In addition:
1. western medicine treatment
(1) mydriasis: It is very beneficial to inhibit inflammation, reduce exudation and prevent posterior adhesion. Commonly used drugs are atropine solution or ointment. If atropine solution is used, the lacrimal sac should be pressed to prevent poisoning (due to the high concentration of atropine solution 1% ~ 2%).
(2) Corticosteroids
① Mild patients can only drop cortisone or dexamethasone eye drops 4 ~ 8 times a day.
② Severe patients can be injected with dexamethasone under the bulbar conjunctiva, 2.5-3 mg each time, daily or every other day 1 time.
(3) Severe cases should also be combined with systemic medication, intravenous or oral hormones. For example, prednisone can take 30 ~ 60 mg at 8: 00 every morning, and gradually decrease after the condition improves.
(3) Wet and hot compress, 2 ~ 3 times a day, 20 ~ 30 minutes each time.
2. Chinese medicine treatment
This disease is called mydriasis in traditional Chinese medicine, and the treatment effect is good. We can use the method of combining traditional Chinese and western medicine.
(1) Wind-heat in liver meridian: eye pain, headache, photophobia, tearing, redness all over the body, ciliary tenderness, corneal posterior wall deposition, turbid aqueous humor, or dry mouth, red tongue with thin coating and rapid pulse.
Treatment: soothing liver, dispelling wind and clearing heat.
Prescription: See peristalsis keratitis. For patients with severe eye pain, Radix Rehmanniae, Cortex Moutan, Radix Salviae Miltiorrhizae and Radix Polygoni Multiflori are selected.
(2) Blazing liver and gallbladder: the pupil is very small, the beading pain refuses to be pressed, the eyebrows are painful, the aqueous humor is turbid, the mouth is bitter and dry, the tongue is irritable and irritable, and the tongue is red and yellow with fur, and the pulse is thready.
Treatment: clearing liver and benefiting gallbladder.
Prescription: See herpes simplex keratitis. Cortex Moutan and Radix Paeoniae Rubra can be added.
(3) Wind-heat: Eye symptoms include heavy head, chest tightness, sore limbs, yellow greasy tongue coating and rapid pulse.
Treatment: expelling wind, removing dampness and clearing heat.
Prescription: Radix Saposhnikoviae, Fructus Viticis, Radix Peucedani, Notopterygii Rhizoma, Radix Angelicae Dahuricae, Radix Stephaniae Tetrandrae and Rhizoma Coptidis each 65438 00 g, Cortex Phellodendri, Rhizoma Anemarrhenae, Scutellariae Radix and Fructus Gardeniae each 65438 02 g, Radix Rehmanniae 65438 05 g, Natrii Sulfas 45 g and Radix Glycyrrhizae 6 g.
(4) Inflammation of deficiency fire: it has become chronic in the later stage of the disease, with mild or reddish swelling, occasional pain, dry eyes, insomnia, fever in hands and feet, dry throat, red tongue and rapid pulse.
Treatment: nourishing yin and reducing fire, clearing liver tomorrow.
Prescription: Rhizoma Anemarrhenae, Cortex Phellodendri, Fructus Corni, Rhizoma Alismatis, Rhizoma Dioscoreae, Poria each 65438±02g, Radix Rehmanniae Preparata 20g, Cortex Moutan 65438±00g, Radix Salviae Miltiorrhizae 20g and Semen Cassiae 65438±05g.
Electric plum blossom needle
(1) acupoint selection
Key points: Divide into 2 groups. 1, positive light 1, positive light 2; 2, bright eyes, watery.
Matching points: Fengchi, Neiguan and Dazhui.
Zheng Guangdian 1 is located at the junction of outer 3/4 and inner 1/4 of the upper orbital margin.
Zheng Guang's 2 o'clock position: the junction of the outer 1/4 and the inner 3/4 of the orbital margin.
