●Injections of vitamin B
If tension is the main factor, vitamin B can be injected with good effect.
●Laser therapy
If medication still doesn't control the condition, try laser therapy before resorting to other surgical procedures. New tests have shown laser therapy to be effective in open angle glaucoma. This is done by using a laser to irradiate the iris, creating a small hole to relieve eye pressure. In acute or closed angle glaucoma, the cornea is blurred by edema caused by high intraocular pressure. In this case, it is feared that laser therapy is not the best option and further surgery is required.
●Supplementation
1) Choline
1,000-2,000 milligrams per day. An important vitamin.
② Pantothenic acid (B5)
Supplement with 100 milligrams of each 3 times a day.
③ Rutin
Supplement 3 times a day with 50 mg of each.
④ Vitamin B complex
Take 50 milligrams of each 3 times a day with meals or by injection if necessary.
⑤ Vitamin C
plus bioflavonoids 3 times a day can dramatically lower IOP.
6 Vitamin E
400 IU per day. Recent studies have shown that Vitamin E helps to remove small particles from the crystal.
7 Germanium
If your eyes are uncomfortable, take 100-200 milligrams of germanium per day to provide oxygen to the eye tissues and relieve pain.
Surgery
How to correctly evaluate the effect of surgery on glaucoma treatment?
Currently, surgery for glaucoma is the last and only important means of Western medicine. The purpose of surgery is to better control the intraocular pressure (IOP), and for patients with closed-angle glaucoma and narrowed or closed anterior chamber angle, the temporary control of IOP can play a significant role, but it does not rectify the real cause of the IOP elevation and the closed angle of the aperture, which creates a false sense of security for the patient and the patient, believing that if they have had the surgery for glaucoma, it will be fine, recur or be closed again, and the patient will have no chance to recover from the surgery. will be fine and relapse or blindness again. More than once, the same question has been asked, "Why am I still blind after surgery?" Glaucoma surgeries for open-angle, malignant, and intraocular inflammation are not only pointless, but also accelerate the progression of the disease. Therefore, our evaluation of the surgery is "temporary lowering of intraocular pressure, relieve symptoms, from the root of the disease can not be corrected", after the operation should be actively used in traditional Chinese medicine to treat the cause of the disease, in order to achieve the effect of healing.
Currently, Western medicine's understanding of glaucoma is summarized as "the onset of one eye (or both eyes), secondary blindness in both eyes, lifelong medication, blindness at any time," the disease has not yet found the exact cause of the disease, and there is no treatment. Pupil shrinking agents, carbonic anhydride inhibitors, hypertonic agents, hormones, even if the operation is only a temporary reduction in intraocular pressure, alleviate the symptoms, and ultimately end up blind, so it is called "incurable disease".
Glaucoma and blindness
Glaucoma is one of the most common blinding eye diseases, due to a variety of reasons to bring patients the pain of blindness. The common causes are as follows:
①Open-angle glaucoma and part of the chronic closed-angle glaucoma, because there is no symptom, the patient does not know that their eyes have a disease, and once found that it is already advanced or has been blind.
②Patients do not listen to the doctor's advice, do not trust the doctor, unwilling to do any examination, will be the best time to miss the treatment.
③ Insufficient knowledge of the dangers of glaucoma, not caring about their own disease. Some people just work hard and never go to the doctor until they feel that their field of vision is shrinking, and then they go to the hospital for treatment. At this time, it is often already very advanced, an eye lost for nothing.
4 can't take medication on time, when there are symptoms, they will order medication, when there are no symptoms, they will not order medication, they never measure the intraocular pressure, and they don't know how the intraocular pressure is controlled after ordering medication. The irrational use of medication delays treatment.
5 Do not listen to the doctor's advice. Fear of surgery, the doctor before the operation to treat the operation prognosis, can not be correctly treated, always afraid of surgery will be vision loss or even blindness, the operation delayed again and again, until the late stage of the loss of the best time for treatment.
