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Thursday, 28 November 2013

Glaucoma Treatments In traditional Chinese medicine perspective

Glaucoma is a medical condition of an eye disease as result of the damage of the nerve of eye’s optic over time. If left untreated, it can lead to permanently vision impair and blindness.
VI. Treatments
C. In traditional Chinese medicine perspective
1. Neiyingxiang (EX-HN 9)
In the study to observe the effect of pricking blood at Neiyingxiang (EX-HN 9) on the intraocular pressure of patients of primary open angle glaucoma (POAG) in a gtotal of ninty-six cases (166 eyes) were randomly divided into an observation group (44 cases treated with pricking blood at Neiyingxiang (EX-HN 9) and a control group (52 cases treated with 0.5% Timolol Maleate drops in eyes.) found that the intraocular pressure were (29.81 +/- 3.49) mmHg and (23.18 +/- 3.61) mmHg before and after treatment in the observation group, and (29.94 +/- 3.64) mmHg and (23.88 +/- 3.96) mmHg in the control group respectively(70).
2. Acupuncture at bilateral “Qiuhou” (EX-HN 7),”Fengchi” (GB 20) and “Xingjian” (LR 2)
In the study to explore the protection effects of acupuncture on glaucomatous optic nerve damage and its mechanism with the acupuncture group was treated with acupuncture at bilateral “Qiuhou” (EX-HN 7),”Fengchi” (GB 20) and “Xingjian” (LR 2), twice a day. The neurotrophy group was treated with intramuscular injection of Vitamin B1 (100 mg) and Vitamin B12 (500 microg), once a day, and the other groups with no treatment, found that acupuncture can raise the expression of Bcl-xl and BDNF of retina, so as to prevent optic nerve damage caused by intraocular hypertension(71).
Other study to explore the mechanism of acupuncture on the treatment of glaucoma, indicated that after acupuncture, IOP at each time point reduced as compared with that before acupuncture. IOP at 5 a.m., 7 a.m., 10 a.m., 6 p.m. and 10 p.m. after acupuncture was different significantly in statistics as compared with that before acupuncture correspondingly (all P<0.05). After acupuncture, 24 h diurnal IOP variation was (5.31 +/- 2.84) mmHg, which was lower significantly than (7.06 +/- 3.86) mmHg before acupuncture (P<0.05)(72).
3. Treatment on glaucoma with acupuncture of removing the stagnated live qi and activating blood circulation
According to Dr. ZHANG Ren, a chief physician, the treatment is applicable on primary open-angle glaucoma, and especially effective for normal tension glaucoma. His basic point prescription is: Muchuang (GB 16), Taiyang (EX-NH 5), Fengchi (GB 20), Xingjian (LR 2), Xinming1 (Extra), Shangjingming (Extra), Chengqi (ST 1), Shangtianzhu (Extra), etc. Meanwhile, supplementary methods such as acupoint injection, ear therapy and dermal needles are also adopted to improve the eye symptoms and recover the vision in a certain degree(73).
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Sources
(a) tp://www.glaucoma.org/glaucoma/types-of-glaucoma.php
(70) http://www.ncbi.nlm.nih.gov/pubmed/19947266
(71) http://www.ncbi.nlm.nih.gov/pubmed/20942284
(72) http://www.ncbi.nlm.nih.gov/pubmed/21739694
(73) http://www.ncbi.nlm.nih.gov/pubmed/22650135