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glaucoma treatment method, glaucoma how to do, glaucoma medication

glaucoma treatment method, glaucoma how to do, glaucoma medication

Knowledge of glaucoma diagnosis and treatment

Visiting department: Ophthalmology treatment cost: about 500-5000 yuan in the top three hospitals in the city. Cure rate: treatment cycle: treatment methods: Western medicine treatment, Western medicine surgery treatment and Chinese medicine treatmentGeneral treatment of glaucoma

First, Western medicine treatment of glaucoma

Therapeutic measures

Vitamin B injection

If tension is the main factor, vitamin B can be injected, and the effect is good. Please use it under the guidance of a doctor.

Laser therapy

If medication still cannot control the disease, try laser therapy before taking other surgical procedures. New tests have shown that laser therapy is effective for open angle glaucoma. The method is to irradiate the iris with laser to form a small hole to relieve intraocular pressure. If acute or angle-closure glaucoma occurs, the cornea will be blurred by edema caused by high intraocular pressure. In this case, laser therapy may not be the best choice, and further surgery is needed.

Supplementing nutrients

① Choline

Supplement 1000-2000 mg every day. An important vitamin.

② Pantothenic acid (B5)

Supplement 3 times a day, each 100 mg.

③ Rutin

Supplement 50 mg each time 3 times a day.

④ Vitamin B group

Three times a day, 50 mg each, take it with meals, and inject it if necessary.

⑤ Vitamin C

Adding bioflavonoids three times a day can greatly reduce intraocular pressure.

⑥ Vitamin E

400IU per day. Recent studies have shown that vitamin E helps to eliminate small particles in crystals.

⑦ Germanium

If eyes are uncomfortable, you can take 100-200 mg of germanium every day, and provide oxygen to eye tissues to relieve pain.

Surgical treatment

How to correctly evaluate the therapeutic effect of surgery on glaucoma.

At present, surgical treatment of glaucoma is the last and only important means of Western medicine. The purpose of surgery is to better control intraocular pressure, For patients with angle-closure glaucoma, narrow or closed anterior chamber angle, temporary control of intraocular pressure can play an obvious role, but it does not correct the real cause of elevated intraocular pressure and closed anterior chamber angle, giving doctors and patients a false sense of security, thinking that they will be fine after glaucoma surgery, and relapse or become blind again. More than once, I asked the same question, "Why am I blind after surgery?" For glaucoma surgery such as open angle, malignant type and intraocular inflammation, it is not only meaningless, but will accelerate the development of the disease. Therefore, our evaluation of surgery is "temporarily reducing intraocular pressure, relieving symptoms, and not correcting the disease from the root of the disease". After surgery, Chinese medicine should be actively used to treat the cause, so as to achieve the effect of recovery. At present, Western medicine's understanding of glaucoma is summarized as "one eye (or both eyes) onset, secondary blindness in both eyes, lifelong medication, blindness at any time", and the exact cause of this disease has not been found yet, so there is no treatment. Pupil shrinking agents, carbonic anhydride inhibitors, hypertonic agents and hormones, even if operated, only temporarily reduce intraocular pressure and relieve symptoms, and finally end up blindness, so they are called "incurable diseases".

Glaucoma and blindness

Glaucoma is one of the most common blinding eye diseases, which brings blindness to patients for various reasons. Common reasons are as follows:

① Open-angle glaucoma and some chronic angle-closure glaucoma, because there are no symptoms, patients don't know that their eyes are sick, and once they are found to be advanced or blind.

② Patients don't listen to the doctor's advice, don't trust the doctor, don't want to do any examination, and miss the best treatment opportunity.

③ I don't know enough about the harmfulness of glaucoma and don't care about my own diseases. Some people just work hard, never see a doctor, and don't go to the hospital for treatment until they feel that their horizons are narrowed. At this time, it is often very late, and one eye is lost in vain.

④ Can't take medicine on time, take medicine when there are symptoms, don't take medicine when there are no symptoms, never measure intraocular pressure, and don't know how to control intraocular pressure after taking medicine. Irrational medication delayed treatment.

