Etiology
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- Nebula results from the injury of the back of
the eye, or an infection of noxious evils due to an exogenous
invasion of Wind Heat or upward disturbance of Heat in
the Liver and Gall Bladder leading to an inflammation
of the cornea with a scar left after being cured. Treating
nebula in combination with acupuncture and moxibustion
can improve the therapeutic effect, shorten the course
of treatment and lessen the sequelae
- Keratitis should be treated at the early stage
with antibiotics so as to avoid scars left on the diseased
eye. Acupuncture treatment has a good effect on relieving
spasm and pain.
- Herpes Simplex Keratitis is a kind of inflammatory
affection of the cornea due to the infection of herpes
simplex virus. Usually, the invading virus cannot give
rise to the disease but may, only when the body's resistance
is weak. One eye is often affected, and sometimes both
simultaneously or one after another. In clinic, the disease
manifests the main symptom of dendritic or geographic
or discoid inflammatory focus of the cornea. With a repeated
and protracted course, the case can greatly affect a
patient's vision or even cause blindness if it is not
treated immediately.
In most cases, the infection of herpes simplex virus
type I is the cause of the disease.
- Dendritic keratitis: At the early stage,
many needle-point-like infiltrating opacities on the
cornea appear and turn immediately to alveoli. When the
alveoli rupture and become confluent with each other,
streak ulcer is formed, which takes the typical dendritic
appearance in the fluorescing sodium staining. The corneal
sensation of the damaged area is reduced.
- Geographic keratitis: Most of the cases
develop from dendritic keratitis. The ulcer goes deeper
and spreads more outwards, confluently to form a geographic
shape. The corneal stroma beneath the ulcer becomes cloudy,
and much rugosity appears on the posterior elastic layer.
Complicated iridocyclitis may happen in the course of
the pathogenic change.
- Disciform keratitis: The corneal stroma becomes
cloudy with discoid edema edged tidily (sometimes irregular
in shape ). The corneal surface is shaggy and the posterior
elastic layer rugose. If the case is severe, the whole
stroma of the cornea may be affected, showing the symptoms
of diffuse filtrative pacity, obvious edema of the corneal
epithelium and recurrent alveoli, or increasing rugosity
of the posterior elastic layer,more deposit on the inner
ocular walls, and even hypopyon or secondary glaucoma.
In a long time, neonatal vessels extend deeper into the
cornea. After recovery, a white patch or leukoplacia
may remain in the cornea, which greatly influences the
vision.
- Corneal ulcer, or Ulcerative keratitis,
is an inflammatory or more seriously, infective condition
of the cornea involving disruption of its epithelial layer
with involvement of the corneal stroma. It is a common
condition in humans particularly in the tropics and the
agrarian societies. In developing countries, children
afflicted by Vitamin A deficiency are at high risk for
corneal ulcer and may become blind in both eyes, which
may persist lifelong. In ophthalmology, a corneal ulcer
usually refers to having an infectious etiology while
the term corneal abrasion refers more to physical abrasions.
- Xerotic Keratitis (Keratomalacia): The cornea
becomes dry and clouds over impairing vision (night blindness)
due to a deficiency in vitamin A. The cornea surface
dies and ulcers may appear leading to possible infections.
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Points |
- UB-2, Taiyang, ST-2, GB-20 (lightly
stimulate and retain the needles) LI-4, ST-36 (stimulate
moderately)
- For keratitis and corneal ulcers: UB-2, SJ-23, GB-14, UB-1, GB-1, ST-2 + LI-4, ST-36
- For keratitis, corneal ulcer, nebula of cornea and
spot nebula: UB-2, Taiyang, GB-20, LI-4
- For Phlyctenular keratoconjunctivitis: UB-1, UB-2, ST-2, ST-3, LI-4, PC-7, ST-36, DU-14, UB-18, UB-13, UB-19. UB-23
Severe cases: moxa DU-14, UB-18, UB-13, UB-19. UB-23
- For neuroparalytic keratitis: ST-1, Taiyang, UB-2,
needle or moxa GB-14, ST-2, ST-3, ST-6, ST-4, DU-20, GB-20, SJ-17, LI-4
- For herpetic keratitis: UB-2, Taiyang, needle
and/or moxa UB-13, UB-18, UB-23, LI-11, LI-4, ST-36, SJ-17, SJ-22
- For scar (nebula) of the cornea: UB-1, UB-2, GB-1, ST-2, LI-4, ST-36, GB-37, GB-20, DU-14, UB-18, UB-23, UB-43,
moxibustion may be added to Dagukong and Muzhijiehengwe
- For nebula with redness and swelling of the eyes: DU-23, DU-20, UB-2, SJ-23, UB-1, GB-1, Taiyang, LI-4
- For neuroparalytic keratitis: GB-14, UB-1, UB-2, SJ-23, GB-1, ST-8, GB-15, GB-20, DU-20, UB-18, SI-3, SJ-17
- For red (blood vessel) nebula: UB-2, SI-3, SJ-2
- For white and red nebula: Put seven moxa-cones
on SJ-17
- For early-stage nebula: First puncture UB-1
and LI-4 continuously
3 times, then puncture Taiyang and GB-37 the
same way
- For keratitis: UB-1, UB-2, GB-6, SI-18, Ki-19, PC-6, KI-17, UB-43, KI-15
- Moxibustion; LI-5 -
Use garlic-indirect moxibustion. Select a slice of garlic
about 1.5 cm in diameter and 0.1 cm in thickness (or
a slice of fresh ginger) with holes pricked on it. Put
a moxa-cone the size of a soy bean on it and light it.
Moxa LI-5 on the right side for the disease occurring
on the left, and vice versa. Moxa LI-5 on both sides
for disease occurring in both eyes. Use 6–7 moxa
cones each time, once or twice a day for 3-5 days. Do
not apply eye drops or take medicine
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