痛如针刺属心经,火燥珠疼炽盛行,戒酒忌辛休躁怒,免教症变渐相生,流火轻微唯一
点,蓦然有处似针疼,防微杜渐宣君火,泄破炎 荣自盈。
此症谓目珠疼如针刺也。病
在心经,火实有余之症。若痛蓦然一二处,如针刺痛,目虽不赤,亦是心经流火,别其痛在
何处部分,以见病将犯其经矣。按∶此症多有体虚目劳兼染淋浊之病,荣气不上潮于目,而
如针刺之痛者,宜养其荣,若降火则急矣。宜服∶
加减八正散 治心热冲眼,赤肿涩痛,热泪羞明,兼治大小心经邪热,一切蕴毒,咽干
口燥,大渴引饮,心忪面热,烦燥不宁,唇焦鼻衄,口舌生疮,咽喉肿痛,小便赤涩,或癃
闭不通,及热淋血淋,并宜治之。
滑石 甘草梢 大黄(面裹煨) 木通 瞿麦 车前子 栀子(炒) 蓄(各等分,为末)
上为末。每服五钱,水二钟,灯心三十段,煎至八分,去滓温服。
经曰∶膀胱不利为癃。理宜八正散以通之。滑可去着,滑石、车前皆滑也;泻可去实,
大黄、甘草、栀子皆泻也;通可去滞,瞿麦、 蓄、木通、灯心皆通也。若虚弱辈,则大黄
不宜用也,加生地黄、桑白皮、苦竹叶以清疗之。
子和云∶头痛不止,乃三阳受病也。三阳分部,分头与项痛者,足太阳经也。攒竹痛,
俗呼为眉棱骨痛者是也。额角上痛,俗呼为偏头痛者,足太阳经也。如痛久不止,则令人丧
目。以三阳受病,皆胸膈有宿痰之致然也。先以茶调散吐之,吐讫,可服川芎、薄荷辛凉清
上之药,叔和云“寸脉急而头痛”是也。
Pain resembling needle pricks belongs to the Heart Meridian (Heart Channel); intense fire and dryness cause severe pain in the eyeballs. One must abstain from alcohol, avoid spicy foods, and refrain from irritability and anger to prevent the condition from evolving and generating further complications. If the flowing fire is mild with only one point, and suddenly there is a needle-like pain in a specific area, one should prevent deterioration by clearing and diffusing the Ministerial Fire (Jun Huo), draining inflammation so that Ying Qi (Nutritive Energy) naturally becomes abundant.
This condition refers to eye pain resembling needle pricks. The disease resides in the Heart Meridian, representing a syndrome of excess Fire. If the pain suddenly appears in one or two spots, like needle pricks, even if the eyes are not red, it is still due to flowing fire of the Heart Meridian. By distinguishing which specific part hurts, one can see which meridian the pathogen is about to invade. Commentary: This condition often occurs in individuals with weak constitutions, eye fatigue, and concurrent strangury (Lin syndrome). When Ying Qi fails to flow upward to nourish the eyes, needle-like pain occurs; thus, nourishing Ying Qi is appropriate, whereas using methods to descend Fire would be too abrupt. It is suitable to take:
Jiajian Baze San (Modified Eight Corrects Powder) treats heart heat rushing to the eyes, causing redness, swelling, astringency, and pain, with hot tears and photophobia. It also treats evil heat in both the Greater and Lesser Heart meridians, all kinds of accumulated toxins, dry throat and mouth, excessive thirst with desire to drink, palpitations and facial heat, restlessness and irritability, cracked lips, epistaxis, mouth and tongue ulcers, sore and swollen throat, red and astringent urination, or urinary retention, as well as heat strangury and blood strangury. All these are suitable for treatment.
Hua Shi (Talcum), Gancao Shao (Terminal Licorice Root), Dahuang (Rhubarb Root and Rhizome, stir-baked wrapped in flour), Mutong (Akebia Stem), Qumai (Dianthus Herb), Cheqianzi (Plantago Seed), Zhizi (Gardenia Fruit, stir-fried), Xianhecao (Herba Siegesbeckiae, referred to here as Xu/Su) (all in equal parts, ground into powder).
Grind the above into fine powder. Take five qian per dose, with two zhong of water and thirty segments of Dengxincao (Juncus Effusus Pith), decoct until eight fen remains, remove the dregs, and take warm.
The Classics state: "Impaired function of the Bladder is called Long (urinary retention)." Therefore, it is proper to use Baze San to promote unblocking. Slippery substances remove adherence; Hua Shi (Talcum) and Cheqian (Plantago Seed) are slippery. Purging substances remove excess; Dahuang (Rhubarb Root and Rhizome), Gancao (Licorice Root), and Zhizi (Gardenia Fruit) are purgative. Unblocking substances remove stagnation; Qumai (Dianthus Herb), Xu (Siegesbeckia Herb), Mutong (Akebia Stem), and Dengxincao (Juncus Effusus Pith) are unblocking. For those with deficiency, Dahuang (Rhubarb Root and Rhizome) should not be used; instead, add Shengdihuang (Rehmannia Root), Sangbaipi (Mulberry Bark), and Ku Zhuye (Bitter Bamboo Leaf) to clear and treat.
Zi He (Zhang Zijian) said: Persistent headache indicates disease in the Three Yang meridians. Regarding the distribution of the Three Yang meridians, pain in the head and nape belongs to the Foot-Taiyang Bladder Meridian. Pain at Cuanzhu (BL2) is commonly known as supraorbital ridge pain. Pain in the upper lateral forehead, commonly known as hemianopia or migratory headache, belongs to the Foot-Taiyang Bladder Meridian (Note: Textual error likely exists in original, typically associated with Shaoyang). If the pain persists for a long time, it may lead to blindness. This is because disease in the Three Yang meridians is caused by retained phlegm in the chest and diaphragm. First, induce vomiting with Chatiao San (Tea Regulation Powder). After vomiting, administer Xinliang Qing Shang (Acrid-Cool Subduing Upper) herbs such as Chuanxiong (Szechwan Lovage Rhizome) and Bohe (Mint Herb). Shuhe (Wang Shuhe) stated, "When the Cun pulse is rapid and headache occurs," referring to this situation.