(《类苑》)
治目疾内障(倪仲肾曰∶经曰∶心者,五脏之专精,目者,其窍也,又为肝窍。肾主骨,
骨之精为神水,故肝木不平,内挟心火,为势妄行,火炎不制,神水受伤,上为内障,此五
脏病
障,
则精
阳,
此弱
夜明砂(淘净) 蝉蜕 木贼(去节) 当归(一两,酒洗) 羊肝(四两,煮或生用。)
以羊
此足厥阴药也。蚊,食血之虫,夜明砂皆蚊眼也,故能散目中恶血而明目(蝙蝠食蚊而
眼不化,其矢为夜明砂);木贼轻扬而善磨木,故能平肝散热而去障;蝉性善蜕,故能退翳;
当归能入厥阴,养血而和肝;用羊肝者,羊性属火,取其气血之属,能补气血,引诸药入肝
以成功
《济生》羊肝丸∶黄连一两 羯羊肝一具,去筋膜,生用,捣烂和丸。《本事方》∶煮
烂捣用,治肝经有热,目赤睛痛;及内障青盲(《纲目》云∶但是目疾及障翳青盲皆治,忌
猪肉冷
皆由
连等
椒
羌
凡
亦
必
治疮疹入眼,及昏暗障翳。
兔矢(二钱)。茶清调下,或吞服。须待疮疹瘥后服之。
此足厥阴、阳明药也。兔者,明目之精,得金之气,其矢名明目砂,能解毒杀虫,故专
能明目,又可兼治劳疳也。
(赵谦)
治目赤流泪,或痛或痒,昼不能视,夜恶灯光(血热则目赤,肝热则多泪,热微则痒,
热
羯羊胆 蜂蜜。入蜜胆中,蒸熟,候干,细研为膏。每含少许,或点目中。又法∶腊月
入蜜胆中,纸笼套住,悬屋檐下,待霜出,扫取点眼。
此足少阳、厥阴药也。羊胆苦寒,益胆泻热;蜂蜜甘润,补中缓肝。日二百味草花膏者
,以羊食百草,蜂采百花也(李时珍曰∶肝开窍于目,胆汁减则目暗。目者,肝之外候,胆
之精华也,故诸胆皆治目疾。点、服,说云∶病有内外,治各不同;内疾既发,非服不除;
外疾既
外
动其血气,无益反损;若外障已成,虽服药不发不长,而所结不除,当内外夹攻,方尽其妙)。
(From *Lei Yuan*)
Treats internal cataracts (neizhang). Ni Zhongshen stated: The classics state that the Heart is the concentration of the essence of the five Zang organs, and the eyes are its orifice, as well as the orifice of the Liver. The Kidneys govern bones, and the essence of bones transforms into Shen Shui (fluids within the eye). Therefore, if the Wood of the Liver becomes unbalanced, internally harboring Fire of the Heart, the pathogenic force acts recklessly. Unchecked flaming heat injures the Shen Shui, manifesting upward as internal cataracts. This represents obstructions caused by diseases of the five Zang organs, leading to weakened essence and deficient Yang Qi.
Ye Ming Sha (Cacumen Vespertilionis, washed clean), Chan Tui (Periostracum Cicadae), Mu Zei (Equiseti Herba, nodes removed), Dang Gui (Radix Angelicae Sinensis, 1 liang, washed with wine), Yang Gan (Ovis/Capra Liver, 4 liang, boiled or used raw). Processed into pills. This formula targets the Foot-Jueyin Liver Meridian. Mosquitoes are blood-sucking insects; Ye Ming Sha is essentially the undigested remains of mosquitoes eaten by bats (bats eat mosquitoes, their eyes do not digest, and their feces become Ye Ming Sha); thus, it can dissipate malignant blood in the eyes and improve vision. Mu Zei is light and ascending, good at grinding wood, so it can pacify the Liver, clear heat, and remove nebulae. Chan (Cicada) naturally sheds its skin, so it can eliminate nebulae. Dang Gui can enter the Jueyin meridian, nourish blood, and harmonize the Liver. Sheep liver is used because sheep nature belongs to Fire; utilizing the principle of "using organ to tonify organ" and affinity of Qi and Blood, it can tonify Qi and Blood and guide the other herbs into the Liver to achieve efficacy.
*Jisheng Fang* Yang Gan Wan: Huang Lian (Coptidis Rhizoma, 1 liang), a whole male sheep liver (Jie Yang Gan), remove fascia, use raw, pound into paste and mix with powder to form pills. *Benshi Fang* method: boil until soft, pound and use. Treats redness and pain of the eyes due to Heat in the Liver Meridian, as well as internal cataracts and blindness (Qingmu). (*Bencao Gangmu* states: It treats all eye diseases, nebulae, Qingmu, etc. Avoid pork and cold foods.) These are caused by... [text fragment] ...Lian (Huanglian), etc. ...Jiao (Huajiao)... Qiang (Qianghuo)... Fan... Yi... Bi... [text fragments]. Treats herpes/zoster invading the eyes, as well as dim vision and nebulae.
Tu Shi (Leporis Feces, 2 qian). Take with tea infusion or swallow directly. Must be taken only after the resolution of herpes/zoster.
This formula targets the Foot-Jueyin Liver Meridian and Foot-Yangming Stomach Meridian. The rabbit is an animal of refined brightness for the eyes, receiving Metal Qi. Its feces are named "Mingmu Sha" (Bright Eye Sand), which can detoxify and kill parasites, thus specifically improving vision and also treating consumptive disease with abdominal masses (Lao Gan).
(Zhao Qian's Formula)
Treats red eyes with tearing, accompanied by pain or itching, inability to see during the day, and aversion to light at night (Blood Heat causes red eyes, Liver Heat causes excessive tearing, mild Heat causes itching, severe Heat causes pain...).
Jie Yang Dan (Sheep Gallbladder), Feng Mi (Honey). Place honey inside the gallbladder, steam until cooked, wait until dry, grind finely into a paste. Hold a small amount in the mouth each time, or instill into the eyes. Another method: In the twelfth lunar month, place honey in the gallbladder, cover with a paper cage, hang under the eaves, wait for frost to form, sweep off the frost, and instill into the eyes.
This formula targets the Foot-Shaoyang Gallbladder Meridian and Foot-Jueyin Liver Meridian. Sheep gallbladder is bitter and cold, benefiting the Gallbladder and draining Heat; Honey is sweet and moistening, tonifying the Middle and soothing the Liver. The name "Er Bai Wei Cao Hua Gao" (Two Hundred Herb and Flower Paste) arises because sheep eats hundred herbs and bees gather from hundred flowers. (Li Shizhen stated: The Liver opens into the eyes; when bile decreases, vision darkens. The eyes are the external manifestation of the Liver and the essence of the Gallbladder; therefore, various gallbladders treat eye diseases. Regarding instillation vs. ingestion: It is said that diseases have internal and external aspects, and treatments differ. Internal diseases, once manifested, cannot be resolved without ingestion; External diseases, once formed... If external nebulae are established, although oral medication may not promote growth or regression, the accumulated obstruction remains. One should attack both internally and externally to achieve optimal efficacy).