Bacterial Corneal Ulcer
Bacterial Corneal Ulcer
Bacterial Corneal Ulcer
The alias disease: Bacterial Corneal Ulcer
Their location: Systemic
Attendance sections: Eyes and Viscera
Bacterial corneal ulcer is a kind of acute suppurative inflammation of the cornea caused by the bacterial infection. Clinically, it usually manifests the symptoms of cloudy infiltration focus in the cornea that quickly amplifies to form ulcer. Although every one may suffer from it in all seasons of a year, the disease often attacks in summer and autumn and old people of debility are easy to be affected. It usually starts suddenly, develops rapidly and changes greatly. If it is not treated instantly and properly, there may arise corneal perforation and iridoptosis, and adhesive leukoma, after recovery, may be formed that greatly affects vision or even causes blindness. Sometimes, it may give rise to endophthalmitis or panophthalmia and even destroy the whole eyeball.
2.Causes of Phlyctenular Conjunctivitis
The alias disease: Phlyctenular Conjunctivitis
Their location: Systemic
Attendance sections: Disorders of Bulbar Conjunctiva
The case may occur only in the bulbar conjunctiva, or simultaneously in the cornea and conjunctiva, and sometimes in the cornea alone. If the lesion is in the bulbar conjunctiva, the case is refered to as phlyctenular conjunctivitis. If in the corneal margin, it is called phlyctenular keratoconjunctivitis, and it can be defined as phlyctenular keratitis if in the cornea. And phlyctennular ophthelmia is a general term of all.
Pathogenetically and etiologically, the disease is a kind of delayed hypersensitivity to the microorganic protein. The concerned microorganisms include tubercle bacillus, staphylococcus, Candida albicans, Conidiosporalis and Chlamydia trachomatis and so on.
From the clinical manifestations, the disease should pertain to "Jingan" or "Jinyang" (fallicutar conjunctivitis) in traditional Chinese medicine. Pathogenic dryness-heat in the lung meridian, deficiency of lung yin or weakness of the spleen and stomach and incoordination of the lung and spleen, all these are the crucial factors to the occurrence of the disease. The pathogenic dryness-heat in the lung
meridian makes the lung lose its dispelling-releasing function which gives rise to qi stagnancy and blood stasis, thus the bulbar conjunctiva being affected. If the deficiency of lung yin initiates hyperactivity of deficient fire, the bulbar vessels are affected and stagnated, and qi and blood are accumulated, causing malnutritional disorders of the eye.Besides, the poor transforming function of the spleen due
to deficiency of the spleen and stomach and the nourishing disfunction of the lung due to the failure of the spleen (earth) to generate the lung (gold) may cause the obstruction of qi activities, for stagnancy of qi and blood can also start the disease.
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The TCM approach is fundamentally different from that of Western medicine. In TCM, the understanding of the human body is based on the holistic understanding of the universe as described in Daoism, and the treatment of illness is based primarily on the diagnosis and differentiation of syndromes.
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