To Explore The Treament Method Of Qufeng In Herpes Simplex Kcratitis

Objective: By the effect characteristic of wind drug andtheir theoretic research and clinical application of observation, To explorethe diagnosis and treatment of functions of Chinese ophthalmologyQufeng treatment of Herpes simplex kcratitis effect, and through theancient medical books and modern research literature summary functionsof Qufeng method application in Herpes simplex kcratitis, in order tofurther improve the understanding of the functions of Chineseophthalmology Qufeng treatment of Herpes simplex kcratitis and clinicalcurative effect.Methods:88caese of Herpes simplex kcratitis patients in luzhoumedical college Affiliated Hospital of traditional Chinese MedicineOphthalmology from January2010to December2013,In accordancewith the "Juxing zhang clinical pathway of traditional Chinese medicine".（1）Treatment based on syndrome differentiation type:○1Ganjingfengre:Appropriate governance functions of Qufengsanre, Mingmutuiyi, chooseYinqiaosao：Jinyihua、Lianqiao, Jiegeng, Bohe, Danzhuye, Gancao, Jinjie,Douchi, Niubangzi, Lugen, Qianghu.○2Ganhuochishen: Appropriategovernance functions of Qinganxiehuo, Mingmutuiyi, chooseShijuemingsan: Shijueming, Caojueming, Chishao, Qingxiangzi,Maidong, Qianghuo, Zhizi, Muzei, Dahuang, Jinjie.○3Gandanshire: Appropriate governance functions of Qingrechshi、Mingmutuiyi，chooseLongdanxiegantang: Chaihu, Zexie, Cheqianzi, Mutong, Shengdi,Danggui, Longdancao, Huangqin, Zhizi, Qianghuo, Cijili, Chantui,Gancao.○4Zhenfxuxielian: choose Yupingfengsan: Huangqi, Baizhu,Fangfeng, Jinyinhua, Maidong, Juhua, Chanyi, Muzei. According topatients’ symptoms, signs, tongue coating, select the Chinese medicinepulse condition and according to the condition of individual patients withdifferent prescriptions to add and subtract. According to the patient’s eyespecialized examination judge the degree of keratitis，In using functionsof syndrome differentiation method for the treatment of HSK andacyclovir （ACV） eye drops,Combined with Anterior chamberinflammation or uveitis to Compound toby card amine or atropine dropeyes.(3) Close observation condition, pay attention to adjust thetreatment plan, the prevention and treatment of complications when thepatients in hospital.(4) After treatment, patients with keratitis obviouslyalleviate or get effective control, or invalid request dischargee,corresponding discharge formalities follow-up the drugs and pathologicalchanges of cornea in the future.(5) Microsoft excel spreadsheet to takethe pationt’s age, Clinical time, Card type,the ues of prescriptions,winddrug, recurrence rate, degree of keratitis, Curative effect evaluation toanalyzed and expressed in tables and figures.Results:（1）88caese of Herpes simplex kcratitis in the age of distribution contentrated in the40-70years old,a total of49caese,accounting for55.68%of case. This age of herpes simplex viral keratitishospitalized patients is higher than other age groups.(2)2weeks after theonset of59cases of treatment, accounting for67.05%of88cases ofpatients with HSK, explain most of the patients in time to see a doctor, toavoid the delay.(3)88cases with108eyes HSK has56cases ofhospitalized patients with++,+++have28cases, a total of84eyes,accounting for77.78%, shows that most of the HSK hospitalized patientslesions for mild to moderate of keratitis.(4) Card type: Ganjingfengre andGanhuochisheng accounts for the24cases, accounted for27.27%of thetotal number of cases;Gandanshire,36cases, accounting for40.91%;Zhengxuxielian(yupinfengsan) account for only4cases, accounting for4.55%of the total number of cases.(5)88caese of Herpes simplexkcratitis in the use of the frequency of the highest orde of winddrug,Qianghuo,Jinjie,Chantui,Chaihu,Cijili.(6) Treatment: through theQufeng methods in the treatment of HSK shortest treatment time for2days, the longest30days,88cases of HSK treatment for a total of703days, an average of eight days. Ganjingfengre the shortest time for3days,the longest22days,24cases of HSK treatment for a total of202days, anaverage of8.42days; Ganhuochisheng treatment time2-14days, a totalof190days, the average7.92days; Gandanshire treatment3to30days, atotal of286days, an average of7.94days; Zhengxuxielian treatment of5 to7days, a total of25days, an average of6.25days.（7）Visionimprovement: there are88cases with108eyes visual impairment in60eyes, through the Qufeng method exists visual impairment after treatmentof HSK have varying degrees of increase（.8）Effection: Ganjingfengre13cases,9cases had marked effect, improvement in2cases, the effectiverate was100%;15cases of Ganhuochisheng were cured,8cases weremarkedly effective, improvement in1case, the effective rate was100%;Gandanshire cure24cases,11cases had marked effect,1had no effect,the effective rate was97.22%; Zhengxuxielian cure3cases,1case hadmarked effect, effective rate was100%. Total:55cases cured,29caseshad marked effect, improvement in3cases,1had no effect, the totaleffective rate was98.86%.(9) Treated By Qufeng method has not beenfound recurrence with3months to3years of follow-up when the peopleout of the hospital. It shows that using the method of Qufeng can reducethe recurrence rate of HSK.Conclusion:(1) The wind is main pathogenic factors for HSK,Using Qufeng method in the treatment and prevent its recurrence of HSKis of great significance. It is can quickly control the disease progresses,relieve symptoms; Second, disease Fade obviously, eyesight recoverfaster;anther is the recurrence very little.2. On the basis of literature studyand clinical observation, combined with the tutor academic experience,for the characteristics of wind drug and regular has carried on the thorough discussion, put forward Qufengsanxie,Tuiyimingmu is the maintreatment of HSK, Wind drug use through HSK therapy, alwaysemphasize the unique role of XinWen wind medicine, further broaden thescope of the Qufeng method used in the treatment of HSK.