The Clinical Observation Of The Acupuncture's Influence On Intraocular Tension Of POAG With Different TCM Syndromes

Glaucoma is a group of clinical syndromes or eye diseases that threaten the vision of optic nerve and mainly being relative to ocular hypertension. that is,more than intraocular pressure within the eyeball organizations,in particular the retinal optic nerve can bear the very least,will bring damage to visual function.Primary open-angle glaucoma, a type of glaucoma,is that patho-intraocular hypertension causes the damage to the optic papilla and visual field defect,and that angle of anterior chamber is open during intraocular hypertention.At the onset, this disease is hidden,often no early symptoms,and difficult to diagnose,so it is difficult to detect,but thethe field of vision will gradually narrower,and finally the vision loss completely and irreversibly. It belongs to qingfengneizhang in Traditional Chinese Medicine (TCM).This research based on referring to domestic and international literature and mastering the current research situation,objectively assessed the clinical value and significance in the acupuncture's influence on intraocular tension of POAG with different TCM syndromes, explored the need of dialectical treatment of primary open-angle glaucoma, and provided a new idea to primary open-angle glaucoma acupuncture treatment.Part one Literature ResearchThis paper summarized the name,pathogenesis,treatmentof POAG in TCM from "Huang Di Nei Jing" to the Tang,Song,Yuan,Ming and Qing periods, and modern traditional Chinese physician's achievements results of research on acupuncture treatment of POAG in clinic.It alao summarized the domestic and foreign scholars's progress on the epidemiology,etiology, pathology,pathogenesis,diagnosis and treatment,and the research trend and directionat of POAG,at home and abroad now.Part two Clinical Research1.Objective:To observe the influence b on intraocular tension of POAG with different TCM syndromes after acupuncture,with the Qiuhou,Taiyang, Hegu,Taichong(both from bilateral),and explore the need to choose points in the treatment of POAG with different TCM syndromes.2.Method:28 POAG patients with 47 eyes were included in this study,we first gave a dialectical type to each patient,then acupunctured with the fixed points,and recorded intraocular pressure before acupuncture treatment, the time just after acupuncture treatment,30 minutes and 1 hour after the treatment.Through its own control before and after,the observation of intraocular pressure change of POAG with different TCM Syndromes.3.Result(1)Among the primary open-angle glaucoma patients,the ratio of syndrome of stagnated QI transforming into fire was highest(53.2%),the ratio of syndrome of phlegmatic hygrosis drifting eye and asthenia on both liver and kidney was lower(25.5%,21.3%).(2)To compared the age and course of POAG with different TCM syndromes: From younger to older,the age followed by the group of syndrome of phlegmatic hygrosis drifting eye0.05),while the differences between the group of syndrome of stagnated QI transforming into fire and the group of syndrome of phlegmatic hygrosis drifting eye,and the group of syndrome of stagnated QI transforming into fire and the group of syndrome of asthenia on both liver and kidney were significant (P＜0.O5).(3)The patients of POAG with different TCM syndromes had no significant difference in the initial intraocular pressure(P＞0.05).(4)To compare intraocular pressure's change on different time after the acupuncture treatment on POAG with different TCM syndromes:All the patients's intraocular pressure was decline in different degree,the group of syndrome of stagnated QI transforming into fire was larger than the other two groups,and there were significant differences between them(P＜0.01 or P＜0.05).The differences between the group of syndrome of phlegmatic hygrosis drifting eye and the group of syndrome of asthenia on both liver and kidney were not significant on different time(P＞0.05). Part three ConclusionFirst,Among the primary open-angle glaucoma patients,the ratio of syndrome of stagnated QI transforming into fire was highest(53.2%),the ratio of syndrome of phlegmatic hygrosis drifting eye and asthenia on both liver and kidney was lower(25.5%,21.3%).It showed that the relation between POAG and liver meridian was close,the imbalance of yinyang,Qi,and blood of liver induced POAG.Second,to compared the age and course of POAG with different TCM syndromes:From younger to older,the age followed by the group of syndrome of phlegmatic hygrosis drifting eye＜the group of syndrome of stagnated QI transforming into fire＜the group of syndrome of asthenia on both liver and kidney.From shorter to longer,the course followed by the group of syndrome of phlegmatic hygrosis drifting eye＜the group of syndrome of stagnated QI transforming into fire＜the group of syndrome of asthenia on both liver and kidney.It shaowed TCM syndromes of POAG had the tendency which from sthenia syndrome to asthenia syndrome.Third,the patients of POAG with different TCM syndromes had no significant difference in the initial intraocular pressure.Fourth,To compare intraocular pressure's change on different time after the acupuncture treatment on POAG with different TCM syndromes: The group of syndrome of stagnated QI transforming into fire was larger than the other two groups,The differences between the group of syndrome of phlegmatic hygrosis drifting eye and the group of syndrome of asthenia on both liver and kidney were not significant on different time.It showed that the acupuncture influence was relative to Taichong's specificity in meridian and Siguan's compatibility effect,and this supported the need to choose point dialecticaly in acupuncture treatment of POAG.