Congestion Swelling and Pain of the Eye

Congestion , swelling and pain of the eye is an acute condition in various external eye disorders .

Etiology and Pathogenesis

This condition is mostly due to exogenous pathogenic wind heat causing obstruction of qi circulation in the meridians , or due to preponderance of fire in the liver and gallbladder which flares up along the related meridians , causing qi stagnation and blood stasis in the meridians .

Differentiation

Main manifestations Congestion , swelling and pain of the eye , photophobia , lacrimation and sticky discharge . In the case of wind heat , there occur fever , superficial and rapid pulse . In the case of preponderance of fire in the liver and gallbladder , there are bitter taste in the mouth , irritability with feverish sensation , constipation and string - taut pulse .

Analysis : When the pathogenic wind heat attacks the eye , congestion , swelling and pain of the eye , photophobia , lacrimation and sticky discharge take place . Headache , fever and superficial - rapid pulse are false signs of exogenous attack of the pathogenic wind heat . The liver has its specific body opening in the eyes , and the Gallbladder Meridian starts at the outer cantus . Upward disturbance of fire in the liver and gallbladder may bring about congestion , swelling and pain of the eye , bitter taste in the mouth , and irritability . String - taut pulse is a sign of the liver trouble .

Treatment

Method : Distal and local points are used in combination to disperse wind heat . Needling is given with the reducing method .

Prescription : Jingming ( B 1 ) , Fengchi ( G 20 ) , Taiyang ( Extra ) , Hegu ( Li4 ) , Xingjian ( Liv 2 ) .

Supplementary points : Windheat : Waiguan ( S J 5 ) .

Fire preponderance in the liver : Taichong ( Liv 3 ) .

Explanation : The liver has its specific body opening in the eyes ; Shaoyang , Yangming and Taiyang Meridians all run up to the eye region . Therefore Fengchi ( G 20 ) and Hegu ( Li4 ) are used to regulate the qi circulation of the Yangming and Shaoyang Meridians in order to dispel wind and heat . Jingming ( B 1 ) is where the Taiyang and Yangming Meridians meet , and is used to disperse the local accumulated heat . Xingjian ( Liv 2 ) , the Ying - ( Spring ) Point of the Liver Meridian , can conduct the qi of the Jueying Meridian downward so as to remove the heat from the liver . Taiyang ( Extra ) , an adjacent point to the eye region , is pricked to bleed to reduce heat and reheve swelling . In case of wind heat , Waiguan ( S J 5 ) is used to clear it away from the head and eyes . Taichong ( Liv 3 ) , the Yuan - ( Primary ) Point of the Liver Meridian , is selected to clear off the fire from the liver and gallbladder .

Remarks

This condition is involved in acute conjunctivitis , pseudomenbranous conjunctivitis , epidemic kerato - conjunctivitis , etc . in modern medicine .