Dialectical treatment of ischemic optic papillopathy in Chinese and Western medicine

  Ischemic optic papillopathy, also known as anterior ischemic optic disc lesion, is characterized by sudden optic papillary edema and vision loss due to anterior optic nerve infarction caused by obstruction of the posterior short ciliary artery. The age of onset is usually between 60 and 70 years and is often associated with hypertension, hyperlipidemia, diabetes mellitus, and atherosclerosis. Thrombosis and giant cell arteritis are also major causes.  The clinical presentation is a sudden loss of visual acuity, which decreases to a nadir within one to two weeks, and in severe cases to manual and light perception. There are typical changes in the visual field, which manifest as an image-limiting defect or an arcuate or circumferential defect connected to a physiological blind spot. Fluoroscopic angiography shows localized ischemia and edema of the papillae with poorly defined borders. This disease belongs to the category of ophthalmoplegia, which is divided into liver heat, liver qi stagnation, yin deficiency and fire, and qi and blood deficiency.  According to our long-term clinical summary, the combination of Chinese and Western medicine quadruple therapy for the treatment of this disease is effective, as follows: a. Intravenous injection of nutritional, vasodilator drugs to increase blood circulation, enhance nutrition. If the disease is heavy, hormonal drugs can be added to reduce edema by anti-inflammation.  Second, Chinese soup medicine treatment, according to the patient’s specific condition, diagnosis and treatment, respectively, there are liver clearing and fire, dredging the liver to relieve depression, nourishing Yin and lowering fire, nourishing Qi and blood and other Chinese medicine, from the point of view of the whole body to regulate and treatment.  Third, according to Chinese medicine meridian theory we use acupuncture point injection method, the same nutritional drug injection sun, foot three li, hegu, eye Ming, four white, fish waist and other acupuncture points, is through the eye meridian smooth, to achieve the purpose of treatment. Post-ball injection is also an important treatment method.  Fourth, ultrasonic ion introduction local treatment, with increased local drug concentration, promote blood circulation, local physiotherapy and other effects.  Treatment at the same time according to the condition of the use of vitamin B and antibacterial, antiviral drugs, maintain blood pressure and blood sugar stable, appropriate application of antiophthalmic drugs.  The above treatment is observed to be more effective than Western medicine alone and Chinese medicine alone, so please contact us if you are unfortunately suffering from this disease.