Acupuncture combined with medication can effectively reduce intraocular pressure

Abstract: Acupuncture and moxibustion has few indications for the treatment of ophthalmic diseases, and there are few clinical reports. Recently, the author found that the combination of acupuncture and medicine can reduce intraocular pressure when following Professor Zhang Ji of Beijing University of traditional Chinese medicine. It is summarized as follows.

Lv Mou, male, 21 years old, first diagnosed on March 29, 2008. Chief complaint: headache, dizziness, unclear vision for more than 10 years, aggravated in recent two months. When the patient was 7 years old, his head swelled, his vision decreased significantly, and he was diagnosed as “glaucoma”. Although he was treated, he had no obvious effect, his vision gradually decreased, and his condition worsened three years ago. He also checked out “cataract” and “fundus disease”. After three operations, his condition did not improve, headache and eye swelling occurred from time to time, and his mood worsened. Current symptoms: clear mind, thin body, depressed spirit, unwilling to speak, upset, poor sleep at night, headache and dizziness, especially when moving, unclear vision, more difficult to see far, unfavorable eye movement, dark and turbid conjunctiva, touch the eyeball, slightly hard eyes, slightly turbid pupil color, turbid crystal beads, intraocular pressure R (right) 45mmhg, l (left) 50mmhg, average diet, abdominal distension and dry stool, Sometimes it looks like sheep excrement. The pulse is deep, the heart rate is 72 beats / min, the tongue is dry, the edge is dark, and the fur is yellow and greasy.

diagnosis: TCM is high wind internal barrier, Qingfeng internal barrier and Yuanyi internal barrier. The syndrome belongs to yin deficiency of liver and kidney, yin deficiency and yang hyperactivity; Western medicine is glaucoma, white wind barrier and fundus disease. Treatment principles of

and

: nourishing liver meridian, inhibiting liver Yang, clearing head and brightening eyes. Prescription of

and

: addition and subtraction of poyun tuiyi pill (Daquan of ancient and modern medicine).

and

drugs: 15g of fine ground, 12g of Yuanhu, 12g of Gastrodia elata, 15g of uncaria, 12g of cassia, 12g of Vitex, 12g of mint, 12g of Fructus aurantii, 12g of Tribulus terrestris, 12g of Chamomile Flower, 12g of Angelica sinensis, 10g of Ligusticum chuanxiong, 12g of safflower, 12g of peach kernel, 15g of Salvia miltiorrhiza, 12g of Equisetum, 12g of cicada molting, 12g of snake molting, 12g of myrtle, 12g of trichosanthin powder and 12g of Coptis chinensis, 12g cooked land, 12g Cornus meat, 12g Danpi, 12g Anemarrhena, 15g turtle shell glue, 8g roasted licorice, 7 doses, decoct in water.

acupuncture points: Baihui, Muchuang, Touwei, sun, Jingming, behind the ball, Hegu, Zhigou, Yingu, Ququan, Sanyinjiao, Zusanli, Taixi. It is better to stab 0.5-0.8 inches of head acupoints with obvious local acid swelling, and select 0.25mm for Jingming acupoint × 25mm filiform needle, the left hand against the eyeball, the needle tip to the upper corner of the orbit, the right hand holding the needle slowly press in about 5mm, do not twist, do not lift and insert, and it is appropriate to have a sense of swelling. 0.25mm is selected for the ball back hole × 40mm filiform needle. After routine disinfection, hold the right hand against the eyeball and let the patient look up slightly. At 1 / 4 outside the lower edge of the orbit, let the patient gently close his eyes, gently press the right hand into the depth of 1cm ~ 1.5cm, do not lift, insert or twist, keep the needle for 30 minutes, and there is no needle in the middle. When taking the needle, press the eyeball with your left hand, gently lift the needle with your right hand, and then gently press it for 1 minute after taking out the needle to prevent bleeding. The acupuncture points on the limbs should be raised, inserted and twisted. It is appropriate to get Qi. Keep the needle for 30 minutes and perform the needle once in the middle. The second diagnosis of