6 Some post-surgical patients, because of the disappearance of symptoms, thought that glaucoma has been completely cured, and neglected to follow up the observation, regular monitoring, some patients in the post-surgery unknowingly blind.
7 Some patients only pay attention to the observation of intraocular pressure after surgery without checking whether there is any change in the visual field. Some patients have abnormal hemodynamics, such as suffering from cardiovascular disease, hypotension and increased whole blood concentration. Due to the interaction of these factors, the optic nerve is in a chronic state of insufficient blood supply for a long period of time, which results in progressive narrowing of the visual field, leading to blindness.
In view of some of the above situations, it is recommended that glaucoma patients, must listen to the doctor's advice, and actively strive for early and effective treatment, and strive to minimize the damage to visual function. Traditional Chinese Medicine Treatment The treatment of this disease focuses on the liver. In the acute attack period, clearing heat, diarrhea, calming the liver, extinguishing wind, regulating qi, lowering reverse flow, transforming drinks, etc., depending on the pulse evidence, or a single method alone, or a number of methods, do not be bound to one end. Once the disease is slowed down, the treatment should be cultivated to tonify the liver and kidney, supplemented by diarrhea, calm the liver, quench the wind and other methods.
(I) Identification of symptoms and selection of prescriptions
1. Liver meridian solid heat
Treatment: clearing heat and diarrhea, calming the liver and quenching the wind.
Prescription: green wind antelope drink ("Medical Zong Jinjian") plus subtraction. Antelope horn powder 0.5 ~ 1g (punch), Xuan Shen 15g, Scutellaria baicalensis 9g, Zhi Mu 9g, Psyllium 15g, Poria 15g, rhubarb 10g, Platycodon grandiflorus 10g, Xin Xin 3g, Fenghuang 3g, if the heat is prevalent, add Gentian grass, Hook Teng, in order to enhance the clearing of the liver and quenching the wind power; vomiting is very bad, add bamboo eggplant, Fagopyrum sativum, Dendriticum, in order to lower the reversal to stop vomiting.
2. Liver depression and stagnation of Qi
Treatment: dredge the liver and clear away heat, lower the rebellious and stomach.
Prescription: Dangmai Free San combined with Zuojin Wan plus reduction. Chaihu 9g, angelica 15g, white peony 15g, poria 10g, atractylodes 10g, licorice 6g, peppermint 6g, ginger 10g, dandelion 9g, mast 9g, Huanglian 10g, cornelianthus wu 3g. more serious stagnation, add Xiangshu, Qingpi, jinzhuizi; eye pain is very and the red red red is more intense, add stone vitex, grass vitex, xiakoucao; vomiting is more intense, add cyclamen, ochre in order to strengthen the power of the reversal to stop vomiting. The first is to add a few more to the list, and then to add a few more to the list.
3. Liver yang hyperactivity
Treatment: nourish yin and submerge yang; calm the liver and quench the wind.
Remedy: Antelope Hook Teng Soup ("Popular Treatise on Typhoid Fever") plus subtractions. Antelope horn powder 1.5g (punch), hook vine 12g, mulberry leaf 9g, chrysanthemum 12g, raw and ripe ground each 24g, white peony 30g, 6g of Sichuan shellfish mother, Poria 12g, 15g of Zhu Ru, 25g of hyssop, raw stone 20g. If the Yin deficiency is obvious, add chasteberry, Schisandra chinensis, Cornus officinalis; if the fire is full of people, add Zhi Materia Medica, cypress, Xia Ku Cao: if the heart is upset and does not sleep, add gardenia; raw oyster, fried jujube nut.
4. phlegm fire wind
Treatment: diarrhea fire and phlegm, calm the liver and wind.
