Optic atrophy

Abstract: optic nerve atrophy is one of the difficult diseases in ophthalmology. The etiology of optic nerve atrophy is complex, the disease process is long, and the treatment is difficult. This disease belongs to the category of “youth blindness” in traditional Chinese medicine. At present, there is no ideal treatment method in western medicine. Because traditional Chinese medicine has many functions and minimal side effects, it is not easy to rebound after treatment. Therefore, the use of traditional Chinese medicine in the treatment of optic nerve atrophy has played a good effect in recent years. The causes of

optic nerve atrophy are mostly infection, malnutrition, trauma, drug poisoning, intracranial tumors, secondary to other diseases, resulting in the imbalance of Zang Fu organs and meridians and the loss of Qi and blood. According to the law of “all the essence of the five zang organs and six Fu organs are focused on the eyes”, there are local symptoms such as changes in vision, vision, visual field and fundus, Most of them have systemic symptoms. Therefore, according to the systemic symptoms, combined with the patient’s specific condition, induction and analysis are carried out to clearly observe the deficiency and reality of the viscera, so as to examine the evidence, seek the cause, and treat the cause.

patients with optic atrophy can be seen clinically with black eyes and transparent eyes, no damage to pupil spirit, or slightly larger pupil or slow pupil reflection to light. “Examining Yao’s letter” says: “the true essence is the essence transformed by the vitality for two days, starting from the kidney, then applied to the gallbladder, and then to the pupil God”. Clarify that the expansion and contraction of pupil depends on the rise and fall of essence and Qi. When essence and Qi gather, the pupil shrinks, and when essence and Qi disperse, the pupil expands. According to the compendium of medicine, “Yin governs convergence, and if Yin deficiency does not converge, the pupil is large.” it shows that if there is a syndrome of yin deficiency fire or yin deficiency blood heat in the whole body, the pupil can be dilated, the expansion and contraction are ineffective, the vision will decline, and even blindness. There are many causes of optic atrophy. Although doctors have different legislation, it is directly related to the deficiency of liver and kidney and yin deficiency of Qi and blood. In the process of treatment, we pay attention to nourishing liver and kidney, supplementing qi and Yang, soothing liver and resolving depression, nourishing blood and activating blood. The ancients said that “the liver opens the orifices in the eyes, and the liver can see through blood”. The liver is deficient in blood, the kidney essence is insufficient, the Qi and blood can not rise, the viscera are maladjusted, the meridians and collaterals are blocked, the arteries and channels that pass light are blocked, and the essence and Qi of the five zang organs can not moisten the eyes, “Youth blindness” occurs as a result (optic nerve atrophy) is mainly treated by liver and kidney. However, all diseases occur in Qi and blood. The rise and fall of Qi and blood is the main pathological change of all eye diseases, and it is also the key to the prognosis and rehabilitation of eye diseases. Therefore, in the process of treatment, we also pay great attention to regulating and tonifying the spleen and stomach, because the spleen and stomach are the foundation of the day after tomorrow, the source of Biochemistry, and the essence and Qi of the five Zang and six Fu organs depend on the spleen, which is injected into the eyes and healthy in Qi Vigorous Qi and blood are full, the rise and fall are orderly, and the viscera are harmonious, which is conducive to the rehabilitation of eye diseases. Treatment of optic atrophy} for the diagnosis of early optic atrophy, it is sometimes difficult to make a conclusion simply from the appearance of the optic disc, because the color and edge of the optic disc vary greatly in normal people. For example, the color of the optic disc in myopia is slightly whiter than that in emmetropia, and that in infants is slightly whiter than that in adults. The optic disc in other patients with anemia and leukemia has no atrophy and is also whiter than that in normal people, Some people don’t know the edge of the optic disc in hyperopia, so some people think that the number of small blood vessels on the edge of the optic disc is helpful to judge the diagnosis of nerve atrophy, This small blood vessel (it is difficult to identify arteries or veins) normal people can have 9-10. If it is reduced to less than 7, it may be optic nerve atrophy. In addition, when examining the fundus with non red light ophthalmoscope, the normal optic nerve fibers are in the shape of white thin lines, and the atrophic optic nerve fibers are often in the shape of messy spots. Most of the visual field changes are centripetal shrinkage, especially in the peripheral visual field of the nasal side, which occurs the earliest and also has the beginning week Wedge shaped defect appeared in the lateral visual field, then extended to the center, and finally formed centripetal shrinkage. In addition, visual field defects or dark spots of different shapes can appear according to different lesion sites.

