PTERYGIUM

Clinical Manifestations	Triangular overgrowth of cornea Slow onset with slight dryness Itching of the eye
Treatment Principle
Herb Formulas	For long-term use: Zhi Bai Di Huang Wan Gan Lu Xiao Du Yin For pterygium spreading from the inner canthus: San Huang Xie Xin Tang + Pterygium #1 Dao Chi San + Ba Zheng San For pterygium spreading from the outer canthus: Pterygium #2 Pterygium #3
Points	GB-14, SJ-23, UB-1, UB-2 LI-4, SI-1, Taiyang, UB-1 DU-20, GB-1 or SJ-23 (usually used alternately), LI-4, UB-1, UB-2, bleed Erjian

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Foul breath Red face Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbance: Mentally unclear Delirious speech T: Red and dry, or black and moist C: Thick yellow or dry yellow P: Deep, strong and forceful
Treatment Principle	Purge
Herb Formulas	Tao He Cheng Qi Tang
Points	For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

Clinical Manifestations	Irritability with a sensation of Heat in the chest Thirst with a desire to drink cold beverages Red face Fever May be sores around the mouth Dark, scanty urine Rough urination Fidgeting Warm sensations in the chest Sores on the tongue Painful urination (stabbing) Urination short and hesitant Hematuria Oliguria Maybe blood in the urine Sluggish urination Irritability Fatigue T: Red P: Rapid
Treatment Principle	Clear the Heart Drain Fire Relieve toxicity
Herb Formulas	Dao Chi San San Huang Xie Xin Tang Nu Xiao San
Points	General points

Clinical Manifestations	Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea T: Pale C; White or Thick and white P: Weak
Treatment Principle	Strengthen and raises the Qi of the Middle Jiao Improve visual and aural acuity
Herb Formulas	Yi Qi Cong Ming Tang
Points	General points