Traditional Chinese medicine treatment of ocular trauma

Abstract:] eyelid congestion, subconjunctival hemorrhage, or hyphema, or vitreous hemorrhage, early stage of retinal hemorrhage, retinal edema, exudation, or decreased vision, red tongue, yellow fur, pulse string number.

key points of TCM treatment

1. Syndrome differentiation and treatment

(1) eye damage. Wind evil attack

[syndrome] any part of the eye is traumatic and ruptured, or the contents of the eye fall out, eye pain, photophobia, tears, decreased vision, thin and white tongue coating, floating pulse number.

[treatment principle] remove wind, clear heat and detoxify.

[prescription] addition and subtraction of chufeng Yishang decoction.

white peony L0g, angelica 6G, Rehmannia 15g, Ligusticum chuanxiong 6G, Ligusticum Ligusticum 9g, Qianhu 6G, Fangfeng 9g, safflower 6G, peach kernel L0g. Decoct in water, 1 dose per day. Addition and subtraction of

: if you have body heat, you can add 15g Forsythia suspensa, 15g honeysuckle, 10g Scutellaria baicalensis, etc. to strengthen the function of clearing heat and detoxifying. If it is also the secret knot of stool and the coating on the tongue is yellow and greasy, it is the solid Yang Ming Fu organs, increase the Yellow 6G (lower back), and 9g xuanming powder to dredge the Fu organs and reduce heat; If the cornea is turbid, photophobic and tearful, add wood thief L0g, cicada molting 6G and notopterygium root L0g; For those with severe pain, add frankincense L0g, myrrh L0g, etc.

(2) collateral injury bleeding

[syndrome] eyelid congestion, subconjunctival hemorrhage, or hyphema, or vitreous volume blood, early stage of retinal hemorrhage, retinal edema and exudation, or decreased vision, red tongue, yellow fur and pulse string number.

[therapeutic principle] cool blood, stop bleeding and dispel wind.

[prescription] Shihui powder plus or minus.

artichoke L0g, artichoke L0g, lotus leaf 10g, Platycladus orientalis leaf 10g, grass root L0g, Xicao root 10g, rhubarb 6G, gardenia 10g, palm peel 10g. Peony peel 10g. Decoct in water, 1 dose per day.

addition and subtraction: after the bleeding stops, remove the lotus leaf, Platycladus orientalis leaf and Xicao root, add 10g peach kernel, 10g safflower, 12g red peony, 20g Pueraria, L0g LULUTONG and L0g Eupatorium adenophorum to activate blood circulation and dredge collaterals; Headache and vomiting are caused by the upward rush of liver fire. Add 30g of Cassia chinensis and 9g of Ligusticum chuanxiong to clear the liver, promote qi, promote blood circulation and relieve pain; If it is also the secret knot of stool and the coating on the tongue is yellow and greasy, it is the solid Yang Ming Fu organs. Add xuanming powder 9g to dredge the Fu organs and reduce heat.

(3) qi stagnation and blood stasis

[syndrome] eyelid congestion, subconjunctival hemorrhage, or hyphema, or vitreous blood, retinal hemorrhage in the middle and late stages, or accompanied by upset, eye swelling and pain, head pain, dark rainbow of tongue and astringent pulse.

[therapeutic principle] promoting qi and blood circulation, removing blood stasis and relieving pain.

[prescription] Taohong Siwu Decoction.

peach kernel L0g, safflower L0g, Angelica sinensis 6G, raw land 15g, red peony 15g and Chuanxiong 9g. Decoct in water, 1 dose per day. Add or subtract

and

: 12g Canary beard, 12g Yujin and L0g Cyperus can be used to enhance the ability of promoting qi and removing blood stasis. In case of repeated bleeding, you can remove peach kernel and safflower, add 15g Agrimonia, 12g raw and cooked Typha, 6G blood residual carbon and 3G Panax Notoginseng Powder (for flushing) to strengthen the power of hemostasis and removing blood stasis; If the mouth is dry and the throat is dry, the coating on the tongue is yellow, and the number of pulses is the image of liver depression turning into heat, L0g gardenia, L0g Danpi and L0g Scutellaria can be added to clear the heat of the liver; If retinal edema is obvious, it is due to stagnation of water and dampness. You can add L0g of plantain and L0g of Mutong to facilitate water and eyesight; For those with obvious swelling and pain of eyeball or retrobulbar, 15g yanhusuo can be added to relieve Qi and pain.

