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is presented as is, for educational purposes only. As with any medical
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青光眼
1.
Overview and Causes
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Glaucoma
is a condition which results in loss of vision due to high pressure
in the eye, although there is no asscociated disease in the eye.The
pressure in the eye is called IOP (Intraoccular pressure). There
are several types of glaucoma which occur at differeing rates but
all are characterised by high IOP, which damages the nerve fibres
and the Optic Nerve. If untreated, glaucoma leads to gradual peripheral
vision loss and, ultimately, blindness. The different types of glaucoma
are: chronic open-angle (primary), acute angle-closure, low tension
(normal IOP that is too high for a particular person), congenital
(inherited), and secondary to other causes. Glaucoma is the second
most common cause of blindness in the United States. About 2.5 million
Americans are afflicted with the disease, but only 1 million know
that they have it. Its incidence is highest among blacks, and it
is the single most common cause of blindness in that group. Early
treatment helps in retarding vision loss.
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2. Symptoms
(a)
In the beginning there may be no special symptoms but the vision
may be unclear.
(b) In Chronic glaucoma, there are not many symptoms and the main
problem is the visual field loss but in Acute glaucoma, the patient
has severe pain and redness in the eyes, severe headache, marked
dimness of vision,photophobia (sensitivity to light) and lacrimation
(increased tear production). A patient with this kind of glaucoma
usually presents in the emergency.
(c) Along with the above mentioned symptoms, the patient has severe
nausea and may vomit profusely.
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3. TCM Effectiveness
and Evaluation
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Traditional
Chinese Medicine (TCM) considers this kind of disease, a problem
with the wind,sputum fire and the blood in
the body. Patients with glaucoma suffer from the lack of
proper functioning of the liver. The TCM treatment is very effective
when using herbal medicine and acupuncture together.
TCM considers
this kind of disease to occur more in people who have head wind
problems, higher sputum fire and low blood level in the body. These
patients also show over emotional character due to the defect in
the liver function. The TCM treatment is very effective, using herbal
medication and Acupuncture together and controls the Liver fire
immediately and leads the Qi through the disorder area. Clinically,
it is effective is promoting vision, reducing the swolleing in the
eyes and relieving higher eye pressure syndrome. At a later phase
of the disease western medicine and TCM work together, producing
better results.
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4.
Common Syndromes and Treatments in TCM
This ailment, according to TCM,
has different syndromes. The treatment for these syndromes using herbal
medicine and acupuncture is shown below.
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Syndrome
(a)
Liver
energy stasis raises to fire disorder
Due
to the Liver stasis, more fire goes up to the eye, patient has fever,
he suffers from headaches and is down in spirits, tongue is red
and the pulse is string-like.
To treat by Herbal medicine
Therapeutic principle: Dredging the fire and removing heat
stasis to alleviate the stasis.
Prescription/Formula: Modified decoction for dissipating
Qi and blood stasis channel up to eyes. Radix Gentianae, Anemarrhena,
Platycodon Root, Ledebouriella root, Notopterygium root, Rhubarb,
Mirabilite at each 10g; Scutellaria and Uncaria at each 12g; Plantain
Seed and Scrophularia at each 15g; Haliotis 30g.
Simple Prescription: Ming-Mu Shang-Qing Wan twice a day.

To treat by Acupuncture and Moxibustion
Therapeutic
principle: Regulating the Circulation of Qi, discharging fire,
resolving blood stasis and relieving swelling by using points mainly
from Extra meridian point and the Urine Bladder meridian of Food
Tai-Yang and the Liver meridian of Food Jue-Yin.
Prescription: Ge-Shu (UB17), Gan-Shu (UB18), Yuyao (Extra3),
Taiyang (Extra2), Xingjian (Li2). Acupuncture 10-20 minutes or with
Cold Moxibustion at each point 1-2 minutes.
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Syndrome
(b)
Yin
material weakness and Yang function raises
Due
to the Yin material of organ, Yang syndrome is raised up, and clinically
patient has headaches, his eyes feel tired, he has bad breath, dry
mouth and sleep difficulty; tongue is red with yellow and greasy
fur, and pulse is fast.
To treat by Herbal
medicine
Therapeutic principle: Cleaning the fire and expelling eye
stasis to arrest wind in liver meridian.
Prescription/Formula: Modified decoction for removing blood
stagnation in the head area. Anemarrhena, Phellodendron, Red peony
peel, Achyranthes and Chrysanthemun at each 10g; Uncaria 12g; Tuckahoe,
Alisma and White Peony Root at each 15g; Crude Oyster shell), Rehmannia
root and Haliotis at each 30g.
Simple Prescription: Zhi-Bo Di-Huang Wang one time a pill,
twice a day.
To treat by Acupuncture and Moxibustion
Therapeutic
principle: Regulating the Circulation of Qi, discharging heat,
resolving blood stasis and relieving pain by using points mainly
from Food Yang-Min Stomach meridian point and the Hand Yang-Ming
Lung meridian points and Food Tai-Yang Spleen meridian points and
Urine Bladder meridian of the Food Tai-Yang points.
Prescription: Shen-Shu (UB23), Chengqi (ST1), Sibai (ST2), Hegu
(LI4) and Sanyinjiao (SP6) 15-30 minutes Acupuncture and 2-5 minutes
Cold Moxibustion.
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Syndrome
(c)
Sputum
with fire up to trouble eye
Due
to the sputum fire raising up to the head and eye, the patient has
headaches, eye pain, dry mouth, decreased appetite, a swollen tongue
with yellow and greasy fur and a string pulse.
