Eye disease

Eye diseaseEye disease

Etiology & PathologyEtiology & Pathology1. Eye Heart & Small intestine

Heart is in charge of the vessels affect the blood transportation lack of blood to nourish the eye

2. Eye Liver & GB. Liver opens on the eye liver blood is more important to eye;Liver Qi regular the whole body’s function;Liver meridian connect directly with eye; Liver change to TearEssence of bile nourish the eye

3. Eye Spleen & StomachSpleen is the source of human essenceSpleen is in charge of the bloodSpleen is also in charge of the muscle

4. Eye Lung & Large intestineLung Qi defense the body from external evil invasion

5. Eye Kidney & BladderKidney’s essence;Kidney is in charge of the fluid;

Etiology & PathologyEtiology & Pathology

1.1. Six evilsSix evils

Wind: tearing; itching or dry eyes; red swollen eyes; sensitive to lights; onset suddenly

Cold: with headache; aversion to cold;

Fire: red swollen painful eyes even bleeding;

Dampness: swollen; effusion; gradually & frequently onset; ulcer; drainage;

Summer Heat: red swollen painful eyes; with dampness sym.

Dryness: dry eyes; usually in Autumn

2. Epidemic disease

3. Emotional changing

4. Improper diet

5. Over working or sexual activity

6. Injury

Diagnosis1.1. Inquiring:Inquiring:

<a> Medical history<b> Main sym. : Pain: character—time—combined sym.

Itch Tear Vision Floaters

<c> whole body condiction

2. Observation:<a> color<b> swollen<c> drainage

Differentiation:1. Eye lips ( Spleen ):

2. Iris ( Liver )

3. Sclera ( Lung )

4. Pupil ( Kidney )

5. Canthus ( Heart )

Excess Def.

Pain Acute; continual pain; swollen & intolerant pain;

Chronic; intermittent; no swollen & slight

pain;

Wind Fire Damp Blood Def.

Itch Red, aversion to wind

Red & swollen Ulcer & drainage; worm itch

Dry & intermittent slight pain;

Wind-heat or Liver fire Yin or Blood def.

Aversion to light

Red, swollen, itch, tearing eyes

Dry & uncomfortable without itch & swollen & pain

Swollen

Sp. & St. fire;

Blood heat

Eye lips: Ulcer; pus; drainage; hot & painful; untouchable;

Wind heat Acute onset swollen; lightly red; tearing;

Sp & Kid Yang def.

Empty swollen like a ball; light skin color; no pain & red;

Qi & Blood stag. Purple or blue color; swollen

Lung Heat Red Sclera

Yin def. fire blurred vision with tearing

Treatment method 1.1. Expel the Wind -- most common method to treat eye diseases:Expel the Wind -- most common method to treat eye diseases:

Spicy Cool herbs: --Sang Ye, Ju Hua, Bo He, Fu Ping—Spicy Cool herbs: --Sang Ye, Ju Hua, Bo He, Fu Ping—

-- Jie Geng, Niu Pang Zi, Bai Jiang Can, Ma Bo—-- Jie Geng, Niu Pang Zi, Bai Jiang Can, Ma Bo—

-- Chan Tui, Mu Zei, Bai Ji Li, Gu Jing Cao—-- Chan Tui, Mu Zei, Bai Ji Li, Gu Jing Cao—

-- Chai Hu, Ge Gen, Man Jing Zi, Shen Ma –-- Chai Hu, Ge Gen, Man Jing Zi, Shen Ma –

Spicy Warm herbs: -- Jing Jie, Fang Fen, Qiang Huo, Zi Su Ye—Spicy Warm herbs: -- Jing Jie, Fang Fen, Qiang Huo, Zi Su Ye—

-- Bai Zhi, Gao Ben, Du Huo, Qin Jiao—-- Bai Zhi, Gao Ben, Du Huo, Qin Jiao—

--Cang Er Zi, Xin Yi, Huo Xiang, Cong Bai—--Cang Er Zi, Xin Yi, Huo Xiang, Cong Bai—

-- Ma Huang, Gui Zhi, Xi Xin, Wu Zhu Yu—-- Ma Huang, Gui Zhi, Xi Xin, Wu Zhu Yu—

Other expel wind herbs:Other expel wind herbs:

-- Xi Xian Cao, Wei Ling Xian, Wu Jia Pi, Sang Ji Sheng—-- Xi Xian Cao, Wei Ling Xian, Wu Jia Pi, Sang Ji Sheng—

