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ISCHEMIC OPTIC NEUROPATHY

GENERAL

Clinical Manifestations	Diminished vision Vision loss
Treatment Principle
Herb Formulas
Points	Group 1: UB-1, UB-18, SJ-18, GB-14, Yiming, moxa Gukong Group 2: Qiuhou, bleed Taiyang, GB-20, UB-23, GB-37 Group 3 : ST-1, UB-17, SJ-23, LIV-2

LIVER QI AND BLOOD STAGNATION

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety	Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry, tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San modified
Points	General points

BLOOD DEFICIENCY

Clinical Manifestations	Pallid or sallow complexion Palpitations with anxiety that may be continuous Reduced appetite Shortness of breath Laconic speech Easily fatigued extremities Light-headedness and/or vertigo Dizziness Anorexia Thirst Course skin Headache Blurred vision Lassitude Severe chills and fever Midline pain in women Lower abdominal pain Lower abdominal distention Severe chills and fever Irregular menstruation Weight loss Abscesses that neither suppurate nor improve Continuous spotting from uterine bleeding Weakness of the limbs Itching Under weight T: Pale C: Thin and white P: Thin and frail or Large and Deficient without strength
Treatment Principle	TonifY and augment Qi and Blood
Herb Formulas	Ba Zhen Tang
Points	General points

BLOOD STAGNATION

Clinical Manifestations	Vision loss Restlessness Irritability Depression or an unpleasant feeling Dizziness Swelling of the head Rib and flank fullness Sore mouth Dry throat Sleep well at night
Treatment Principle	Tonify, invigorate and harmonize the Blood Nourish Yin Clear Heat Calm the Liver Improve the vision
Herb Formulas	Zheng An Yi Feng
Points	General points

YIN DEFICIENCY

Clinical Manifestations	Vision loss Dizziness Headache Tinnitus Deafness Dry mouth and throat, Five sole Heat Weak knee Elderly may have hypertension and arteriosclerosis T: Red C: Little or None P: Thready and rapid
Treatment Principle	Benefit Yin Nourish the Kidneys Augment the Liver Invigorate and tonifies the Blood Clear Heat Improve the vision
Herb Formulas	Huo Xue Tong Luo Tang
Points	General points