Traditional Chinese and Western medicine can treat creeping corneal ulcer

Abstract: creeping corneal ulcer is a common acute suppurative keratitis with creeping expansion, so it is called creeping corneal ulcer. Because of its serious condition, it is often accompanied by anterior chamber empyema, so it is also known as anterior chamber empyema corneal ulcer.

creeping corneal ulcer is seen in the elderly who are weak or have chronic dacryocystitis. The pathogenic bacteria were highly virulent Diplococcus pneumoniae, Staphylococcus aureus and hemolytic streptococcus. Minor corneal trauma, such as grain stabbing, nail bruise and branch abrasion, is often the inducement. Generally, it has an acute onset, rapid development and many changes. If it is not treated in time or handled improperly, it can cause corneal perforation, seriously affect vision and even blindness. Clinical manifestations of

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creeping corneal ulcer: the onset is urgent. It often suddenly feels eye pain, photophobia, tears and sudden drop of vision 24-48 hours after corneal trauma. Examination showed bulbar conjunctival edema and mixed hyperemia. There are grayish yellow dense infiltrating foci on the cornea, edema around the cornea, blurred focus boundary, and soon form ulcer. The bottom of the ulcer is dirty and covered with necrotic tissue, and the edge of the ulcer extends stealthily to the periphery and deep. If the inflammation cannot be controlled quickly, corneal perforation and even endophthalmitis are easy to occur. The toxin infiltrates into the anterior chamber, which is easy to be complicated with iridocyclitis, anterior chamber empyema, pupil narrowing, and adhesion between iris and lens. Diagnosis of creeping corneal ulcer: 1. Trauma history is the inducement. 2. 2. Typical clinical manifestations and signs. 3. When scraping materials from the edge of ulcer for smear or culture, pathogenic bacteria can often be found. Treatment of creeping corneal ulcer: 1. Western medicine treatment: (1) 10000 units / ml penicillin and 0. 5% streptomycin, once every half an hour, alternately (only if the skin test is negative can it be used). When the condition is stable, change it to once every 1-2 hours. Eye drops such as kanamycin, gentamicin and ofloxacin can also be used. (2) in severe cases, antibiotics can be injected under the conjunctiva. (3) for those with poor therapeutic effect of the above drugs, Thistle can be selected according to thistle sensitivity test. (4) in case of iridocyclitis, 1% atropine cream should be used to dilate the pupils as soon as possible. (5) local hot compress. (6) patients with chronic dacryocystitis should wash the lacrimal sac with normal saline and antibiotics every day. Lacrimal sac surgery should be performed after keratitis is controlled. (7) therapeutic keratoplasty can be performed for patients with long-term cure or perforation, and conjunctival flap covering can also be performed for patients with five conditions. 2. Treatment with traditional Chinese medicine: creeping corneal ulcer, which is called coagulation pannus in traditional Chinese medicine. It is treated according to symptoms, and the curative effect is quite good. (1) accumulation of wind heat: black eyes are like stars, the edge is unclear, the surface is muddy, such as thin grease, the tugboat is red, shy and tears, bead pain, headache, decreased vision, red tongue, thin yellow fur and floating pulse. Treatment: dispel the wind, clear away heat and remove clouds. Prescription: 10 grams of bupleurum, Rhizoma Coptidis, Vitex, gentian, Mutong, Schizonepeta tenuifolia and Fangfeng, 12 grams of Scutellaria baicalensis, red peony and gardenia kernel, and 8 grams of licorice. You can add cicada clothes, Tribulus terrestris, wood thief and so on. (2) the interior is hot and prosperous: the fat clots are large, the cave is deep, the yellow liquid rushes upward, the white eyes are mixed with red and swollen, the eyelids are red and swollen, it is difficult to open, the hot tears flow frequently, the color of yellow, or fever, thirst, red constipation, the tongue is red, the moss is yellow and thick, and the number of pulses is powerful. Treatment: clearing heat, purging fire and detoxifying. Prescription: Guishen, gentian, plantain, Fructus aurantii, cooked rhubarb, Fangfeng, Rhizoma Chuanlian, notopterygium and Bupleurum 10 g each, Scutellaria baicalensis, mulberry, raw land, red peony, Ligusticum chuanxiong and Equisetum 12 g each, and roasted licorice 6 G. (3) positive deficiency and evil retention: the fat on the pannus is thin, but it does not converge for a long time, the white eye is red and not heavy, the conscious symptoms are mild, the tongue is light, and the pulse is weak. Treatment: supporting the right and dispelling the evil. Prescription: 12 grams of Astragalus membranaceus, honeysuckle, Ligusticum chuanxiong, angelica, Radix Paeoniae Alba and Atractylodes macrocephala, 10 grams of Platycodon grandiflorum, Angelica dahurica and ginseng, 8 grams of licorice and 15 grams of Poria cocos.