(2) treatment
The key point is 1 group. If the effect is not obvious, you can use the second group alternately. Choose 1 ~ 3 points to match points. Open the transistor medical instrument with electric plum blossom needle, the power supply voltage is 9 volts, and the current is less than 5 mA; Or turn on the electro-acupuncture instrument and adjust the frequency to 60 ~ 120 times/minute. Then tap evenly for 20 ~ 50 times in the range of 0.5 ~ 1 .2 cm at Zheng Guang1and Zheng Guang 2: 00; Knock Ming Ming and bear the cavitation for about 5 minutes. Tap Tongzhengguang with acupoints. Every day or every other day 1 time, 10 ~ 15 times is a course of treatment. The treatment interval is half a month.
(3) Evaluation of curative effect
Efficacy standard:
Recovery: visual acuity reached 1.0 or above;
The effect is remarkable: the visual acuity is improved by 3 grades (per line 1 grade or 0.0 1 to 0.09 according to the visual acuity chart), but it does not reach1.0;
Progress: visual acuity improved 1 ~ 2;
Invalid: no improvement or improvement below 1 level.
* * * 2676 eyes were treated by the above method, and the total effective rate was 94.2%. According to the above criteria, 494 eyes were cured (2 1.6%), markedly effective 1307 eyes (57.2%), improved 46 1 eye (20.2%) and ineffective in 22 eyes (1.0%).
Auricular point pill pressing
(1) acupoint selection
Key points: eyes, liver, kidney, myopia.
Matching points: 1, 2, Shenmen, Xin.
Location of myopia point: it is located between the esophageal point of concha cavity and the mouth point.
(2) treatment
Take 3 points at a time and match 2 points. Seed or magnetic beads (380 gauss) of Vaccaria seed were placed on a small square adhesive tape of 0.7×0.7 cm and stuck on the selected ear points. Auricles should be attached inside and outside to enhance stimulation. Patients should press themselves 3 ~ 4 times a day, every point 1 min. Stick one ear at a time. If you stick it on both sides, you should reduce the ear points for treatment to three points for rotation. Change the patch every week 1 time, 4 times is a course of treatment, and the treatment interval is 1 week.
(3) Evaluation of curative effect
* * * 2478 cases were treated, and the total effective rate was 72.1~ 77.1%[9 ~13].
Human acupuncture (1)
(1) acupoint selection
Key points: bearing gas, being clear, and being behind the mound.
Matching points: Ming, Fengchi, Sibai, Hegu, Bamboo and Sun.
(2) treatment
Take 1 ~ 2 points in the main points at a time, and match 1 ~ 2 points as appropriate. Take a 30 # needle with a length of 1.5 inch, and stab it obliquely in the eye direction at an angle of 30 degrees, about 1 inch. When there is a feeling of acid swelling or tears around the eyes, tap it 3 ~ 5 times, be careful not to lift and insert it greatly, and leave the needle 10 minute. Behind the ball and Jingming point, straight stab 1.5 inch. Send the needle slowly and do not twist it. When the eyeball is obviously sore, leave the needle 10 minute. A 30-gauge 2-inch needle is recommended. At Mingming and Fengchi points, take a 28 # 1.5 inch filiform needle and pierce it into 0.8 inch to get a needle sensation, that is, leave the needle 10 minute. After acupuncture into the remaining points, twisting manipulation can be applied to achieve moderate intensity stimulation. Leave the needle 15 minutes. Every day 1 time,1time is a course of treatment, with an interval of 3 days.
(3) Evaluation of curative effect
* * * 6 186 eyes were treated. According to the above criteria, 2 372 eyes were cured (38.3%), 65 438 0950 eyes were markedly effective (365 438 0.4%), 65 438 0543 eyes were effective (24.8%) and 340 eyes were ineffective (5.5%). The total effective rate was 94.5%.
Acupoint laser irradiation
(1) acupoint selection
Key points: bright eyes, weeping, and closing the valley.
Matching points: light (head), light (feet), and old-age care.