(4) intense evil

[syndrome] ocular trauma is broken, the wound lasts for a long time, severe eye pain, photophobia, tears, sharp drop of vision, eye swelling, mixed congestion of eyeball, corneal opacity, wound pollution and edema, or pus in anterior chamber, Or involving healthy eyes. The tongue is red, the coating is yellow and thick, and the number of pulse strings is

and

[treatment principle] clearing heat and detoxification, cooling blood and removing scars.

[prescription] Jingxiao powder combined with Wuwei disinfection drink is added and subtracted.

Bupleurum L0g, rhinoceros horn powder 0.6g (for oral use), red peony L0g, angelica tail 10g, rhubarb 6G, forsythia L0g, licorice 3G, honeysuckle 15g, wild chrysanthemum 15g, Gongying 15g, Viola L0g and zibeitian soup 10g. Decoct in water, 1 dose per day.

and

plus or minus: add L0g peach kernel, 10g safflower, 3G Panax Notoginseng Powder (oral), 15g Salvia miltiorrhiza, etc. as appropriate to enhance blood circulation and remove blood stasis;

(5) sentimental healthy eye (sympathetic ophthalmia)

[syndrome] eye injury, eye damage, red rainbow, or repeated attack, delay, difficulty, or retention of foreign bodies in the eyes, while the healthy eye consciously has blurred vision or sharp decline in vision, photophobia, tears, mixed congestion, There are deposits behind the cornea, aqueous humor turbidity, pupil narrowing, vitreous opacity, fundus optic disc congestion, edema, enhanced retinal reflection, etc. The tongue is red, the moss is thin and yellow, and the veins are thin.

and

[therapeutic principle] clearing and purging liver and gallbladder, expelling wind and dispersing evil.

[prescription] modified Huanyin Jiuku decoction.

cohosh 6S, Atractylodes rhizome L0g, licorice 3G, Platycodon grandiflorum L0g, bupleurum 9g, Fangfeng 9g, Wuhao 6G, asarum 3G, Ligusticum Ligusticum L0g, Ligusticum chuanxiong 9g, Angelica sinensis tail 9g, Coptis chinensis 6G, Scutellaria baicalensis 6G, Phellodendron chinense 6G, raw land 15g, Anemarrhena asphodeloides, Forsythia suspensa L0g, safflower 6G, gentian L0g. Decoct and suck in water, 1 dose per day. Addition and subtraction of

: 15g red peony root, L0g Alisma orientalis and Gardenia jasminoides L0g can be added or subtracted, Schizonepeta tenuifolia L0g to enhance the effect of cooling blood, dispelling wind and dispersing evil,

2. Other therapies

(1) Chinese patent medicine

can choose the administration method and drugs according to the syndrome type and condition.

① compound salvia miltiorrhiza injection. 20ml each time, add 250ml 5% glucose saline. Intravenous drip, once a day, 10 days a course of treatment. Efficacy: promoting qi and activating blood circulation. It is suitable for qi stagnation and blood stasis type.

② chuanxiongxiao injection, 160mg each time, 250ml of 5% glucose saline, intravenous drip, once a day, 10 days, l course of treatment. Efficacy: promoting qi and activating blood circulation. It is suitable for qi stagnation and blood stasis type.

③ Xingnaojing injection, 1oml each time, add 250ml of 0.9% sodium chloride injection, intravenous dripNote: once a day, 14 days as a course of treatment. Efficacy: dredging orifices and activating blood circulation.

④ puerarin injection, 400mg each time. Add 250ml of 0.9% sodium chloride injection, intravenous drip, once a day, 14 days as a course of treatment. Efficacy: promoting qi and activating blood circulation. It is suitable for those with qi stagnation and blood stasis.

⑤ Qingkailing injection, 40ml each time, 250ml 0.9% sodium nitride injection, intravenous drip, once a day, 10 days a course of treatment. Efficacy: heat clearing and detoxification. It is suitable for septic invasion, sentimental eye healthy type.

⑥ double coptis column injection, 3.6g each time, add 250ml of 0.9% sodium chloride injection, intravenous drip, once a day, 10 days a course of treatment. Efficacy: clearing away heat and detoxification. It is suitable for septic invasion, sentimental and eye healthy type.

