Among the series of clinical symptoms of myasthenia gravis, myasthenia gravis ocular myopathy is the most common. Some patients only show eye muscle weakness with mild symptoms such as ptosis, diplopia, and strabismus, which are common in children. Some patients start with eye muscle weakness and gradually develop into generalized myasthenia, which is more common in adults. The treatment of myasthenia gravis ophthalmosinopathy includes medication, surgery, traditional Chinese medicine and other methods, and the treatment is symptomatic according to the condition. Treatment of myasthenia gravis ocular myopathy with traditional Chinese medicine Traditional Chinese medicine divides myasthenia gravis into the following types: 1. Weak spleen and stomach type: drooping eyelids, flaccid limbs, gradually worsening, aggravated by exertion, relieved by rest, fatigue, shortness of breath, laziness to speak, reduced appetite, choking and coughing when eating, even difficulty swallowing, loose stools, and dull complexion. The tongue is fat, the tongue coating is thin white, and the pulse is thready and weak. 2. Liver-kidney yin deficiency type: drooping eyelids, strabismus or diplopia, weak lower limbs, inability to stand for a long time, or even difficulty in movement, thin muscles, sore waist and spine, tinnitus and blurred vision, irregular menstruation in women, spermatorrhea and impotence in men, hot flashes and night sweats. The tongue is red and a little bitter, and the pulse is thready and rapid. 3 Spleen and kidney yang deficiency type: drooping eyelids or weak limbs, or even general weakness, easy fatigue, fear of cold and cold limbs, sore waist and knees, frequent urination or frequent urination at night, loose stools or undigested food, pale tongue with teeth marks on the edges, thin white tongue coating, and deep and fine pulse. 4 Qi and blood deficiency type: drooping eyelids or general weakness, sallow or pale complexion, thin limbs, small appetite, low voice and shortness of breath, dizziness and fatigue, irregular menstruation in women, scanty and light menstruation, pale and tender tongue, thin white tongue coating, and thready and weak pulse. Different methods are used according to the different causes and pathogenesis of the disease, following the treatment principle of "replenishing the deficiency and benefiting the damage", with invigorating the spleen and replenishing qi, replenishing qi and blood, nourishing the liver and kidney, warming yang and tonifying the kidney as the basic treatment methods, supplemented by therapies such as removing blood stasis and activating blood circulation, relaxing muscles and activating collaterals, etc. Astragalus, ginseng, Atractylodes, Chinese angelica, Bupleurum, Cimicifuga, Lycium barbarum, Aconite, Epimedium, Curculigo, etc. are selected to treat the disease through comprehensive therapies such as internal and external use, as well as meridian medicated baths, massage, and acupuncture. Combining Chinese and Western medicine to treat eye muscle weakness At present, traditional Chinese medicine and the combination of traditional Chinese and Western medicine have shown their advantages in the treatment of ocular myasthenia gravis, but how to find effective methods from early clinical treatment to reduce the recurrence of ocular myasthenia gravis and effectively block its transformation to gMG is still an issue that clinical workers should explore. But no matter which treatment method you choose, you should first confirm the cause of your eye muscle weakness, and then find a doctor you trust nearby for treatment. At the same time, in your daily life, you should pay attention to avoiding fatigue, maintaining a happy mood, and avoiding viral infections. |
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