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, Abstract: creeping corneal ulcer is a common acute suppurative keratitis with creeping expansion, so it is called creeping corneal ulcer. Because of its serious condition, it is often accompanied by anterior chamber empyema, so it is also known as anterior chamber empyema corneal ulcer., Creeping corneal ulcer is seen in the elderly who are weak or have chronic dacryocystitis. The pathogenic bacteria were highly virulent Diplococcus pneumoniae, Staphylococcus aureus and hemolytic streptococcus. Minor corneal trauma, such as grain stabbing, nail bruise and branch abrasion, is often the inducement. Generally, the disease has an acute onset, rapid development and many changes. If it is not treated in time or handled improperly, it can cause corneal perforation, seriously affect vision and even blindness.,

creeping corneal ulcer is seen in the elderly who are weak or have chronic dacryocystitis. The pathogenic bacteria were highly virulent Diplococcus pneumoniae, Staphylococcus aureus and hemolytic streptococcus. Minor corneal trauma, such as grain stabbing, nail bruise and branch abrasion, is often the inducement. Generally, it has an acute onset, rapid development and many changes. If it is not treated in time or handled improperly, it can cause corneal perforation, seriously affect vision and even blindness. Clinical manifestations of

,

and

creeping corneal ulcer: the onset is urgent. It often suddenly feels eye pain, photophobia, tears and sudden drop of vision 24-48 hours after corneal trauma. Examination showed bulbar conjunctival edema and mixed hyperemia. There are grayish yellow dense infiltrating foci on the cornea, edema around the cornea, blurred focus boundary, and soon form ulcer. The bottom of the ulcer is dirty and covered with necrotic tissue, and the edge of the ulcer extends stealthily to the periphery and deep. If the inflammation cannot be controlled quickly, corneal perforation and even endophthalmitis are easy to occur. The toxin infiltrates into the anterior chamber, which is easy to be complicated with iridocyclitis, anterior chamber empyema, pupil narrowing, and adhesion between iris and lens. Diagnosis of creeping corneal ulcer: 1. Trauma history is the inducement. 2. 2. Typical clinical manifestations and signs. 3. When scraping materials from the edge of ulcer for smear or culture, pathogenic bacteria can often be found. Treatment of creeping corneal ulcer: 1. Western medicine treatment: (1) 10000 units / ml penicillin and 0. 5% streptomycin, once every half an hour, alternately (only if the skin test is negative can it be used). When the condition is stable, change it to once every 1-2 hours. Eye drops such as kanamycin, gentamicin and ofloxacin can also be used. (2) in severe cases, antibiotics can be injected under the conjunctiva. (3) for those with poor therapeutic effect of the above drugs, Thistle can be selected according to thistle sensitivity test. (4) in case of iridocyclitis, 1% atropine cream should be used to dilate the pupils as soon as possible. (5) local hot compress. (6) patients with chronic dacryocystitis should wash the lacrimal sac with normal saline and antibiotics every day. Lacrimal sac surgery should be performed after keratitis is controlled. (7) therapeutic keratoplasty can be performed for patients with long-term cure or perforation, and conjunctival flap covering can also be performed for patients with five conditions.  2. Treatment with traditional Chinese medicine: creeping corneal ulcer, which is called coagulation pannus in traditional Chinese medicine. It is treated according to symptoms, and the curative effect is quite good. (1) accumulation of wind heat: black eyes are like stars, the edge is unclear, the surface is muddy, such as thin grease, the tugboat is red, shy and tears, bead pain, headache, decreased vision, red tongue, thin yellow fur and floating pulse. Treatment: dispel the wind, clear away heat and remove clouds. Prescription: 10 grams of bupleurum, Rhizoma Coptidis, Vitex, gentian, Mutong, Schizonepeta tenuifolia and Fangfeng, 12 grams of Scutellaria baicalensis, red peony and gardenia kernel, and 8 grams of licorice. You can add cicada clothes, Tribulus terrestris, wood thief and so on. (2) the interior is hot and prosperous: the fat clots are large, the cave is deep, the yellow liquid rushes upward, the white eyes are mixed with red and swollen, the eyelids are red and swollen, it is difficult to open, the hot tears flow frequently, the color of yellow, or fever, thirst, red constipation, the tongue is red, the moss is yellow and thick, and the number of pulses is powerful. Treatment: clearing heat, purging fire and detoxifying. Prescription: Guishen, gentian, plantain, Fructus aurantii, cooked rhubarb, Fangfeng, Rhizoma Chuanlian, notopterygium and Bupleurum 10 g each, Scutellaria baicalensis, mulberry, raw land, red peony, Ligusticum chuanxiong and Equisetum 12 g each, and roasted licorice 6 G. (3) positive deficiency and evil retention: the fat on the pannus is thin, but it does not converge for a long time, the white eye is red and not heavy, the conscious symptoms are mild, the tongue is light, and the pulse is weak. Treatment: supporting the right and dispelling the evil. Prescription: 12 grams of Astragalus membranaceus, honeysuckle, Ligusticum chuanxiong, angelica, Radix Paeoniae Alba and Atractylodes macrocephala, 10 grams of Platycodon grandiflorum, Angelica dahurica and ginseng, 8 grams of licorice and 15 grams of Poria cocos.