Dry eyes and can't relieve themselves?

People have always thought that rheumatoid is only a disease involving the joints, is not so, rheumatoid is a self- immune diseases, the immune dysfunction can affect patients of all organs, multi-system, heart, brain, lung, Don't let the kidneys go
.

It is worth noting that the window of the soul, the eyes, can hardly escape the invasion of rheumatoid

 

Rheumatism can cause eyes

Rheumatoid can cause eye diseases

According to research by relevant experts, about 15% of rheumatoid patients are complicated by Sjogren’s syndrome , which makes the cornea and conjunctiva dry and uncomfortable.
If the condition is not serious, it is often difficult for patients to notice
.

The pathogenesis of rheumatoid dry eye is the abnormality of the body’s immune function caused by a variety of factors.
Cellular and humoral immune responses produce various inflammatory mediators, and the inflammatory and destructive lesions of the lacrimal gland tissue are all affected by these inflammatory mediators.
Inflammation of the ocular surface leads to the damage and apoptosis of the epithelial cells.
The infiltration of the lacrimal gland by lymphocytes leads to the proliferation of local ducts and glandular epithelial cells.
The lacrimal gland further degenerates and shrinks, destroys, and is replaced by fibrous tissue
.

As a result, the secretion function is lost, resulting in a decrease in the secretion of watery fluid and mucus in the tear fluid, the corneal epithelium is peeled off, the tear film is unstable, and dry eyes occur
.

Symptoms of dry eyes will be more serious in the evening, manifested as evaporative dry eyes
.

Other symptoms include red eyes, blurred vision, and a sensation of foreign bodies in the eyes

(Source: Photograph Network)

TCM believes that rheumatoid dry eyes are related to the functions of the internal organs Rheumatoid dry eye is not recorded in traditional Chinese medicine
.

According to its clinical manifestations, it belongs to the category of "Shenshui Jiangshu" in Chinese Ophthalmology .

On the other hand, body fluid turns into divine water in the eyes, moisturizes outside the eyes as tears, and fills the eyes as liquid, and body fluid loss causes dry eyes
.

The essence of the internal organs and the six fu-organs needs to communicate with the upper and lower internal and external channels through the meridian, which can be raised in the eyes

Dry eye is one of the complications of "Gai Bi", so the syndrome differentiation has similarities with Gai Bi
.

The cause of splenic arthralgia is nothing more than "rightness deficiency", "evil invasion", "phlegm turbidity and blood stasis endogenous".

Because the liver governs the tendons, the kidney governs the bones, and the spleen governs the muscles, it is mainly manifested in the loss of liver, spleen, and kidneys in Kana's Arthralgia
.

Wind, cold, dampness and heat attack the joints, muscles, tendons, and block the meridians as the target.

 

Patients with dry eye secondary to rheumatoid should be treated based on syndrome differentiation

Patients with rheumatoid patients with secondary dry eye need dialectical treatment

Among them, patients with dry eye secondary to rheumatism can be divided into 6 syndrome types according to systemic and local symptoms: damp-heat arthralgia syndrome, phlegm-stasis arthralgia syndrome, rheumatic arthralgia syndrome, cold-dampness arthralgia syndrome, qi and blood deficiency syndrome, liver Kidney deficiency syndrome;

Among them, rheumatoid dry eye is more common in liver and kidney deficiency syndrome (40.
5%), phlegm and blood stasis syndrome (19.
0%), damp-heat syndrome (16.
7%)
.

Therefore, the treatment of secondary rheumatoid dry eye requires both specimens and cannot be treated according to the syndrome differentiation of ordinary dry eye
.

The tear film rupture time is the longest in patients with wind-damp arthralgia obstruction syndrome , indicating that patients with rheumatic arthralgia obstructive syndrome are not very injured; the eye symptom scores of patients with liver and kidney deficiency syndrome are the highest
.

Therefore, the ocular surface symptoms of patients with liver and kidney deficiency syndrome should be taken into account at the same time of treatment to alleviate the suffering of patients

 

Therefore, for rheumatoid patients, especially those with long course of disease, positive related laboratory indicators, and TCM syndromes of liver and kidney deficiency syndrome, phlegm stasis obstruction syndrome, damp-heat arthralgia obstruction syndrome, routine ocular surface examination should be performed for early detection Early treatment to improve the quality of life of patients and prevent the formation of severe dry eye
.

At the same time, if patients with severe dry eye are found clinically, relevant serological examinations should be done to consider whether rheumatoid exists, so that the treatment can be targeted
.

