论曰坠睛者,眼因贼风所吹,血脉受寒,贯冲瞳仁,风寒气随眼带牵拽,睛瞳向下,名
曰坠睛也,日久不治,瞳仁损陷,遂致失明。
治坠睛眼时发疼痛,视物散乱。犀角散方
犀角(镑) 羚羊角(镑各半两) 青羊胆(一枚) 槐实 五味子 青葙子 恶实 茺
蔚子
芦荟(研) 胡黄连 地骨皮(各三钱) 兔肝(炙干一具)
上一十二味。除胆外,捣研为散,以胆汁拌匀,每服二钱匕,食后煎槐子汤调下,临卧
再服,忌发热毒物。
治眼白睛肿胀,日夜疼痛,心胸多闷,洗肺利肝。羚羊角散方
羚羊角屑(一两) 赤茯苓(三两) 木通(三分) 甜葶苈(半两隔纸炒令紫色) 郁
李仁(
一两去皮) 防风(三分去芦头) 桑根白皮(一两锉) 甘草(半两炙锉) 赤芍药(三
分) 黄
芩(三分) 枳壳(三分炒黄去瓤) 汉防己(一两) 川大黄(一两锉) 杏仁(三分汤
浸去皮尖
炒黄)
上一十四味。捣筛为粗散,每服三钱匕,水一盏,煎至六分,去滓食后临卧温服。
治眼白睛肿起,赤涩疼痛。宜点朱砂煎方
朱砂(一分细研) 马牙硝(半两细研) 黄连末(半两) 杏仁(一分汤浸去皮尖) 青
盐(
一分)
上五味。研匀绵裹,用雪水三合,浸一宿,滤过入瓷合中,铜箸蘸少许点之。
治坠睛失明,眼睛牵陷。槐实丸方
槐实 羊角(镑) 独活(去芦头) 天麻 地肤子 沙参 人参(各一两半) 防
风(
去叉) 甘菊花 枳壳(去瓤麸炒各一两) 决明子(二两)
上一十一味。捣罗为末,炼蜜和捣五百杵,丸如梧桐子大,每服三十丸,空心临卧、淡
浆水下。
治坠睛、视物失明。洗眼决明汤方
决明子 柴胡(去苗) 秦皮 防风(去叉) 蛇衔草(各一两) 生干地黄(二两)
上六味。锉令匀细,每用一两,以水三盏,煎取二盏,去滓再用绵滤过,每暖适温热
洗讫,避风即瘥。
治坠睛风毒所攻。点眼蕤仁煎方
蕤仁(去皮研二两) 黄连(去须锉) 地骨皮(取白者用) 曾青(研如粉各一两) 青
盐(
一分) 古钱(十文) 蜜(二盏)
上七味。以新绵裹六味,安新瓷瓶中,与蜜相和,煮一复时后,以重绵滤去滓令尽,根据
前安瓶子中,着露地两宿去毒,日点黍米大,日三五次。
Discussion: The condition known as "Dropping Eye" (Zhui Jing) occurs when the eye is exposed to pathogenic wind, causing the blood vessels to suffer from cold. The cold qi penetrates and rushes into the pupil. The wind-cold qi follows the traction of the eye tendons, pulling the eyeball and pupil downward, which is termed "Dropping Eye." If left untreated for a long time, the pupil becomes damaged and sunken, eventually leading to blindness.
For treating Dropping Eye accompanied by intermittent eye pain and blurred or scattered vision, use Rhinoceros Horn Powder (Xijiao San):
Rhinoceros Horn (sliced) Banliang, Antelope Horn (sliced) Banliang, Green Goat Gallbladder One unit, Sophora Fruit (Huai Shi), Schisandra Berry (Wuweizi), Celosia Seed (Qingxiangzi), Burdock Fruit (Eshi), Achyranthes Seed (Chongweizi), Aloe (ground), Picrorhiza Root (Huhuanglian), Ground Tree Bark (Digupi) each Sanqian, Rabbit Liver (roasted dry) one piece.
The above twelve ingredients. Except for the gallbladder, crush and grind the remaining herbs into powder. Mix evenly with the gallbladder juice. Take two Qianbi per dose. After meals, take with Sophora seed decoction. Take again before sleep. Avoid consuming hot-natured and toxic foods.
