GLAUCOMA

Clinical Manifestations
  • Excess eye ball pressure exceeding the normal 10-20 mmHg pressure to 50 mmHg. Can be asymptomatic in first stages but may include headache, visual disturbances, Halo Vision, Cloudy vision leading to tunnel vision, distended eye pain radiating to head areas.
  • Simple chronic glaucoma is known as "open-angle" glaucoma (the reference is to the iridocorneal angle measured during an eye examination). It usually affects both eyes, has a genetic component (runs in families; the predisposing genetic background may yield an early age of onset), and is more common among diabetics. Chronic open-angle glaucoma is essentially asymptomatic (the person may experience headaches, but these are not necessarily attributed to the eyes), and one simply experiences deteriorating vision, which can have numerous other causes.
  • Acute glaucoma, which can become chronic, known as "closed angle" or "angle-closure" glaucoma; this type can rapidly lead to vision loss and there may be obvious symptoms, such as severe eye pain. This is considered an emergency condition, treated by drugs (internal and topical), and sometimes by surgery. It most often occurs in one eye (though the other eye may later become affected).
  • Symptoms:
    Poor vision
    Gradual loss of peripheral vision
    Severe headache
    Nausea/vomiting
    Late-stage: Loss of central vision
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Dry stools that cannot easily be expelled, even with purgatives
  • Thirst
  • Distention and fullness of the epigastrium and abdomen
  • Dry mouth
  • Dry nose
  • Epistaxis
  • Dry lips
  • T: Red, dry and thin
  • C: Little or None or thin and yellow or Burnt and yellow
  • P: Thready and slightly rapid or weak and forceless
Treatment Principle
  • Generate Fluids
  • Drain Heat
  • Unblock the bowels
  • Enrich Yin
Herb Formulas
Points
Clinical Manifestations
  • Intermittent attacks of abdominal pain
  • Stifling sensation in the chest and epigastrium
  • A sensation of warmth in the chest and epigastrium
  • Irritability in the chest and epigastrium
  • Vomiting after eating
  • Extremely Cold extremities
  • Vomiting of roundworms
  • Incessant diarrhea
  • Hunger with no desire to eat
  • Vomiting immediately after eating
  • Heat in the Stomach with Cold in the Intestines
  • Bitter taste in the mouth
  • Frequent urination
  • Anxiety
  • Abdominal pain (better with warmth and pressure)
  • Pain beneath the Heart
  • Borborygmus
  • Unquenchable thirst
  • Running piglet Qi
  • Pain and Heat in the Stomach
  • Discharge of small amounts of pus
  • Irritability
  • Recurrent nausea and vomiting
  • Diarrhea
  • Dry throat
  • Turbid urine
  • Polydipsia
  • T: Red or geographic or pale
  • C: White
  • P: Hidden or Wiry and tight
Treatment Principle
  • Warm the Internal organs
  • Warm the Middle Jiao
  • Warms the Intestines
  • Drains Heat
  • Replenishes Qi
  • Dispels parasites
  • Calms roundworms
  • Drains the Liver
  • Calms the Stomach
  • Promotes Blood circulation
  • Relieves pain
Herb Formulas
Points
Clinical Manifestations
  • Redness, pain and swelling of the eyes
  • Dizziness
  • Right hypochondriac pain and tension
  • Headache
  • Abdominal tension
  • T: Red tip
  • C: Thin yellow
  • P: Floating and rapid
Treatment Principle
  • Dispel Wind
  • Clear Heat
  • Release pathogens from the Exterior
  • Reduce swelling and pain
  • Clear the eyes
Herb Formulas
Points
Clinical Manifestations
  • Hot tears appear on exposure to Wind
  • Red eyes
  • Eyes feel gritty
  • Dry mouth
  • Dry nose
  • Dizziness
  • Vertigo
  • Tinnitus
  • T: Red
  • C: Thin white
  • P: Wiry or Thready and rapid
Treatment Principle
  • Mild cases:
    Cool the Liver
    Expel Wind
  • Severe cases:
    Expel Wind-Heat
    Nourish Yin
    Clear Fire
Herb Formulas
Points
Clinical Manifestations
  • Lacrimation
  • Vomiting immediately after eating
  • Indeterminate gnawing hunger
  • Acid regurgitation
  • Belching
  • May be epigastric pain
  • Dry heaves or spitting of clear fluids with vertex headache
  • Vomiting and diarrhea with cold hands and feet
  • Restlessness
  • Severe fidgeting
  • Irritability
  • So agitated, the patient wants to die
  • Habitual headache
  • Subcardiac distention
  • A feeling of fullness and distention in the chest and diaphragm
  • T: Pale
  • C: White and slippery
  • P: Slow and weak or Sinking or slow and thin or slow and wiry
Treatment Principle
  • Warm and tonify the Stomach and Liver
  • Descends Rebellious Qi
  • Stop Lacrimation
