Treatment of severe dry eye

Abstract: dry eye is a common disease with dry cornea and conjunctiva caused by tear dysfunction caused by systemic or local reasons. Dry eyes can be caused by any imbalance of tear production and discharge and tear film dysfunction. The main clinical manifestations are dry eyes, eye fatigue, burning sensation, eye swelling sensation, photophobia, eye pain, redness, foreign body sensation, sticky filamentous secretion / blurred or fluctuating vision, etc. dry eyes are the most obvious symptoms. In severe cases, it is accompanied by other systemic symptoms, such as headache, irritability, fatigue, difficulty in concentrating, etc. dry eyes is a common and frequently occurring disease, In addition to people who wear contact lenses for a long time, people who face computers for a long time and students, the elderly aged 60 ~ 70 are also the high incidence of dry eye. At present, the main treatment method of

is local application of artificial tears, but the curative effect is not ideal for severe dry eyes, such as dry syndrome, menopausal dry eyes, dry eyes caused by some immune diseases, etc. TCM syndrome differentiation, treatment, regulation, prescription, oral administration, adjustment of patients’ internal environment, and external fumigation with oral traditional Chinese medicine to treat dry eyes, so that some patients’ dry eyes can be cured or improved. External fumigation of traditional Chinese medicine in the treatment of dry eyes is a treatment method of fumigating the eyes with the steaming of traditional Chinese medicine decoction. It has the dual effects of physical wet and hot compress and direct drug treatment. Its unique feature is to supplement the deficiency of oral medicine. Warm stimulation can increase the temperature of eyelid and make it higher than the melting point of meibomian gland lipid, so as to facilitate the flow of lipid; It can dilate the capillaries of eyelid and conjunctiva, promote the circulation of eyelid, conjunctival blood and lymph, promote the benign or normal secretion of meibomian gland, and the opening of meibomian gland is unobstructed, which is conducive to drug penetration, absorption and dissemination. In addition to warm stimulation, traditional Chinese medicine fumigation can also wet the eyelid, conjunctiva and cornea, solve the dry and uncomfortable feeling of eyelid, conjunctiva and cornea, and achieve the purpose of treating dry eyes.

at present, we have formed a more mature treatment scheme of acupuncture combined with cupping therapy and auricular point sticking and pressing in the treatment of dry eye. That is, acupuncture treatment, needle retention, and then auricular point sticking and pressing treatment. Generally, it is treated every other day, 3 times a week, 10 times as a course of treatment. Generally, 1-2 courses of treatment can obtain curative effect. The main acupuncture points are Qingming Chengqi, zanzhu, sun, Yingxiang, Baihui, Fengchi and Hegu. Matching points: for those with deficiency of liver and kidney yin, add Ganshu, Shenshu and Taixi; For those with blood stasis and internal obstruction, add blood sea and Quchi; Damp heat stagnation plus atrium and Fenglong; Those with deficiency of Qi and blood will be increased by three li and Guan yuan; For those with liver depression and qi stagnation, internal customs, inter line and divine gate are added. Ear acupoints are taken from Shenmen, liver, kidney, eye, eye 1, eye 2 and subcortical. Magnetic beads are pasted, one ear is pasted, and both ears are alternately pressed. Ask the patient to press and stimulate 4-5 times a day until the auricle is red and hot. At the same time, maintaining good working and living habits and paying attention to health care are also effective means to prevent dry eye. At ordinary times, pay attention not to use your eyes too much, such as watching computers and TV, and develop the habit of blinking more. For computer workers, pay special attention to avoid operating the computer for a long time. It is required to rest for 3-5 minutes after operating the computer for half an hour during the treatment. When using the computer, adjust the distance and position between the monitor and the eyes, try to keep the distance above 60cm, and the position is slightly lower than the eye horizontal line by 10-20cm, so that the line of sight becomes overhead, and the brightness of the monitor should not be too bright. Pay attention to normal diet and daily life, pay attention to dietary conditioning, eat more fresh vegetables and fruits, and increase the intake of vitamins A, B1, C and e. it is not suitable to eat spicy or irritating food. Pay attention to smooth emotions, maintain optimism, and don’t be under tension for a long time; Don’t be too tired. Pay attention to enough sleep, don’t stay up late, combine work and rest, pay attention to environmental health care, less contact with air conditioning, wind, sand, smoke and other environments, don’t use hair dryer and don’t smoke; Place clean water near the seat to increase the surrounding humidity. Timely stay away from the city, go to the green mountains and waters in the suburbs, climb high and look far, and breathe fresh air, which is also of great benefit to the prevention and treatment of dry eye. In addition, we should pay attention to proper exercise to enhance our physique. Moderate physical exercise can promote systemic blood circulation, increase human metabolism, strengthen eye blood supply, improve lacrimal gland metabolism, and help the recovery of the disease. In addition, some commonly used traditional Chinese medicine prescriptions for the treatment of dry eyes are introduced: sangxing Decoction and Shashen Ophiopogon decoction are mainly used for the type of dryness evil invading the lung. The patient has mild symptoms, dry mouth, dry cough, less phlegm, red tongue, less moss or thin yellow moss, with joint pain, or fever, pulse floating or fine floating. Qiju Dihuang decoction is mainly used for patients with liver and kidney yin deficiency. It is common to see five hot hearts, red cheekbones, dry mouth, dry throat and coal tongue, with shy eyes, sour waist and soft knees, short urination, dry stool, red and crimson tongue, dry fur, less fluid or less fur, no fur and thin pulse. Yiwei decoction combined with Yunv decoction is mainly used for patients with Yin deficiency of spleen and stomach. Symptoms include dry mouth, stomachache discomfort, loss of appetite, dry stool, red tongue without moss, and thin pulse. The daily diet should be sweet, cool and moist. Eat more foods that nourish yin, clear away heat and generate fluid, such as lily, tremella, lotus seed, North sea cucumber, Ophiopogon japonicus, Dendrobium, Yuzhu, trichosanthin, medlar, cassia seed, cucumber, tomato, yam, balsam pear, ginkgo, Douchi, towel gourd, celery, lotus root, turtle, etc. Fruit is suitable for sweet and cold products such as watermelon, pear, grapefruit and water chestnut. Avoid eating spicy and hot drinks and food to prevent dryness, injury and aggravation of the disease. Therefore, avoid spicy, fragrant, dry and warm products, such as wine, tea, coffee and all kinds of fried food. Mutton. Dog meat, venison, ginger, onion, garlic, pepper, pepper, pepper, fennel, etc.

