Herpes simplex viral keratitis differentiation

Brian ZhangMingLiang hunan university of traditional Chinese medicine-the first hospital

Herpes simplex virus causes the corneal infection called herpes simplex viral keratitis, is the most common keratitis, corneal lesions in the rate of the first blind. At present the doctor of traditional Chinese medicine clinical treatment of this disease is used more combining traditional Chinese and western medicine treatment, most western medicine is for external use eye drops or apply: 1% fungicide-silicon-containing triazole nucleoside (病毒唑), 0.1% acyclovir, 0.05% ring cell glucoside, 1%, 0.1%) song fluorine urine ganciclovir and so on, again add of oral medicine. Will tell commonly can obtain good effect. But antiviral drugs for external use have certain toxicity of the cornea, some can cause damage to the cornea corneal epithelium, diffuse shading, some make corneal ulceration difficult to heal. Some patients pure with traditional Chinese medicine also have very good effect.

TCM holds that both pathogenic with her, and six internal injuries seven emotions, eating disorders can all lead to the disease, but in most functions. Corneal belong to the rotor, liver and spleen, be in with liver with a XiangShengXiangKe relationship, kidney and liver, so the same with liver, spleen and kidney close relationship. From the early to see the course of the wind hot or cold is given priority to, the evil of table syndrome; Medium-term or stubborn in liver or spleen deficiency of damp and hot wet filled the Lord; Later in the clip has empty of performance. Clinical general points several card type treatment.

By the liver heat syndromes

There has been a recent corneal scratches or pathogenic history, with eyes, photophobia tears, foreign body sensation corneal opacity shallow erased, fluorescence staining is a patch or dentrites shading, ciliary congestion; But with stuffy nose pharynx pain; Red tongue moss thin yellow, pulse floating number. Traditional Chinese medicine thinks, the wind sex disease or injury, drifting cornea, wind hot ChengXiErRu the evil eye, so a foreign body sensation, photophobia tears, corneal opacity shallow pointlike, fluorescence staining is a patch or dentrites shading, ciliary congestion; Wind hot on interference, so stuffy nose pharynx pain with; Red tongue moss thin yellow, pulse floating number, for wind hot in the table on the. Needed: breeze heat. Formula: YinQiao thorns and soup (Chinese medicine clinical ophthalmology of addition and subtraction) prepared. Drug composition: honeysuckle 20 grams, forsythia 10 grams, watercress 10 grams, including 10 grams, 20 g, dandelion root of 20 g, radix scutellariae 10 grams, radix 10 grams, platycodon grandiflorum 10 grams, mint 6 grams, liquorice 3 grams. The headache, add qiang work 10 grams, a. dahurica 10 grams.

Cold make eye card

A foreign body sensation, photophobia tears, eye corneal opacity, shallow pointlike fluorescence staining is a patch or dentrites shading, ciliary congestion; But with evil cold fever, headache, pain and a blocked or watery nose; Tongue reddish moss thin, white, pulse float tight. TCM holds that the evil, wind cold dampness, made in the eye, and defend the gas phase is a foreign body sensation, cardiac eye photophobia tears; Chill the evil eye, make the corneal opacity, shallow pointlike fluorescence staining is a patch or dentrites shading, ciliary congestion; Evil cold fever, headache, pain and a blocked or watery nose; Tongue reddish moss thin, white, pulse float tight, for cold attacks on the table. Spread among the cold. : Formula: thorns and scattered (" the manufactured nostrum ") and habits. Drug composition: watercress 10 grams, including 10 grams, qiang work 10 grams, alone the live 10 grams, radix 10 grams, the former hu 10 grams, ZhiKe 10 grams, platycodon grandiflorum 10 grams, river xiong 6 g, liquorice 3 grams. The nose, add a headache a. dahurica 10 grams, cirsoid JingZi 10 grams.