-- Luo Shi Teng, Hai Feng Teng, Shen Jin Cao—-- Luo Shi Teng, Hai Feng Teng, Shen Jin Cao—

-- Tian Ma, Gou Teng, Shi Jue Ming, Ling Yang Jiao—-- Tian Ma, Gou Teng, Shi Jue Ming, Ling Yang Jiao—

-- Dan Nan Xing, Tian Zhu Huang, Bai Fu Zi, Bai Jie Zi—-- Dan Nan Xing, Tian Zhu Huang, Bai Fu Zi, Bai Jie Zi—

-- Bai Xian Pi, She Chuang Zi, Di Fu Zi—-- Bai Xian Pi, She Chuang Zi, Di Fu Zi—

-- Wu Gong, Quan Xie, Bai Hua She, Wu Shao She---- Wu Gong, Quan Xie, Bai Hua She, Wu Shao She--

Treatment method 2. Clear or drain the Fire 2. Clear or drain the Fire

Clear Heart Fire: Huang Lian, Dan Zhu Ye, Deng Xin Cao;Clear Heart Fire: Huang Lian, Dan Zhu Ye, Deng Xin Cao;

Clear Liver Fire: Long Dan Cao, Qin Dai, Lu Hui, Qin Pi; Xia Ku Cao;Clear Liver Fire: Long Dan Cao, Qin Dai, Lu Hui, Qin Pi; Xia Ku Cao;

Clear Lung heat: Huang Qin, Sang Bai Pi, Quan Gua Lou, Di Gu Pi;Clear Lung heat: Huang Qin, Sang Bai Pi, Quan Gua Lou, Di Gu Pi;

Clear Kidney fire: Huang Bai, Xuan Shen, Niu Xi, Ze XieClear Kidney fire: Huang Bai, Xuan Shen, Niu Xi, Ze Xie

Cool blood heat: Sheng Di Huang, Mu Dan Pi, Chi Shao, Cool blood heat: Sheng Di Huang, Mu Dan Pi, Chi Shao,

Generate fluids: Shi Gao, Zhi Mu, Tian Hua Fen;Generate fluids: Shi Gao, Zhi Mu, Tian Hua Fen;

Downward draining: Da Huang, Mang Xiao, Fan Xie YeDownward draining: Da Huang, Mang Xiao, Fan Xie Ye

Drain the dampness: Mu Tong, Hua Shi, Jin Qian CaoDrain the dampness: Mu Tong, Hua Shi, Jin Qian Cao

Clear the eyes: Qing Xiang Zi, Ye Ming Sha, Clear the eyes: Qing Xiang Zi, Ye Ming Sha,

Treatment method 3. Resolves the Toxicity3. Resolves the Toxicity

Resolves Heart fire toxicity: Resolves Heart fire toxicity:

-- Lian Qiao, Da Qing Ye, Ban Lan Gen, Zi Hua Di Ding—-- Lian Qiao, Da Qing Ye, Ban Lan Gen, Zi Hua Di Ding—

Clear Liver fire toxicity:Clear Liver fire toxicity:

-- Pu Gong Yin; Ju Hua, Ling Yang Jiao; Qing Dai; Ban Lan Gen—-- Pu Gong Yin; Ju Hua, Ling Yang Jiao; Qing Dai; Ban Lan Gen—

Clear Lung toxicity:Clear Lung toxicity:

-- Yu Xing Cao; Jing Yin Hua; Lian Qiao;-- Yu Xing Cao; Jing Yin Hua; Lian Qiao;

Clear Stomach & intestine toxicity:Clear Stomach & intestine toxicity:

-- Ba Chi Xian, Bai Tou Weng, Bai Jiang Cao—-- Ba Chi Xian, Bai Tou Weng, Bai Jiang Cao—

Clear U. B. channels toxicity:Clear U. B. channels toxicity:

-- Bian Xu, Shi Wei, Jin Qian Cao, Hai Jin Sha—-- Bian Xu, Shi Wei, Jin Qian Cao, Hai Jin Sha—

Clear Throat hot toxicity:Clear Throat hot toxicity:

-- Ma Bo, She Gan, Gan Cao-- Ma Bo, She Gan, Gan Cao

Treatment method 4. Clear the Dampness:4. Clear the Dampness:

Aromatic herbs to transform the dampness:Aromatic herbs to transform the dampness:

-- Huo Xiang; Pei Lan, Rou Dou Kou, Cao Dou Kou, Sha Ren, Shi -- Huo Xiang; Pei Lan, Rou Dou Kou, Cao Dou Kou, Sha Ren, Shi Chang Pu—Chang Pu—

Drain the dampness:Drain the dampness:

-- Fu Ling, Tong Cao, Zhu Ling, Ze Xie, Hua Shi, Hai Jin Sha, Bai Mao -- Fu Ling, Tong Cao, Zhu Ling, Ze Xie, Hua Shi, Hai Jin Sha, Bai Mao GenGen

Expel the wind-dampness:Expel the wind-dampness:

-- Fang Ji, Fu Ping, Yi Yi Ren, Hai Tong Pi, Wu Jia Pi-- Fang Ji, Fu Ping, Yi Yi Ren, Hai Tong Pi, Wu Jia Pi

Treatment method 5. Transform & Resolve the Phlegm5. Transform & Resolve the Phlegm

Warm-Dry the phlegm: Ban Xia, Gan Jiang, Xi XinWarm-Dry the phlegm: Ban Xia, Gan Jiang, Xi Xin

Moisten-transform the phlegm: Moisten-transform the phlegm:

-- Sha Shen, Yu Zhu, Bei Mu, Tian Dong, Mai Dong, Zi Wan, Gua Lou -- Sha Shen, Yu Zhu, Bei Mu, Tian Dong, Mai Dong, Zi Wan, Gua Lou Ren, Xing Ren—Ren, Xing Ren—

Regulate the Qi to transform the phlegmRegulate the Qi to transform the phlegm

-- Chen Pi, Xuan Fu Hua, Bai Qian, Kuan Dong Hua-- Chen Pi, Xuan Fu Hua, Bai Qian, Kuan Dong Hua

Clear the heat & transform the phlegm:Clear the heat & transform the phlegm:

-- Zhu Ru, Zhu Li, Huang Qin, Jie Geng, Sang Bai Pi-- Zhu Ru, Zhu Li, Huang Qin, Jie Geng, Sang Bai Pi

Expel the wind & transform the phlegm:Expel the wind & transform the phlegm:

-- Bai Fu Zi, Tian Zhu Huang, Bai jie Zi-- Bai Fu Zi, Tian Zhu Huang, Bai jie Zi

Soft the hardness & transform the phlegm:Soft the hardness & transform the phlegm:

-- Kun Bu, Hai Zao, Bai jie Zi, Mu Li-- Kun Bu, Hai Zao, Bai jie Zi, Mu Li

Treatment methods1. Orally intake herbs2. External used herbs3. Steaming 4. Wash5. Applying

Herbs for eye disease

Stop Itching: Fang Feng; Jing Jie; Chan Tui; She Tui; Jiang Chan; Bai Ji Li;

Stop Pain: Bai Zhi; Xi Xin; Qiang Huo; Ge Geng; Chai Hu; Chuan Xiong;

Stop tearing: Qiang Huo; Man Jing Zi; Mu Zei

Clear the eye: Bo He; Sang Ye; Ju Hua; She Tui; Chan Tui; Qin Pi; Jue Ming Zi; Xia Ku Cao; Mu Zei; Gu Jing Cao; Mi Meng Hua; Shi Jue Ming; Zheng Zhu Mu;

Abscess : Zi Hua Di Ding; Yu Xing Cao; Chuan Xin Lian; Tu Fu Ling;

Moving blood: Mu Dan Pi; Chi Shao; Dan Shen; Tao Ren; Hong Hua;

Stop Bleeding: Pu Huang; Han Lian Cao; Bai Mao Gen; Xian He Cao;

Liver & Kidney def.: Nu Zheng Zi; Tu Si Zi;

Herbs for external wash

Mineral: Xiong Huang; Zhu Sha; Peng Sha; Lu Gan Shi

Zoological: Xiong Dan; She Xiang; Niu Huang; Wu Zei Gu; Chan Tui; Shi Jue Ming; Zheng Zhu;

Botanical: Huang Lian; Huang Qin; Huang Bai; Zhi Zi; Da Huang; Jing Yin Hua; Qin Pi; Pu Gong Yin; Qin Dai; Long Dan Cao; Zi Cao; Di Huang; Ju Hua; Bo He; Mu Zei; Mi Meng Hua; Jing Jie; Fang Fen; Man Jing Zi; Gan Cao; San Qi; Ru Xiang; Mo Yao; Bing Pian

Types of formulationDecoctions; Powder; Soft Extracts; Pastille;

Herb drinking timeAfter Meal

Hordeolum麦粒肿 Mai Li Zhong

• A stye (also spelled sty) or hordeolum is an infection of the sebaceous glands at the base of the eyelashes. While they produce no lasting damage, they can be quite painful.

