Eye Pain

Introduction

Congestion, swelling and pain of the eye is an acute condition in various external eye disorders.

Etiology and Pathogenesis

This condition is mostly due to exogenous pathogenic wind heat causing obstruction of qi circulation in the meridians, or due to preponderance of fire in the liver and gallbladder which flares up along the related meridians, causing qi stagnation and blood stasis in the meridians.

Differentiation

Main manifestations Congestion, swelling and pain of the eye, photophobia, lacrimation and sticky discharge. In the case of wind heat, there occur fever, superficial and rapid pulse. In the case of preponderance of fire in the liver and gallbladder, there are bitter taste in the mouth, irritability with feverish sensation, constipation and string - taut pulse.

Analysis: When the pathogenic wind heat attacks the eye, congestion, swelling and pain of the eye, photophobia, lacrimation and sticky discharge take place. Headache, fever and superficial - rapid pulse are false signs of exogenous attack of the pathogenic wind heat. The liver has its specific body opening in the eyes, and the Gallbladder Meridian starts at the outer cantus. Upward disturbance of fire in the liver and gallbladder may bring about congestion, swelling and pain of the eye, bitter taste in the mouth, and irritability. String - taut pulse is a sign of the liver trouble.

Treatment

Method: Distal and local points are used in combination to disperse wind heat. Needling is given with the reducing method.

Prescription: [BL1 - DU20 - taiyang - LI4 - LR2].

 

Supplementary points:

  • Windheat: TH5.
  • Fire preponderance in the liver: LR3.

Explanation: The liver has its specific body opening in the eyes; Shaoyang, Yangming and Taiyang Meridians all run up to the eye region. Therefore DU20 and LI4 are used to regulate the qi circulation of the Yangming and Shaoyang Meridians in order to dispel wind and heat. BL1 is where the Taiyang and Yangming Meridians meet, and is used to disperse the local accumulated heat. LR2, the Ying-Spring Point of the Liver Meridian, can conduct the qi of the Jueying Meridian downward so as to remove the heat from the liver. Taiyang (Extra), an adjacent point to the eye region, is pricked to bleed to reduce heat and reheve swelling. In case of wind heat, TH5 is used to clear it away from the head and eyes. LR3, the Yuan-Primary Point of the Liver Meridian, is selected to clear off the fire from the liver and gallbladder.

Remarks

This condition is involved in acute conjunctivitis, pseudomenbranous conjunctivitis, epidemic kerato - conjunctivitis, etc. in modern medicine.