论曰眼睑垂缓者,以血气不足,肤腠开疏,风邪客于睑肤,其皮垂缓,下复睛轮。故俗
呼为睢目,又曰侵风,丸之则垂复愈下,眼闭难开。
治眼睑垂肿,心躁头疼,羚羊角散方
羚羊角(镑) 黄连(去须) 木通(锉) 赤芍药 防风(去叉) 甘草(炙锉) 黄
芩(去黑
心各三分) 葳蕤(一两) 栀子仁(半两) 麦门冬(去心一两半) 石膏(二两)
上一十一味,捣罗为散,每服三钱匕,水一盏,入竹叶二七片,煎至七分,去滓食后温
服。
治风毒攻眼,睑垂下,茺蔚散方
茺蔚子 防风(去叉) 羌活(去芦头) 蔓荆实 甘菊花 玄参 细辛(去苗叶) 黄
芩(
去黑心) 车前子 甘草(炙锉各一两) 大黄(锉炒半两)
上一十一味,捣罗为散,每服四钱匕,水一盏,煎至七分,去滓温服,食后临卧。
治风热攻眼,睑垂肿痛,秦皮汤方
秦皮(去粗皮锉) 黄连(去须各一两) 栀子仁(一分) 大黄(锉炒) 甘草(炙
锉) 细辛
(去苗叶各半两) 蛇衔草(三分)
上七味,粗捣筛,每服三钱匕,水一盏,入生姜半分拍碎,竹叶二七片,煎至七分,去
滓食后温服。
治眼热毒,睑垂肿遮睛。竹叶汤方
苦竹叶 黄连(去须) 黄柏(去粗皮锉) 栀子仁(各一两) 蕤仁(汤浸去皮半两)
上五味细锉,以水五大盏,煎至二盏半,去滓温服,澄清洗眼,日五七次,作两度使
治眼肿生翳,睑垂疼痛,熨眼饼子方
大黄(锉) 郁金 黄连(去须各一两)
上三味,捣罗为散,用酸粟米饭,和搜令匀,每用药五钱匕,捏作一饼子,以软帛裹,
不住手熨之。
治血气不足,肤睑下复睛轮,垂缓难开。又名睢目,黄 丸方
黄 (锉) 蒺藜子(炒去角) 独活(去芦头) 柴胡(去苗) 生干地黄(焙) 甘
草(炙)
栀子仁 苦参
白术 白花蛇(酒浸去皮骨炙各一两) 防风(去叉) 菊花 茯神(去木) 山芋 秦
艽(去
苗土各三分) 天门冬(去心焙) 枳壳(去瓤麸炒) 白槟榔(锉各一两半)
上一十八味,捣罗为末,炼蜜为丸,如梧桐子大,每服三十丸,空心温酒下。
治风邪客于睑肤,其皮垂缓,下复睛轮,眼闭难开,升麻散方
升麻 山茱萸(各三分) 甘菊花 细辛(去苗叶各半两) 蔓荆实(去白皮) 山芋 防
风
(去叉各一两)
上七味,捣罗为散,每服三钱匕,温酒调下。
治风邪客于睑肤,令眼睑垂缓,甚则眼闭难开,枸杞汤方
枸杞子(炒半两) 赤芍药 山芋 升麻(各一两半) 蒺藜子(炒) 茯神(去木各
二两)
防风(去叉一两)
上七味,粗捣筛,每服五钱匕,以水一盏半,煎取七分,入生地黄汁一合,去滓温服,
临卧再服。
Discourse states: Ptosis and laxity of the eyelids occur due to insufficiency of Qi and Blood, with open and loose skin pores. Wind pathogen invades the skin of the eyelids, causing the skin to become lax and droop, covering the eyeball. Therefore, it is commonly known as "Sui Mu" (Ptosis), also called "Qin Feng" (Wind Invasion). If treated with pills, the ptosis may worsen, making it difficult to open the eyes.
Lingyang Jiao San (Antelope Horn Powder) for treating ptotic and swollen eyelids, restlessness, and headache:
Antelope Horn [Lingyang Jiao] (sliced), Coptis Rhizome [Huanglian] (stems removed), Akebia Caulis [Mutong] (chopped), Red Peony Root [Chishao], Saposhnikovia Root [Fangfeng] (forks removed), Licorice Root [Gancao] (roasted and chopped), Scutellaria Root [Huangqin] (black heart removed), each 3 fen; Asparagus Tuber [Weirui] 1 liang; Gardenia Fruit [Zhizi] (pulp) 0.5 liang; Ophiopogon Tuber [Mendong] (heart removed) 1.5 liang; Gypsum Fibrosum [Shigao] 2 liang.
The above eleven ingredients are crushed, sifted into powder. Take 3 qianbi per dose, add one zhan of water and fourteen leaves of Bamboo Leaf [Zhuye], decoct until reduced to 7/10, filter dregs, and take warm after meals.
Chongwei San (Chervil Seed Powder) for treating wind-toxin attacking the eyes, causing ptosis:
Chervil Seed [Chongweizi] 1 liang, Saposhnikovia Root [Fangfeng] (forks removed) 1 liang, Notopterygium Rhizome [Qianghuo] (rhizome head removed) 1 liang, Vitex Fruit [Manjingzi] 1 liang, Chrysanthemum Flower [Juhua] 1 liang, Scrophularia Root [Xuanshen] 1 liang, Asarum Root [Xixin] (seedlings and leaves removed) 1 liang, Scutellaria Root [Huangqin] (black heart removed) 1 liang, Plantago Seed [Cheqianzi] 1 liang, Licorice Root [Gancao] (roasted and chopped) 1 liang, Rhubarb Rhizome [Dahuang] (chopped and stir-fried) 0.5 liang.