and

(April 6) took 7 doses of medicine and acupuncture for 3 times. The effect is very obvious, dizziness and swelling are significantly reduced, the mental state is improved, and the intraocular pressure is significantly reduced. The right eye is reduced from 45mmhg to 32.1mmhg, and the left eye is reduced from 50mmhg to 34.2mmhg. The original recipe also added 10 grams of wine rhubarb (lower back), 12 grams of Yuli kernel, 12 grams of fried jujube kernel and 14 doses. Acupuncture and Moxibustion plus abdominal sorrow, Daheng and Zhaohai. Three diagnoses of

and

: 14 doses of traditional Chinese medicine and 10 times of acupuncture and moxibustion. The symptoms continue to improve, there is no headache and dizziness, the swelling of eyes has been greatly reduced, the spirit is happy, the vision is clear, and the intraocular pressure is 25.1mmhg on the right and 24.1mmhg on the left. In front, go to mint, Vitex, Schizonepeta tenuifolia and Coptis chinensis, add 12g of Polygonatum and 12g of green box, take 14 doses and acupuncture for 10 times.

and

four diagnoses: after more than half a month of treatment, the symptoms were significantly improved, no headache and dizziness, dry eyes, dry mouth, slightly dry stool, sweaty hands and feet, red tongue, less moss, heavy pulse and fine heart rate of 64 beats / min. the family members reported that the right eye pressure had decreased to 17.4mmhg and the left eye had decreased by 14.1mmhg. Patients with

and

suffer from physical deficiency, deficiency of liver and kidney, and inability of Yin essence to penetrate into the eyes, resulting in dry eyes, blurred vision, yin deficiency and yang hyperactivity, so they are dizzy and dizzy.

and

Mr. Zhang believes that seeing things clearly is related to the functions of the viscera. For example, in Lingshu · Da Hun Lun, “the essence of the five zang organs and six Fu organs are focused on the eyes, and the essence is the essence, and the nest of the essence is the eyes”, which shows that the essence of the viscera is concentrated in the eyes, so that the eyes can give play to the purpose of seeing things wisely. If the viscera function is weak and its essence cannot be raised in the eyes, eye diseases such as unclear vision can occur.

and

in the application of traditional Chinese medicine, according to the theory of traditional Chinese medicine, wind wheel belongs to liver and water wheel belongs to kidney. Therefore, he often takes nourishing liver and kidney as the root treatment, and Liuwei Dihuang pill as the bottom prescription. If there is Yin deficiency and yang hyperactivity, Gastrodia elata, uncaria, cassia, Vitex, peppermint, etc. are all products to calm the liver and latent Yang, which are used to treat severe dizziness and obvious yang hyperactivity, Cassia has the functions of clearing the liver, brightening the eyes and defecating; If the vertigo is serious, add the agent of dispelling wind, soothing liver and brightening eyes. Tribulus terrestris, cicada sloughing and snake sloughing are often used to dispel wind, brighten the eyes and remove the haze. Old Zhang also uses a large number of blood activating and blood stasis removing drugs, such as Angelica sinensis, Chuanxiong, safflower, peach kernel and Salvia miltiorrhiza, to enhance the blood supply for the eyes. The so-called “blood can be seen by the eyes”.

and

Zhang believed that all the twelve meridians are connected to the eyes, but the liver and kidney meridians are the most important. Therefore, this syndrome should mainly nourish the liver and kidney, and nourish the spleen and stomach to Nourish Qi and blood. Therefore, it should mainly use Ququan and Xiahe points under Yingu, Taixi and Taichong, the original points of liver and kidney to nourish the liver and kidney, and Zusanli and Yinling springs to nourish the spleen and stomach. Local acupoint selection is also very important, such as taking Jingming acupoint to brighten the eyes and remove the haze. The main points are nourishing Yin, soothing the liver and nourishing the kidney, supplemented by clearing the liver, brightening the eyes and removing pannus. The Yin of the liver and kidney can be replenished, soothing the liver, regulating qi, unblocked emotions, clearing the eyes and removing pannus, and the eye pressure can be reduced.