(2) treatment
Give priority to the main points every time. If the effect is not obvious, you can add points as appropriate. He-Ne laser irradiation was used, the wavelength was 6328 A, the power charge was 1.5 ~ 2 MW, and the working current intensity was 6 mA. The beam shines vertically. Patients sit up straight with their eyes closed, and each eye point is irradiated for 2 minutes, and the rest points are irradiated for 4 minutes. The spot diameter is less than 65438±0.5mm, and the beam emission angle is less than 2 milliradians. Choose 2 ~ 3 points each time, 1 time every day,1time as a course of treatment. The treatment interval is 3 ~ 5 days.
(3) Evaluation of curative effect
Efficacy standard: marked effect: visual acuity improved by more than 4 lines; Effective: visual acuity improved 1 ~ 3 lines; Invalid: no improvement in vision.
* * * 220 cases were treated and 200 cases were evaluated according to the above criteria. The results showed that 69 cases were markedly effective (34.5%), 65,438+065,438+04 cases were effective (57.0%) and 65,438+07 cases were ineffective (8.5%), and the total effective rate was 965,438+0.5%.
Walnut shell moxibustion
(1) acupoint selection
Main acupoints: Ashi point.
Matching points: eye 1, eye 2, eye, liver, kidney, Shenmen, heart and spleen.
Ashi point: suffering from eyes.
(2) treatment
First, make a special 1 moxibustion spectacle frame, put the walnut shell soaked with Flos Chrysanthemi Indici and Senecio Senecio for 2 days, and insert the moxa stick at a distance of about 1 inch. Put it in front of the patient, light it, close your eyes and moxibustion for about 20 minutes. Daily/kloc-0 times, 2 weeks as a course of treatment. In order to strengthen the curative effect, 4 ~ 5 acupoints can be selected, and Vaccaria seeds can be alternately applied on one side and two sides at a time, and patients are instructed to press themselves three times a day for 2 ~ 3 minutes each time. Change 1 ~ 2 times a week, and 2 weeks is a course of treatment.
(3) Evaluation of curative effect
Forty-two cases were treated by the above method, among which 10 cases were markedly effective, 28 cases were effective and 4 cases were ineffective (all accompanied by astigmatism), and the total effective rate was 90.5% [17].
Scalp acupuncture
(1) acupoint selection
Key points: visual area.
(2) treatment
Take both sides, use a 26 ~ 28 3-inch fine needle to obliquely prick along the scalp to the required depth, twist continuously for 2 ~ 3 minutes at a speed of > 200 times/minute, hold the needle for 20 minutes, repeat 1 ~ 2 times, and then take out the needle. 1 once a day or every other day, with 4 weeks as a course of treatment.
(3) Evaluation of curative effect
43 cases (86 eyes) were treated with the above method, and the results showed that 37 eyes recovered to normal, 47 eyes were effective and 2 eyes were ineffective, and the average visual acuity was improved by 0 ∶ 36. The average diopter decreased by 0.38 degrees [18].
Wrist and ankle acupuncture therapy
(1) acupoint selection
Key points: go up 1.
Upper point position 1: in front of the ulnar edge of the palm of the little finger, press with your thumb to find the depression.
(2) treatment
Take two acupoints and prick them with a 30 or 28 1.5 inch millineedle at an angle of 15 degrees with the skin. Then, lay the needle flat, make it close to the skin, and slowly send the needle near the heart. There should be no pain and relief. Needle retention 1 hour. When retaining the needle, the patient should look farther. Every day 1 time,1time is a course of treatment, and the interval of treatment is 3-5 days.
(3) Evaluation of curative effect
* * * 15 1 case, 229 eyes were treated. Results 17 eyes were cured (5. 1%), 97 eyes were markedly effective (32.4%), 46.5% were effective 139 eyes, and 46 eyes were ineffective (66%).
Body Acupuncture Therapy (Ⅱ)
(1) acupoint selection
Key points: Xin Ming I and Xin Ming II.
Xin Ming I position: the midpoint of skin wrinkles behind the earlobe, which is equivalent to a wind point with 5 points on the front.
Xin Ming II position: 5 o'clock from the brow 1 inch.