Don't listen to the doctor's advice. Fear of surgery, the doctor before the operation confessed the prognosis of the operation, can not be treated correctly, always afraid of vision loss or even blindness after the operation, and delay the operation until the best treatment opportunity is lost in the late stage.

⑥ Some patients after operation think that glaucoma has been completely cured because of the disappearance of symptoms, while ignoring follow-up observation and regular monitoring. Some patients are blind unconsciously after operation.

⑦ Some patients only pay attention to observing intraocular pressure after operation, but do not check whether there is any change in visual field. Some patients have abnormal hemodynamics, such as cardiovascular diseases, hypotension and increased whole blood concentration. Due to the interaction of these factors, the optic nerve is in a state of chronic blood supply insufficiency for a long time, resulting in progressive narrowing of visual field and blindness.

In view of the above situation, it is suggested that glaucoma patients must listen to the doctor's advice, actively strive for early and effective treatment, and strive to reduce the damage of visual functionTo a minimum.

Treatment of Glaucoma Based on Syndrome Differentiation

Second, Chinese medicine treatment of glaucoma

The treatment of this disease focuses on liver. In the acute attack period, the methods of clearing heat, purging fire, calming liver, calming wind, regulating qi, lowering adverse effects, and dissolving drinking, etc., depend on their pulse syndrome, either one method alone, or several methods combined, and do not stick to one end. Once the disease is slow, the treatment should focus on nourishing liver and kidney, with the methods of purging fire, calming liver and calming wind.

Differentiation of signs and selection of prescriptions

1. Excessive heat of liver meridian

Treatment: Clearing heat and purging fire, calming liver and calming wind.

Prescription: Green Wind Antelope Drink ("Medical Sect Jin Jian") is added and subtracted. Antelope horn powder 0.5 ~ 1g (taken in flush), Scrophularia ningpoensis 15g, Scutellaria baicalensis Georgi 9g, Anemarrhena asphodeloides 9g, Plantain seed 15g, Poria cocos 15g, Rhubarb 10g, Platycodon grandiflorum 10g, Asarum 3g and Saposhnikovia divaricata 3g. If the heat is excessive, add Gentiana scabra and Uncaria rhynchophylla to enhance the power of clearing the liver and extinguishing the wind; In case of vomiting, add bamboo eggplant, Pinellia ternata and Tianzhu yellow to stop vomiting.

2. Liver stagnation and qi stagnation

Treatment: soothing liver and clearing heat, lowering adverse effects and harmonizing stomach.

Prescription: Danwei Xiaoyao Powder combined with Zuojin Pill. Bupleurum 9g, Angelica sinensis 15g, Radix Paeoniae Alba 15g, Poria cocos 10g, Atractylodes macrocephala 10g, Glycyrrhiza uralensis Fisch 6g, Mint 6g, Ginger 10g, Cortex Moutan 9g, Mast 9g, Coptis chinensis 10g and Evodia rutaecarpa 3g. With stagnation, add Cyperus rotundus, green tangerine peel and Jin Lingzi; If the eyes are very painful and the red color is more dramatic, add Cassia Haliata, Cassia Grass and Prunella vulgaris; For those with severe vomiting, add inula and ochre to enhance the power of lowering vomiting.

3. Hyperactivity of liver yang

Treatment: nourishing yin and suppressing yang; Calming liver and calming wind.

Prescription: Antelope Gouteng Decoction (Popular Treatise on Febrile Diseases). Antelope horn powder 1.5 g (chong), Uncaria rhynchophylla 12g, mulberry leaf 9g, chrysanthemum 12g, raw and cooked land 24g, white peony root 30g, Fritillaria cirrhosa 6g, Poria cocos 12g, bamboo shavings 15g, Achyranthes bidentata 25g and raw Conja Haliata 20g. If yin deficiency is obvious, add Ligustrum lucidum, Schisandra chinensis and Cornus officinalis; For those who are full of fire, add Anemarrhena asphodeloides, Phellodendron amurense and Prunella vulgaris: for those who are upset and insomnia, add Raw oysters, fried jujube kernels.