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is used to prevent and treat vitamin A and D deficiency. Such as rickets, osteomalacia, subclinical vitamin A deficiency caused by increased susceptibility to respiratory and digestive tract infection, nightKeep your emotions and optimism, and don’t be under tension for a long time; Don’t be too tired. Pay attention to enough sleep, don’t stay up late, combine work and rest, pay attention to environmental health care, less contact with air conditioning, wind, sand, smoke and other environments, don’t use hair dryer and don’t smoke; Place clean water near the seat to increase the surrounding humidity. Timely stay away from the city, go to the green mountains and waters in the suburbs, climb high and look far, and breathe fresh air, which is also of great benefit to the prevention and treatment of dry eye. In addition, we should pay attention to proper exercise to enhance our physique. Moderate physical exercise can promote systemic blood circulation, increase human metabolism, strengthen eye blood supply, improve lacrimal gland metabolism, and help the recovery of the disease. In addition, some commonly used traditional Chinese medicine prescriptions for the treatment of dry eyes are introduced: sangxing Decoction and Shashen Ophiopogon decoction are mainly used for the type of dryness evil invading the lung. The patient has mild symptoms, dry mouth, dry cough, less phlegm, red tongue, less moss or thin yellow moss, with joint pain, or fever, pulse floating or fine floating. Qiju Dihuang decoction is mainly used for patients with liver and kidney yin deficiency. It is common to see five hot hearts, red cheekbones, dry mouth, dry throat and coal tongue, with shy eyes, sour waist and soft knees, short urination, dry stool, red and crimson tongue, dry fur, less fluid or less fur, no fur and thin pulse. Yiwei decoction combined with Yunv decoction is mainly used for patients with Yin deficiency of spleen and stomach. Symptoms include dry mouth, stomachache discomfort, loss of appetite, dry stool, red tongue without moss, and thin pulse. The daily diet should be sweet, cool and moist. Eat more foods that nourish yin, clear away heat and generate fluid, such as lily, tremella, lotus seed, North sea cucumber, Ophiopogon japonicus, Dendrobium, Yuzhu, trichosanthin, medlar, cassia seed, cucumber, tomato, yam, balsam pear, ginkgo, Douchi, towel gourd, celery, lotus root, turtle, etc. Fruit is suitable for sweet and cold products such as watermelon, pear, grapefruit and water chestnut. Avoid eating spicy and hot drinks and food to prevent dryness, injury and aggravation of the disease. Therefore, avoid spicy, fragrant, dry and warm products, such as wine, tea, coffee and all kinds of fried food. Mutton. Dog meat, venison, ginger, onion, garlic, pepper, pepper, pepper, fennel, etc.