The above eleven ingredients are crushed, sifted into powder. Take 4 qianbi per dose, add one zhan of water, decoct until reduced to 7/10, filter dregs, and take warm after meals and before bedtime.
Qinpi Tang (Bark Decoction) for treating wind-heat attacking the eyes, causing ptotic, swollen, and painful eyelids:
Phellodendron Bark [Qinpi] (coarse bark removed and chopped) 1 liang, Coptis Rhizome [Huanglian] (stems removed) 1 liang, Gardenia Fruit [Zhizi] (pulp) 1 fen, Rhubarb Rhizome [Dahuang] (chopped and stir-fried), Licorice Root [Gancao] (roasted and chopped), Asarum Root [Xixin] (seedlings and leaves removed) 0.5 liang, Siegesbeckia Herb [Shejiancao] 3 fen.
The above seven ingredients are coarsely crushed and sifted. Take 3 qianbi per dose, add one zhan of water, half a piece of smashed Ginger [Shengjiang], and fourteen leaves of Bamboo Leaf [Zhuye], decoct until reduced to 7/10, filter dregs, and take warm after meals.
Zhuye Tang (Bamboo Leaf Decoction) for treating eye heat-toxin, ptotic and swollen eyelids obscuring vision:
Bitter Bamboo Leaf [Kuzhuye] 1 liang, Coptis Rhizome [Huanglian] (stems removed) 1 liang, Phellodendron Bark [Huangbai] (coarse bark removed and chopped) 1 liang, Gardenia Fruit [Zhizi] (pulp) 1 liang, Prunus Seed [Ruiren] (soaked in water, skin removed) 0.5 liang.
The above five ingredients are finely chopped. Add five zhan of water, decoct until reduced to 2.5 zhan, filter dregs, and take warm. The clarified liquid is used to wash the eyes, 5-7 times daily, administered in two sessions.
Yan Yan Bingzi (Eye-Irritating Cake) for treating eye swelling with pannus, ptotic and painful eyelids:
Rhubarb Rhizome [Dahuang] (chopped) 1 liang, Turmeric Tuber [Yujin] 1 liang, Coptis Rhizome [Huanglian] (stems removed) 1 liang.
The above three ingredients are crushed, sifted into powder. Mix evenly with sour millet rice dough. Take 5 qianbi of the medicine per application, shape into a cake, wrap in soft cloth, and apply continuous hot compresses.
Huangqi Wan (Astragalus Pill) for treating insufficiency of Qi and Blood, ptotic eyelids covering the eyeball, lax and difficult to open. Also known as Sui Mu:
Astragalus Root [Huangqi] (chopped) 1 liang, Tribulus Fruit [Jili] (roasted, spines removed) 1 liang, Angelica Pubescens Root [Duhuo] (rhizome head removed) 1 liang, Bupleurum Root [Chaihu] (seedlings removed) 1 liang, Prepared Rehmannia Root [Shengdihuang] (dried) 1 liang, Licorice Root [Gancao] (roasted) 1 liang, Gardenia Fruit [Zhizi] (pulp) 1 liang, Sophora Root [Kushen] 1 liang, Atractylodes Macrocephala Rhizome [Baizhu] 1 liang, Bungarus Parvus (wine-soaked, skin and bones removed, roasted) 1 liang, Saposhnikovia Root [Fangfeng] (forks removed) 1 liang, Chrysanthemum Flower [Juhua] 1 liang, Poria [Fushen] (wood removed) 1 liang, Dioscorea Tuber [Shanyu] 1 liang, Qinjiao Root [Qinjiao] (seedlings and soil removed) 3 fen, Asparagus Tuber [Tianmendong] (heart removed, dried) 3 fen, Aurantium Fructus [Zhiqiao] (albedo removed, bran-roasted) 1.5 liang, Areca Seed [Binglang] (chopped) 1.5 liang.
The above eighteen ingredients are crushed, sifted into powder. Form pills with refined honey, size of Sophora seeds. Take 30 pills per dose, swallow with warm wine on an empty stomach.
Shengma San (Cimicifuga Powder) for treating wind pathogen invading eyelid skin, causing lax ptosis, covering the eyeball, and difficulty opening eyes:
Cimicifuga Rhizome [Shengma] 3 fen, Cornus Fruit [Shanzhuyu] 3 fen, Chrysanthemum Flower [Juhua] 0.5 liang, Asarum Root [Xixin] (seedlings and leaves removed) 0.5 liang, Vitex Fruit [Manjingzi] (white skin removed) 1 liang, Dioscorea Tuber [Shanyu] 1 liang, Saposhnikovia Root [Fangfeng] (forks removed) 1 liang.
The above seven ingredients are crushed, sifted into powder. Take 3 qianbi per dose, mix with warm wine and ingest.
Gouqi Tang (Goji Berry Decoction) for treating wind pathogen invading eyelid skin, causing ptosis and laxity, severe cases with difficulty opening eyes:
Goji Berry [Gouqizi] (roasted) 0.5 liang, Red Peony Root [Chishao] 1.5 liang, Dioscorea Tuber [Shanyu] 1.5 liang, Cimicifuga Rhizome [Shengma] 1.5 liang, Tribulus Fruit [Jili] (roasted) 2 liang, Poria [Fushen] (wood removed) 2 liang, Saposhnikovia Root [Fangfeng] (forks removed) 1 liang.
The above seven ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 7/10, add 1 he of Fresh Rehmannia Juice [Shengdihuangzhi], filter dregs, and take warm. Take another dose before bedtime.