Syndrome differentiation and treatment
In clinical practice, trachoma is classified as the syndromes of wind and heat invasion of eyelid, excessive heat in spleen and stomach, and stagnation of blood heat. Its treatment should include both internal and external methods. In mild cases, local eye-dropping is the main method while, in severe cases, the basic treatment method, besides the eye-dropping, is the internal therapy of removing pathogenic wind and heat, activating blood circulation and dredging meridian. If necessary, operation should be needed.
1. Syndrome of Wind and Heat Invasion of Eyelid
Main Symptoms and Signs Slight itching of the eye with uncomfortable and unsmooth sensation, little dry eye secretion, photophobia, lacrimation, light redness in
the conjunctiva with a few red granules, obscure general symptoms; thin tongue coating and floating pulse.
Therapeutic Method Removing pathogenic wind and heat.
2. Syndrome of Excessive Heat in Spleen and Stomach
Main Symptoms and Signs Dry itching and pain of the eye with profuse tears and gum, redness in the conjunctiva with more granules, constipation; reddish tongue with a yellowish coating and a rapid pulse.
Therapeutic Method Clearing the spleen to disperse pathogenic wind and heat.
3. Syndrome of Stagnation of Blood Heat
Main Symptoms and Signs Stabbing pain in the eye with burning and unsmooth sensation9 photophobia, lacrimation, profuse tears and gum, hard swelling eyelid with a heavy falling sensation and difficult to open, obvious redness of the conjunctiva covered with rough granules, trachomatous pannus of cornea, vexation and dryness in the mouth; reddish tongue with yellowish coating and a rapid pulse.
Therapeutic Method Dissipating stasis by cooling blood.