⑦ Xuefu Zhuyu oral liquid. 2 tubes each time, twice a day. Take it with warm boiled water. Efficacy: promote blood circulation and remove blood stasis. It is suitable for qi stagnation and blood stasis type.

⑧ Tianqi capsule, 2 capsules each time, three times a day, take it with Ju boiled water. Efficacy: stop bleeding and disperse blood. It is suitable for collateral injury bleeding type.

⑨ xuescorpion capsule. 3 capsules each time, 3 times a day, delivered with Ju boiling water. Efficacy: tranquilize blood and remove blood stasis. It is suitable for blood stasis type.

⑩ Compound Danshen dropping pills. 10 pills each time, 3 times a day, delivered with warm boiled water. Efficacy: activate blood and remove blood stasis. It is suitable for blood stasis type.

(2) Acupuncture and Moxibustion

① common points: clear eyes, save bamboo, behind the ball, cry, pupil, sun, Fengchi, Yiming, Taigu and Waiguan.

(3) external treatment

(3) traditional Chinese medicine eye iontophoresis: Panax notoginseng, Salvia miltiorrhiza, safflower and Chuanxiong liquid are selected as eye local iontophoresis, 20 minutes each time, once a day, 10 times is a course of treatment. It is suitable for: eyelid stasis, hyphema, corneal blood stain, etc.

② eye drops

1% baicalein eye drops, 6 times a day.

qianliguang eye drops, 6 times a day.

external barrier eye drops. Eye drops, 6 times a day.

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[therapeutic principle] clearing and purging liver and gallbladder, expelling wind and dispersing evil.

[prescription] modified Huanyin Jiuku decoction.

cohosh 6S, Atractylodes rhizome L0g, licorice 3G, Platycodon grandiflorum L0g, bupleurum 9g, Fangfeng 9g, Wuhao 6G, asarum 3G, Ligusticum Ligusticum L0g, Ligusticum chuanxiong 9g, Angelica sinensis tail 9g, Coptis chinensis 6G, Scutellaria baicalensis 6G, Phellodendron chinense 6G, raw land 15g, Anemarrhena asphodeloides, Forsythia suspensa L0g, safflower 6G, gentian L0g. Decoct and suck in water, 1 dose per day. Addition and subtraction of

: 15g red peony root, L0g Alisma orientalis and Gardenia jasminoides L0g can be added or subtracted, Schizonepeta tenuifolia L0g to enhance the effect of cooling blood, dispelling wind and dispersing evil,

2. Other therapies

(1) Chinese patent medicine

can choose the administration method and drugs according to the syndrome type and condition.

① compound salvia miltiorrhiza injection. 20ml each time, add 250ml 5% glucose saline. Intravenous drip, once a day, 10 days a course of treatment. Efficacy: promoting qi and activating blood circulation. It is suitable for qi stagnation and blood stasis type.

② chuanxiongxiao injection, 160mg each time, 250ml of 5% glucose saline, intravenous drip, once a day, 10 days, l course of treatment. Efficacy: promoting qi and activating blood circulation. It is suitable for qi stagnation and blood stasis type.

③ Xingnaojing injection, 1oml each time, 250ml 0.9% sodium chloride injection, intravenous drip, once a day, 14 days as a course of treatment. Efficacy: dredging orifices and activating blood circulation.

④ puerarin injection, 400mg each time. Add 250ml of 0.9% sodium chloride injection, intravenous drip, once a day, 14 days as a course of treatment. Efficacy: promoting qi and activating blood circulation. It is suitable for those with qi stagnation and blood stasis.

⑤ Qingkailing injection, 40ml each time, 250ml 0.9% sodium nitride injection, intravenous drip, once a day, 10 days a course of treatment. Efficacy: heat clearing and detoxification. It is suitable for septic invasion, sentimental eye healthy type.

⑥ double coptis column injection, 3.6g each time, add 250ml of 0.9% sodium chloride injection, intravenous drip, once a day, 10 days a course of treatment. Efficacy: clearing away heat and detoxification. It is suitable for septic invasion, sentimental and eye healthy type.

