JIE Chuanhong's Diagnosis and Treatment of Ophthalmoplegia Based on the Theory of"the Same Disease with Different Treatments"
Ophthalmoplegia,characterized clinically by sudden ocular deviation,limited ocular movement,and diplopia,is closely associated with multiple factors and significantly impacts patients' quality of life.In Traditional Chinese Medicine(TCM),it is named"wind-induced strabismus".From the perspective of TCM,its etiology is mostly attributed to wind,phlegm,blood stasis,and deficiency,with a close correlation to liver,spleen,and kidney organs.Currently,Western Medicine lacks specific drugs and treatments,mostly focusing on controlling the primary disease and providing symptomatic support with neurotrophic medications.TCM exhibits good clinical efficacy in treating this disease and improving symptoms.The disease is related to various factors such as Yin-Yang deficiency,Qi-blood imbalance,disharmony between liver and spleen,Yin deficiency of liver and kidney,phlegm-damp stagnation,and blood stasis obstructing the meridians.It advocates treating the root cause of the disease,differentiating diseases and syndromes,integrating the four diagnostic methods,and selecting prescriptions and medications based on patients' different constitutions and the nature of the disease despite similar symptoms.JIE Chuanhong clinically applies the principle of"treating the same disease with different methods"to the treatment of ophthalmoplegia,emphasizing both minor and significant symptoms,syndrome differentiation and treatment,examining the syndrome to determine the cause,and integrating the four diagnostic methods,achieving good clinical efficacy.The author summarizes three classic cases of ophthalmoplegia treated by JIE Chuanhong to illustrate the essence of treating the same disease with different methods,highlighting the individualized characteristics of syndrome differentiation and treatment in TCM,and providing ideas for improving the level of clinical diagnosis and treatment in TCM.
treating the same disease with different methodsJIE Chuanhongophthalmople-giaillustrative case studies