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Tinnitus
  • Dizziness
  • Diminished acuity of vision and hearing
  • Seizures
  • Headache
  • Deafness
  • Blurred vision
Treatment Principle
  • Heavily sedates and Calms the Shen
  • Anchors Yang
  • Improves vision and hearing
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Breast distention
  • Lower abdominal pain
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Soothe the Liver
  • Clear Heat
  • Cool the Blood
  • Consolidate the Chong Mai
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Anxiety
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthens the Spleen
  • Nourishes the Blood
  • Harmonizes the Liver and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Red, swollen, painful eyes
  • Severe, splitting headaches with dizziness
  • Maybe one-sided headache that connects to the vertex
  • Teeth very painful
  • Sudden tinnitus or deafness
  • Violent burning pain
  • Vertigo
  • Tinnitus
  • Irritability
  • Flushed face
  • Irascibility with violent angry outbursts
  • Suffocating feeling in the chest
  • Thirst
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Nausea
  • Vomiting sour or bitter liquid
  • Hypochondriac pain
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Vomiting
  • Lumps in the upper abdomen or chest
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
 
  • Clear Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphasia
  • Unsteady gait
  • Sudden loss of consciousness
  • Tongue stiffness with aphasia
  • Facial paralysis
  • Hemiplegia
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Persistent high fever
  • Irritability
  • Restlessness
  • Dizziness
  • Vertigo
  • Twitching
  • Spasms of the extremities
  • Insomnia
  • Tinnitus
  • Bitter taste in the mouth
  • Deafness
  • Dry throat
  • Stiff neck with convulsions
  • Severe headache
  • Loss of consciousness
  • Maybe opisthotonos
  • Maybe expectoration of thick, yellow sputum
  • T: Deep red, dry or burnt with prickles
  • C: Yellow and dry
  • P: Wiry and rapid or Wiry and smooth
Treatment Principle
  • Cools the Liver
  • Extinguishes Wind
  • Increases Fluids
Herb Formulas
Points
Clinical Manifestations
  • Glaucoma
  • Distended pain in the lower abdomen
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Cold extremities
  • Tightness or fullness in the chest
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Red edges
  • C:Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Regulate Liver Qi and Blood
  • Remove Stagnation
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Throbbing headache with distended feeling
  • Dizziness
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Sensation of Heat rushing to the head
  • Insomnia
  • Dream disturbed sleep
  • Numbness
  • Irascibility
  • Dizziness
  • Flushed face
  • Blurred vision
  • Red, dry eyes with feeling of grit in eye
  • Tinnitus
  • Dry mouth and throat with bitter taste in mouth
  • Insomnia
  • Palpitations
  • T: Red and dry
  • C: Little or None
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, the pulse is forceful)
    P: Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver.
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Enlarged pupils
  • Blurred vision
  • Photophobia
  • Excessive tearing
  • Light-headedness
  • 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
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Nourish Heart and Kidney Yin
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain in women
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe five sole Heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Bleeding
  • Hematemesis
  • Epistaxis
  • Hemoptysis
  • Hemafecia
  • Hematuria
  • Purplish skin rashes (maculae)
  • Black, tarry stools
  • Abdominal distension and fullness
  • Thirst with an inability to swallow
  • Menorrhagia
  • Mania
  • T: Scarlet with prickles or Deep purplish
  • P: Thin and rapid
Treatment Principle
  • Clear Heat
  • Relieve Fire toxicity
  • Cool the Blood
  • Nourishes the Yin
  • Dispel Blood Stasis
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Vomiting
  • Hiccups
  • Coughs with clear, profuse Phlegm or
  • Coughs with thick yellow Phlegm
  • Loose and watery stools
  • Facial edema,
  • Palpitations
  • Shortness of breath
Treatment Principle
  • Dry Dampness
  • Transform Phlegm
  • Clear Heat
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Nourish Yin
  • Disperse Wind
  • Calm the Liver
  • Clear the eyes
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points