⑦ Xuefu Zhuyu oral liquid. 2 tubes each time, twice a day. Take it with warm boiled water. Efficacy: promote blood circulation and remove blood stasis. It is suitable for qi stagnation and blood stasis type.

⑧ Tianqi capsule, 2 capsules each time, three times a day, take it with Ju boiled water. Efficacy: stop bleeding and disperse blood. It is suitable for collateral injury bleeding type.

⑨ xuescorpion capsule. 3 capsules each time, 3 times a day, delivered with Ju boiling water. Efficacy: tranquilize blood and remove blood stasis. It is suitable for blood stasis type.

⑩ Compound Danshen dropping pills. 10 pills each time, 3 times a day, delivered with warm boiled water. Efficacy: activate blood and remove blood stasis. It is suitable for blood stasis type.

(2) Acupuncture and Moxibustion

① common points: clear eyes, save bamboo, behind the ball, cry, pupil, sun, Fengchi, Yiming, Taigu and Waiguan.

(3) external treatment

(3) traditional Chinese medicine eye iontophoresis: Panax notoginseng, Salvia miltiorrhiza, safflower and Chuanxiong liquid are selected as eye local iontophoresis, 20 minutes each time, once a day, 10 times is a course of treatment. It is suitable for: eyelid stasis, hyphema, corneal blood stain, etc.

② eye drops

1% baicalein eye drops, 6 times a day.

qianliguang eye drops, 6 times a day.

external barrier eye drops, 6 times a day.

, [syndrome] traumatic rupture of any part of the eye, or detachment of eye contents, eye pain and photophobia, Tears, decreased vision, thin and white tongue coating, floating pulse number., [treatment principle] remove wind, clear heat and detoxify., [prescription] addition and subtraction of chufeng Yishang decoction., White peony 10g, angelica 6G, Rehmannia 15g, Ligusticum chuanxiong 6G, Ligusticum Ligusticum 9g, Peucedanum 6G, Fangfeng 9g, safflower 6G, peach kernel L0g. Decoct in water, 1 dose a day. Addition and subtraction: if you have body heat, you can add 15g Forsythia suspensa, 15g honeysuckle and 10g Scutellaria baicalensis to strengthen the function of clearing heat and detoxifying. If it is also the secret knot of stool and the coating on the tongue is yellow and greasy, it is the solid Yang Ming Fu organs, increase the Yellow 6G (lower back), and 9g xuanming powder to dredge the Fu organs and reduce heat; If the cornea is turbid, photophobic and tearful, add wood thief L0g, cicada molting 6G and notopterygium root L0g; For those with severe pain, add frankincense L0g, myrrh L0g, etc., (2) bleeding from collateral injury, [syndrome] eyelid congestion, subconjunctival bleeding, or hyphema, or vitreous hemorrhage, early stage of retinal hemorrhage, retinal edema, exudation, or decreased vision, red tongue, yellow fur, pulse string number., [therapeutic principle] cool blood, stop bleeding and dispel wind., [prescription] Shihui powder plus or minus, artichoke L0g, artichoke L0g, lotus leaf 10g, Platycladus orientalis leaf 10g, grass root 10g, sage root 10g, rhubarb 6G, gardenia 10g, palm skin 10g, peony skin 10g. Take it in water, one dose per day., Addition and subtraction: after the bleeding stops, remove the lotus leaf, Platycladus orientalis leaf and Xicao root, and add 10g peach kernel, 10g safflower, 12g red peony, 20g pueraria root, L0g LULUTONG and L0g Eupatorium adenophorum to activate blood circulation and dredge collaterals; Headache and vomiting are caused by the upward rush of liver fire. Add 30g of Cassia chinensis and 9g of Ligusticum chuanxiong to clear the liver, promote qi, promote blood circulation and relieve pain; If it is also the secret knot of stool and the coating on the tongue is yellow and greasy, it is the solid Yang Ming Fu organs. Add xuanming powder 9g to dredge the Fu organs and reduce heat., (3) qi stagnation and blood stasis, [syndrome] eyelid congestion, subconjunctival hemorrhage, or hyphema, or vitreous hemorrhage, retinal hemorrhage in the middle and late stages, or accompanied by upset, eye swelling and pain, head pain, dark rainbow tongue and astringent pulse., [treatment principle] promoting qi and blood circulation, removing blood stasis and relieving pain