To treat by Herbal
medicine
Therapeutic principle: Cleaning the fire and expelling sputum
to arrest pain.
Prescription/Formula: Modified decoction for removing blood
stagnation in the head area. Hydrastis 8g; Pinellia tuber and Uncaria
at each 12g; Tangerine peel 6g; Prunella and Tuckahoe 15g; Cotoneaster
shell, Bamboo bud and Batryticated silkworm at each 10g; Liquorice
3g.
Simple Prescription: Qu-Feng Ding-Tong Tang one time a bowl,
twice a day.
To treat by Acupuncture and Moxibustion
Therapeutic
principle: Regulating the Circulation of Qi, discharging sputum
fire, resolving blood stasis and relieving swelling by using points
mainly from Food Yang-Min Stomach meridian point and the Hand Yang-Ming
Lung meridian points and Food Tai-Yin Spleen meridian points and
Food Tai-Yang meridian of Urine Bladder points.
Prescription: Ge-Shu (UB17), Chengqi (ST1), Sibai (ST2), Hegu
(LI4) and Sanyinjiao (SP6) 15-30 minutes Acupuncture and 2-5 minutes
cold Moxibustion.
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Syndrome
(d)
Liver
and Kidney both lower material level
Due
to the Liver and Kidney energy lowered, weakness occurs, the patient
is down in spirit, has bad vision, headaches, low back ache, tinnitus
(ringing in ears), problems with sleep, and the tongue is white
with less greasy fur, and the pulse is mild.
To treat by Herbal
medicine
Therapeutic principle: Restoring the fundamental energy of
Liver and Kidney and making the body strong.
Prescription/Formula: Modified decoction for restoring Qi
and blood weakness through in the head area. Lycium Fruit, Chrysanthemun,
Red peony peel, Alisma, Angelica, Cuscuta at each 10g; Tuckahoe
and Dioscorea at each 15g; and Chuanxiong rhizome at each 6g; White
Peony Root 12g; Salvia 15g; Rehmannia cocked 30g.
Simple Prescription: Shi-Hu Ye-Guang Wan one time a pill,
twice a day.
To treat by Acupuncture and Moxibustion
Therapeutic
principle: Regulating the Circulation of Qi and blood, restoring
Yin material, resolving blood stasis and relieving pain in eye.
By using points mainly from Urine Bladder meridian of the Food Tai-Yang
points and Food Yang-Min Stomachs meridian points and the Hand Yang-Ming
Lung meridian points and Food Tai-Yin Spleen meridian points.
Prescription: Ge-Shu (UB17), Gan-Shu (UB18), Shen-Shu (UB23),
Chengqi (ST1), Sibai (ST2), Hegu (LI4) and Sanyinjiao (SP6) 15-30
minutes Acupuncture and 2-5 minutes Cold Moxibustion.
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5. Healing by
Other Therapies
(a) Qigong and other therapies
1.
Qigon: Qigong exercise is quite effective for this disease.
The Liver and Kidney meridian could get good restoration and as
a result, emotions can be adjusted. Method: self setting exercise
10-30 minutes, relax and lead the Qi through the liver and kidney
area down to the foot, then relieve the bad energy out of the foot,
and before finishing, use hand and self massage from head to abdomen
and low back.



For
effect of Qigong on the Nervous System Function, click here.
Generally speaking,
Qigong is good for healing effect of this specific ailment, however
individual results may vary. It improves the flow of the qi and
the circulation of the blood, so you'll experience more energy,
but, you won't see/ feel any immediate effects, as with many exercises
and therapies, it takes a few weeks or even months of practice before
you'll see any significant improvements.
The following
types of Qigong may help:
For the information
of different types of Qigong ,just click a link above.
This information
is for education purpose only. We strongly advise you seek a licensed
Qigong master to learn the correct ways to conduct these exercises
before attempting them.
2. Ear Acupuncture: soft ear puncture for Liver, Shen-Men,
Kidney sympathetic and eye of Ear points, with both side and light
stimulation.
3. Cold moxibustion: Both side of Tai-Yang (Extra2), Feng-Chi
(GB20), Yin-Tang (Extra1) and Yu-Yao (Extra3); for higher Liver fire
moxa to Guang-Ming (GB37) and Tai-Chong (Li3) area; for higher heart
fire moxa to Nei-Guan (P6); for Kidney weak moxa to Shen-Shu (UB23).
(b) Medicated diet
1. Yang-Gan Ming-Mu Tang: Medlar 30g, White Caltrop
12g, Privet Fruit 12g, Plantain Seed 15g and White mum 10g together
to make into powder form and mix them together. Each time using that
15g with take pig Liver 90g (or sheep or chicken Liver) makes soup
to eat.
2. Qi-Shi Conjee: Medlar 10g, Euryale, 15g and rice 50g make
conjee to eat.
3. Huai-Shan Gou-Qi dun big brain: Pig brain one set
4. Dioscorea 30g and Medlar 10g put in water 1L make to soup.
(c) Life style
1.
Diet: Avoid peppery or chemical food and stop smoking and drinking.
If possible, regularly take the necessary Vitamins and Nutrition.
2. Note in Life: Learn to control emotions, and do not get
angry very quickly.
3. Life habit: Keep the eyes clean at all times and get the
IOP checked regularly with the western medicine method.
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Acknowledgments:
Healthphone.com greatly acknowledges
the support and dedication of our
Healing Centre Panel, without whom this section
would not be possible.
We also greatly
acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms.
Munir simplified the highly technical medical documents into easy-to-read
documents, for the enjoyment and education of our numerous visitors.
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