Treatment of hyperopia by TCM therapy based on syndrome differentiation

Abstract: Traditional Chinese medicine records “hyperopia” earlier. The Yellow Emperor’s Internal Classic Su Wen · pathogenesis Qi Yi Bao Sheng Ji, one of the four classics of traditional Chinese medicine more than 2000 years ago, called it “hyperopia can’t” myopia “. The criterion of syndrome and treatment – seven orifices gate written by Wang KENTANG of the Ming Dynasty is called “being able to be far and afraid of near syndrome”. “Mu Jing Da Cheng”, written by Huang Tingjing in the Qing Dynasty, was abbreviated as “hyperopia”.

traditional Chinese medicine believes that there are three causes and pathogenesis:

(1) insufficient endowment is the syndrome of deficiency of both yin and Yang. Most of them are due to the lack of essence of unborn parents, or their parents are old, weak and sick, or excessive atrial exertion, lack of essence and blood, or malnutrition and lack of Qi and blood, which can affect fetal development and lead to congenital deficiency. The kidney contains essence, which is the “innate foundation”, which can “store true Yin and contain Yuan Yang”. If the kidney yang is insufficient, the Yang Qi is weak, and the divine light cannot shine beyond the outside, so the vision is far blurred; If the kidney Yin is insufficient, the Yin essence will be lost, and the brilliance will not gather, the vision will be faint near and unclear far. (2) the loss of Yin essence is mostly caused by improper sexual intercourse, long-term use of eyes, physical fatigue, excessive sobbing, or long-term illness and kidney, heat injury to Yin. Yin essence is lost, essence and Qi cannot bear the eye orifices and gather brilliance, so the vision is nearly blurred; Yin essence loses, Yang Qi is alone, and the more it goes out, the more it looks far and still clear. As Wang haizang said: “the eyes can be far sighted, the blame is fire, can not be short-sighted, blame it for no water.”. Therefore, this disease is caused by the loss of Yin essence and the prosperity of Yang Qi. (3) liver and gallbladder “dampness and heat” have improper diet, overeating fat and sweet, spleen and stomach injury, transportation and loss of division, internal cessation of dampness and heat, fumigation of liver and gallbladder, blood gas injury, hyperopia caused by Guanghua disorder. Syndrome differentiation and treatment: (1) insufficient endowment, adolescent growth retardation, and adult premature aging. Most of them belong to medium and high hyperopia. It can be seen that the eye position is deviated, “vision” decreases, and the hyperopia and near vision are blurred, especially the near vision. It is not durable. If you force your eyes to work for a long time, the head will be sleepy and painful, and one is two. Often accompanied by “vertigo”, “tinnitus”, sour waist, soft legs, timid cold limbs, weak pulse and light tongue. Treatment: Supplementing Qi and blood, tonifying liver and kidney, relaxing muscles and activating collaterals. Prescription: 15g Shenjincao, 20g Danshen, 15g Astragalus, 12g raspberry, 15g Cuscuta, 12g Achyranthes bidentata, 12g cassia, 12g Xianling spleen, 12g Chuanduan, 12g earthworm, 20g Valley essence, 15g black bean and 12g wolfberry. (2) Yin essence loss can lead to hyperopia but not myopia, and visual objects can not last for a long time. If you see for a long time, you will have eye disease and pain, head and forehead pain, and even more dizzy eyes. Usually, “dry eyes” are astringent and sleepy, the brain is empty and painful, accompanied by dizziness, tinnitus, weak waist and knee disease, red tongue with little moss, and heavy, thin and weak pulse. Treatment: tonifying kidney and essence, nourishing liver and brightening eyes. Prescription: 12g Cornus meat, 15g rehmannia, 12g mulberry, 15g medlar, 10g black sesame, 10g angelica, 10g white peony, 12g cassia, 10g Ligustrum lucidum, 12g Schisandra chinensis, 12g Jingzi, 15g dodder, 15g yam and 15g Yunling. Two diet remedies: 1. Black bean porridge. Raw materials: 100g black bean and 100g japonica rice respectively, 50g floating wheat (immature wheat). Preparation and usage: wrap the floating wheat with gauze and put it into the pot with black beans. Add water to decoct. After the black beans bloom, take out the gauze bag containing floating wheat, add japonica rice to cook porridge, and cook it. This porridge can be eaten in the morning and evening every day. Indications: it is applicable to all types of presbyopia patients. Often eating this porridge can also prevent “hypertension” and enhance the physique of the elderly. 2. Yinqi Mingmu soup} raw materials: 20g water fat tremella, 10g medlar, 100g chicken liver, 25g Jasmine (dry product), and an appropriate amount of seasoning. Preparation and usage: wash tremella and cut it into small pieces, soak it in clean water for use. Add an appropriate amount of water to the pot, add tremella, chicken liver and medlar, bring to a boil, add seasonings such as cooking wine, ginger juice, salt and monosodium glutamate, and sprinkle jasmine flowers after the chicken liver is cooked. This soup can be drunk at dinner every day. Efficacy: tonifying liver and kidney, brightening eyes and nourishing face. Indications: suitable for all types of presbyopia. In addition, presbyopia patients should focus on a light and nutritious diet at ordinary times, and can “eat more” with some high protein foods such as beef, lean pork, eggs, fish, nuts and bean products, as well as fresh fruits and vegetables such as jujube, apple, tomato, cucumber, cabbage, spinach and celery.

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