For treating swelling of the white part of the eye (Sclera), day and night pain, chest fullness, and for clearing the lungs and benefiting the liver, use Antelope Horn Powder (Lingyangjiao San):
Antelope Horn shavings Liang, Red Poria (Chifuling) Sanliang, Akebia Caulis (Mutong) Sanfen, Sweet Thistle Seed (Tinglizi) Banliang (stir-fried between papers until purple), Plum Kernel (Yuliren) Liang (peeled), Saposhnikovia Root (Fangfeng) Sanfen (remove radicle), Mulberry Root Bark (Sangbaipipi) Liang (chopped), Licorice Root (Gancao) Banliang (stir-fried and chopped), Red Peony Root (Chishaoyao) Sanfen, Scutellaria Root (Huangqin) Sanfen, Bitter Orange (Zhiqiao) Sanfen (stir-fried until yellow, remove pulp), Stephania Root (Hanfangji) Liang, Rheum Palmatum (Chuan Dahuang) Liang (chopped), Apricot Seed (Xingren) Sanfen (soaked in water, peeled, removed tips, stir-fried until yellow).
The above fourteen ingredients. Crush and sieve into coarse powder. Take three Qianbi per dose. Add one Jian of water, boil down to six fen. Remove dregs. Take warm after meals and before sleep.
For treating swelling of the sclera, redness, dryness, and pain, it is suitable to apply Cinnabar Decoction (Zhusha Jian) for eye application:
Cinnarium (Zhusha) Yifen (finely ground), Natrii Sulfas (Mayaxiao) Banliang (finely ground), Coptis Rhizome (Huanglian) Banliang (powdered), Apricot Seed (Xingren) Yifen (soaked in water, peeled, removed tips), Green Salt (Qingyan) Yifen.
The above five ingredients. Grind uniformly, wrap in cotton cloth. Soak in three Ge of snow water overnight. Filter and put into a porcelain container. Dip a small amount with a chopstick to apply to the eyes.
For treating Dropping Eye with blindness and eye retraction/sunkenness, use Sophora Fruit Pill (Huai Shi Wan):
Sophora Fruit (Huai Shi), Sheep Horn (sliced), Angelica Pubescens Root (Duhuo) (remove radicle), Gastrodia Elata (Tianma), Kochia Scoparia Fruit ( Difuzi), Codonopsis Root (Shashen), Ginseng Root (Renshen) each Banliangsanqian, Saposhnikovia Root (Fangfeng) (remove forked roots), Chrysanthemum Flower (Ganjuhua), Bitter Orange (Zhiqiao) (remove pulp, stir-bran fried) each Liang, Cassia Seed (Juemingzi) Erliang.
The above eleven ingredients. Pound and sift into fine powder. Mix with refined honey and pound five hundred times. Form pills the size of paulownia seeds. Take thirty pills per dose. Take on an empty stomach and before sleep with light grain water.
For treating Dropping Eye and blindness in vision, use Cassia Seed Eye-Washing Decoction (Jue Ming Zi Xi Yan Tang):
Cassia Seed (Juemingzi), Bupleurum Root (Chaihu) (remove sprouts), Fraxinus Cortex (Qinpi), Saposhnikovia Root (Fangfeng) (remove forked roots), Dracocephalum Herba (She Xian Cao) each Liang, Raw Dry Rehmannia Root (Sheng Gan Dihuang) Erliang.
The above six ingredients. Chop finely and mix evenly. Take one Liang per use. Add three Zhan of water, boil to obtain two Zhan. Remove dregs and filter through cotton cloth again. Wash the eyes while warm. Avoid wind, and the condition will heal.
For treating Drooping Eye attacked by wind-toxin, use Prunus Persica Kernel Decoction (Rui Ren Jian) for eye application:
Prunus Persica Kernel (Rui Ren) (peeled and ground) Erliang, Coptis Rhizome (Huanglian) (remove whiskers, chopped), Ground Tree Bark (Digupi) (use the white inner part), Azurite (Zengqing) (ground to powder) each Liang, Green Salt (Qingyan) Yifen, Ancient Coins Shiwén, Honey Erzhan.
The above seven ingredients. Wrap the first six ingredients in new cotton cloth. Place in a new porcelain bottle. Mix with honey. Boil for one Shichen (two hours). Filter thoroughly through thick cotton cloth to remove all dregs. Return the liquid to the bottle according to the previous method. Leave in an open area exposed to dew for two nights to remove toxicity. Apply an amount the size of a millet seed daily, three to five times a day.