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EYE PAIN

GENERAL

Clinical Manifestations	Eye pain includes pain at the eyelid, eyeball and over the whole eye.
Treatment Principle
Herb Formulas
Points	LI-4, bleed DU-23, Taiyang Taiyang, UB-1 DU-20, GB-2, GB-43, PC-7, SI-3, SJ-5, Taiyang, UB-2 With trauma: + LI-16 SI-5, UB-58 LIV-2, LIV-3 For eyeball pain: DU-23, ST-44 For optic atrophy: GB-20, UB-10 For tearing without pain: GB-20, ST-8, UB-1, moxa or moxa needle ST-36, UB-18

WIND-COLD

Clinical Manifestations	Acute onset of eye pain Aggravation of the pain on exposure to Wind and Cold No redness or swelling of the eyelid Slight fever Aversion to Wind and Cold Headache with a contracting sensation which refers to the neck and back No thirst Nasal congestion Nasal discharge T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Dispel wind Eliminate Cold
Herb Formulas	Chuan Xiong Cha Tiao Wan Ming Mu Xi Xin Tang Jia Jian Chinese Patent Medicine: Chuan Xiong Cha Tiao Wan
Points	GB-20, LI-4, LU-7, SJ-5, ST-2, ST-3, UB-2 With pain at the orbit: + GB-14, Yuyao With pain at the external corner of the eye: + SJ-23, Taiyang With pain at the inner corner of the eye: + UB-1, Yintang With a headache: + DU-23, GB-8 With aversion to Cold and general body pain: + UB-58, UB-63 With a runny nose, cough and expectoration of white Phlegm: + LU-5, UB-13 With a fever: + DU-14 With a blocked nose: + LI-20

TAI YANG - YANG MING

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Irritability Insomnia Thirst Epistaxis T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Chai Ge Jie Ji Tang
Points

TAI YANG, YANG MING, SHAO YIN HEAT

Clinical Manifestations	Constipation Dark urine Aversion to Cold A high fever D dizziness Vertigo Red eyes Painful eyeballs\ A a bitter taste in the mouth A sore throat Glomus Fullness in the chest and diaphragm T:Red P: Floating and rapid pulse
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San modified
Points	LI-4, LI-11, REN-12, SJ-6, ST-25, ST-44 With no aversion to Cold: - SJ-6 With panting and fullness in the chest: + REN-17 With coughing: + LU-5

WIND-HEAT

Clinical Manifestations	Acute eye pain Redness and swelling of the eye with a burning sensation Pain is aggravated by exposure to Wind and Heat Formation of pus in the eye Fever Aversion to Cold Thirst A distending headache Constipation T: Red tip C: Yellow P: Floating and rapid
Treatment Principle	Dispel Wind Clear Heat
Herb Formulas	Xie Pi Chu Re Yin Qiang Huo Sheng Fang Tang modified If Heat is predominant: Xie Fei Yin With simultaneous Interior and Exterior Heat: Ju Hua Tong Sheng San Jia Jian Chinese Patent Medicines: Yin Qiao Jie Du Pian Yin Qiao Pian
Points	GB-20, LI-2, LI-4, LI-5, LU-7, SJ-2, ST-2, Taiyang, UB-2 With pain in the orbit: + GB-14, Yuyao With pain at the outer canthus: + SJ-23 With pain at the inner canthus: + UB-1, Yintang With a headache: + DU-23, GB-8 With a high fever: + DU-14, LI-11 With a runny nose, cough and expectoration of yellow Phlegm: + LU-5, LU-10 With a blocked nose: + LI-20 DU-23, GB-20, LI-4, Taiyang, Yuyao When Heat is predominant with severe sore, red eyes, sticky eye discharge, thirst, dark urine a yellow tongue coat, and a rapid, excess pulse: bleed DU-23, LI-4, Taiyang, Yuyao With constipation: + ST-44 With concurrent Exterior and Interior patterns: + LI-11, ST-44

HEAT IN THE HEART CHANNEL

Clinical Manifestations	Dark, turbid, scanty, difficult urination or Frequent, urgent and painful Urination may be red Maybe fever Sores in mouth, on tongue or throat Dry mouth and throat Maybe urinary retention (severe) Maybe lower abdominal distention and pain (severe) Thirst Maybe total obstruction Parched throat Severe sore throat Maybe anuria (severe) Dribbling urination May be profuse whitish, yellow vaginal discharge Maybe be urinary calculi Constipation Eye redness and pain Epistaxis Distending lower back pain Irritability Scorched lips T: Red C: Thick, yellow and greasy P: Slippery and rapid or Smooth and rapid
Treatment Principle	Clear Heat Purge Fire Promote urination
Herb Formulas	Ba Zheng San
Points

