风牵偏视
Alias麻痹性斜视
Traditional Chinese Medicine Definition
Wind-Induced Deviation of Vision (Paralytic Strabismus)
In traditional Chinese medicine, Wind-Induced Deviation of Vision, also known as paralytic strabismus, is one of the ocular diseases. According to the "Textbook of Internal Medicine in Traditional Chinese Medicine," this condition is characterized by disorders in eye movement, manifesting as difficulties in eye转动 and blurred vision. It is generally believed to be caused by the invasion of wind pathogen, which obstructs the meridians, leading to malnutrition of the tendons and muscles, and subsequent paralysis of the ocular muscles.
In clinical practice of traditional Chinese medicine, the core pathogenesis of Wind-Induced Deviation of Vision is the invasion of wind pathogens, obstructing the meridians, and causing paralysis of the ocular muscles. Common precipitating factors include external pathogen invasion, emotional disharmony, and improper balance of work and rest. During differentiation, attention should be paid to the following key points:
1. Cold and Heat, Deficiency and Excess: Invasion by cold pathogens often presents with difficulties in eye movement and aversion to cold with cold extremities; invasion by heat pathogens is characterized by red and swollen eyes with fever; deficiency of both Qi and blood manifests as limited eye movement and fatigue.
2. Differentiation Points: A comprehensive judgment should be made based on the patient's symptoms, tongue, and pulse, such as difficulties in eye movement, diplopia, and sudden onset, which are typically attributed to obstruction by wind pathogens; limited eye movement, fatigue, and dizziness, which are often due to deficiency of Qi and blood.
Overall Treatment Approach: In clinical practice, the treatment of Wind-Induced Deviation of Vision often involves methods of dispelling wind, unblocking the meridians, and replenishing Qi and nourishing blood. Traditional Chinese medicine believes that by adjusting the balance of yin and yang in the body, unblocking the meridians, and restoring the function of the ocular muscles, the therapeutic goal can be achieved.
Common Syndrome Types and Key Points of Differentiation
风邪阻络证
Main Manifestations：眼球转动不利,复视,突发
Management Approach：祛风通络,明目复视
气血两虚证
Main Manifestations：眼球转动受限,神疲乏力,头晕
Management Approach：补气养血,通络明目
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with Wind-Induced Deviation of Vision, the condition is often caused by internal movement of liver wind. Clinically, attention should be paid to adjusting the liver wind to restore visual balance.
— 范立 中医执业助理医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)