Female, 52 years old. Gradual deterioration of the vision over four years in the right eye and two years in the left eye. Symptoms included blurred vision and slight distention and discomfort in both eyes accompanied by depression and distention of the eyebrow. An examination showed visual acuity of 0.6 in the right eye and 0.8 in the left with no improvement with corrective lenses and no abnormality of the outside of the eyes. After dilation of the pupils, it showed grayish-white wheel type turbidity in the areas surrounding both lenses and clear refractive media, with no obvious abnormality of the optical papilla, retina vessels or macula at the fundus. The tongue body was red with a thin, yellow coating and the pulse was wiry and rapid.
The final case scenario is a presentation of qi stagnation with heat. The key to understanding the difference between this case and Shí Jué Míng Săn presentation lies in the patient’s symptoms of depression and eye distention. Like depression, sensations of distention reflect qi stagnation. There are fewer symptoms of heat, the most notable being the wiry rapid pulse and the red tongue body with yellow coating. Thus, the physician uses Dān Zhī Xiāo Yáo Săn (Moutan and Gardenia Free Wanderer Powder) to treat the case.
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