Acute Angle-closure Glaucoma
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Symptoms of Angle-closure Glaucoma in TCM

1. Syndrome of Excessive Fire of the Liver and Gallbladder
Main Symptoms and Signs: Acute onset, headache, ocular swelling involving orbit, rapid deterioration of vision or even blindness, ciliary or bulbar conjunctival hyperemia, fog-like pancorneal opacity, platycoria, lightgreen pupil, hard eyeball or even stonily swollen, and accompanied by nausea, vomiting, or fever with aversion to
cold, yellowish urine and constipation; reddish tongue with yellowish coating and thready rapid pulse.

2. Syndrome of Phlegm-fire with Wind Disturbance
Main Symptons and Signs: Acute onset, distending eyes and head, ophthalmalgia, platycoria, light green pupil, turgid eyeball, full and oppressed sensation in the chest and stomach, nausea, vomiting, frequent vertigo, yellowish urine and constipation; reddish tongue with yellowish greasy coating and thready-slippery-rapid pulse.

3. Syndrome of Stagnation of Liver Qi
Main Symptoms and Signs: Serious frontal headache on the sick side, unbearable distending pain of eye, platycoria, vision diminishment, hard eyeball, accompanied by emotional disturbance, oppressed chest, eructation, loss of appetite, nausea, vomiting and bitter taste in the mouth; reddish tongue with yellowish coating and thready rapid pulse.

4. Syndrome of Yin Deficiency and Yang Hyperactivity
Main Symptoms and Signs: Distending pain of head and eye, platycoria, dim eyesight, hard eyeball, restlessness and sleeplessness, dry mouth and throat, vertigo and tinnitus; reddish tongue with little coating and thready rapid pulse.

5. Syndrome of Asthenia Cold of Liver and Stomach
Main Symptoms and Signs: In addition to the ocular symptoms, acute attack with symptoms of severe headache and ophthalmalgia involving vertex, retching with saliva, poor appetite, tiredness and cold limbs; pale tongue with whitish coating and thready pulse.


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