Traditional Chinese medicine treatment of vitreous hemorrhage

Abstract: the consequences of vitreous hemorrhage vary greatly in different cases. We should give appropriate clinical treatment according to the primary injury, the amount of vitreous hemorrhage, the absorption of hemorrhage and the performance of ocular reaction.

what are the causes of vitreous hemorrhage?

1. Traumatic

in ocular trauma, ocular perforation or ocular contusion can cause traumatic vitreous hemorrhage. The incidence of vitreous hemorrhage is very high in corneoscleral perforation, scleral perforation and residual foreign body injury in posterior segment of eye. The instantaneous deformation of eyeball caused by ocular contusion can lead to retinal choroid rupture and bleeding; Anterior vitreous hemorrhage can be caused by ciliary body injury. According to our observation of a group of cases, traumatic vitreous hemorrhage can account for 25% ~ 45% of the cases mainly involving posterior segment contusion. The statistical results of 453 hospitalized patients with ocular trauma by Juan et al. Showed that there were 145 cases of vitreous hemorrhage, accounting for 32%. Surgical. The vitreous body of the diabetic patients is

,

,

,

2 and diabetic patients,

,

. It is suggested that new blood vessels in the fundus of diabetic patients are a precursor of vitreous hemorrhage. If not treated, about 27% of vitreous body hemorrhage will occur in 5 years. Many of the visual loss caused by blood loss can not be recovered by blood itself.

3. Spontaneous vitreous hemorrhage

includes inflammatory, degenerative or neoplastic diseases of retina and choroid. Other diseases such as posterior vitreous detachment, retinal vasculitis, periretinal phlebitis, age-related macular degeneration, intraocular swelling and retinopathy of prematurity also account for a considerable proportion of cases of vitreous hemorrhage. This is also one of the causes of vitreous hemorrhage.

4. Surgical

surgical vitreous hemorrhage can be seen in cataract surgery, retinal detachment repair surgery, vitreous surgery, etc.

5. Blood accumulation

blood accumulation in the vitreous cavity will damage the vitreous and retina; The body’s reaction will gradually remove the blood and its decomposition products.

traditional Chinese medicine therapy for vitreous hemorrhage

I. treatment of blood heat by

: clearing heat, cooling blood, promoting blood circulation and hemostasis.

prescription: shengpuhuang decoction. If the heat is heavy, the bleeding is much and bright red, the mouth is dry, the tongue is red, and the pulse number is few, go to chuanxiong, choose to add white grass root, Platycladus orientalis leaf, blood residual carbon, agrimony herb to cool the blood and stop bleeding, or add lotus root and Baicao cream to stop bleeding. For those with blazing liver and gallbladder, add bile grass and Prunella vulgaris to clear the liver.

II. Treatment of

of virtual fire hurting collaterals: Nourishing Yin, clearing heat, cooling blood and stopping bleeding. Prescription of

and

: addition and subtraction of Ningxue decoction. Those with Yin deficiency and vigorous fire add Anemarrhena asphodeloides and Radix Scrophulariae to nourish yin and clear away heat. In order to avoid too cold, hemostasis and blood stasis, which is not conducive to the absorption of blood stasis in the eyes, pollen Typhae and Panax notoginseng can be added to remove blood stasis and stop bleeding.

III. treatment of heart and spleen loss

: nourishing the heart and spleen, supplementing qi and blood.

and

prescriptions: addition and subtraction of Guipi Decoction. For those with a large amount of bleeding, donkey hide gelatin, Panax notoginseng and Imperata root can be added to help them stop bleeding. After that, Salvia miltiorrhiza, Yujin and safflower can be added to promote blood circulation and remove blood stasis.