(2) treatment
Take out all the main points. When acupuncture Xin Ming I, the earlobe is pushed forward, the needle tip is inserted forward at a 45-degree angle, and the needle is inserted 1 ~ 1.5 inches to the back of mandibular condyle. The needle is slowly lifted by twisting and fast insertion, with the lifting range of about 1mm and the twisting frequency of about 80 times/minute, which induces the eye-sensitive area of the needle and transports the needle for 65,000 times. After feeling the needle, use the above method to quickly twist the needle in a small arc forward and down, with a frequency of more than 200 times/minute, which makes the eyeball feel hot. The needle was transported for 65,438+0 minutes without leaving the needle. Every day 1 time, each time 1 minute, only the affected side was taken. 10 is a course of treatment with an interval of 3 days.
(3) Evaluation of curative effect
* * * 630 cases were treated, 1240 eyes. After three courses of treatment, 970 eyes were cured, 220 eyes were markedly effective, 43 eyes were effective and 7 eyes were ineffective. The total effective rate was 99.4% [19].
TCM Massage Correction and Rehabilitation Methods
Natural eyesight rehabilitation:
Under the theoretical guidance of this method, Chengdu Kangna Pharmaceutical Technology Co., Ltd., together with doctors and experts in pharmacy from West China University of Medical Sciences, developed a powerful eye-clearing massage cream and a Tongluo massage cream based on the foot reflex theory of "treating diseases at the top and treating diseases at the bottom". Through specific acupoint massage, the local penetration and absorption of drugs can be realized, nutrients can be increased directionally, capillaries in ciliary muscles can be quickly dredged, microcirculation can be accelerated, and the vision of retinal ganglion cells and the sensitivity of optic nerve can be enhanced. They complement each other, greatly improving the curative effect of the drug and avoiding the possible side effects of the drug on the human body. It has excellent recovery effect on mild and moderate myopia and can effectively prevent rebound after recovery. For patients with high myopia, it can prevent the continuous decline of vision and promote recovery. This method pays attention to overall conditioning and enhances children's physique and immunity. Experiments show that this method is a real green therapy, with no side effects, safety and high efficiency, which reduces parents' concerns about their children's health and safety to zero!
Foot reflex assisted rehabilitation for myopia, hyperopia, amblyopia and astigmatism.
Foot is an important part of human meridian circulation. The so-called "feet are the bottom of people, wash once a night." Motherland medicine has long said that "all diseases are removed and all diseases are treated". Human health is closely related to feet. A man has feet just as a tree has roots. "When a tree dies, the roots are exhausted first, and people are old first." . The health care function of feet on human body has long attracted the attention and research of the ancients. Among them, "foot bath" has been popular for thousands of years because of its simple and effective characteristics.
According to historical records, Sima Qian said that in ancient times there was a folk doctor named Yu Yong who treated diseases with his hands and feet. He can cure the disease without soaking in wine and drinking soup, and only uses the method of "pricking his feet with needles and stones". Until the famous doctors in the Warring States period treated Prince Guo's fainting, they also praised Yu's superb medical skills as a "response to the disease." In Huangdi Neijing, China's oldest medical work 2,500 years ago, the basic theory of plantar reflex zone was discussed, and various physical methods such as damp-heat massage and shiatsu were summarized. Foot massage was quite mature at that time.
"toe-gazing method" (a diagnosis and treatment method) in ancient Huangdi's Zuxin Pian; The meaning of "keeping feet" in "The Pass of Mohe" written by eminent monks in Sui Dynasty (rubbing feet often can cure many diseases); Hua Tuo, an imperial doctor in the Han Dynasty, wrote "sufficient heart" (meaning the knowledge of the sole of the foot) in Hua Tuo's Secret. In Sima Qian's Historical Records, "treating diseases with foot" ("Yu" means "healing" and "Zhi" means instep); Fourteen Classics of Boren in Yuan Dynasty. , discussed in detail and fully affirmed the rehabilitation and health care function of foot massage. In the Ming Dynasty, foot massage was further developed. Later, with the further development of Confucianism, barefoot was considered rude and indecent, and foot-binding for women was considered a virtue for women. Therefore, this kind of foot massage therapy with great medical value is gradually excluded from orthodox medicine, which seriously hinders its development.