LIVER QI STAGNATION

Clinical Manifestations	Eye pain with a sensation of tension or pressure The pain starts or gets worse with with stress or emotional disturbance Distention and pain in the sides, hypochondrium or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Dizziness A poor appetite or overeating Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation Relieve the eye pain
Herb Formulas	Xiao Yao San modified Chinese Patent Medicines: Xiao Yao Wan Shu Gan Wan
Points	LI-4, LIV-3, PC-6, SP-6, ST-1, ST-2, UB-2 With dizziness: + GB-8 With depression: + HT-3, UB-18 With insomnia: + HT-3, HT-7 With hypochondriac pain: + LIV-1, LIV-5 With a poor appetite or overeating: + REN-12 With loose stools when nervous: + LIV-13, SP-3 With irregular menstruation: + KI-10, ST-28

LIVER FIRE

Clinical Manifestations	Sharp or distending eye pain Redness of the eyes Irritability A bitter taste in the mouth Restlessness Insomnia Irregular menstruation A poor appetite Deep yellow urine Constipation T: Red C: White or Yellow P: Wiry and rapid
Treatment Principle	Reduce Liver Fire Calm the Mind Relieve the pain
Herb Formulas	Long Dan Xie Gan Tang modified Chinese Patent Medicine: Long Dan Xie Gan Wan
Points	DU-20, GB-43, LIV-2, SJ-6, SP-6, ST-2, Taiyang, UB-2 With red eyes: + GB-1 With neck pain: + GB-21 With a irritability: + Sishencong With insomnia: + HT-8 With a poor appetite: + REN-12 With a bitter taste in the mouth: + GB-40 With loose stools with nervousness and abdominal pain and cramping: + LIV-13, SP-3 With a constipation: + ST-25 With a irregular menstruation: + SP-10, ST-28

LIVER YANG RISING

Clinical Manifestations	Severe, frequent eye pain and headaches A distending sensation in the eye Dizziness Restlessness Irritability Shaking of the head and hands Insomnia Hypochondriac pain Red face and eyes T: Red C: Yellow P: Wiry
Treatment Principle	Calm the Liver Subdue Liver Yang Relieve the eye pain and headache
Herb Formulas	Tian Ma Gou Teng Yin modified Chinese Patent Medicine: Jian Ya Ping Pian
Points	DU-20, GB-20, GB-43, KI-2, LI-4, LIV-2, LIV-8, ST-1, ST-2, Taiyang, UB-2 With a red face and eyes: + GB-1, ST-44 With irritability: + HT-3, PC-6 With a bitter taste in the mouth: + GB-40 With hypochondriac pain: + LIV-14 With insomnia: + HT-8

LIVER AND GALLBLADDER DAMP-HEAT

Clinical Manifestations	Hypochondriac pain Headache Dizziness Red painful eyes Hearing loss Swelling in the ears Bitter taste in the mouth Irritability Short temper Difficult and painful urination with a heat sensation in the urethra Swollen and itchy genitalia Yellow, foul smelling leukorrhea Short menstrual cycle with reddish-purple blood Ear discharge Yellow urine Chest pain Constipation Turbid urine Dry throat Hematuria Pain in the armpits Sweating in the groin T: Red or Red edges C: Yellow or Yellow and greasy P: Wiry, Excess and rapid
Treatment Principle	Clear and drain Damp-Heat from the Lower Jiao
Herb Formulas	Long Dan Xie Gan Tang Yin Chen Hao Tang
Points

LIVER BLOOD DEFICIENCY

Clinical Manifestations	Eye pain with Dryness Tired eyes Blurred vision Black spots in front of the eyes Night blindness Aggravation of the eye pain by reading and studying Slight headache Dizziness Pale complexion Slight hypochondriac pain T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Nourish the Blood Benefit the eyes Sedate the pain
Herb Formulas	Qi Ju Di Huang Wan modified Chinese Patent Medicine: Qi Ju Di Huang Wan
Points	LIV-3, LIV-8, SP-6, ST-1, ST-2, ST-36, UB-2, UB-18 With dizziness, an empty feeling in the head, blurred vision and black spots before the eyes: + DU-20, GB-20 With general fatigue, scanty menstruation and a pale complexion: + KI-3, REN-4, REN-6 With insomnia: + HT-3, HT-7 With hypochondriac pain: + GB-24, LIV-14