IV. stopping blood stasis

treatment: promoting Qi, activating blood circulation and removing blood stasis. Prescription of

and

: addition and subtraction of Xuefu Zhuyu Decoction. For those whose stasis is difficult to eliminate, add Sparganium, zedoary turmeric, walnuts and turtle shell to break blood, soften and disperse blood stasis. If blood stasis changes heat for a long time, add gardenia and Coptis chinensis to reduce fire. For those who have been ill for a long time and are deficient in health, they can choose to add products that can replenish qi, nourish the liver and tonify the kidney, so as to support righteousness and dispel evil.

v. treatment of traumatic damage to collaterals

: clearing heat, cooling blood, promoting blood circulation and hemostasis.

and

prescriptions: addition and subtraction of chufeng Yishang decoction. Optional plus clematis, Schizonepeta tenuifolia charcoal, and Danpi to cool blood and stop bleeding. After the bleeding stops, it is advisable to promote blood circulation and remove blood stasis. Taohong Siwu Decoction is used for light cases, and Xuefu Zhuyu decoction is used for heavy cases.

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, Abstract: the consequences of vitreous hemorrhage vary greatly in different cases. We should give appropriate clinical treatment in due time according to the primary injury, the amount of vitreous hemorrhage, the absorption of hemorrhage and the performance of ocular reactions., So what are the causes of vitreous hemorrhage?, 1. Traumatic. In ocular trauma, ocular perforation or ocular contusion can cause traumatic vitreous hemorrhage. The incidence of vitreous hemorrhage is very high in corneoscleral perforation, scleral perforation and residual foreign body injury in posterior segment of eye. The instantaneous deformation of eyeball caused by ocular contusion can lead to retinal choroid rupture and bleeding; Anterior vitreous hemorrhage can be caused by ciliary body injury. According to our observation of a group of cases, traumatic vitreous hemorrhage can account for 25% ~ 45% of the cases mainly involving posterior segment contusion. The statistical results of 453 hospitalized patients with ocular trauma by Juan et al. Showed that there were 145 cases of vitreous hemorrhage, accounting for 32%. Surgical.,

what are the causes of vitreous hemorrhage?

1. Traumatic

in ocular trauma, ocular perforation or ocular contusion can cause traumatic vitreous hemorrhage. The incidence of vitreous hemorrhage is very high in corneoscleral perforation, scleral perforation and residual foreign body injury in posterior segment of eye. The instantaneous deformation of eyeball caused by ocular contusion can lead to retinal choroid rupture and bleeding; Anterior vitreous hemorrhage can be caused by ciliary body injury. According to our observation of a group of cases, traumatic vitreous hemorrhage can account for 25% ~ 45% of the cases mainly involving posterior segment contusion. The statistical results of 453 hospitalized patients with ocular trauma by Juan et al. Showed that there were 145 cases of vitreous hemorrhage, accounting for 32%. Surgical. The vitreous body of the diabetic patients is

,

,

,

2 and diabetic patients,

,

. It is suggested that new blood vessels in the fundus of diabetic patients are a precursor of vitreous hemorrhage. If not treated, about 27% of vitreous body hemorrhage will occur in 5 years. Many of the visual loss caused by blood loss can not be recovered by blood itself.

3. Spontaneous vitreous hemorrhage

includes inflammatory, degenerative or neoplastic diseases of retina and choroid. Other diseases such as posterior vitreous detachment, retinal vasculitis, periretinal phlebitis, age-related macular degeneration, intraocular swelling and retinopathy of prematurity also account for a considerable proportion of cases of vitreous hemorrhage. This is also one of the causes of vitreous hemorrhage.

4. Surgical

surgical vitreous hemorrhage can be seen in cataract surgery, retinal detachment repair surgery, vitreous surgery, etc.

5. Blood accumulation

blood accumulation in glassIn the vitreous cavity, it will damage the vitreous and retina; The body’s reaction will gradually remove the blood and its decomposition products.

traditional Chinese medicine therapy for vitreous hemorrhage

I. treatment of blood heat by

: clearing heat, cooling blood, promoting blood circulation and hemostasis.

prescription: shengpuhuang decoction. If the heat is heavy, the bleeding is much and bright red, the mouth is dry, the tongue is red, and the pulse number is few, go to chuanxiong, choose to add white grass root, Platycladus orientalis leaf, blood residual carbon, agrimony herb to cool the blood and stop bleeding, or add lotus root and Baicao cream to stop bleeding. For those with blazing liver and gallbladder, add bile grass and Prunella vulgaris to clear the liver.

