Acute Conjunctivitis

Eyes

It is an acute communicable eye disease infected by bacteria or virus, usually occurred in the spring and autumn.

Symptoms and Signs:

The primary symptom of this disease is redness of conjunctivae with increasing of secretion.

In mild cases, only congestion appears in retrotarsal fornix and the palpebra conjunctiva, while in those of acute cases, generalized congestion of eyeball associated, and mucoid or mucopurulent discharge may be presented.

Swelling of lids, itching sensation, foreign body sensation, photophobia, heating sensation, headache etc may be associated.

Treatment

Points: Taiyang, Jingming, Fengchi, Hegu, Ear Lobule (for taking blood)

Procedure: Puncture Taiyang with three edged needle, if there is blood stasis around the Taiyang.

If there is no blood stasis around Taiyang, penetrate Taiyang, Jingming and Fengchi till bleeding. Take few drops of blood from ear lobule, then drop it into the diseased eyes, and puncture Jingming, Fengchi and Hegu afterward.

Let patient lie on his back and close the eyes, penetrate Jingming 0.5 ~ 1cm in depth, which is a point easily bleeding, therefore, insertion of needle must be gentle. Fast twirling and lifting needle is contraindicated, but scraping the needle is appreciated. Ask patient to be in sitting position after the needle has been inserted.

In penetrating Fengchi, the needle should be toward left for the right eye, and toward right for the left eye. The depth of needle insertion is 0.5 ~ 1 inch and twirling the needle during puncturing.

Hegu is penetrated with needle toward Laogong. Twirling and scraping technique are used.

Retaining the needles in above remedy are 30 ~ 60 minutes. Manipulate the needle once every 15 ~ 20 minutes. Acupuncture given once every 2 ~ 3 days for seven cases, and once a day for usual cases.

Case example:

Oct 3, 1963, O.P.D. patient Wang, female 29 years of age, a peasant.

Lacrimation and itching of both eyes for 3 days.

Examination revealed swelling of lids, redness of conjunctivae. Purulent discharge occurred. Patient had her head with her arms for intolerable pain. The diagnosis was acute conjunctivitis. In treatment, puncture blood stasis area in Taiyang point till bleeding. Take few drops of blood from ear lobule and drop into the eye.

Puncture Jingming, Fengchi and Hegu with retaining the needle for 1 hour. Manipulated the needle once every 20 minutes.

Thirty minutes of penetration led the improvement of headache and painful sensation of eyes.

Patient could open here eyes after puncture. Acupunctures were given twice with interval of 6 hours.

On the next day, headache and swelling of lids lost redness of conjunctiva reduced. Remedy was given once again.

Oct 6, that was the third visit, treatments were given 3 times. All symptoms lost except lacrimation. Fengchi, Taiyang and Jingming were punctured and were manipulated as above.

Retaining the needle for 30 minutes. Needle was manipulated once every 10 minutes. Remedy was given every other day since then.

Two further treatments were given for strengthening the effect.

Remarks:

In Chinese traditional medicine, acute conjunctivitis was called “Tian Xing Chi Yan” or “Bao Fa Huo Yan”. It’s local name is “Hong Yan”.

This disease has been recognized in Chinese traditional medical book. A “Precious Book of Ophthalmology” as following: “The communicable diseases become fashionable in hot weather, thus triple warms are excited … those phlegm fire heat diseases are infected to every body.

The pathogenesis described in “Essentials of Ophthalmology” was “The acute contagious epidemic conjunctivitis is due to transmission of toxic air to the human body.

Treatments described in “A Classic of Acupuncture and Moxibustion” were: “Redness and painful sensation are in relation to Tianzhu, while the impairment of vision and itching of eyes are in relation to Jingming.”

“Compendium of Acupuncture and Moxibustion” considered: “ In treating swelling, congestion and itching pain of eyes, Zanzhu, Hegu, Yingxiang, may be used.”

The principles of treating acute conjunctivitis are to clear away the heat evil and wind; relieve swelling and pain; calm the liver; expel the heat evil; clean the blood and expel the toxic substances.

Puncture of Taiyang, Sizhukong and Tongziliao till bleeding can clean the blood and expel toxic substances, relieve pain and swelling.

Fengchi locates on the across of channels of Hand-Shaoyang, gallbladder channel of Foot-Shaoyang and Yangwei Mai. Channels of liver and gall bladder are related to each other superficially and internally, therefore, penetration of Fengchi may both calm the liver expel the heat evil and clean away the wind.

Hegu is a point belonging to large intestine channel and promote sweating to expel the exogenous evils from the body surface.

Jingming is the point specialized in treating eye diseases. Penetration of Jingming can clear the wind, expel heat evil and improve the visual acuity.

Blood taken from ear lobule dropping into eye, may control inflammation and eliminate the nebula with good effect.

Trachoma

Eyes
By Shandong Science And Technology Press (1985)

It is a chronic infectious disease caused by the virus. It is a very important infection on account of its disastrous complications and squaclae, which are responsible for many cases of partial or total blindness.

Symptoms and Signs

In mild cases, there is slight foreign body sensation in the eyes and the discharge is usually small in amount. Those of severe cases are feeling of stimulation sensation and much discharge associated with photophobia, lacrimation, inversion of lids and eyelashes. Corneal ulcer may also complicate.

Treatment

A Points: penetrate Sizhukong toward Yuyao, or Zanzhu toward Yuyao; puncture Sibai toward Jingming. Fengchi and Hegu penetration also required.

B Procedure: pinch up the skin around the point with the thumb and index finger of left hand, then insert the needle rapidly toward the other point. Twirl or scrape the needle.

Twirling the needles for the points of Fengchi and Hegu only.

Acupuncture is given once daily till cure.

For all points mentioned above needles should be retained in short duration.

C Case example:

Patient Song, a female, 65 years of age, a housewife.

Patient suffered from trachoma for 10 years. The symptoms were various with time and became more severe in recent days. Photophobia, lacrimation and itching of eyes were associated.

Examinations revealed trachoma II O.S. III O.D., inversion of eye lashes, much discharge was present. Patient’s symptoms were diminished after acupuncture given twice and almost after 5 remedies.

Remark

Trachoma belongs to the class of “Jiao Chuang” or “Su Chuang” in Chinese traditional medicine, which also reported its pathogenesis, symptology and treatment.

Ancient medical book “Essentials of Ophthalmology” considered: “Congestion of lids for years causes growth of Feng Su on the lips … heating of the stomach and the spleen causes growth of Feng Su, then gradually becomes a size of rice even a shape of red bay berry. Those granular substances rub the pupil of eyes.” The treatments for it are puncturing the granules with needle … iron it if possible, better result will be presented. Much symptoms and signs had been in old medical books as follows in this disease, there are granules (as chestnut) on the lids which are caused by evil in the lungs, heat in the large intestine and wind in the liver.

From the review above, it is known that the pathogenesis is related to the following factors: evil heat in Yangming, evil accumulated in lungs, liver-heat stirring inside, gall-bladder fire moving upward and obstructing the channels, blood stasis etc. The principles of treatment therefore are clearing the heat, detoxification, promoting the blood circulation and eliminating phlegm.

Puncture of Zanzhu, Sizhukong, Sibai and Jingming may expel the local channels and eliminate phlegm.

Puncture of Fengchi may clear the wind-heat of the head region. Hegu is a primary point of large intestine channel. Lungs and large intestine are superficial and internal to each other. Puncture of Hegu can purge Yangming evil heat and detoxicate the evil in the lungs. Therefore, prescription given above is useful to treating trachoma.