目赤肿痛
Alias红眼病
Traditional Chinese Medicine Definition
In traditional Chinese medicine, "Red Eye" refers to a condition characterized by red and swollen eyelids, which is classified under the department of Otorhinolaryngology. According to the records in "Internal Medicine of Traditional Chinese Medicine," red eye pain involves redness and swelling of the eyelids, often accompanied by severe pain, photophobia, and lacrimation. The pathogenesis is usually attributed to external invasion of wind-heat or excessive liver and gallbladder fire, leading to obstruction of the ocular collaterals and disharmony of Qi and blood.
Red eye pain is a common ophthalmic disease in clinical practice of traditional Chinese medicine, with its core pathogenesis being the external invasion of wind-heat or excessive liver and gallbladder fire. Common triggers include seasonal changes, climatic fluctuations, and eye fatigue. In the process of differentiation, attention should be paid to distinguishing between cold and heat, deficiency and excess, such as the wind-heat invasion syndrome, which presents with red and swollen eyes, photophobia, and sticky discharge; while the liver and gallbladder fire syndrome is accompanied by symptoms like headache, irritability, and bitter taste in the mouth. The overall approach to treatment is to disperse wind and clear heat, detoxify and improve vision, or clear the liver and relieve fire, reduce swelling, and alleviate pain. In clinical practice, the treatment of red eye pain emphasizes differential diagnosis and treatment, adopting corresponding treatment methods based on different patterns to achieve the purpose of harmonizing Qi and blood and eliminating the root cause.
Common Syndrome Types and Key Points of Differentiation
风热外袭证
Main Manifestations：目赤肿痛，畏光流泪，眵多黏结
Management Approach：疏风清热，解毒明目
肝胆火盛证
Main Manifestations：目赤肿痛，头痛烦躁，口苦
Management Approach：清肝泻火，消肿止痛
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 red eye pain, the degree of pain, amount of eye discharge, and tongue appearance can be used to differentiate between internal and external wind pathogenic factors.
— 柴夏阳 中医执业医师
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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)