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RETINITIS PIGMENTOSA

GENERAL

Clinical Manifestations	Retinal degeneration, caused by the loss of light receptor nerve cell function Genetically related, occurring most often in the offspring of carrier patients Night blindness Narrowed visual field (tunnel vision) Vascular stenosis
Treatment Principle
Herb Formulas	Retinitis Pigmentosa #1
Points	ST-1, Jianming, Jianming #5, GB-20, UB-18, UB-20, UB-23 ST-2, Yintang, Taiyang, GB-20, Yuyao, GB-37, SI-6, LIV-3, triple needle DU-24 For Heat with inflammation: LI-11 For Blood Stagnation: SP-10 Local points: Taiyang, UB-1, UB-2, ST-1, GB-1, GB-14, GB-20, SJ-23, Qiuhou, Yuyao Distal points: UB-18, UB-23, GB-37, LI-4, ST-36, SP-6, LIV-8, KI-7, KI-10 For congenital Deficiency and Deficiency of Ming Men Fire: REN-6, DU-4, UB-23 For Liver Blood and Kidney Jing Deficiency: UB-17, UB-26, REN-4, KI-3 For Spleen and Stomach Deficiency with Yuan Qi Deficiency: UB-21, REN-12, ST-36

SPLEEN QI DEFICIENCY

Clinical Manifestations	Night blindness Tunnel vision (progressive) White face Fatigued spirit Loose stools Heavy limbs Anorexia General fatigue T: Pale C: White P: Weak
Treatment Principle	Strengthen the Spleen Tonify Qi
Herb Formulas	Bu Zhong Yi Qi Tang modified
Points	ST-1, Jianming, Jianming #5, GB-20, UB-18, UB-20, UB-23 ST-2, Yintang, Taiyang, GB-20, Yuyao, GB-37, SI-6, LIV-3, triple needle DU-24 For Heat with inflammation: LI-11 For Blood Stagnation: SP-10 Local points: Taiyang, UB-1, UB-2, ST-1, GB-1, GB-14, GB-20, SJ-23, Qiuhou, Yuyao Distal points: UB-18, UB-23, GB-37, LI-4, ST-36, SP-6, LIV-8, KI-7, KI-10 For congenital Deficiency and Deficiency of Ming Men Fire: REN-6, DU-4, UB-23 For Liver Blood and Kidney Jing Deficiency: UB-17, UB-26, REN-4, KI-3 For Spleen and Stomach Deficiency with Yuan Qi Deficiency: UB-21, REN-12, ST-36

LIVER YIN DEFICIENCY

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23 ST-1, Jianming, Jianming #5, GB-20, UB-18, UB-20, UB-23 ST-2, Yintang, Taiyang, GB-20, Yuyao, GB-37, SI-6, LIV-3, triple needle DU-24 For Heat with inflammation: LI-11 For Blood Stagnation: SP-10 Local points: Taiyang, UB-1, UB-2, ST-1, GB-1, GB-14, GB-20, SJ-23, Qiuhou, Yuyao Distal points: UB-18, UB-23, GB-37, LI-4, ST-36, SP-6, LIV-8, KI-7, KI-10 For congenital Deficiency and Deficiency of Ming Men Fire: REN-6, DU-4, UB-23 For Liver Blood and Kidney Jing Deficiency: UB-17, UB-26, REN-4, KI-3 For Spleen and Stomach Deficiency with Yuan Qi Deficiency: UB-21, REN-12, ST-36

LIVER BLOOD DEFICIENCY

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Light menses or amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Blood Nourish the Liver
Herb Formulas	Qi Ju Di Huang Wan
Points	Moxa or moxa needle REN-4, ST-36, UB-17, UB-18, UB-20, needle SP-6, LIV-3 ST-1, Jianming, Jianming #5, GB-20, UB-18, UB-20, UB-23 ST-2, Yintang, Taiyang, GB-20, Yuyao, GB-37, SI-6, LIV-3, triple needle DU-24 For Heat with inflammation: LI-11 For Blood Stagnation: SP-10 Local points: Taiyang, UB-1, UB-2, ST-1, GB-1, GB-14, GB-20, SJ-23, Qiuhou, Yuyao Distal points: UB-18, UB-23, GB-37, LI-4, ST-36, SP-6, LIV-8, KI-7, KI-10 For congenital Deficiency and Deficiency of Ming Men Fire: REN-6, DU-4, UB-23 For Liver Blood and Kidney Jing Deficiency: UB-17, UB-26, REN-4, KI-3 For Spleen and Stomach Deficiency with Yuan Qi Deficiency: UB-21, REN-12, ST-36

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Night blindness Tunnel vision (progressive) Dry and gritty eyes Dizziness Tinnitus Deafness Insomnia Dreaminess T: Red C: Little or none P: Thready and rapid
Treatment Principle	Nourish the Liver and Kidneys
Herb Formulas	Ming Mu Di Huang Tang
Points	ST-1, Jianming, Jianming #5, GB-20, UB-18, UB-20, UB-23 ST-2, Yintang, Taiyang, GB-20, Yuyao, GB-37, SI-6, LIV-3, triple needle DU-24 For Heat with inflammation: LI-11 For Blood Stagnation: SP-10 Local points: Taiyang, UB-1, UB-2, ST-1, GB-1, GB-14, GB-20, SJ-23, Qiuhou, Yuyao Distal points: UB-18, UB-23, GB-37, LI-4, ST-36, SP-6, LIV-8, KI-7, KI-10 For congenital Deficiency and Deficiency of Ming Men Fire: REN-6, DU-4, UB-23 For Liver Blood and Kidney Jing Deficiency: UB-17, UB-26, REN-4, KI-3 For Spleen and Stomach Deficiency with Yuan Qi Deficiency: UB-21, REN-12, ST-36

LIVER AND KIDNEY YIN DEFICIENCY WITH LIVER YANG RISING

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Retinitis Pigmentosa #1
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Night blindness Tunnel vision (progressive) Deep feeling of Cold Cold limbs Aching low back and knees T: Pale C: White P: Deep and thready
Treatment Principle	Warm Kidney Yang Nourish Liver Blood
Herb Formulas	You Gui Wan
Points	ST-1, Jianming, Jianming #5, GB-20, UB-18, UB-20, UB-23 ST-2, Yintang, Taiyang, GB-20, Yuyao, GB-37, SI-6, LIV-3, triple needle DU-24 For Heat with inflammation: LI-11 For Blood Stagnation: SP-10 Local points: Taiyang, UB-1, UB-2, ST-1, GB-1, GB-14, GB-20, SJ-23, Qiuhou, Yuyao Distal points: UB-18, UB-23, GB-37, LI-4, ST-36, SP-6, LIV-8, KI-7, KI-10 For congenital Deficiency and Deficiency of Ming Men Fire: REN-6, DU-4, UB-23 For Liver Blood and Kidney Jing Deficiency: UB-17, UB-26, REN-4, KI-3 For Spleen and Stomach Deficiency with Yuan Qi Deficiency: UB-21, REN-12, ST-36