Prescription: General Tingpang Pill plus reduction. Rheum palmatum 10g, scutellaria baicalensis 10g, white silkworm 10g, chenpi 10g, tianma 6g, tangerine pedicel 6g, green pores and stones 20g, dahuric dahuric dahuric dahuric dahuric dahuric dahuric dahuric dahuric dahuric dahuric dahuric, mint 6g, half-summers 10g. phlegm fire, add aloe vera, tangerine Luo, the system of gallbladder star, in order to enhance the function of fire and phlegm; chest and epigastric epithelial fullness of the tangerine pedicel, dahuric dahuric dahuric dahuric dahuric dahuric, add diarrhea, fried laihaozi, white mustard.
5. Drinking evil on the offense
Treatment: warming cold drinks, lowering the reversal of pain.
Prescription: Wu Zhu Tang (《Examining Yaohan》)added subtraction. Ginger Cornu Cervi 12g, ginseng 12g, Radix et Rhizoma Glycyrrhizae 6g, Rhizoma Ligustici Chuanxiong 10g, Poria 20g, Radix Bupleurum 10g, Pericarpium Citri Reticulatae 10g, if the vomiting and retching are more serious, then add Semen Xie and Xin Xin to enhance the power of transforming the cold drinks and lowering the retrogression; if the headache is very serious, then Rhizoma Ligustici Chuanxiong and Cornu Cervi, if the chest tightness is poor, then add Rhizoma Atractylodes Macrocephala and Cardamomum Cardamomum, and if the extremity is against the cold, then add Radix Polygonatum Officinale and Cortex Cinnamomi.
6. Spleen deficiency and dampness
Treatment: strengthen the spleen and promote dampness.
Prescription: Wu Ling San ("Treatise on Typhoid Fever") plus subtractions. Poria 10g, Poria 12g, Rhizoma Atractylodis Macrocephalae 12g, Zedoaria 10g, Radix Paeoniae Lactiflorae 10g, Hyssop 10g. If the person who has little food and poor appetite, add Jiao Sanxian, Semen Coicis, and Pericarpium Citri Reticulatae.
7. Heart and lung qi deficiency
Treatment: nourish the heart and qi.
Prescription: roasted licorice soup combined with sheng pulse san ("internal and external injury discernment and confusion theory") plus subtraction. 12g of roasted licorice, 9g of ginger, 9g of ginseng, 10g of Radix et Rhizoma Shengdi, 10g of Ophiopogon, 10g of Fructus Schisandrae chinensis, 12g of Radix Angelicae Sinensis, 9g of Rhizoma Ligustici Chuanxiong, and if insomnia and excessive dreaming, add Jujubae Nut, Yuan Zhi, and Phellodendron Bark. Other therapies
Dotting the eyes: there are the following kinds.
(1) 1% Pueraria Mirifica Eye Drops: 2 times a day, continuous medication. This product mainly makes the ciliary bulge vasoconstriction, reduce the secretion of aqueous humor and reduce intraocular pressure at the same time should pay attention to two points: ① a small number of patients with a mild drop in blood pressure, so hypotensive patients should be used with caution; ② a small number of patients with foreign body sensation after dropping, can be relieved after 1 to 2 minutes, you can continue to use the drug.
(2) 1% betaine eye drops: severe cases every 15-30 minutes, 1 eye drops. Pupil shrinkage after 3 to 5 times a day drops. Also can use betaine film, 2 to 3 times a day, the film placed in the lower eyelid vault, to be dissolved. 15 minutes, the pupil began to narrow, can be maintained for 6 to 8 hours.
(3)Anti-cyanotic ointment: the pupil begins to shrink in 15 minutes after the point, and the pupil shrinks in 45 minutes.
(4) 1% Ding Gongteng eye drops: eye drops 3 to 4 times a day. External therapy: Huanglian powder appropriate amount, research into fine not, mix water into a paste, compress the heart of the foot (Yongquan point).
External treatment: double Ming San: stone cassia, grass cassia each equal parts, research not, water into a paste, coated temples.