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heat clearing and heat relieving, unwilling to speak, upset, poor sleep at night, headache and dizziness, especially when moving, unclear vision, more difficult to see far, unfavorable eye movement, dark and turbid conjunctiva, slightly hard eyes when touching the eyeball, slightly turbid pupil color, turbid crystal beads, intraocular pressure R (right) 45mmhg, l (left) 50mmhg, average diet, abdominal distension, dry stool, sometimes sheep excrement. The pulse is deep, the heart rate is 72 beats / min, the tongue is dry, the edge is dark, and the fur is yellow and greasy.

diagnosis: TCM is high wind internal barrier, Qingfeng internal barrier and Yuanyi internal barrier. The syndrome belongs to yin deficiency of liver and kidney, yin deficiency and yang hyperactivity; Western medicine is glaucoma, white wind barrier and fundus disease. Treatment principles of

and

: nourishing liver meridian, inhibiting liver Yang, clearing head and brightening eyes. Prescription of

and

: addition and subtraction of poyun tuiyi pill (Daquan of ancient and modern medicine).

and

drugs: 15g of fine ground, 12g of Yuanhu, 12g of Gastrodia elata, 15g of uncaria, 12g of cassia, 12g of Vitex, 12g of mint, 12g of Fructus aurantii, 12g of Tribulus terrestris, 12g of Chamomile Flower, 12g of Angelica sinensis, 10g of Ligusticum chuanxiong, 12g of safflower, 12g of peach kernel, 15g of Salvia miltiorrhiza, 12g of Equisetum, 12g of cicada molting, 12g of snake molting, 12g of myrtle, 12g of trichosanthin powder and 12g of Coptis chinensis, 12g cooked land, 12g Cornus meat, 12g Danpi, 12g Anemarrhena, 15g turtle shell glue, 8g roasted licorice, 7 doses, decoct in water.

acupuncture points: Baihui, Muchuang, Touwei, sun, Jingming, behind the ball, Hegu, Zhigou, Yingu, Ququan, Sanyinjiao, Zusanli, Taixi. It is better to stab 0.5-0.8 inches of head acupoints with obvious local acid swelling, and select 0.25mm for Jingming acupoint × 25mm filiform needle, the left hand against the eyeball, the needle tip to the upper corner of the orbit, the right hand holding the needle slowly press in about 5mm, do not twist, do not lift and insert, and it is appropriate to have a sense of swelling. 0.25mm is selected for the ball back hole × 40mm filiform needle. After routine disinfection, hold the right hand against the eyeball and let the patient look up slightly. At 1 / 4 outside the lower edge of the orbit, let the patient gently close his eyes, gently press the right hand into the depth of 1cm ~ 1.5cm, do not lift, insert or twist, keep the needle for 30 minutes, and there is no needle in the middle. When taking the needle, press the eyeball with your left hand, gently lift the needle with your right hand, and then gently press it for 1 minute after taking out the needle to prevent bleeding. The acupuncture points on the limbs should be raised, inserted and twisted. It is appropriate to get Qi. Keep the needle for 30 minutes and perform the needle once in the middle. The second diagnosis of

and

(April 6) took 7 doses of medicine and acupuncture for 3 times. The effect is very obvious, dizziness and swelling are significantly reduced, the mental state is improved, and the intraocular pressure is significantly reduced. The right eye is reduced from 45mmhg to 32.1mmhg, and the left eye is reduced from 50mmhg to 34.2mmhg. The original recipe also added 10 grams of wine rhubarb (lower back), 12 grams of Yuli kernel, 12 grams of fried jujube kernel and 14 doses. Acupuncture and Moxibustion plus abdominal sorrow, Daheng and Zhaohai. Three diagnoses of

and

: 14 doses of traditional Chinese medicine and 10 times of acupuncture and moxibustion. The symptoms continue to improve, there is no headache and dizziness, the swelling of eyes has been greatly reduced, the spirit is happy, the vision is clear, and the intraocular pressure is 25.1mmhg on the right and 24.1mmhg on the left. In front, go to mint, Vitex, Schizonepeta tenuifolia and Coptis chinensis, add 12g of Polygonatum and 12g of green box, take 14 doses and acupuncture for 10 times.

and

four diagnoses: after more than half a month of treatment, the symptoms were significantly improved, no headache and dizziness, dry eyes, dry mouth, slightly dry stool, sweaty hands and feet, red tongue, less moss, heavy pulse and fine heart rate of 64 beats / min. the family members reported that the right eye pressure had decreased to 17.4mmhg and the left eye had decreased by 14.1mmhg. Patients with

and

suffer from physical deficiency, deficiency of liver and kidney, and inability of Yin essence to penetrate into the eyes, resulting in dry eyes, blurred vision, yin deficiency and yang hyperactivity, so they are dizzy and dizzy.