4. Phlegm and fire move the wind

Treatment: purging fire and expelling phlegm, calming liver and calming wind.

Prescription: Modified Jiangjun Dingtong Pill. Rhubarb 10g, Scutellaria baicalensis Georgi 10g, Bombyx batryticatus 10g, Pericarpium Citri Tangerinae 10g, Gastrodia elata 6g, Platycodon grandiflorum 6g, Lapis Chloriti 20g, Angelica dahurica 6g, Mint 6g and Pinellia ternata 10g. For those with excessive phlegm fire, aloe and orange collaterals are added to make Danfuxing to enhance the function of reducing fire and expelling phlegm; If the chest is full, go to Platycodon grandiflorum and Angelica dahurica, add Alisma orientalis, stir-fry radish seeds and white mustard seeds.

5. Drink evil and commit crimes

Treatment: Warming cold drink, reducing adverse effects and relieving pain.

Prescription: Wuzhuyu Decoction (Examining Yao Letter). 12g of Evodia rutaecarpa, 12g of ginseng, 6g of Radix Glycyrrhizae Preparata, 10g of Ligusticum Chuanxiong, 20g of Poria cocos, 10g of white blue and 10g of dried tangerine peel. If vomiting is worse, Pinellia ternata and Asarum are added to enhance the power of turning drinks and reducing adverse effects; In case of headache, Chuanxiong and Evodia rutaecarpa should be used; For those with chest tightness and poor appetite, add Atractylodes lancea and cardamom; If the limbs are cold, add cooked appendage tablets and cassia twig.

6. Deficiency of spleen and excessive dampness

Treatment: Invigorating spleen and promoting diuresis.

Prescription: Wuling Powder (Treatise on Febrile Diseases). Polyporus umbellatus 10g, Poria cocos 12g, Atractylodes macrocephala 12g, Alisma orientalis 10g, Paeonia lactiflora 10g and Achyranthes If you eat less and receive less, add Jiao Sanxian, Coix Seed and Pericarpium Citri Tangerinae.

7. Heart and lung qi deficiency

Treatment: Nourishing heart and invigorating qi.

Prescription: Zhigancao Decoction and Shengmai Powder (Differentiation of Internal and Traumatic Injuries). Radix Glycyrrhizae Preparata 12g, Ginger 9g, Codonopsis pilosula 9g, Radix Rehmanniae 10g, Radix Ophiopogonis 10g, Schisandra I0g, Angelica sinensis 12g and Ligusticum Chuanxiong 9g. If insomnia and dreaminess, add Zizyphus jujuba, Polygala tenuifolia and Cypress kernel. Other therapies

Point eye method: There are the following kinds.

(1) 1% puerarin eye drops: twice a day, continuous medication. This product mainly makes ciliary vasoconstriction, reduces aqueous humor secretion and reduces intraocular pressure. At the same time, two points should be paid attention to: ① Blood pressure of a few patients drops slightly, so hypotensive patients should be used with caution; ② A few patients have foreign body sensation after dripping, which can be relieved after 1 ~ 2 minutes, and can continue to take medicine.

(2) 1% arecoline eye drops: once every 15 ~ 30 minutes for severe cases. Drop 3 ~ 5 times a day after the pupil spirit is reduced. You can also use the drug film of quinoline, 2 ~ 3 times a day, and place the drug film at the lower eyelid fornix, waiting for it to dissolve by itself. After 15 minutes, the pupil spirit began to shrink, which could last for 6 ~ 8 hours.

(3) Anti-green ointment: Start to shrink the pupil in 15 minutes, and shrink the pupil in 45 minutes.

(4) 1% Dinggongteng eye drops: 3 ~ 4 times a day. External application therapy: Appropriate amount of Coptis chinensis powder, ground into fine powder, transfer water into paste, and apply it to the foot heart (Yongquan point).

External application therapy: Shuangming Powder: Cassia Haliata and Cassia Grass are equally divided, ground, mixed with water into paste, and applied to temples.

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