Traditional Chinese medicine treatment of corneal ulcer

Abstract: corneal ulcer is a common acute suppurative corneal ulcer. The disease is acute and severe, and the disease develops fiercely. It is very easy to perforation in a large area, form corneal local or all staphyloma, secondary glaucoma, and finally form eyeball atrophy, resulting in blindness and bringing misfortune and pain to patients. At present,

adopts TCM syndrome differentiation to treat the disease, and has achieved really good results. According to the clinical practice, it is considered that it is mainly due to the external invasion of toxic pathogens, the heat in the liver and gallbladder, the excess of internal heat and the attack on the eyes; Or due to lack of lung yin, lack of body fluid, internal stagnation and heat, external attack by wind evil, wind heat toxin and evil; Or because the liver and stomach are hot, the fire and poison are blazing, and the attack is on the eyes. Trauma is one of the important inducements. According to this, syndrome differentiation is divided into 3 types.

I. internal heat with wind: shame, tears, grinding pain, corneal ulcer and pus in anterior chamber are common. The stomach is acceptable, the mouth is dry and does not want to drink, the stool is moist, the urine is yellow, the tongue is moist, the fur is thin or no, and the pulse floats or strings are thin. Treatment: clear the stagnant heat inside and relieve the wind evil outside. Prescription: Shuangjie Decoction (30g of honeysuckle and dandelion, 10g of trichosanthin, Scutellaria baicalensis, gentian, Schizonepeta tenuifolia, Fangfeng, honey mulberry, 5g of Fructus aurantii and 3G of licorice). Addition and subtraction: 10g of Rhubarb for constipation, 10g of Atractylodes macrocephala and Atractylodes macrocephala for loose stool, 10g of gentian, 10g of Atractylodes macrocephala and 10g of notopterygium for eye itching. 2. Yin deficiency and internal heat type: shame, tears and grinding pain in eyes are common. Conjunctival congestion and horn itching Membrane ulcer, anterior chamber empyema. Thirsty to drink, or dry mouth, cleft lip, sore throat, sore nose, NACO, red tongue, thin yellow fur, thin pulse string. Treatment: Nourishing Yin, clearing heat, dispersing wind and removing evil. Prescription: Yangyin Qingre Decoction (30g of Radix rehmanniae, gypsum and honeysuckle, 10g of Anemarrhena, reed root, trichosanthin, Scutellaria baicalensis, gentian, Schizonepeta tenuifolia, Fangfeng and Fructus aurantii, and 3G of licorice) addition and subtraction: 10g of indigo naturalis and aloe are added in case of serious eye condition. III. liver stomach excess heat type: severe eye pain, tears, photophobia, rash, headache, conjunctival congestion, corneal ulcer and anterior chamber are common Pus. Dry mouth, secret stool knot, yellow and red urine, thick yellow tongue coating, and the number of pulse strings. Treatment: clearing away heat and detoxification, clearing internal organs and purging fire. Prescription: Yinhua fuming Decoction (30g honeysuckle and dandelion respectively; 12g trichosanthin, radix rehmanniae, Anemarrhena, rhubarb and sodium sulfate respectively; 10g honey mulberry, Radix Scutellariae, Coptis chinensis, gentian grass, Vitex seed and Fructus aurantii respectively; 5g Mutong and 3G licorice). Addition and subtraction: for those with severe stool secret, increase the dosage of rhubarb, or 10g indigo naturalis and Luhui respectively; for severe headache, 12g Schizonepeta, Fangfeng respectively; for children, go to radix rehmanniae, Anemarrhena, Mutong The dosage decreases as appropriate.

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. Abstract: corneal ulcer is a common acute suppurative corneal ulcer. The disease is acute and severe, and the disease develops fiercely. It is very easy to perforation in a large area, form corneal local or all staphyloma, secondary glaucoma, and finally form eyeball atrophy, resulting in blindness, which brings misfortune and pain to patients., At present, TCM syndrome differentiation and treatment is used to treat the disease, and good results have been achieved. According to the clinical practice, it is considered that it is mainly due to the external invasion of toxic pathogens, the heat in the liver and gallbladder, the excess of internal heat and the attack on the eyes; Or due to lack of lung yin, lack of body fluid, internal stagnation and heat, external attack by wind evil, wind heat toxin and evil; Or because the liver and stomach are hot, the fire and poison are blazing, and the attack is on the eyes. Trauma is one of the important inducements. According to this, syndrome differentiation can be divided into 3 types., At present,

adopts TCM syndrome differentiation to treat the disease, and has achieved really good results. According to the clinical practice, it is considered that it is mainly due to the external invasion of toxic pathogens, the heat in the liver and gallbladder, the excess of internal heat and the attack on the eyes; Or due to lack of lung yin, lack of body fluid, internal stagnation and heat, external attack by wind evil, wind heat toxin and evil; Or because the liver and stomach are hot, the fire and poison are blazing, and the attack is on the eyes. Trauma is one of the important inducements. According to this, syndrome differentiation is divided into 3 types.

I. internal heat with wind: shame, tears, grinding pain, corneal ulcer and pus in anterior chamber are common. The stomach is acceptable, the mouth is dry and does not want to drink, the stool is moist, the urine is yellow, the tongue is moist, the fur is thin or no, and the pulse floats or strings are thin. Treatment: clear the stagnant heat inside and relieve the wind evil outside. Prescription: Shuangjie Decoction (30g of honeysuckle and dandelion, 10g of trichosanthin, Scutellaria baicalensis, gentian, Schizonepeta tenuifolia, Fangfeng, honey mulberry, 5g of Fructus aurantii and 3G of licorice). Addition and subtraction: 10g of Rhubarb for constipation, 10g of Atractylodes macrocephala and Atractylodes macrocephala for loose stool, 10g of gentian, 10g of Atractylodes macrocephala and 10g of notopterygium for eye itching. 2. Yin deficiency and internal heat type: shame, tears and grinding pain in eyes are common. Conjunctival congestion and horn itching Membrane ulcer, anterior chamber empyema. Thirsty to drink, or dry mouth, cleft lip, sore throat, sore nose, NACO, red tongue, thin yellow fur, thin pulse string. Treatment: Nourishing Yin, clearing heat, dispersing wind and removing evil. Prescription: Yangyin Qingre Decoction (30g of Radix rehmanniae, gypsum and honeysuckle, 10g of Anemarrhena, reed root, trichosanthin, Scutellaria baicalensis, gentian, Schizonepeta tenuifolia, Fangfeng and Fructus aurantii, and 3G of licorice) addition and subtraction: 10g of indigo naturalis and aloe are added in case of serious eye condition. III. liver stomach excess heat type: severe eye pain, tears, photophobia, rash, headache, conjunctival congestion, corneal ulcer and anterior chamber are common Pus. Dry mouth, secret stool knot, yellow and red urine, thick yellow tongue coating, and the number of pulse strings. Treatment: clearing away heat and detoxification, clearing internal organs and purging fire. Prescription: Yinhua fuming Decoction (30g honeysuckle and dandelion respectively; 12g trichosanthin, radix rehmanniae, Anemarrhena, rhubarb and sodium sulfate respectively; 10g honey mulberry, Radix Scutellariae, Coptis chinensis, gentian grass, Vitex seed and Fructus aurantii respectively; 5g Mutong and 3G licorice). Addition and subtraction: for those with severe stool secret, increase the dosage of rhubarb, or 10g indigo naturalis and Luhui respectively; for severe headache, 12g Schizonepeta, Fangfeng respectively; for children, go to radix rehmanniae, Anemarrhena, Mutong The dosage decreases as appropriate.