Treatment of HordeolumTreatment of Hordeolum

1. Wind-Heat TypeSigns & Symptoms:

– Main Sym. : red, swollen, itch and painful on the eyelids

– Concurrent sym.: headache, fever, uncomfortable whole body.

– Tongue: thin white coating– Pulse: float & rapid

• Treatment Protocol: Expel wind heatFormula: Yin Qiao SanModifications:

Wind: Sang Ye, Ju Hua Heat: Huang Lian, Huang Qin


2. Heat Toxin attackingSigns & Symptoms:

– Main Sym. : severe red, swollen, hot and painful on the eyelids

– Concurrent sym.: thirsty & prefer to drink water, constipation, deep color urine

– Tongue: yellow coating– Pulse: rapid

• Treatment Protocol: Clear Heat & resolve toxinFormula: Xie Huang San + Qin Wei SanModifications: Constipation: Da Huang; Mang Xiao Thirsty: Tian Hua Fen;


3. Spleen & St. def. Signs & Symptoms:

– Main Sym. : sym. Repeatedly occurred, however sym. Is mild every time.

– Concurrent sym.: – Tongue:– Pulse:

• Treatment Protocol: Tonify Sp. & St.Formula: Si Jun Zi TangModifications: Tonify Sp. : Dang Gui; Bai Shao, Shan Zha, Shen Qu, Mai

Ya,

Chalazion ( 散粒肿 San Li Zhong)

A chalazion is a lump in the eyelid that is caused by inflammation of a gland within the skin. Typically, this lump grows over days to weeks and is occasionally red, warm, or painful.

Location Sym. Onset Affect to sclera

Chalazion Deep under the

eyelip

Normal skin; lump under skin but not

stick with skin;

Gradually occurred;

None

Hordeolum Edge of the eyelip

Red, painful boil, swollen, stick with

skin,

acute May cause sclera edema

Treatment of Treatment of ChalazionChalazion

1. Phlegm DampnessSigns & Symptoms:

– Main Sym. : no feeling in mild case, feel heaviness of eyelids in sever case,

– Concurrent sym.: – Tongue: thin white coating– Pulse: slow

• Treatment Protocol: Resolve lump & phlgemFormula: Hua Jian Er Chen San

( Chen Pi; Ban Xia; Fu Ling; Gan Cao; Bai Jiang Chan; Huang Lian; He Ye; )

Treatment of Treatment of ChalazionChalazion

2. Phlegm HeatSigns & Symptoms:

– Main Sym. : swollen & painful eyelids;

– Concurrent sym.: – Tongue: red body with yellow coating– Pulse: slippery & rapid

• Treatment Protocol: Resolve lump & Clear heatFormula: Qing Wei Tang

( Zhi Zi; Shi Gao; Huang Lian; Lian Qiao; Huang Qin; Gan Cao; Zhi Ke; Su Zi; Chen Pi; Jin Jie; Fang Fen; Dang Gui Wei )

External treatment: Shen Nan Xing Powder + Bing Pian

Trachoma沙眼

• Ancient Greek: "rough eye") is a highly contagious eye disease which may result in blindness. It is caused by the bacteria Chlamydia trachomatis and it is spread by direct contact with eye, nose, and throat secretions from affected individuals, or contact with objects, such as towels and/or washcloths, that have had similar contact with these secretions.

Treatment of TrachomaTreatment of Trachoma


– Main Sym. : itch & aversion to light, red mucus membrane under the eyelids.


• Treatment Protocol: Expel wind heatFormula: Yin Qiao SanModifications:

red eye: Chi Shao


2. Spleen & Stomach Damp heatSigns & Symptoms:

– Main Sym. : dry, itching, painful eyes, sticky tearing, red mucus membrane

– Tongue: red body with yellow coating– Pulse: soft & rapid

• Treatment Protocol: Expel damp & clear heat & Expel windFormula: Qing Wei san Modifications:

Wind: Jing Jie; Fang Fen; Jie Gen; Chen Pi; Damp: Ku Shen; Di Fu Zi; Cang Zhu


3. Blood heat accumulationSigns & Symptoms:

– Main Sym. : thick & stiff eyelids; hard to open eyes; stab & hot pain, aversion to lights, red mucus membrane block the iris.

