Optic Atrophy

Optic atrophy is a chronic eye disorder marked by gradual degeneration of the vision acuity . At the early stage there is only blurring of vision , but at the late stage the eye sight may be totally lost .

Etiology and Pathogenesis

a ) Deficiency of the kidney and liver yin leads to consumption of the essence and blood that nourish the eyes .

b ) Dysfunction in transportation and transformation of the spleen due to irregular diet and overstrain results in inadequate supply of the essential nutrients for the eyes . c ) Dysfunction of the liver with stagnation of qi and blood in emotional troubles causes failure of the essential qi to flow upwards to nourish the eyes .

Differentiation

a ) Deficiency of the liver and kidney yin :

Main manifestations : Dryness of the eyes , blurred vision , dizziness , tinnitus , nocturnal emission , aching of the lower back , thready and weak pulse , reddened tongue with scanty coating .

Analysis : Dryness of the eyes and blurred vision are due to failure of the essential nutrients to nourish the eyes in deficiency of the liver and kidney yin . The lumbus is the seat of the kidney . When the kidney is in a deficiency state , there is aching of the lower back . Deficiency of the kidney yin may lead to nocturnal emission when there is hyperactivity of the asthenic fire , and to dizziness and tinnitus when there is yang preponderance . Thready and weak pulse , reddened tongue with scanty coating are signs of yin deficiency .

b ) Deficiency of qi and blood :

Main manifestations : Blurred vision , weakness of breath , disinclination to talk , lassitude , poor appetite , loose stools , thready and weak pulse , pale tongue with thin white coating .

Analysis : The essential qi of all the zang - fu organs flows up to the eyes . When qi and blood in a deficiency state can not nourish the eyes , the vision becomes blurred . Qi deficiency of the spleen and stomach causes weakness of breath , disinclination to talk , lassitude , poor appetite and loose stools . Thready and weak pulse , pale tongue with thin and white coating are signs of deficiency ofqi and blood .

c ) Stagnation of the liver qi :

Main manifestations : Blurred vision , emotional depression , dizziness , vertigo , hypochondriac pain , bitter taste in the mouth , dry throat and string - taut pulse .

Analysis : The liver has its specific body opening in the eyes . Stagnation of the liver qi causes general obstruction of qi and blood which fail to ascend to nourish the eyes . So the vision is blurred . The Liver Meridian passes by the hypochondriac region , so there is hypochondriac pain when the liver qi is stagnated . Retarded qi may turn into fire , which flares up to cause dizziness , vertigo , bitter taste in the mouth and dry throat . String - taut pulse is the sign of a liver disease .

Treatment

Method : To reinforce the liver and kidney and nourish qi and blood by puncturing the points of the Foot - Shaoyang and Taiyang Meridians with reinforcing method for deficiency of the liver and kidney yin and deficiency ofqi and blood . Even movement is applied to the same points to remove the stagnation of the liver qi .

Prescription : Fengchi ( G 20 ) , Jingming ( B 1 ) , Qiuhou ( Extra ) , Guangming ( G 39 ) .

Deficiency of the liver and kidney yin : Taichong ( Liv 3 ) , Taixi ( K 3 ) , Ganshu ( B 18 ) , Shenshu ( B 23 ) .

Deficiency ofqi and blood : Zusanii ( S 38 ) , Sanyinjiao ( Sp 6 ) .

Stagnation of the liver qi : Qimen ( Liv 14 ) , Taichong ( Liv 3 ) , Yanglingquan ( G 34 ) .

Explanation : The Foot - Shaoyang and Taiyang Meridians connect with the eye region , so Fengchi ( G 20 ) , Guangming ( G 37 ) , Jingming ( B 1 ) are selected to regulate the qi circulation in the meridians and to improve the eyesight . Qiuhou ( Extra ) is an extra point effective for eye diseases . Ganshu ( B 18 ) , Shenshu ( B 23 ) , Taixi ( K 3 ) and Taichong ( Liv 3 ) are used to reinforce the yin of the liver and kidney . Zusanii ( S 36 ) and Sanyinjiao ( Sp 6 ) reinforce qi and blood . Qimen ( Liv 14 ) , Taichong ( Liv 3 ) and Yanglingquan ( G 34 ) remove stagnation of the liver qi .

 

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