Dr Zijing Hu (M.B. M.

Med)

The Therapeutics of Lecturer: Department of

Complementary Medicine

Acupuncture and Moxibustion (Acupuncture)

Faculty of Health Sciences
University of Johannesburg
Haemorrhagic conjunctivitis (red eyes)
• Definition:
• Acute haemorrhagic conjunctivitis (AHC) is characterized by conjunctival congestion,
vascular dilatation, and the onset of oedema.

• Aetiology

Wind-heat Qi blockage of the meridian

AHC
Yang constitution Heat in the zang-fu organs
• Syndrome differentiation
• Main symptoms:

• Due to wind-heat: redness in the eyes, a burning sensation, tearing, sensitivity to the
light, profuse discharge (rheum), a distending sensation in the head or forehead, a red
tongue with a thin white or thin yellow coating, a floating rapid pulse

• Due to internal heat: redness in the eyes, swelling of the eyelids, tearing with a hot
sensation, a stabbing pain, sensitivity to the light, profuse sticky discharge (rheum),
headache, irritation, thirst with a desire to drink, yellow urine, dry stool, a red tongue with
a yellow coating, a rapid pulse
• Treatment principles:
• Dispelling wind and clearing heat

• Main points:
• BL2 (cuanzhu), GB1 (tongziliao), EX-HN5 (taiyang), LI4 (hegu), LV3 (taichong)

• Wind-heat: add GB20 (fengchi), LI11 (quchi)

• Internal heat: add DU14 (dazhui), GB43 (xiaxi), LV2 (xingjian)

• Needling technique
• Normal needling technique or prick to cause bleeding
Hordeolum

• Definition:
• A hordeolum (stye) is an acute, localized swelling of the eyelid that may be external or
internal and usually is a pyogenic (typically staphylococcal) infection or abscess.

• Aetiology

Wind-heat

Improper food Internal heat in spleen and stomach

Hordeolum
Heart and liver heat

Damp-heat
• Syndrome differentiation
• Main symptoms

• Due to wind-heat: early phase, itchy or slight pain, swelling, accompany with headache,
fever, body ache, a thin yellow coating, a floating rapid pulse

• Due to internal heat: swelling, a burning sensation, pain, thirst with a desire to drink,
constipation, yellow urine, a red tongue with a yellow or greasy coating, a rapid pulse

• Damp-heat due to spleen def.: A hordeolum that comes and goes, a pale facial
complexion, abdominal distension, dry stool, a red tongue with a thin yellow coating, a
thin rapid pulse
• Treatment principles:
• Dispelling wind and clearing heat

• Main points:
• BL2 (cuanzhu), EX-HN5 (taiyang), EX-HN6 (erjian), ST44 (neiting)

• Wind-heat: add GB20 (fengchi), LI4 (hegu)

• Internal heat: add DU14 (dazhui), LI11 (quchi), LV2 (xingjian)
• Damp-heat due to spleen def.: add SP6 (sanyinjiao), SP9 (yinlingquan)
• Affecting the upper eyelid: add BL1 (jingming)
• Affecting the outter canthus: add GB1 (tongziliao), SJ23 (sizhukong)
• Affecting inter and outer canthus: add EX-HN4 (yuyao)
• Affecting the lower eyelid: add ST1 (chengqi), ST2 (sibai)

• Other treatment approaches:

• Three-edge needling technique: select sensitive spots between T1-T7 around the
bladder meridian, prick to cause bleeding
Blepharoptosis

• Definition:
• Blepharoptosis: an abnormal, low-lying upper eyelid margin. Drooping eyelids may occur
on both sides (bilateral) or on one side only (unilateral), in which case it is more easily
noticed. Congenital ptosis is eyelid drooping that is present at birth; when it develops
later, it is referred to as acquired ptosis.
• Aetiology

Qi def.

Blood def. Blepharoptosis

Liver and kidney def.

• Treatment principles:
• Spleen qi def.: Tonifying kidney and spleen, tonifying qi and blood; a combination of
acupuncture and moxibustion with a reinforcing manipulation approach
• Exogenous wind: dispelling wind and activating qi and blood; a combination of
acupuncture and moxibustion with an even manipulation approach

• Main points:
• BL2 (cuanzhu), SJ23 (sizhukong), GB14 (yangbai), SP6 (sanyinjiao), DU20 (baihui)

• Kidney def.: add KD3 (taixi), DU4 (mingmen), BL23 (shenshu)

• Spleen def.: add ST36 (zusanli), BL20 (pishu)
• Exogenous wind: add GB20 (fengchi), LI4 (hegu)
• Needling technique
• DU20 (baihui): moxibustion

• Other treatment approaches:

• Electrical acupuncture stimulation: may be applied to the above points
 Dr Zijing Hu (M.B. M.Med)
Lecturer: Department of Complementary Medicine
(Acupuncture)
Room 7106d John Orr Building DFC
Faculty of Health Sciences
University of Johannesburg
Tel: 011 559 6999
E-mail: zhu@uj.ac.za