In foreign countries, China's pedicure has been widely used and spread, and it is called "foot-heart therapy" in Japan; European and American countries call it "reflex therapy" or "regional therapy", which can be described as flowering inside the wall and fragrant outside the wall.
Foot is regarded as the "second heart" of human body, and the health care therapy of foot reflex zone has long been listed as complementary medicine and applied in clinic. According to the theory of biological holography, the foot contains all the information about the health of human organs, and it plays an important role in health care. There is a one-to-one correspondence between human viscera and plantar acupoints. Foot massage promotes the brain to transmit signals through the reflex zone, improves human endocrine and blood circulation, and regulates the physiological environment.
Traditional Chinese medicine regards the whole as a part and the foot as a holographic embryo of the human body, which is full of information of the internal organs. Foot massage is a massage for the whole body. The meridian theory of traditional Chinese medicine holds that the foot is closely connected with the viscera of the whole body through the meridian system, which constitutes the unity of the foot and the whole body. There are six meridians in the twelve meridians of human body, namely, Foot Three Yin Meridian and Foot Three Yang Meridian, which are distributed in the foot. Foot is the beginning of foot three yin meridians and the end of foot three yang meridians. These six meridians are connected with the Sanyang Meridian and Sanyin Meridian of the hand and run through the whole body. The Yinqiao pulse, Yangqiao pulse, Yin Wei pulse and impotence pulse of the eight odd meridians all originate from the foot, and the chong pulse branches from the foot, thus strengthening the connection between the foot and the tissues and organs of the whole body. Foot massage can stimulate and regulate viscera, dredge meridians and enhance metabolism through foot massage, so as to achieve the purpose of strengthening the body and eliminating diseases and pathogens.
Exercise: Turn the eyeball, with eye-catching health care drugs, scientific diet and exercise, can completely eliminate ciliary muscle spasm and restore cell elasticity. The patient's vision reaches normal level, so he can take off his glasses.
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Surgical treatment of myopia
PRK: excimer laser keratectomy
The principle of surgery is to use excimer laser to cut the central front surface of cornea, that is, to remove the shallow matrix of anterior elastic layer and epithelial layer, so that the curvature of the front surface of cornea decreases, the radius of curvature increases, the refractive power decreases, and the focus moves back to the retina, thus achieving the effect of correcting myopia, just like grinding a pair of myopia lenses on your own cornea. LASIK has been gradually replaced by LASIK because of postoperative pain, long-term medication and easy regression.
Excimer laser in situ keratomileusis
The principle of operation is to make lamellar corneal flap with pedicle on the corneal surface by using automatic microscopic corneal lamellar system. After the corneal flap is turned over, the excimer laser computer controls the multi-step sectional cutting of corneal stroma, and finally resets the corneal flap. This method preserves the integrity of corneal epithelium and anterior elastic layer, and uses 193 nm excimer laser to cut corneal stroma, thus avoiding the occurrence of haze after operation. This kind of surgical equipment is precise and expensive, which requires high surgical technology and sterile surgical environment and can only be performed in large hospitals with good conditions. At present, LASIK has become the most commonly used refractive surgery method, and it is widely used all over the world to take off glasses for many myopia and hyperopia patients. This technique is suitable for myopia patients within 1400 degrees.
PRK has been gradually replaced by LASIK because of postoperative pain, long-term medication and easy regression.
Among them, Torsion Lasik is abbreviated as TK, which is translated into excimer laser myopia surgery with iris recognition, rotational positioning and wavefront aberration guidance in Chinese, which is a leap in traditional laser myopia surgery. At present, there are only a handful of people who can perform this kind of operation in China.
LASEK: excimer laser keratomileusis
LASEK is a new generation of excimer laser surgery. Different from LASIK, it uses a corneal epithelial trephine to cut the epithelial flap, with a thickness of 60-80 microns, a diameter of 8- 10 mm and a pedicle curvature of 30 degrees. After the epithelial flap was opened, it was ground in situ with excimer laser to change ...