 

references:

[1] Ding Ning , Gao Weiping .
(2018).
Research on the correlation between rheumatoid arthritis and dry eye .
Western Traditional Chinese Medicine

[2] Xia Zhaoxia , Guo Hui , Feng Zhizhen .
(2011).
Clinical analysis of rheumatoid arthritis with dry eye .
Journal of Sun Yat-sen University (Medical Science Edition) , 144-145.
doi:CNKI:SUN:ZSYK.
0.
2011- 02-026.

People have always thought that rheumatoid is only a disease involving the joints, is not so, rheumatoid is a self- immune diseases, the immune dysfunction can affect patients of all organs, multi-system, heart, brain, lung, Don't let the kidneys go
.

It is worth noting that the window of the soul, the eyes, can hardly escape the invasion of rheumatoid

It is worth noting that the
immune system is the window of the soul, the eyes, and it is hard to escape the invasion of rheumatoid .
It is worth noting that the window of the soul, the eyes, can hardly escape the invasion of rheumatoid
.

 

Rheumatism can cause eyes

Rheumatism can cause eyes

Rheumatoid can cause eye diseases

Rheumatoid can cause eye diseases

According to research by relevant experts, about 15% of rheumatoid patients are complicated by Sjogren’s syndrome , which makes the cornea and conjunctiva dry and uncomfortable.
If the condition is not serious, it is often difficult for patients to notice
.

Approximately 15% are complicated by Sjogren's syndrome Approximately 15% are complicated by Sjogren's syndrome

The pathogenesis of rheumatoid dry eye is the abnormality of the body’s immune function caused by a variety of factors.
Cellular and humoral immune responses produce various inflammatory mediators, and the inflammatory and destructive lesions of the lacrimal gland tissue are all affected by these inflammatory mediators.
Inflammation of the ocular surface leads to the damage and apoptosis of the epithelial cells.
The infiltration of the lacrimal gland by lymphocytes leads to the proliferation of local ducts and glandular epithelial cells.
The lacrimal gland further degenerates and shrinks, destroys, and is replaced by fibrous tissue
.

A variety of factors cause abnormalities in the body’s immune function.
Cellular and humoral immune responses produce various inflammatory mediators.
Various factors cause abnormalities in the body’s immune function.
Cellular and humoral immune responses produce various inflammatory mediators.

As a result, the secretion function is lost, resulting in a decrease in the secretion of watery fluid and mucus in the tear fluid, the corneal epithelium is peeled off, the tear film is unstable, and dry eyes occur
.

As a result, the secretion function is lost, resulting in a decrease in the secretion of watery fluid and mucus in the tear fluid, the corneal epithelium is peeled off, the tear film is unstable, and dry eyes occur
.
As a result, the secretion function is lost, resulting in a decrease in the secretion of watery fluid and mucus in the tear fluid, the corneal epithelium is peeled off, the tear film is unstable, and dry eyes occur
.

Symptoms of dry eyes will be more serious in the evening, manifested as evaporative dry eyes
.
Other symptoms include red eyes, blurred vision, and a sensation of foreign bodies in the eyes
.

(Source: Photograph Network)

(Source: Photograph.
com) Chinese medicine believes that rheumatoid dry eye is related to the functions of the internal organs.
Rheumatoid dry eye is not recorded in Chinese medicine.
According to its clinical manifestations, it is classified into the category of "Shenshui Jiangshu" in Chinese medicine ophthalmology
.
According to its clinical manifestations, it belongs to the category of "Shenshui Jiangshu" in Chinese Ophthalmology
.
"Theories on the Sources of Diseases" states: "The husband’s five internal organs have body fluids, and those who pass through the eyes are tears
.
" Exogenous wind-heat and dry evils damage the blood and body fluid, and the residual heat of fever is not exhausted.
Not smooth
.
In the five-wheel theory, the white eyes belong to the lungs, the lack of lung yin and the loss of nutrition, the deficiency of the liver and kidneys, the inflammation of the yin and body fluids can make the qi, blood and body fluid unable to win the eyes.

.

TCM believes that rheumatoid dry eyes are related to the functions of the internal organs

TCM believes that rheumatoid dry eyes are related to the functions of the internal organs

On the other hand, body fluid turns into divine water in the eyes, moisturizes outside the eyes as tears, and fills the eyes as liquid, and body fluid loss causes dry eyes
.
The essence of the internal organs and the six fu-organs needs to communicate with the upper and lower internal and external channels through the meridian, which can be raised in the eyes
.
The cause of dry eye is complex, combined with the overall concept of the motherland medicine and the principles of syndrome differentiation, experts believe that its pathogenesis is related to the function of the internal organs, qi, blood and body fluid, and the movement of meridians
.

