Cataract

eye
The article is extracted from English-Chinese Concise, Traditional Chinese Medicine, Publishing House of Shanghai College of T.C.M. (1993)

Identification and Treatment

1 Yin Deficiency of the Liver and Kidney.

Main Manifestations: Early cataract with senile debility, dizziness, tinnitus, and soreness of the low back. Red tongue with scanty coating or without coating, thready and rapid pulse.

Therapeutic Method: Nourish the liver and kidney.

Decoction: Prepared rehmannia root 24g, Chinese yam 9g, dogwood fruit 9g, moutan bark 9g, oriental water plantain rhizome 9g, poria 9g, schisandra fruit 9g, Chinese angelica root 9g, sesame seed 12g, mulberry fruit 12g, cassia seed 12g, and wolfberry fruit 12g.

External Treatment: Use the needle to dissect the cataract.

2 Deficiency of the Liver and Dampness of the Spleen

Main Manifestations: Early cataract, plumpy constitution, mental fatigue and lassitude, edema in lower limbs in the afternoon or after tiredness. Pale tongue, feeble pulse.

Therapeutic Method: Tonify the liver, strengthen the spleen and dry the damp.

Decoction: Prepared rehmannia root 24g, Chinese angelica root 9g, chuanxiong rhizome 9g, white peony root 9g, red tangerine peel 9g, prepared pinellia tuber 9g, raw licorice 9g, plantain seed (decocted in bag) 9g, betel nut 12g, chrysanthemum 12g, pleione rhizome 3g, and poria 9g.

Medicated Diet

1 Decoct 15g of Siberian solomonseal rhizome, 9g of wolfberry fruit, 3g of chrysanthemum flower, 18g of pearl shell, 9g of dried tangerine peel and a right amount of brown sugar in water. Take one dose daily, for 10 – 15 days successively. The decoction is applied to the type of kidney yin deficiency.

2 Wrap 3g of bat’s feces, 30g of Chinese yam, 9g of dodder seed in a piece of cloth. Add 2500ml of water and boil the drugs until 1500ml of decoction is left. Then, put 60g of polished round grained rice and right amount of brown sugar into the decoction to make gruel after removing the dregs. Take the gruel a dose a day, 15 – 20 doses successively. The recipe is suitable for the type of deficiency of both the liver and spleen.

3 Have 10 sparrows. Get rid of their feathers, wings, claws and beaks, and smash their intestines, stomachs, bones and flesh together. Have magnetite 30g calcined and dipped into vinegar repeatedly for 7 times, and then grind it into fine powder. Grind medicated leaven 30g into fine powder after it is fired. Grind halite 30g and desert living cistanche 30g into powder after they have been soaked in wine and wine-fried. Grind dodder seed 90g into powder after it has been soaked in wine for 3 days and dried under the sunlight. Make pills with all the above powder and a right amount of rice wine and honey by refining them into soft extract, with each pill in 0.6g. Take 20 pills each time, twice a day, after being infused with warm wine. Take them for several days successively.

Cataract II

eye
By Shandong Science And Technology Press (1985)

Cataract is a condition of any opacity of lens and is a common eye diseases.There is neither nerve nor blood vessel in the lens. The nutrition of lens depends upon aqueous humor, which nourishes the lens through its capsule, thus the metabolism of lens is retained. Any condition disturbing the lens metabolism (e.g. inflammation, trauma etc) may cause opacity of lens.

Cataract may be present in any year of age but more in senile.

Symptoms and Signs:

According to the time of attack, cataract may be divided into two types – congenital and acquired. Acquired cataract mostly occurs in senile age. Cataract may also be caused by trauma. Adolescent cataract and cataract due to other disease may be also present.

The opacity of lens may look like flower of date or as oil floating on the water. The margin of opacity is usually clear. The range of disturbance in vision is various with location opacity.

Treatment:

A Points:
Group 1: Jingming, Yangbai, Fengchi, and Hegu
Group 2: Qiuhou, Taiyang, Yiming, and Binao

B Procedure:

Adapt two group points alternately for each seven days, which are recorded as a therapeutic course. The internal between courses is 2 ~ 3 days. Remedy is given once daily. The manipulation of needles is same as in pathological changes of optic nerve, retinopathy and acute conjunctivitis. All manipulation should be quick.

C Case Examples:

Case 1.

Oct 3, 1964, O.P.D. patient Ke, male 37 years old, a cadre.

There was a piece of white opacity on the right upper on the right lens, sized as a date flower with clear margin. Vision much disturbed when looked to the right. Patient received treatments in past half year in a hospital but did not cure and he was advised to treat with acupuncture therapy in author’s O.P.D. Jingming, Yangbai, Fengchi, Hegu were penetrated once daily with quick manipulation. Lens opacity disappeared after 5 treatments given. No recurrence in 10 years.

Case 2.

Nov 7, 1965, O.P.D. patient Li, male, 11 years old, a student.

There was a small area of lens opacity in the medical lower portion of left lens, looking as a new moon, the color was whitish with clear margin. Patient’s visual acuity was much disturbed.

Treatments were given as above. Two groups of points adapted alternately, one group for each course with the internal of 3 days. Remedy was given once daily. Lens opacity much diminished after 5 courses of treatment.

Remarks:

Cataract is a modern medical term, which is much like “Yun Wu Yi Jing” in its initial stage and “Yin Nei Zhang” or “Yuan Yi Nei Zhang” in the mature stage, in Chinese traditional medicine. “A Precious Bood of Opathalmology” described: “The diseased (cataract) area is white in color, various in size and thickness. Patient feels there is some moving substance in his visual field.” The pathogenesis has also been described in same book, which is much similar to the description in modern medicine.

Since there is no blood vessel, nerve and active cells in the lens, some medical books consider that there is no metabolic activity in the lens and its pathological change is passive in nature and this treatment is therefore very difficult, only extraction may be performed.

In contrast with above, there has been much more understanding about cataracts and much experience has been obtained in treating this disease in the field of Chinese traditional medicine.

A report of acupuncture treatment for cataract presented by Zhong Shan Medical College has represented that the therapeutic efficiency in 43 cases (80 eyes) was 73.7% (59 eyes). The results of Guangxi Worker’s Hospital in 24 cases (32 eyes) were: 8 eyes cured, markedly improved 11 eyes, mildly improved 9 eyes and no effect in 4 eyes.

Reports described above indicated that acupuncture therapy to treating cataract is very appreciable.

Chinese traditional physicians thought that aqueous humor is the vital liquid in the eye, which is resulted from the accumulation of Qi which is the functional activity of organs and metabolism is also included there.

In fact, vitreous body is a part of the body and has its own metabolism but much lower than the others.

Acupuncture therapy may excite the function of the various part of the eye, disperses the channels around the eye and promote the local metabolism. Treatments given above are beneficial to the absorption of cloudy substances in case of cataract.