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, Abstract: optic nerve atrophy is one of the difficult ophthalmic diseases. The etiology of optic nerve atrophy is complex, the disease process is long, and the treatment is difficult. This disease belongs to the category of “youth blindness” in traditional Chinese medicine. At present, there is no ideal treatment method in western medicine. Because traditional Chinese medicine has many functions and minimal side effects, it is not easy to rebound after treatment. Therefore, the use of traditional Chinese medicine in the treatment of optic nerve atrophy has played a good effect in recent years., Most of the causes of optic nerve atrophy are infection, malnutrition, trauma, drug poisoning, intracranial tumors, secondary to other diseases, resulting in the imbalance of Zang Fu organs and meridians and the loss of Qi and blood. According to the law of “all the essence of the five zang organs and six Fu organs are focused on the eyes”, there are local symptoms such as changes in vision, vision, visual field and fundus of the eyes, Most of them have systemic symptoms. Therefore, according to the systemic symptoms and combined with the patient’s specific condition, conduct induction and analysis, and clearly observe the deficiency and reality of the viscera, so as to examine the evidence, seek the cause, and treat the cause., The causes of

optic nerve atrophy are mostly infection, malnutrition, trauma, drug poisoning, intracranial tumors, secondary to other diseases, resulting in the imbalance of Zang Fu organs and meridians and the loss of Qi and blood. According to the law of “all the essence of the five zang organs and six Fu organs are focused on the eyes”, there are local symptoms such as changes in vision, vision, visual field and fundus, Most of them have systemic symptoms. Therefore, according to the systemic symptoms, combined with the patient’s specific condition, induction and analysis are carried out to clearly observe the deficiency and reality of the viscera, so as to examine the evidence, seek the cause, and treat the cause.

patients with optic atrophy can be seen clinically with black eyes and transparent eyes, no damage to pupil spirit, or slightly larger pupil or slow pupil reflection to light. “Examining Yao’s letter” says: “the true essence is the essence transformed by the vitality for two days, starting from the kidney, then applied to the gallbladder, and then to the pupil God”. Clarify that the expansion and contraction of pupil depends on the rise and fall of essence and Qi. When essence and Qi gather, the pupil shrinks, and when essence and Qi disperse, the pupil expands. According to the compendium of medicine, “Yin governs convergence, and if Yin deficiency does not converge, the pupil is large,” which indicates that if there is a syndrome of yin deficiency fire or yin deficiency blood heat in the whole body, it can causeMydriasis, dilation and contraction are ineffective, and vision drops, resulting in blindness. There are many causes of optic atrophy. Although doctors have different legislation, it is directly related to the deficiency of liver and kidney and yin deficiency of Qi and blood. In the process of treatment, we pay attention to nourishing liver and kidney, supplementing qi and Yang, soothing liver and resolving depression, nourishing blood and activating blood. The ancients said that “the liver opens the orifices in the eyes, and the liver can see through blood”. The liver is deficient in blood, the kidney essence is insufficient, the Qi and blood can not rise, the viscera are maladjusted, the meridians and collaterals are blocked, the arteries and channels that pass light are blocked, and the essence and Qi of the five zang organs can not moisten the eyes, “Youth blindness” occurs as a result (optic nerve atrophy) is mainly treated by liver and kidney. However, all diseases occur in Qi and blood. The rise and fall of Qi and blood is the main pathological change of all eye diseases, and it is also the key to the prognosis and rehabilitation of eye diseases. Therefore, in the process of treatment, we also pay great attention to regulating and tonifying the spleen and stomach, because the spleen and stomach are the foundation of the day after tomorrow, the source of Biochemistry, and the essence and Qi of the five Zang and six Fu organs depend on the spleen, which is injected into the eyes and healthy in Qi Vigorous Qi and blood are full, the rise and fall are orderly, and the viscera are harmonious, which is conducive to the rehabilitation of eye diseases. Treatment of optic atrophy} for the diagnosis of early optic atrophy, it is sometimes difficult to make a conclusion simply from the appearance of the optic disc, because the color and edge of the optic disc vary greatly in normal people. For example, the color of the optic disc in myopia is slightly whiter than that in emmetropia, and that in infants is slightly whiter than that in adults. The optic disc in other patients with anemia and leukemia has no atrophy and is also whiter than that in normal people, Some people don’t know the edge of the optic disc in hyperopia, so some people think that the number of small blood vessels on the edge of the optic disc is helpful to judge the diagnosis of nerve atrophy, This small blood vessel (it is difficult to identify arteries or veins) normal people can have 9-10. If it is reduced to less than 7, it may be optic nerve atrophy. In addition, when examining the fundus with non red light ophthalmoscope, the normal optic nerve fibers are in the shape of white thin lines, and the atrophic optic nerve fibers are often in the shape of messy spots. Most of the visual field changes are centripetal shrinkage, especially in the peripheral visual field of the nasal side, which occurs the earliest and also has the beginning week Wedge shaped defect appeared in the lateral visual field, then extended to the center, and finally formed centripetal shrinkage. In addition, visual field defects or dark spots of different shapes can appear according to different lesion sites.