How to treat retrobulbar optic neuritis?
summary
Retrobulbar optic neuritis is generally divided into acute and chronic, the latter is more common. The retrobulbar optic nerve can be divided into many different types because of the different parts of the optic nerve involved: the lesion most often invades the optic disc macular bundle fiber, which is also called axial neuritis because it is in the central part of the retrobulbar orbital optic nerve; When the optic nerve is invaded by the nerve sheath, it is called perineural stromal inflammation, which is only a pathological change and is not easy to be diagnosed clinically; If the whole optic nerve fiber is transected and involved, there will be no light perception and dark shadow, which is called transverse optic neuritis. So some patients put forward how to treat retrobulbar optic neuritis?, Today I'd like to share this with you.
How to treat retrobulbar optic neuritis?
First: liver qi stagnation syndrome: eye disease as above. Depressed spirit, chest pain, irritability, moss white pulse string. Treatment: Soothing the liver and relieving depression, promoting qi and activating blood circulation. Prescription: Radix Bupleuri 10g, Radix Paeoniae Rubra 15g, Radix Angelicae Sinensis 10g, Poria cocos 15g, Radix Rehmanniae 20g, Radix Angelicae Sinensis 15g, Radix Curcumae 10g, cortex moutan 15g, Fructus Gardeniae 10g, Radix Scutellariae 10g, Radix Glycyrrhizae 6G, Radix Salviae Miltiorrhizae 15g. Take it in water. If optic papilla congestion is obvious, add honeysuckle 15g, forsythia 10g. Bleeding, add sanqimo 3 G, Xiaoji 10 G. The edema is obvious, add Eupatorium 12 grams, plantain 15 grams. Headache, plus Gouteng 12g, shijueming 30g, Chuanxiong 10g. Pregnant women to peony skin, gardenia.
Second: hyperactivity of liver fire syndrome: eye disease is severe, vision drops sharply, even blindness, optic nerve papilla congestion, edema, retinal hemorrhage, exudation, edema near the optic papilla. Eye pain, headache, hypochondriac pain, bitter mouth, constipation, red urine. The tongue is red and the fur is yellow. Treatment: clearing liver and purging fire, promoting blood circulation and dredging collaterals. Prescription: Gentianaceae 15g, bupleurum 10g, gardenia 10g, Scutellaria 15g, Rehmannia 30g, Plantago 15g, Mutong 15g, Chishao 15g, Taoren 15g, Honghua 10g, sanqimo 3G (Chong), Gancao 6G. Take it in water. If the head, eye pain, plus Cassia obtusifolia, Uncaria. If the optic papilla edema is obvious, Rhizoma alismatis and coix seed should be added, and the dosage of upper diuretic drugs should be increased. If the liver fire is mild, the bitter cold medicine should be removed, and the peony skin, bulbil, Ilex pubescens and Eupatorium adenophorum should be added to strengthen the function of promoting blood circulation and removing blood stasis, and pay attention to nourishing yin.
Third: Yin deficiency fire hyperactivity Angelica syndrome: eye disease as above. Red cheekbones and red lips are common in the whole body. The tongue is red with less moss and the pulse is fine. Treatment: Nourishing Yin and reducing fire, promoting blood circulation and detumescence. Prescription: Rhizoma Anemarrhenae 15g, Cortex Phellodendri 15g, Radix Rehmanniae 20g, cortex moutan 15g, Poria 15g, Rhizoma alismatis 10g, Fructus Ligustri Lucidi 10g, Radix Scrophulariae 15g, Ilex pubescens 15g, Radix Salviae Miltiorrhizae 15g, Fructus Paeoniae 12g, Radix Bupleuri 10g, Semen Cassiae 10g. Take it in water.
matters needing attention
The onset of the disease is sudden, and the visual acuity drops seriously. Once the diagnosis is made, the combination of Chinese and Western methods should be actively used to save the visual acuity. During the illness, we should pay attention to avoid emotional stimulation and keep the two stools unblocked. If the disease occurs during lactation, weaning should be done immediately. Postpartum onset, pay attention to strengthen nutrition.
