Note: The following text is selected from A
Practical English-Chinese Library of Traditional Chinese Medicine by
Enqin Zhang(Engin CAN), he was the chief editor&author of the books, now
lecturing and practising Chinese medicine at The Asante Academy of Chinese
Medicine in the Middlesex University Archway Campus, 2-10 Highgate Hill,
N19 5LW, London, U.K.For more information, Tel:0044 7804709475;
This disease is a kind of syndrome characterized by the increase in
intraocular pressure. It can be classified into three main types: primary,
secondary and congenital. This section only deals with the acute congestive
glaucoma (angleclousure glaucoma) of the primary type. Clinically, it is
characterized by acute increase in intraocular pressure, mixed congestion of the
eyeball, corneal edema, mydriasis, greenish-blue pupil margin, accompanied with
severe swelling of the eye, headache, nausea and so on. It belongs to the
category of "liufeng neizhang" (green glacucoma) in TCM. When it comes
into the absolute stage, it belong to the category of "huangfeng neizhang"
(absolute glaucoma with cataract) in TCM.
Main Points of
1. It is manifested as acute swelling of the eye, headache, nausea,
diminution of vision and so on.
2. There is mixed congestion of the eye, corneal edema with misty
opacity, opacity of aqueous humor. The anterior chamber becomes shallow. The
pupil becomes enlarged and loses its normal circular contour, with the presence
of green-blue reflection of light inside the pupil.
3. The eyeball becomes as hard as stone. The intraocular pressure
usually comes up to more than 6 KPa, even exceeding 10 KPa.
4. If the persistent increase of the intraocular pressure fails to
come down, later on complete blindness results. If the dilated pupil fails to
constrict, if iris becomes discolored and the crystalline lens becomes yellow or
yellowish-white in color, then it turns to the absolute glaucoma.
Treatment of Common Syndromes
1. Internal Treatment
1) The Type of Upward Attack of Wind-Phlegm
Main Symptoms and Signs: The eye becomes distended as if it were to
be broken up. The head aches badly as if it were splitting. Other likely
features are nausea, vomiting, mixed congestion of the eyeball, misty corneal
edema, the pupil getting dilated with green colour and the eye becoming as hard
Therapeutic Principle: Removing heat from the blood and calming
pathogenic wind, resolving phlegm and improving vision.
Recipe: Decoction of Imperata Rhizome and Bamboo Juice
bamboo juice (divided into two equal quantities, with one portion
added to the decoction each time)
white peony root
giant typhonium tuber
powder of buffalo's horn (to be taken after being infused in
All the above ingredients except bamboo juice and powder of buffalo's horn are to be decocted in water for oral administration.
2. The Type of Lung-Deficiency and Liver-Asthenia
Main Symptoms and Signs: distention of the eye and headache appear
and become worse in the afternoon and in the evening. There occurs slightly
mixed congestion of the eyeball, with the color light but dark. There appear
milder corneal edema, mydriasis. The pupil margin looks greenish-blue in color.
Intraocular pressure rises to about 6 KPa and severe diminution of vision
Therapeutic Principle: Tonifying the lung and calming the liver.
Recipe: Modified Prescription of Mother Nourishing Powder.
red tangerine peel
prepared pinellia tuber
wine-treated flavescent sophora root
All the above ingredients are to be decocted in water for oral
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