公猪胆一个,微火用银铫内煎成膏,候冷,入冰片末二三厘,点入眼中,渐觉翳轻。又
将猪胆白膜皮晒干,合作小绳如钗,火烧灰存性,点翳,甚者亦能治之。
痘毒入眼,有赤肿而痛不能开者,有翳障遮蔽而不能视者。自古方书所论,乃俗说所传
,皆以为痘疮入眼,而不知此非有形之疮,乃无形之毒也。其遮睛之翳,有似痘疮,而实非也。
盖
内疮亦消。惟痘眼之毒,必作于收靥之时,或还元之后,与咽喉口舌之痘迥异,此以知其非
有形之疮也。盖眼者五脏气血之精华也,痘毒之郁滞于肌肤者,为痈为疖,而其留滞于精华
者,则发于眼患者,毒已留于气血精华之分,则其受病也深。故患此者,当乘时调治,收功
于数十剂之后,切不可卤莽草率,责效于数剂之间。何也?痘后之人,元气已弱,受毒又深
,而其毒火发露在表,又在至高之位,若骤用寒凉,峻攻其里,而疏利其下,则既伤其元
气,又拂逆其病势,未有不至于丧明者。且或生他症,而为大患者多矣。须用清毒拨翳汤,
从容调治,使其毒瓦斯渐退,而元气不损,此方不失一之术也。切戒熏洗。若日久不治,亦致
失明。患此症甚多,彼不知治法,又何怪乎。
清毒拨翳汤
防风(五分) 荆芥穗(四分) 苏薄荷(四分) 前胡(七分) 蔓荆子(四分) 京芍药(六
分) 桔梗(五分) 北柴胡(七分) 片黄芩(五分,炒) 连翘(四分) 肥知母(五分,炒) 牛蒡子
(五分,炒研) 白菊(三分) 密蒙花(四分) 白蒺藜(七分,去刺) 木贼(三分) 牡丹皮(
四分)
水煎热服。
如红甚,加红花(三分) 桑白皮(四分,蜜水炒)
如翳膜遮睛,加石决明(八分, 研)
如多泪,加北细辛(三分)
如内热甚,加黄连(三分,炒)
如甚者,可兼用后数方。
Take one gallbladder from a male pig, decoct it over a mild fire in a silver pot until it becomes an ointment. After cooling, add two or three *li* of powdered *Bingpian* (Borneolum Syntheticum) and instill into the eyes; gradually, the corneal opacity will feel lighter. Additionally, dry the white membrane skin inside the pig's gallbladder, roll it into small ropes resembling hairpins, burn them to charcoal while preserving their medicinal properties (*Cunxing*), and apply to the opacity; even severe cases can be treated.
When pockmark toxin enters the eyes, some present with redness, swelling, pain, and inability to open the eyes, while others are obscured by corneal opacity leading to blindness. Discussions in ancient medical texts and popular legends all attribute this to pockmarks entering the eye, failing to realize that this is not a有形 (tangible) sore, but rather an无形 (intangible) toxin. The opacity obscuring the pupil resembles a pockmark but is actually different. Internal sores also resolve. Only the toxin of pockmark eyes arises specifically during the scabbing-off stage or after recovery, which is distinctly different from pockmarks in the throat, mouth, and tongue; thus, we know it is not a tangible sore. The eye is the essence of the Qi and Blood of the five Zang organs. When pockmark toxin stagnates in the skin and muscles, it manifests as carbuncles or furuncles; however, when it remains in the essence of the eye, it causes eye diseases. Since the toxin has lodged in the realm of Qi, Blood, and essence, the pathology is deep. Therefore, patients should seek timely treatment and expect results after dozens of doses; one must not act rashly or expect immediate effects within a few doses. Why? After suffering from pocks, the person's Yuan Qi (Original Qi) is already weak, and the received toxin is profound. Moreover, the toxin-fire manifests on the exterior and occupies the highest position (the head). If cold and cooling herbs are suddenly used to aggressively attack the interior and promote purgation downwards, it will damage the Yuan Qi and contradict the disease trend, inevitably leading to blindness. Furthermore, other symptoms may arise, causing greater harm. One must use Qingdu Bo Yi Tang (Clear Toxin and Remove Opacity Decoction) to treat the condition calmly, allowing the toxic vapors to recede gradually without damaging the Yuan Qi. This prescription is indeed an excellent method. Strictly forbid fumigation and washing therapies. If left untreated for a long time, it will also lead to blindness. Many suffer from this condition; if they do not know the treatment method, what is there to blame?
Qingdu Bo Yi Tang (Clear Toxin and Remove Opacity Decoction)
Fangfeng (Saposhnikoviae Radix, 5 fen) Jingjie Sui (Schizonepetae Spica, 4 fen) Su Bohe (Menthae Haplocalycis Herba, 4 fen) Qianhu (Peucedani Radix, 7 fen) Manjingzi (Viticis Fructus, 4 fen) Jingshaoyao (Paeoniae Radix Alba, 6 fen) Jiegeng (Platycodonis Radix, 5 fen) Beichaihu (Bupleuri Radix, 7 fen) Pian Huangqin (Scutellariae Radix, 5 fen, stir-fried) Lianqiao (Forsythiae Fructus, 4 fen) Fei Zhimu (Anemarrhenae Rhizoma, 5 fen, stir-fried) Niubangzi (Arctii Fructus, 5 fen, stir-fried and crushed) Baiju (Chrysanthemi Flos, 3 fen) Mimenghua (Descurainiae Semen seu Fructus, 4 fen) Baijili (Tribuli Fructus, 7 fen, thorns removed) Muzei (Equiseti Herba, 3 fen) Mudanpi (Moutan Cortex, 4 fen)
Decoct in water and take hot.
If redness is severe, add Honghua (Carthami Flos, 3 fen) Sangbaipi (Mori Cortex, 4 fen, stir-fried with honey water).
If opacity covers the pupil, add Shijueming (Concha Argo, 8 fen, crushed).
If there is excessive tearing, add Beixixin (Asari Radix et Rhizoma, 3 fen).
If internal heat is severe, add Huanglian (Coptidis Rhizoma, 3 fen, stir-fried).
If the condition is severe, several subsequent prescriptions may be used concurrently.