BLEPHARITIS

Clinical Manifestations
  • An eye condition characterized by chronic inflammation of the eyelid, the severity and time course of which can vary. Onset can be acute, resolving without treatment within 2–4 weeks (this can be greatly reduced with lid hygiene), but more generally is a long standing inflammation varying in severity. It may be classified as seborrheic, staphylococcal, mixed, posterior or meiobomitis, or parasitic.
  • Inflammation of the lid margins
  • Redness of the eyelids
  • Drooping of upper eye lid
  • Thickening and faking of skin on the lids
  • Crusting at the lid margins, generally worse on waking
  • Cysts at the lid margin (hordeolum)
  • Red eye
  • Burning
  • Debris in the tear film, seen under magnification (improved contrast with use of fluorescein drops)
  • Gritty sensation of the eye or foreign-body sensation
  • Reduced vision
  • Photophobia,
  • Tearing
  • Eye itching
  • Severe cases:
    Ulcerations
    Burning
    Redness
    Pain
    Crusting
  • Ulcerative blepharitis:
    Congestion
    S welling
    Scales at the base of lashes
    Ulcers may be present when the scales are removed
    The lashes may be glued together and easily lost but they are not replaced
    Painful sensation
    Photophobia and
    Lacrimation
  • Scaly blepharitis:
    Congestion of lid margin
    There are whitish scales in the bases of the lashes, which are easily lost but not replaced
  • Canthal blepharitis:
    The inflammatory reaction usually occurs in the canthal margin of the lid
    Congestion
    Ulceration
    Itching
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Foul breath
  • Red face
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbance:
    Mentally unclear
    Delirious speech
  • T: Red and dry, or black and moist
  • C: Thick yellow or dry yellow
  • P: Deep, strong and forceful
Treatment Principle
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Red eyes
  • Yellow thick eye discharge
  • Suppuration with severe chills
  • Dry, itchy eyes
  • Aggravated by Heat
  • Photophobia
  • Headache
  • Inflammation
  • Swelling
  • Pain
  • Congestion
  • Fever
  • Sore throat
  • Nasal discharge
  • T: Red tip or
  • C: Thin and yellow or white or
  • P: Superficial and rapid or
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Detoxify
Herb Formulas
Points
Clinical Manifestations
  • Red eyes
  • Yellow thick eye discharge
  • Suppuration with severe chills
  • Dry, itchy eyes
  • Aggravated by Heat
  • Photophobia
  • Headache
  • Inflammation
  • Swelling
  • Pain
  • Congestion
  • Fever
  • Sore throat
  • Nasal discharge
  • T: Red tip or
  • C: Thin and yellow or white or
  • P: Superficial and rapid or
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Detoxify
Herb Formulas
Points
Clinical Manifestations
  • Excessive discharge
  • Weepy, itchy, red skin lesions
  • Lesions may range over a large portion of the body
  • Thirst
  • Rashes
  • Lesions may be worse in hot weather
  • Severe itching
  • T: Pink
  • C: Yellow or White
  • P: Superficial, forceful and rapid or Soft and rapid
Treatment Principle
  • Disperse Wind
  • Eliminate Dampness
  • Clear Heat
  • Cool the Blood
  • Nourish the Blood
  • Stop itch
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and Deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Slight redness
  • Discharge
  • Itchy
  • Little or no pain
  • Pain in low back and knees
  • Weakness or atrophy of lower extremities
  • Scanty yellow urine
  • Red, hot, swollen and painful feet or knees
  • Edema in lower legs
  • Leukorrhea (thick, yellow, foul-smelling)
  • Sores on lower extremities due to Damp
  • Oliguria
  • Eczema
  • T: Normal
  • C: Yellow and greasy
  • P: Soft and and rapid
Treatment Principle
  • Eliminates Heat and Dampness
Herb Formulas
Points
Clinical Manifestations
  • Blepharitis
  • Jaundice
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Shi and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Blepharitis
  • Conjunctivitis
  • Eye fatigue
  • Night blindness
  • Photophobia
  • Lacrimation when exposed to wind or drafts
  • Ocular pain
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness or spasms of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • May be long term tremors of the hand, leg, jaw or tongue
  • Tinnitus, deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Headache
  • Irritability
  • Insomnia
  • Dream disturbed sleep
  • Stools difficult to pass
  • Constipation
  • Poor memory
  • Depression
  • Emaciation
  • Dry skin
  • Restlessness
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red or Red an dry
  • C: Little or none
  • P: Thready and rapid or Thready, wiry , rapid and deep
Treatment Principle
  • Nourish Yin
  • Nourish and reinforce the Liver and Kidneys
  • Benefit the eyes
Herb Formulas
Points
Clinical Manifestations
  • Blepharitis
  • Conjunctivitis
  • Dry eyes
  • Eye fatigue
  • Night blindness
  • Photophobia
  • Dizziness
  • Headache
  • Hot palms and soles
  • Insomnia
  • Irritability
  • Lacrimation when exposed to Wind or drafts
  • Ocular pain
  • Restlessness
  • T: Red
  • C: Little or none
  • P: Thready and Rapid or Thready , Rapid and Wiry
Treatment Principle
  • Nourish Yin and Blood of the Liver and Kidneys
  • Improve vision
Herb Formulas
Points
Clinical Manifestations
  • Blepharitis
  • Cataract
  • Conjunctivitis
  • Glaucoma
  • Night blindness
  • Ocular pain
  • Poor vision
  • Red eyes
  • Ocular disease following surgery
  • T: Red
  • C: Little or none
  • P: Thready and Rapid or Thready , Rapid and Wiry
Treatment Principle
  • Nourish Yin and Blood of the Liver and Kidneys
  • Clear Heat
  • Improves vision
  • Tonifies Qi and Blood
  • Moves Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Painful, red, swollen, eye
  • Stinky discharge from the eye
  • Local inflammation with pus
  • Deep-rooted, hard and painful boils
  • Erythema
  • Swelling
  • Heat
  • Carbuncles
  • Furuncles
  • Fever and chills
  • Pain
  • T: Red
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
  • Reduce swelling
Herb Formulas
Points