– Tongue: red body with yellow coating– Pulse: rapid

• Treatment Protocol: cool blood & moving the stasisFormula: Gui Shao Hong Hua San Dang Gui; Chi Shao; Hong Hua; Da Huang; Lian Qiao; Zhi Zi;

Huang Qin; Gan Cao; Fang Feng; Bai Zhi;

Blepharitis睑缘炎 ( 睑弦赤烂 )

• Blepharitis is inflammation of the eyelids. It is characterized by flaky debris at the eyelash bases. Blepharitis usually causes redness of the eyes and itching and irritation of the eyelids in both eyes. Its appearance is often confused with conjunctivitis and due to its recurring nature it is the most common cause of "recurrent conjunctivitis" in older people. It is also often treated as 'dry eye' by patients due to the gritty sensation it may give the eyes - although lubricating drops do little to improve the condition.

Treatment of BlepharitisTreatment of Blepharitis


– Main Sym. : red eyelids edge; crumbs pulled off from the root of eyelash; feel hot pain itch sensation, dry eyes.


• Treatment Protocol: Expel wind heat & stop itching; Cool blood & clear heatFormula: Yin Qiao SanModifications:

Cool blood: Chi Shao Stop Itching: Chan Tui; Wu Shao She

Dry: Tian Hua Fen


2. Damp heat excessSigns & Symptoms:

– Main Sym. : red canker eyelids edge; pain & itching; stick eyelash by tear even cause madarosis

– Tongue: red body with yellow coating– Pulse: slippery & rapid

• Treatment Protocol: Clear heat & resolve damp; expel wind; Formula: Chu Shi TangHua Shi; Che Qian Zi; Mu Tong; Fu Ling; Huang Qin; Huang

Lian; Lian Qiao; Gan Cao; Zhi Ke; Chen Pi


3. Heart Fire

Signs & Symptoms:

– Main Sym. : red canker eyelids edge; hot & extreme itching eyelids; even bleeding ;

– Tongue: red tip of tongue body– Pulse: rapid

• Treatment Protocol: Clear heart fireFormula: Dao Chi San + Huang Lian Jie Du Tang

Ptosis上睑下垂

• Ptosis (pronounced TOE-sis) is the medical term for drooping eyelids. A person with ptosis is not able to lift one or both upper eyelids to uncover the eye completely.

Treatment of PtosisTreatment of Ptosis

1. Spleen & Kidney Yang def.Signs & Symptoms:

– Main Sym. : drooping eyelids since childhood; Children with congenital ptosis often tilt their heads back or raise their eyebrows to lift the eyelid.

– Tongue:– Pulse: – Treatment Protocol: Warm up kid. & Sp. YangFormula: You Gui YinModifications:

tonify Sp. Yang: Ren Shen; Bai Zhu

Treatment of PtosisTreatment of Ptosis

2. Middle Jiao ( spleen ) Qi Def.Signs & Symptoms:

– Main Sym. : drooping eyelids; mild in the morning & worse in the afternoon; weakness of whole body, has difficulty to swallow.

– Tongue:– Pulse: – Treatment Protocol: Raise up Spleen Yang qiFormula: Bu Zhong Yi Qi Tang

Eyelids twitch

• An eyelid twitch is called a blepharospasm. It happens when your eyelid muscles repeatedly and rhythmically contract. In some instances, the eyelid may repeatedly close (or nearly close) and re-open.

Treatment of Eyelids twitchTreatment of Eyelids twitch

1. Heart & Spleen Blood def.Signs & Symptoms:

– Main Sym. : eyelids twitch intermittently; worse after working;

– Concurrent sym.: irritability; insomnia; bad memory; bad appetite; tiredness;

– Tongue:– Pulse: – Treatment Protocol: Tonify Spleen & Heart bloodFormula: Gui Pi Tang

Treatment of Eyelids twitchTreatment of Eyelids twitch

2. Wind due to blood def.Signs & Symptoms:

– Main Sym. : continually eyelids twitch– Concurrent sym.:

– Tongue:– Pulse: – Treatment Protocol: Nourish Blood & Stop windFormula: Dang Gui Huo Xue YinDang Gui; Chuan Xiong; Shu Di; Bai Shao; Huang Qi; Fang

Fen; Bo He; Qiang Huo; Modifications: Expel wind: Jiang Chan; Tian Ma; Gou Teng; Quan Xie; Wu

Gong;

Eye disease

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