II. Treatment of

of virtual fire hurting collaterals: Nourishing Yin, clearing heat, cooling blood and stopping bleeding. Prescription of

and

: addition and subtraction of Ningxue decoction. Those with Yin deficiency and vigorous fire add Anemarrhena asphodeloides and Radix Scrophulariae to nourish yin and clear away heat. In order to avoid too cold, hemostasis and blood stasis, which is not conducive to the absorption of blood stasis in the eyes, pollen Typhae and Panax notoginseng can be added to remove blood stasis and stop bleeding.

III. treatment of heart and spleen loss

: nourishing the heart and spleen, supplementing qi and blood.

and

prescriptions: addition and subtraction of Guipi Decoction. For those with a large amount of bleeding, donkey hide gelatin, Panax notoginseng and Imperata root can be added to help them stop bleeding. After that, Salvia miltiorrhiza, Yujin and safflower can be added to promote blood circulation and remove blood stasis.

IV. stopping blood stasis

treatment: promoting Qi, activating blood circulation and removing blood stasis. Prescription of

and

: addition and subtraction of Xuefu Zhuyu Decoction. For those whose stasis is difficult to eliminate, add Sparganium, zedoary turmeric, walnuts and turtle shell to break blood, soften and disperse blood stasis. If blood stasis changes heat for a long time, add gardenia and Coptis chinensis to reduce fire. For those who have been ill for a long time and are deficient in health, they can choose to add products that can replenish qi, nourish the liver and tonify the kidney, so as to support righteousness and dispel evil.

v. treatment of traumatic damage to collaterals

: clearing heat, cooling blood, promoting blood circulation and hemostasis.

and

prescriptions: addition and subtraction of chufeng Yishang decoction. Optional plus clematis, Schizonepeta tenuifolia charcoal, and Danpi to cool blood and stop bleeding. After the bleeding stops, it is advisable to promote blood circulation and remove blood stasis. Taohong Siwu Decoction is used for light cases, and Xuefu Zhuyu decoction is used for heavy cases. The vitreous body hemorrhage is a precursor of vitreous hemorrhage. The

,

,

, 2, diabetic patients, doctors introduce that the new blood vessels in the fundus of diabetic patients are a precursor. If there is no treatment, about 27% of vitreous body hemorrhage occurs in 5 years, and many of the visual acuity caused by bleeding can not be recovered by blood itself. 3. Spontaneous vitreous hemorrhage, including inflammatory, degenerative or neoplastic diseases of retina and choroid, other diseases such as posterior vitreous detachment, retinal vasculitis, periretinal phlebitis, age-related macular degeneration, intraocular tumors and retinopathy of prematurity. Vitreous hemorrhage also accounts for a considerable proportion. This is also one of the causes of vitreous hemorrhage., 4. Surgery. Surgical vitreous hemorrhage can be seen in cataract surgery, retinal detachment repair surgery, vitreous surgery, etc., 5. Blood accumulation. Blood accumulation in the vitreous cavity will damage the vitreous and retina; The body’s reaction will gradually remove the blood and its decomposition products., Traditional Chinese medicine treatment of vitreous hemorrhage: 1. Reckless behavior of blood heat. Treatment: clearing heat, cooling blood, promoting blood circulation and hemostasis., Prescription: shengpuhuang decoction. If the heat is heavy, the bleeding is much and bright red, the mouth is dry, the tongue is red, and the pulse number is few, go to chuanxiong, choose to add white grass root, Platycladus orientalis leaf, blood residual carbon, agrimony herb to cool the blood and stop bleeding, or add lotus root and Baicao cream to stop bleeding. For those with blazing liver and gallbladder, add bile grass and Prunella vulgaris to clear the liver., II. False fire injury