TCM treatment of ocular myasthenia gravis

Abstract: ocular myasthenia gravis is an autoimmune disease characterized by nerve muscle junction transmission disorder. It is characterized by striated muscle fatigue, upper eyelid ptosis, extraocular muscle paralysis, double shadow or unclear vision, deviated eyes and limited activity. It is characterized by light in the morning and heavy in the evening. Experts have received good results in clinical treatment with traditional Chinese medicine.

The main prescription of: 100g Astragalus, 30g Salvia miltiorrhiza, 50g Pueraria, 10g Bupleurum and 5g Cimicifuga.

Spleen deficiency type with limb burnout, mental fatigue, shortness of breath, lazy speech, light tongue, thin moss and weak pulse. Add 10g Atractylodes macrocephala, 15g Poria cocos, 10g yam and 30g coix seed above.

Spleen deficiency and dampness type, with heavy head, fatigue and shortness of breath, naidai and loose stool, light tongue, white and greasy moss and weak pulse. The main formula is 30 grams of Coix seed, 15 grams of Poria cocos, 8 grams of Acorus tatarinowii and 10 grams of cardamom seed.

Blood deficiency and weak Qi type with dizziness, pale complexion, shortness of breath and weakness, no bloom of claw armour, light tongue and weak pulse, 15 grams of Angelica sinensis, white peony, Radix Rehmanniae and 10 grams of Fructus aurantii.

Are characterized by turbid phlegm, obesity, cough, spitting and salivation, dizziness, limb fatigue, light tongue, thin greasy fur and slippery pulse. 10g Pinellia ternata, tangerine peel, white aconite and dannanxing are added above.

Liver kidney yin deficiency type plus 10g polygonatum, 15g medlar, dodder and Ligustrum lucidum respectively. It can be treated with acupuncture and moxibustion at the same time. Main points: Jingming, silk and bamboo air, zanzhu and sun; Matching points: Zusanli, Sanyinjiao, Pishu, Shenshu, yangbai. Select 2 ~ 3 main points and 3 ~ 4 matching points every time, once a day.

Ocular myasthenia gravis is called superior cell ptosis in traditional Chinese medicine. Its etiology is that the spleen deficiency and Qi are weak, the Qing Qi sink can not rise, and the muscles and veins lose nourishment, resulting in ocular muscle weakness and can not be lifted; Or spleen deficiency, accumulation of dampness and phlegm, phlegm stagnation of eyelids, and inability of Qi and blood to reach the meridians; Or the spleen deficiency has no biochemical source, the Qi is weak, the blood is weak, the skin is empty and sparse, and the muscle nourishes nothing, so that the eyelids are relaxed and weak. Therefore, the treatment of this disease should focus on strengthening the spleen and Qi, tonifying the liver and kidney. Astragalus membranaceus can replenish qi, raise Yang, lift depression, support righteousness and dispel evil, enhance immune function and disease resistance. Salvia miltiorrhiza and pueraria can improve microcirculation, enhance capillary tension, reduce brittleness, and improve oxygen uptake and oxygen utilization of neuromuscles; Combined with acupuncture and moxibustion can improve nerve excitability and enhance nerve transmission. Acupuncture and medicine complement each other.

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