条文:眯目鹿丝入目中,泪涩难开睛痛疼,初宜外治久生翳,酒调散用草归茺,
螵蛸赤芍苍桔,翘麻羌活大黄同。
方剂:酒调散方
甘草 当归 茺蔚子 桑螵蛸 赤芍药 苍术 菊花 桔梗 连翘 麻黄
羌活 大黄各一两
右为细末,每服三钱,酒调下,不拘时服。
补遗
【注】[1]咪目者,或飞尘飞丝风吹入目也。
[2]其证泪多隐涩难开,睛珠疼痛。
[3]初得时,宜翻转眼睥,用绵裹钗脚,拨出眯物;若日久生云翳者,宜
用酒调散治之。
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条文:散翳形散如鳞点,乍青乍白映瞳中,胞内粟生兼烂痛,金针一拨目光通。
还睛散用人参味,桔梗车前苓细风,后用补肝归木贼,防用熟地芍川芎。
方剂:散翳还睛散方
人参一钱 五味五分 桔梗一钱 车前子二钱 茯苓一钱 细辛五分 防
风二钱
右为粗末,以水二盏,煎至一盏,夜食后去渣温服。
散翳补肝散方
当归二钱 木贼一钱 防风一钱 熟地黄二钱 白芍药一钱 川芎五分
右为粗末,以水二盏,煎至一盏,空心去渣温服。
【注】[1]散翳,翳从瞳人内透出,散如鳞点之状,乍青乍白,胞内起粟而烂,
瞳人痛楚。
[2]宜用金针拨其内翳之后,先服还睛清补,后用补肝散收功。
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Translation: Foreign bodies (such as flying dust or silk threads) enter the eye, causing tearing, astringency with difficulty in opening, and pain in the eyeball. In the initial stage, external treatment is appropriate; if cloud-like nebulae (cataracts/opacities) form after a long time, Jiu Tiao San (Wine-Adjusted Powder) should be used, taken with wine. The formula contains Gancao (Licorice Root), Danggui (Angelica Sinensis), Chongweizi (Eclipta Seed), Sangpiaoxiao (Mantis Egg Case), Chishao (Red Peony Root), Cangzhu (Atractylodes Rhizome), Juhua (Chrysanthemum Flower), Jiegeng (Platycodon Root), Lianqiao (Forsythia Fruit), Mahuang (Ephedra Herb), Qianghuo (Notopterygium Rhizome), and Dahuang (Rhubarb Root).
Formula: Jiu Tiao San (Wine-Adjusted Powder)
Gancao (Licorice Root), Danggui (Angelica Sinensis), Chongweizi (Eclipta Seed), Sangpiaoxiao (Mantis Egg Case), Chishao (Red Peony Root), Cangzhu (Atractylodes Rhizome), Juhua (Chrysanthemum Flower), Jiegeng (Platycodon Root), Lianqiao (Forsythia Fruit), Mahuang (Ephedra Herb), Qianghuo (Notopterygium Rhizome), Dahuang (Rhubarb Root), each 1 liang.
Grind the above herbs into fine powder. Take 3 qian per dose, mixed with wine for administration, at any time without restriction.
Supplementary Notes
[Note] [1] "Mi Mu" (Eye Irritation by Foreign Body) refers to conditions caused by flying dust, silk threads, or wind blowing into the eye.
[2] The symptoms include excessive tearing, astringency making it difficult to open the eyes, and pain in the eyeball.
[3] At the onset, it is appropriate to evert the eyelid and use cotton-wrapped hairpin tips to remove the foreign body; if cloud-like nebulae (cataracts/opacities) have formed after a long period, Jiu Tiao San (Wine-Adjusted Powder) is suitable for treatment.
Translation: San Yi (Scattered Nebulae) presents as scattered spots resembling fish scales, appearing alternately blue-green and white within the pupil. Millet-like granules appear inside the eyelids accompanied by ulceration and pain. Vision can be restored through manipulation with a gold needle.
Huan Jing San (Restore Vision Powder) uses Renshen (Ginseng Root) and Wuweizi (Schisandra Berry), along with Jiegeng (Platycodon Root), Cheqianzi (Plantago Seed), Fuling (Poria), Xixin (Asarum Root), and Fangfeng (Saposhnikovia Root).
Subsequently, Bu Gan San (Tonify Liver Powder) is used, containing Danggui (Angelica Sinensis), Muzei (Equisetum Hiemale), Fangfeng (Saposhnikovia Root), Shudihuang (Prepared Rehmannia Root), Baishao (White Peony Root), and Chuanxiong (Ligusticum Rhizome).
Formula: San Yi Huan Jing San (Scattered Nebulae Restore Vision Powder)
Renshen (Ginseng Root) 1 qian, Wuweizi (Schisandra Berry) 5 fen, Jiegeng (Platycodon Root) 1 qian, Cheqianzi (Plantago Seed) 2 qian, Fuling (Poria) 1 qian, Xixin (Asarum Root) 5 fen, Fangfeng (Saposhnikovia Root) 2 qian.
Grind the above herbs into coarse powder. Decoct with two cups of water until reduced to one cup. Strain and take warm after night meals.
San Yi Bu Gan San (Scattered Nebulae Tonify Liver Powder)
Danggui (Angelica Sinensis) 2 qian, Muzei (Equisetum Hiemale) 1 qian, Fangfeng (Saposhnikovia Root) 1 qian, Shudihuang (Prepared Rehmannia Root) 2 qian, Baishao (White Peony Root) 1 qian, Chuanxiong (Ligusticum Rhizome) 5 fen.
Grind the above herbs into coarse powder. Decoct with two cups of water until reduced to one cup. Strain and take warm on an empty stomach.
[Note] [1] San Yi (Scattered Nebulae) refers to opacities protruding from within the pupil, scattering like fish scale spots, alternating between blue-green and white colors. Millet-like granules arise within the eyelids with ulceration, and the pupil area experiences pain.
[2] It is appropriate to first use a gold needle to manipulate the internal opacity, then administer Huan Jing San (Restore Vision Powder) for clearing and tonifying, followed by Bu Gan San (Tonify Liver Powder) to conclude the treatment.