Retinal Artery Occlusion Leading to Blindness Case

[Michael Trinh]

Need some help, please. My mates mum this morning woke up and one eye was blind. Found out that it was a ‘red cherry spot’–seen in a central retinal artery occlusion. Her BP was 151/91, and she has high cholesterol. She’s in her 60’s. Has previously had a heart transplant about 2 yrs ago. No constipation, but dry stools. Bowel motion is perfectly fine. From memory her pulse was deep faint thin and fast. Would Tao he Cheng qi tang be suitable for this patient? Would it be possible to resurrect the eye?

[markgearing]

The patient is on granules for 4 days by the way….

[Aaron]

Are you thinking about the case where Dr. Zeng treated a woman who was suddenly blind after giving birth? I think that was a TWCQT instead of THCQT? Does she have any exterior symptoms? Line 252 does give you a permission slip to purge acute blindness. Probably better TWCQT then DCQT for her though.

[Michael Trinh]

Thanks for the in depth response mark :). I’ll definitely try to get her in the clinic, but for the time being I’ll need to treat her.

[markgearing]

Yes of course …. So have another feel of the pulses and then post the details . What was your impression of the pulse ? a slippery pulse is a faster pulse . Is there any action on the Left CUN ? how is the sleep ? any dreams ? palpitations ? dizziness ? A fast pulse can also happen in Yang deficiency which may fit with a Hx of Heart transplant and a deep and faint pulse …. Also check the R CUN for any tightness . If you think it might need a DH treatment , you could also check the abdominal findings which may assist your choice …

[Michael Trinh]

It just happened this morning. So I’ll have to see her at some point in the next few days. Will keep you posted.

[Author]

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