Professor Sun He Academic Thoughts On Optic Nerve Protection In Glaucoma

Objective:By observing the curative effect of Professor Sun He’s therapeutic scheme for glaucoma,this article analyzes and summarizes Professor Sun He’s basic and clinical research on the optic nerve protection in glaucoma,analyzes academic thoughts,and enriches the theory of ophthalmology of traditional Chinese medicine.Method:1.By follow the teacher to learn in the clinic and communicate with the mentors,to observe the efficacy of Professor Sun He’s therapeutic scheme in glaucoma,and to understand the teacher’s dialectical thinking of medication.2.By collecting Sun He’s basic and clinical research literature,refine the data,analyze and summarize.3.By organizing Sun He’s academic ideas on the protection of optic nerves in glaucoma,to lay the foundation for Longjiang Medical School’s traditional ophthalmology.Results:1,Glaucoma optic nerve protection treatment should follow the concept of holism,under the framework of treatment based on syndrome.Professor Sun He took "holistic concept and syndrome differentiation and treatment"as the core ideas in the treatment process.During the consultation,look,listen,question and feel the pulse-four ways of diagnosis and correlation of all four examinations.During the treatment,he identified the specimens with urgency,combine yin-yang cold-heat and the appearance of the exterior-interior deficiency and excess.Combination of dialectical and disease differentiation,systemic dialectical and local dialectical,internal and external governance.Emphasizes the accurate diagnosis and treatment of the viscera and meridians under the overall concept of eye disease,and the use of needles for medication.2.Presents the theory of glaucoma constitution.In the long-term clinical observation,Professor Sun He’s found that patients are often irritable and irritated.Syndrome differentiation is typical of liver qi stagnation.The investigation of primary glaucoma physique character-istics showed that 81.0%of primary angle-closure glaucoma patients with liver depression syndrome,79.5%of primary open-angle glaucoma patients with liver depression cardiomyopathy,and 60.0%of normal tension glaucoma were consistent with liver depression.Among the 200 primary glaucoma questionnaires,166 cases were diagnosed as liver-depression syndrome,accounting for 83%,of which 90.96%were impetuous and irritated.This shows that primary glaucoma has certain physical features,mainly manifested as liver stagnation syndrome;before suffering from primary glaucoma,both liver stagnation constitution.3.Liver depression is the most important cause of glaucoma,liver dysfunction is an important pathogenesis of glaucoma,and the method of Soothing liver and inducing resuscitation methodis the main rule of glaucoma optic nerve protection.It is the first formula of Tongqiaomingmu IV with the function ofSoothing liver and inducing resuscitation method.It is an effective prescription for the protection of optic nerve of glaucoma;it is the first acupuncture group with the role ofSoothing liver and inducing resuscitation method.Past clinical studies have shown that Tongqiaomingmu IV and acupuncture can effectively improve the visual function and RNFLT of patients with glaucoma,regulate the role of hemorheology,reduce blood viscosity,and enhance the visual center bioelectric activity.Experimental studies showed that Tongqiaomingmu IV and acupuncture may have protective effects on optic nerve damage caused by high intraocular pressure,which may be through reducing the ultrastructural damage of retinal optic nerve,blocking or prevent apoptosis of retinal ganglion cells;reduceing the toxic effects of NO,Glu on retinal ganglion cells;upregulateing the expression of anti-apoptosis gene Bcl-x1 and neurotrophic factor BDNF;increaseing the survival rate of optic nerve axons;protecting RGCs by the NGF-TrkA signaling pathway.4.The visual center of the body surface was named "Qiao Ming Point," and the theory of autonomic arousal was proposed.The“Qiao Ming Point”is located in the lower boundary of 0.5cm above the occipital ridge,2cm above,left,and right.The scalp region corresponding to the occipital cortical visual center is not limited to the theory of cortical function and defines the therapeutic range of the visual area more accurately.According to the theory of central arousal,optic atrophy may lead to deterioration of all or part of the functions of the high vision center,dormancy,and functional impairment.Acupuncture of the occipital cortex in the occipital cortex corresponds to the " Qiao Ming Point ",which can enhance the function of the visual center,or play a wake-up role,promote the recovery and activation of its function,and improve the conduction of the optic nerve,inhibit the retinal ganglion cells and the axon degeneration occurs,increased electrical activity of the optic nerve,promote self-recovery of optic nerve damage.In addition,acupuncture treatment can improve microcirculation of retinal vessels,provide a good environment for the regeneration of nerve fibers,restore the suppressed optic nerve fibers,and exert their normal function of conduction.5.Pay attention to the application of liver meridian of Foot-Jueyin and gallbladder meridian Of Foot-Shaoyang acupoints.Acupuncture is Professor Sun He’s routine treatment for optic atrophy in glaucoma.It plays an important therapeutic role in clinical practice.In the treatment,the application liver meridian of Foot-Juey in and gallbladder meridian Of Foot-Shaoyang acupoints is particularly emphasized.Xingj ian,Taichong of liver meridian of Foot-Jueyin acupoints and Guangming,Fengchi,Shuaigu of gallbladder meridian Of Foot-Shaoyang acupoints were the important points in the acupunc-ture group.6.Combined use of acupuncture and medicine improves efficacy.Professor Sun He’s optic nerve protection program uses acupuncture to clear the meridians,Chinese medicine regulates organs,and acupuncture and medicine are used together to make the meridians and organs unobstructed,organs reconcile,and the qi machine smooth.The essence of the five organs and six organs is injected on the eyes to be visually savvy and improve clinical efficacy.Conclusion:Professor Sun He’s glaucoma optic nerve protection is based on the concept of "holistic concept and syndrome differentiation and treatment",which is the basis of curative effect.The proposed theory of glaucoma constitution,method of Soothing liver and inducing resuscitation method,central arousal theory,and the method of Pay attention to the application acupoints of application of liver meridian of Foot-Jueyin and gallbladder meridian Of Foot-Shaoyang acupoints and Combined use of acupuncture and medicine have enriched the ideas of traditional Chinese medicine ophthalmology and become the ophthalmology of Longj iang Medical School.Features.Soothing liver and inducing resuscitation methodmethod as the treatment of glaucoma optic nerve protection,Tongqiaomingmu IV and acupuncture group acupoints as glaucoma optic nerve protection treatment program,formed a more standardized glaucoma optic nerve protection treatment program,which helps to improve the prevention and treatment of glaucoma Chinese medicine The curative effect has the value of further research and development.