Experts believe that its pathogenesis is related to the functions of the internal organs, qi, blood and body fluid, and the movement of meridians
.
Experts believe that its pathogenesis is related to the functions of the internal organs, qi, blood and body fluid, and the movement of meridians
.

Dry eye is one of the complications of "Gai Bi", so the syndrome differentiation has similarities with Gai Bi
.
The cause of splenic arthralgia is nothing more than "rightness deficiency", "evil invasion", "phlegm turbidity and blood stasis endogenous".
The lack of righteousness includes the deficiency of human essence, qi, blood, body fluid and other substances, as well as the low function of viscera
.

Because the liver governs the tendons, the kidney governs the bones, and the spleen governs the muscles, it is mainly manifested in the loss of liver, spleen, and kidneys in Kana's Arthralgia
.
Wind, cold, dampness and heat attack the joints, muscles, tendons, and block the meridians as the target.
The poor circulation of Qi and blood leads to "blood stasis and dampness as phlegm".
Eventually, phlegm and blood stasis are interlocked, blocking the meridians, and aggravating the condition
.

Eventually, the phlegm and blood stasis will become congested, blocking the meridians, and aggravating the condition
.
Eventually, the phlegm and blood stasis will become congested, blocking the meridians, and aggravating the condition
.

 

Patients with dry eye secondary to rheumatoid should be treated based on syndrome differentiation

Patients with rheumatoid patients with secondary dry eye need dialectical treatment

Patients with rheumatoid patients with secondary dry eye need dialectical treatment

Among them, patients with dry eye secondary to rheumatism can be divided into 6 syndrome types according to systemic and local symptoms: damp-heat arthralgia syndrome, phlegm-stasis arthralgia syndrome, rheumatic arthralgia syndrome, cold-dampness arthralgia syndrome, qi and blood deficiency syndrome, liver Kidney deficiency syndrome;

Among them, rheumatoid dry eye is more common in liver and kidney deficiency syndrome (40.
5%), phlegm and blood stasis syndrome (19.
0%), damp-heat syndrome (16.
7%)
.

Therefore, the treatment of secondary rheumatoid dry eye requires both specimens and cannot be treated according to the syndrome differentiation of ordinary dry eye
.

The tear film rupture time is the longest in patients with wind-damp arthralgia obstruction syndrome , indicating that patients with rheumatic arthralgia obstructive syndrome are not very injured; the eye symptom scores of patients with liver and kidney deficiency syndrome are the highest
.
Therefore, the ocular surface symptoms of patients with liver and kidney deficiency syndrome should be taken into account at the same time of treatment to alleviate the suffering of patients
.

Patients with wind dampness arthralgia syndrome have poor body fluids; patients with the highest ocular symptom score of liver and kidney deficiency syndrome

 

Therefore, for rheumatoid patients, especially those with long course of disease, positive related laboratory indicators, and TCM syndromes of liver and kidney deficiency syndrome, phlegm stasis obstruction syndrome, damp-heat arthralgia obstruction syndrome, routine ocular surface examination should be performed for early detection Early treatment to improve the quality of life of patients and prevent the formation of severe dry eye
.

Liver and Kidney Deficiency Syndrome, Phlegm and Blood Stasis Syndrome, Damp-heat Arthralgia Syndrome

At the same time, if patients with severe dry eye are found clinically, relevant serological examinations should be done to consider whether rheumatoid exists, so that the treatment can be targeted
.

 

references:

references:

[1] Ding Ning , Gao Weiping .
(2018).
Research on the correlation between rheumatoid arthritis and dry eye .
Western Traditional Chinese Medicine

[1] Ding Ning , Gao Weiping .
(2018).
Research on the correlation between rheumatoid arthritis and dry eye .
Rheumatoid arthritis .
Western Traditional Chinese Medicine

[2] Xia Zhaoxia , Guo Hui , Feng Zhizhen .
(2011).
Clinical analysis of rheumatoid arthritis with dry eye .
Journal of Sun Yat-sen University (Medical Science Edition) , 144-145.
doi:CNKI:SUN:ZSYK.
0.
2011- 02-026.

[2] Xia Zhaoxia , Guo Hui , Feng Zhizhen .
(2011).
Clinical analysis of rheumatoid arthritis with dry eye .
Journal of Sun Yat-sen University (Medical Science Edition) , 144-145.
doi:CNKI:SUN:ZSYK.
0.
2011- 02-026.

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