and

Mr. Zhang believes that seeing things clearly is related to the functions of the viscera. For example, in Lingshu · Da Hun Lun, “the essence of the five zang organs and six Fu organs are focused on the eyes, and the essence is the essence, and the nest of the essence is the eyes”, which shows that the essence of the viscera is concentrated in the eyes, so that the eyes can give play to the purpose of seeing things wisely. If the viscera function is weak and its essence cannot be raised in the eyes, eye diseases such as unclear vision can occur.

and

in the application of traditional Chinese medicine, according to the theory of traditional Chinese medicine, wind wheel belongs to liver and water wheel belongs to kidney. Therefore, he often takes nourishing liver and kidney as the root treatment, and Liuwei Dihuang pill as the bottom prescription. If there is Yin deficiency and yang hyperactivity, Gastrodia elata, uncaria, cassia, Vitex, peppermint, etc. are all products to calm the liver and latent Yang, which are used to treat severe dizziness and obvious yang hyperactivity, Cassia has the functions of clearing the liver, brightening the eyes and defecating; If the vertigo is serious, add the agent of dispelling wind, soothing liver and brightening eyes. Tribulus terrestris, cicada sloughing and snake sloughing are often used to dispel wind, brighten the eyes and remove the haze. Old Zhang also uses a large number of blood activating and blood stasis removing drugs, such as Angelica sinensis, Chuanxiong, safflower, peach kernel and Salvia miltiorrhiza, to enhance the blood supply for the eyes. The so-called “blood can be seen by the eyes”.

and

Zhang believed that all the twelve meridians are connected to the eyes, but the liver and kidney meridians are the most important. Therefore, this syndrome should mainly nourish the liver and kidney, and nourish the spleen and stomach to Nourish Qi and blood. Therefore, it should mainly use Ququan and Xiahe points under Yingu, Taixi and Taichong, the original points of liver and kidney to nourish the liver and kidney, and Zusanli and Yinling springs to nourish the spleen and stomach. Local acupoint selection is also very important, such as taking Jingming acupoint to brighten the eyes and remove the haze. The main points are nourishing Yin, soothing the liver and nourishing the kidney, supplemented by clearing the liver, brightening the eyes and removing pannus. The Yin of the liver and kidney can be replenished, soothing the liver, regulating qi, unblocked emotions, clearing the eyes and removing pannus, and the eye pressure can be reduced.