Matters needing attention in laser treatment of myopia
At present, laser myopia surgery on the market is generally "excimer laser in situ keratomileusis" (LASIK), which can be completed in tens of seconds without bleeding or leaving scars. But there are many hidden dangers if such a minor operation is not done well, especially for teenagers under 18.
To achieve this, we must achieve "three strictness":
First of all, choose a hospital carefully. LASIK is a highly automated operation, which requires high technical level of surgical equipment and doctors. At present, many hospitals do not have surgical conditions, but use false advertisements and medical treatment to deceive patients, often reducing inspection procedures and even deliberately concealing existing surgical risks.
Secondly, strict preoperative examination. Although excimer surgery technology is mature, it does not mean that all patients are suitable. The following conditions must be met to use this operation:
First, the age is between 18-50 years old, and the eyes of teenagers under 18 are not fully developed, and their diopter is unstable, and their postoperative vision may be reduced or even hyperopia;
Second, the myopia degree should be stable for more than two years;
Third, patients with keratoconus, corneal scar, amblyopia, retinal diseases and defects, diabetes, collagen diseases, autoimmune diseases and other systemic diseases are not suitable for surgery.
Only strict preoperative examination can exclude the above unsuitable patients and ensure the best effect of the operation. Preoperative examination includes not only routine examination of eyelid, fundus and lacrimal passage, but also special examination of mydriasis optometry, intraocular pressure, corneal topography, wavefront aberration and retinal thickness. In addition, patients should not wear hard contact lenses within one month before surgery, soft contact lenses within two weeks before surgery, and use antibiotic eye drops every day for three days before surgery.
Third, take care of eye protection after operation. After the operation, the patient thought it was a success and took it lightly. In fact, postoperative eye care is equally important for the surgical effect. Postoperative vision recovery is a gradual process. It usually takes a few days or a month or even longer to achieve the best results.
Need to pay attention to the links are:
First, try to close your eyes and rest within 24 hours after operation. You can't take off your blindfold, rub your eyes or blink with your hands.
Two, must be in strict accordance with the doctor's advice eye drops, shall not use other eye drops;
Third, in the early postoperative period, you should avoid splashing water on your eyes when taking a bath or washing your hair, and don't swim in public swimming pools;
Fourth, it is forbidden to repair eyes within one month after operation to avoid the environment with more irritating gas and dust;
5. You can wear sunglasses or windshield when you go out within one month after surgery to avoid using your eyes at close range for a long time. If you have a heavy study workload, it is recommended to shorten the eye use time every time you work close.
Dietotherapy for myopia
Data show that the vast majority of myopia occurs in the physical growth and development period of children and adolescents. If the nutrition can't keep up or the child has a bad appetite, picky eaters and anorexia, it will lead to malnutrition in the child, which will lead to myopia.
For example, vitamin A deficiency will increase the pressure in the orbit, lead to exophthalmos, lengthen the distance between front and back, and form myopia. The things containing vitamin A mainly include pig liver, chicken liver, milk, carrots, pumpkins, spinach, peppers and so on.
Too little hard food is also a reason for teenagers' myopia. Fine diet in daily life will also affect your eyesight. Because the vision is equivalent to the lens of the lens, it is adjusted according to the activity of choroidal tissue, so there is chewing exercise to do eye exercises. The main foods in this area are fruits and beans.
Here are several kinds of soups:
1. Mushroom and laver soup: 250g of fresh oyster yolk, 200g of mushrooms, 30g of laver, sesame oil, salt and monosodium glutamate. Boil mushrooms and ginger in boiling water for 20 minutes, then add fresh oyster yolk and laver, and eat after boiling. Nourishing yin and strengthening yang, invigorating spleen and enriching blood, and improving eyesight.
2. Peanut seeds and jujube paste: peanut kernel120g, pumpkin seed 60g, jujube 80g, rice flour 250g and soybean flour 30g. Stir-fry peanuts and pumpkin seeds, peel them, remove the core of jujube and mash them, then add wet rice flour and wet soybean flour, add 20 grams of lard and steam for 40 minutes. Strengthening spleen and nourishing blood, improving eyesight.
Therefore, preventing myopia can be adjusted through diet.