Liver the real heat syndromes

There has been a recent corneal scratches or pathogenic history, with eyes, photophobia tears, foreign body sensation corneal fluorescence staining is dentrites, map shape shading, ciliary congestion; With mouth bitter sore throat, urinate yellow; Red tongue moss yellow, pulse string number. Traditional Chinese medicine thinks, the liver, and are known as v hot functions, inside and outside of ChiCheng help in beat, with foreign body sensation, the eye, photophobia tears, corneal fluorescence staining is a patch or dentrites, map shape shading, ciliary congestion; Mouth bitter sore throat, urinate yellow; Red tongue moss yellow, pulse string number, for the real hot liver of the levy. Needed: clear liver purging fire. Formula: a tonic liver soup (the diarrhea which can cure of addition and subtraction). Drug composition: a tonic 10 grams, radix 10 grams, radix scutellariae 10 grams, born of 20 g, r. CheQianZi 10 grams (packet Fried), angelica 10 grams, gardenia 10 grams, alisma 10 grams, root of 10 grams, dandelion of 20 g, 3 g licorice. The headache, add qiang work 10 grams, a. dahurica 10 grams; Photophobia, add the tears watercress 10 grams, including 10 grams; The BiJie shit, increase the yellow 10 g (under), after MangXiao 10 g (a blunt).

Damp and hot accumulate evaporate card

Corneal lesions repeated attacks, not more touching; With heavy chest tightness, head Sou yellow loose stools; Red tongue moss yellow greasy, but several pulse. Traditional Chinese medicine thinks, wet sex heavy greasy, and hot glue turbidity and cementation, miss difficult, so in addition to eye disease is not more touching, repeated attacks; Hot and humid QingYang veiled, angry machine not free, so head heavy chest distress; Spleen for wet trapped, operation disorders, so loose stools; Sou yellow, red tongue moss yellow greasy, veins, but for the number of damp and hot accumulate for steam. The wet heat syndromes:. Formula: three benevolence soup (WenBing distinguishing ") and article. Drug composition: almond 10 grams, kindhearted YiRen 10 grams, white Kou benevolence 6 grams cortex magnoliae officinalis, 10 g, white TongCao 10 grams, talc 10 grams, light leaves 10 grams, sprouting 10 grams, radix scutellariae 10 grams, liquorice 3 grams.

Yin deficiency tianjin injury card

Corneal lesions repeated attacks, not more, lingering in the eye, the dry, mild photophobia ciliary congestion; With GanYan dry mouth; Red tongue less tianjin, pulse count. Traditional Chinese medicine thinks, ferrite deficiency of Yin or injury, Yin Yin long illness resistance drops, evil, so don't stay to eye disease in not more, repeated attacks; Yin deficiency, eye injury, tianjin, moisten the intraocular dry, micro photophobia, mild ciliary congestion; Yin deficiency, the body fluid can't cap on GanYan dry mouth, red tongue less tianjin; Pulse of virtual, fine for Yin deficiency of heat for the. Among the Yin evil: scattered. Nourishing formula: "soup (the eye out clinical notes") to add and subtract. Drug composition: born dihuang 10 grams, the xuan and 10 grams, altogether 10 grams, dwarf lilyturf 10 grams, qiang work 10 grams, including 10 grams, the single 10 grams, cicada skin 10 grams, pure grass valley 10 grams, liquorice 3 grams. The obvious GanYan dry mouth, add rhizoma anemarrhenae 10 grams; Long virtual easy the causative agent, add cold 30 grams of astragalus, white atractylodes 10 grams, including 10 grams.

The disease of traditional Chinese medicine we generally in qingrejiedu, "give priority to, can use clear out drug or fumigating. Can also be integrated with acupuncture, such as the eye, four white, instrumental empty, save bamboo, and valley, sp9, light, liver yu, etc. Every time take local 1 ~ 2 point, the far end 1 ~ 2 point once a day. Methods: used alternately, depending on the actual condition, judge to use for diarrhea.

The course of treatment to prevent colds, fever, stimulate and sun, pay attention to the sentiment of the use of corticosteroids, need not local irritation big eyedropper, prevent injury, and don't eat stimulating food, such as hot peppers, pepper, beef, lamb, wine, etc.