, liquorice each 9 g.
[treatment] irrigation, mixed, 2000 ml water, boil, then simmer Fried 20 minutes, filter out solution into the enamel basin to moderate soaking water when feet and keep water temperature 20 minutes. Daily afternoon, late one each.
[efficacy] "tomorrow dehumidification foot party" is qing dynasty palace cure too much for the dowager cixi fitting, the original party contained in the required to choose the dowager cixi discussion ". The law of foot, through the lower limb relevant meridian adjustment visceral functions, so as to achieve the effect of heat dehumidification bright eye.
Six, prevention of nursing
(1) completely eye related disease treatment, correct refractive error correction etc.
(2) pay attention to eye health, daily life moderate, avoid to stay up late and over with MuLi.
(3) less spicy food is tasted, lest turn heat injury Yin.
(4) local drug shoulds not be too long, kinds too much time.
(5) avoid the sandstorm, smoke stimulation.