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Dull pain in the eyes with Dryness Pain aggravated by studying and reading Blurred vision A hollow sensation in the head Dizziness Listlessness Low back pain Weakness of the knees Tinnitus Night sweats Thirst Dry stools Insomnia T: Red C: Thin and peeled P: Thready, weak and rapid
Treatment Principle	Benefit the Kidneys Nourish Liver Yin
Herb Formulas	Eye Pain #1 Qi Ju Di Huang Wan Chinese Patent Medicine: Ming Mu Di Huang Wan
Points	KI-3, KI-7, KI-10, LIV-8, SP-6, ST-2, UB-1, UB-18 With orbital pain: + GB-14, Yuyao With pain at the outer canthus: + SJ-23, Taiyang With pain at the inner canthus: + Yintang With a headache: + DU-23, GB-8 With distention of the eyes, nervousness and a headache: + LI-4, LIV-2 With dizziness and an empty feeling in the head: + DU-20, GB-20 With general fatigue and scanty menstruation : + REN-4, REN-6 With insomnia and night sweats: + HT-3, HT-6 With low back pain and weakness of the knees: + DU-4, UB-58

QI AND BLOOD STAGNATION

Clinical Manifestations	Vague pain in the eyeballs Maybe reduced visual acuity A tinted shade in the middle of the visual field Visual distortion of objects Inhibited emotions Dizziness Rib, and flank pain A bitter taste in the mouth Dry throat T: Normal C: White P: Thready, wiry and rapid
Treatment Principle	Clear Heat Soothe the Liver Move Qi Invigorate the Blood
Herb Formulas	Jia Wei Xiao Yao San modified
Points	GB-1, GB-37, LI-4, LIV-3, SP-6, UB-2

QI DEFICIENCY

Clinical Manifestations	Slight eye pain with intermittent aggravation Eye pain aggravated by exertion Eye pain aggravated during the day Poor vision Fatigue Aversion to Cold Cold hands and feet Shortness of breath Pale face Spontaneous sweating A low or weak voice Weak extremities Poor appetite Loose stools T: Pale C: White and slightly greasy P: Thready and weak
Treatment Principle	Tonify Qi Activate the Spleen and Stomach Benefit the eyes
Herb Formulas	Bu Zhong Yi Qi Tang modified Chinese Patent Medicine: Bu Zhong Yi Qi Wan
Points	DU-20, GB-1, LIV-3, SP-6, ST-2, ST-36, UB-2 With orbital pain: + GB-14, Yuyao With pain at the outer canthus: + SJ-23, Taiyang With pain at the inner canthus: + UB-1, Yintang With a headache: + DU-23, GB-8 With general fatigue: + REN-4, REN-6 With shortness of breath on exertion, a vulnerability to catching colds and a slight cough: + KI-3, LU-9 With a poor appetite, nausea and loose stools: + REN-12, SP-3, SP-4

BLOOD STAGNATION

Clinical Manifestations	Prolonged, persistent, stabbing eye pain or Eye pain with a fixed location Pain worse at night Pain worse before or during menstruation Dark,purplish menstruation with clots A history of physical trauma or surgery Insomnia T; Purplish or With purplish spots C: White P: Thready or Choppy
Treatment Principle	Invigorate the Blood Eliminate Stasis Relieve eye pain
Herb Formulas	Tong Qiao Huo Xue Tang modified Chinese Patent Medicine: Yan Hu Suo Zhi Tong Pian
Points	Ahishi Points, GB -20, LI-4, LIV-3, SP-6, ST-1, ST-2, UB-2, UB-17 With severe eye pain at night: + SI-3 With a headache: + Ahishi Points With dysmenorrhea: + SP-8, ST-28 With a insomnia: + HT-3 With neck pain: + UB-10 With a headache: + DU-20, Sishencong

PHLEGM-FIRE BLOCKING THE ORIFICES

Clinical Manifestations	Dilation of the pupils Blurred vision Distending pain in the eyeballs, forehead and supra-orbital bone Fever Thirst Vomiting with foamy vomitus T: Red C: Slimy P: Wiry and slippery
Treatment Principle	Transform Phlegm Clear Heat
Herb Formulas	Qing Tan Yin
Points	GB -20, LI-4, PC-6, REN-14, ST-40, Taiyang, Yuyao