雙眼「動眼神經麻痺」反覆發作治療醫案

Medical case for the treatment of repeated episodes of "oculomotor nerve palsy" in both eyes

10.6528/CAMS.202212_10(1).0007

林慶恆(Lin, Ching-Heng)

中醫 ； 動眼神經麻痺 ； 補陽還五湯 ； 血府逐瘀湯 ； Traditional Chinese Medicine ； Oculomotor nerve palsy ； Buyang Huanwu Tang ； Xuefu Zhuyu Tang

中國鍼灸學雜誌

10卷1期（2022 / 12 / 18）

136 - 141

英文

動眼神經（oculomotor nerve）為十二對腦神經中的第三對，為支配眼肌的主要運動神經，其功能為支配上瞼提肌、上直肌、下直肌、內直肌、下斜肌等，來控制眼球的運動。亦控制著睫狀肌來調整水晶體的厚薄度，以及控制瞳孔括約肌，參與縮瞳和光調節反射。「動眼神經麻痹」為臨床常見症狀，導致其病變的發生，常見於感染、發炎、外傷、顱底腫瘤、動脈瘤、糖尿病性神經病變、酒精中毒、腦血管病變等。運用現代醫學診斷工具，及時查明病因，掌握治療時機，是本病痊癒的關鍵。結合中西醫療法取其所長，是本人認為治療此疾最佳的方法。

The oculomotor nerve is the third of the twelve pairs of cranial nerves, and is the main motor nerve that innervates the eye muscles. levator upper eyelid muscle, superior rectus muscle, inferior rectus muscle, medial rectus muscle, inferior oblique muscle, etc. to control the movement of the eye. It also controls the ciliary muscle to adjust the thickness of the lens, as well as the pupillary sphincter, which is involved in miotic and photoaccommodative reflexes. "Oculomotor nerve palsy" is a common clinical symptom, leading to the occurrence of its lesions, which are common in infection, inflammation, trauma, skull base tumor, aneurysm, diabetic neuropathy, alcoholism, cerebrovascular disease, etc. Using modern medical diagnostic tools to identify the cause in time and grasp the timing of treatment is the key to the recovery of this disease. Combining traditional Chinese and Western medicine, whichever its strengths, is the best way to treat this disease in my opinion.

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