, treatment principle: nourishing liver meridian, inhibiting liver Yang, clearing head and brightening eyes., Prescription: addition and subtraction of “poyun tuiyi pill” (complete collection of ancient and modern medical systems)., Drugs: 15g fine ground, 12g Yuanhu, 12g Gastrodia elata, 15g uncaria, 12g cassia, 12g Vitex, 12g mint, 12g Fructus aurantii, 12g Tribulus terrestris, 12g Chamomile Flower, 12g angelica, 10g Ligusticum chuanxiong, 12g safflower, 12g peach kernel, 15g Salvia miltiorrhiza, 12g Equisetum, 12g cicada molting, 12g snake molting, 12g myrtle, 12g trichosanthin, 12g Coptis chinensis, 12g cooked land, 12g Cornus meat, 12g Danpi, 12g Anemarrhena, 15g tortoise shell glue, 8g roasted licorice, 7 doses, decoct in water., Acupuncture points: Baihui, Muchuang, Touwei, sun, Jingming, behind the ball, Hegu, Zhigou, Yingu, Ququan, Sanyinjiao, Zusanli, Taixi. It is better to stab 0.5-0.8 inches of head acupoints with obvious local acid swelling, and select 0.25mm for Jingming acupoint × 25mm filiform needle, the left hand against the eyeball, the needle tip to the upper corner of the orbit, the right hand holding the needle slowly press in about 5mm, do not twist, do not lift and insert, and it is appropriate to have a sense of swelling. 0.25mm is selected for the ball back hole × 40mm filiform needle, after routine disinfection, hold the right hand against the eyeball and let the patient look up slightly. At 1 / 4 outside the lower edge of the orbit, let the patient gently close his eyes, gently press the right hand into the depth of 1 cm ~ 1.5 cm, do not lift, insert or twist, keep the needle for 30 minutes, and do not use the needle in the middle. When taking the needle, press the eyeball with your left hand, gently lift the needle with your right hand, and then gently press it for 1 minute after taking out the needle to prevent bleeding. The acupuncture points on the limbs should be raised, inserted and twisted. It is appropriate to get Qi. Keep the needle for 30 minutes and perform the needle once in the middle., The second diagnosis (April 6) took 7 doses of medicine and acupuncture for 3 times. The effect is very obvious, dizziness and swelling are significantly reduced, the mental state is improved, and the intraocular pressure is significantly reduced. The right eye is reduced from 45mmhg to 32.1mmhg, and the left eye is reduced from 50mmhg to 34.2mmhg. The original recipe also added 10 grams of wine rhubarb (lower back), 12 grams of Yuli kernel, 12 grams of fried jujube kernel and 14 doses. Acupuncture and Moxibustion plus abdominal sorrow, Daheng and Zhaohai., Third diagnosis: 14 times of traditional Chinese medicine and 10 times of acupuncture and moxibustion. The symptoms continue to improve, there is no headache and dizziness, the swelling of eyes has been greatly reduced, the spirit is happy, the vision is clear, and the intraocular pressure is 25.1mmhg on the right and 24.1mmhg on the left. Go ahead to mint, Vitex, Schizonepeta tenuifolia and Coptis chinensis, add 12g of Polygonatum and 12g of green box, take 14 doses and acupuncture for 10 times., Four diagnoses: after more than half a month of treatment, the symptoms were significantly improved, no headache and dizziness, dry eyes, dry mouth, slightly dry stool, sweaty hands and feet, red tongue, less moss, deep and thin pulse, and the heart rate was 64 beats / min. the family members reported that around the middle of May, the right eye pressure had dropped to 17.4mmhg, and the left eye had been depressurized by 14.1mmhg., The patient’s factors are deficiency of body, deficiency of liver and kidney, and inability of Yin essence to penetrate into the eyes, resulting in dry eyes, blurred vision, yin deficiency and yang hyperactivity, so he is dizzy., Mr. Zhang believes that seeing things clearly is related to the function of the viscera. For example, in Lingshu · Da Hun Lun, it is said that “the essence of the five zang organs and six Fu organs are focused on the eyes, and the essence is the essence, and the nest of the essence is the eyes”, which shows that the essence of the viscera is concentrated in the eyes, and the eyes can give play to the purpose of seeing things wisely. If the viscera function is weak and their essence cannot be raised in the eyes, eye diseases such as unclear vision can occur., In the application of traditional Chinese medicine, according to the theory of traditional Chinese medicine, the wind wheel belongs to the liver and the water wheel belongs to the kidney. Therefore, he often takes nourishing the liver and kidney as the root treatment, and often uses Liuwei Dihuang pill as the bottom prescription. If there is Yin deficiency and yang hyperactivity, Gastrodia elata, uncaria, Herba Cassiae, Vitex, peppermint, etc. are all products to calm the liver and latent Yang, which are used to treat severe dizziness, obvious yang hyperactivity, and Herba Cassiae has the function of clearing the liver and brightening the eyes, Defecation; If the vertigo is serious, add wind dispelling, Liver Soothing and eye brightening agents. Tribulus terrestris, cicada molting and snake molting are commonly used to drive away the wind, brighten the eyes and remove the haze. Old Zhang also uses a large number of blood activating and blood stasis removing drugs, such as Angelica sinensis, Chuanxiong, safflower, peach kernel and Salvia miltiorrhiza, to enhance the blood supply for the eyes. The so-called “blood can be seen by the eyes”., Zhang believes that all the twelve meridians are connected to the eyes, but the liver and kidney meridians are the most important. Therefore, this syndrome should mainly nourish the liver and kidney, and nourish the spleen and stomach to Nourish Qi and blood. Therefore, it should mainly use Ququan and Xiahe points under Yingu, Taixi and Taichong, the original points of liver and kidney to nourish the liver and kidney, and Zusanli and Yinling springs to nourish the spleen and stomach. Local acupoint selection is also very important, such as taking Jingming acupoint to brighten the eyes and remove the haze. The main points are nourishing Yin, soothing the liver and nourishing the kidney, supplemented by clearing the liver, brightening the eyes and removing pannus. The Yin of the liver and kidney can be replenished, soothing the liver, regulating qi, unblocked emotions, clearing the eyes and removing pannus, and the eye pressure can be reduced.