CATARACTS

Clinical Manifestations
  • Cataract is the term for clouding of the lens of the eye; if the cloudiness is sufficient to inhibit transmission of images to the retina, then vision is partly or fully obstructed. Mild cloudiness, the most common condition associated with cataracts, does not need surgical intervention for correction, but can often be compensated for by using corrective lenses; more severe cloudiness is usually treated by surgery, removing the original lens and replacing with an artificial lens.
    Cataract surgery is part of ancient medical arts; it was one of the earliest of surgical procedures, even in the Orient, traced back over 2,000 years. It is likely that the reliance on surgery had the effect of limiting efforts to develop non-surgical treatment methods; similarly, it is likely that non-surgical methods that had been tried were relatively unsatisfactory, making surgery seem an appropriate alternative. Therefore, when examining suggested non-surgical treatments, one should be careful about expectations for dramatic effects on vision. Further, when reviewing treatment options, cataracts should be differentiated from "nebulae" which are described as clouding the vision but refer to films that form on the surface of the eye (cornea).
    Cataracts occur most often in the elderly-sometimes referred to as senile cataracts which affect 25% of those over the age of 65. They are especially common in those with diabetes. Some drug therapies induce cataract formation. Nearly 1.5 million cataract surgeries are performed in the U.S. each year.
Treatment Principle
Herb Formulas
  • Excessive Tearing: San Ren Tang
  • Chinese Patent Medicines:
    Shi Hu Ye Guang Wan
    Ming Mu Di Huang Wan

    Zhu Jing Wan
    Qi Ju Di Huang Wan
    Ba Wei Di Huan Wan
    Ci Zhu Wan
    Nei Zhang Ming Yan Wan
Points
Clinical Manifestations
  • A clouding over the lens of the eye
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • A clouding over the lens of the eye
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and Xu
Treatment Principle
  • Strengthen Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Fullness in the chest and hypochondrium
  • Palpitations
  • Shortness of breath
  • Coughing up clear, watery sputum
  • Dizziness
  • Vertigo (when standing)
  • Dyspnea
  • Anxiety
  • Tinnitus
  • Difficult urination
  • Mild edema
  • Cold feet
  • Headache
  • Migraine
  • Weak abdomen
  • T: Pale and swollen
  • C: White and slippery or greasy
  • P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle
  • Warm and transform Phlegm and congested Fluids
  • Strengthens the Spleen
  • Resolves Dampness
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Restless sleep
  • Occasional palpitations
  • Anxiety
  • Dizziness
  • Fright
  • Insomnia
  • Vertigo
  • T: Red or Pale or Pink
  • C: Little or None
  • P: Thready and wiry
Treatment Principle
  • Enrich Yin
  • Nourish the blood
  • Sedate the Heart
  • Calm the Shen
  • Calm the Liver
  • Anchor Yang
Herb Formulas
Points
Clinical Manifestations
  • Cataracts may be suppurative with severe acute pus-filled eye infection, pain radiating to the forehead, excessive tearing and green/yellow/white discharge
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • May be depression
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Shi and rapid
  • In severe cases:
    Mania
    Bleeding of Excess Heat type:
    · Hemoptysis
    · Hematemesis
    · Epistaxis
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • A clouding over the lens of the eye
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five Sole heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Red or Pale red
  • C: Little or White and moist
  • P: Thready, wiry and rapid or Soft and even
Treatment Principle
  • Nourish Liver Yin
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • A clouding over the lens of the eye
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five sole heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and / or constipation
  • Urine short and red
  • Heightened libido
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Light or late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Kidney and Liver Yin
  • Benefit the eyes
Herb Formulas
Points
Clinical Manifestations
  • Enlarged pupils
  • Blurred vision
  • Photophobia
  • Excessive tearing
  • Lightheadedness
  • Vertigo
  • Dry eyes
  • Irritation of the eyes
  • Photophobia
  • Poor vision
  • Red eyes
  • Dizziness
  • Glare
  • Insomnia
  • Night sweating
  • Pain in the lower back
  • Weakness of lower back
  • T: Red-tipped (may be trembling)
  • C: Little or None
  • P: Rapid and Empty
Treatment Principle
  • Nourish Yin
  • Descend Liver Yang
  • Dispel Internal Wind
  • Brighten the eyes
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Watery stools with undigested food
  • Lower back pain
  • Weakness of the lower extremities
  • A cold sensation in the lower half of the body
  • Tenseness in the lower abdomen
  • Pain and cramps in the lower abdomen
  • Panting and irritability to the point of having difficulty lying down
  • Will breathe most comfortably while leaning against something
  • Nocturia
  • May be numbness in the lower abdomen
  • Urinary difficulty with edema or Spasmodic pain in the lower abdomen
  • Excessive urination
  • If severe, may be incontinence of urine
  • May have persistent diarrhea
  • Dysuria
  • May have flushed face (Yang floating upward)
  • Thirst with frequent, copious urination (Xiao Ke)
  • Fatigue (severe)
  • May have severe perspiration (Yang floating upward)
  • Constipation
  • Lassitude
  • Pale face
  • Edema of the face and feet
  • Severe edema of the legs (may prevent walking)
  • Maybe cough
  • Maybe asthma
  • T: Pale, may be swollen
  • C: Thin, white and moist
  • P: Deep, Deep and thready and/or Weak and slow
Treatment Principle
  • Warms and Tonifies Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • A clouding over the lens of the eye
  • Palpitations
  • Tinnitus
  • Diminished acuity of vision and hearing
  • Blurred vision
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Poor memory
  • Dizziness
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Calm the Shen
  • Anchor Yang
  • Improve vision and
  • Nourish Heart and Kidney Yin
Herb Formulas
Points
Clinical Manifestations
  • A clouding over the lens of the eye
  • Blurred vision
  • Progressive
  • No pain or redness
  • Lens opacity
  • Anger
  • Irritability
  • T: Red edges
  • C: White or None
  • P: Thread, wiry and rapid
Treatment Principle
  • Enrich Yin
  • Nourish the Kidneys
  • Nourish the Blood
  • Tonify Qi
  • Clear Heat
  • Resolve toxicity
  • Brighten the eyes
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Fixed lower abdominal pain
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale
  • C: Normal
  • P: Thin and weak or Thin and choppy
Treatment Principle
  • Tonify and Invigorate the Blood
  • Regulate Blood Circulation
  • Break up Stagnation
  • Eliminate Blood Stagnation
Herb Formulas
Points
Clinical Manifestations
  • A clouding over the lens of the eye
  • Swelling and inflammation of the gums with or without pus
  • Mouth ulcers
  • Bad breath
  • Sore throat
  • Toothache
  • Dry mouth
  • Constipation
  • Dysuria
  • Bleeding from the gums
  • T: Red and dry
  • C: Yellow-green
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Generate Fluids
  • Clear Heat
  • Stop inflammation
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Fullness in the chest and hypochondrium
  • Palpitations
  • Shortness of breath
  • Coughing up clear, watery sputum
  • Dizziness
  • Vertigo (when standing)
  • Dyspnea
  • Anxiety
  • Tinnitus
  • Difficult urination
  • Mild edema
  • Cold feet
  • Headache
  • Migraine
  • Weak abdomen
  • T: Pale and swollen
  • C: White and slippery or greasy
  • P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle
  • Resolve Phlegm
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity
  • Relieve inflammation
Herb Formulas
Points