经曰。瞳子高者。太阳不足。戴眼者。太阳已绝。太阳之脉。其终也。戴眼。反折螈 。
泻青丸(兼治小儿肝脏实热。手循领乱捻物。目直视不搐。得心热则搐。身反折强直。目内青。
或脏腑气泄。诸药不止。脾胃久虚。眼暴发。赤肿疼痛。并治。)
龙胆草 当归 川芎 羌活 山栀仁 防风 大黄(湿纸裹煨各等分)
上共为细末。炼蜜为丸。如鸡头子大。每服一丸。煎竹叶汤化下。或沙糖汤化下亦可。若治大人。每服二
三钱。量服。
肝主风。少阳胆则其腑也。少阳之经行乎两胁。风热相干。故不能安卧。此方名曰泻青。泻肝胆也。龙胆
草味苦而浓。故入厥阴而泻肝。少阳火实者。头角必痛。故佐以川芎。少阳火郁者。必生烦躁。故佐以栀子。
肝者将军之官。风淫火炽。势不容以易治。故又用以大黄。用归身者。培养乎血。而不使其为风热所燥也。
复用乎羌活、防风者。二物皆升散之品。此火郁发之。木郁达之之意。乃上下分消其风热。皆所以泻之也。
和太师牛黄丸(治大小男妇卒暴中风。眩运倒仆。精神昏塞。不省人事。牙关紧急。目睛直视。
胸膈喉中。痰涎壅塞。及诸痫潮发。手足螈 。口眼相引。项背强直。并治之。)
石燕(火 醋淬九遍飞过) 雄黄(研飞) 蛇黄(火 醋淬九遍飞) 辰砂(研飞) 磁石
(火 醋淬九遍飞过) 石绿(研飞各一两) 轻粉(细研) 牛黄(细研) 粉霜(细研) 麝香
(细研各五钱) 金箔 银箔(各一百张为衣)
以上前十味。各另研极细。共为一处。用酒煮面糊和丸。如鸡头大。每服一丸。煎薄荷汤。并酒磨下。老人
服半丸。小儿十岁以下。分为四服。蜜水磨下。四岁以下。分为五服。未满一岁。可分为七服。如牙关紧急。
以物斡开灌之。
The *Classic of Medicine* (*Huangdi Neijing*) states: When the pupils are elevated, it indicates a deficiency of the Taiyang (Greater Yang) channel. When the eyes are fixed upward and cannot move (Daiyan), it indicates that the Qi of the Taiyang channel has been exhausted. At the termination of the Taiyang channel's Qi, symptoms include upward-fixed eyes, opisthotonos (body bending backward), and convulsions.
Xie Qing Wan (Cyan-Draining Pill) (Also treats pediatric Liver-Gallbladder Excess-Heat patterns, manifesting as hand movements picking at the chin, staring straight ahead without convulsions; if Heart-Heat is involved, convulsions occur; opisthotonos with rigidity; bluish discoloration at the inner canthus; or leakage of Zang-Fu Qi unresponsive to other medications; sudden redness, swelling, and pain of the eyes due to long-term Spleen-Stomach deficiency. All these conditions may be treated.)
Ingredients: Longdan Cao (Gentianae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Shan Zhi Ren (Gardeniae Semen), Fang Feng (Saposhnikoviae Radix), Da Huang (Rhei Radix et Rhizoma) (wrapped in wet paper and roasted, equal parts).
Grind all ingredients into a fine powder. Mix with refined honey to form pills the size of a corn kernel. Take one pill per dose, dissolved in decoction of Zhu Ye (Bambusae Folium) or sugar water. For adults, take 2–3 qian per dose, adjusted according to condition.
The Liver governs Wind. The Shaoyang Gallbladder is its interior-exterior paired organ. The Shaoyang meridian runs through the hypochondrium. When Wind and Heat interfere with each other, the patient cannot lie down comfortably. This formula is named "Xie Qing" (Cyan-Draining), meaning to drain the Liver and Gallbladder. Longdan Cao (Gentianae Radix) is bitter and potent, entering the Jueyin Liver meridian to drain Liver fire. In cases of Shaoyang Fire Excess, pain at the temporal region is inevitable, so Chuan Xiong (Ligustici Chuanxiong Rhizoma) is added as an assistant to relieve pain. In cases of Shaoyang Fire Stagnation, irritability arises, so Zhi Zi (Gardeniae Fructus) is added to clear heat and calm irritability. The Liver is called the "General"; when Wind is rampant and Fire is blazing, the condition is difficult to treat gently, so Da Huang (Rhei Radix et Rhizoma) is used to purge accumulated heat. Dang Gui (Angelicae Sinensis Radix) body is used to nourish Blood and prevent it from being dried by Wind-Heat. Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix) are used again because both are ascending and dispersing herbs, embodying the principles of "stagnant Fire should be dispersed" and "stagnant Wood should be unblocked," thereby dispersing Wind-Heat from above and below, which serves to drain the pathogenic factors.
He Taishi Niuhuang Wan (Grand Preceptor Cow-bezoar Pill) (Treats sudden stroke in men and women of all ages, characterized by dizziness, collapse, mental confusion, loss of consciousness, locked jaw, staring eyes; phlegm-saliva obstruction in the chest, diaphragm, and throat; and various epilepsy attacks with limb convulsions, facial deviation, and neck/back rigidity.)
Ingredients: Shi Yan (Fossilia Os Draconis) (calcined with vinegar nine times, sifted), Xiong Huang (Realgar) (finely ground, sifted), She Huang (Fossile Corvi) (calcined with vinegar nine times, sifted), Chen Sha (Cinnabaris) (finely ground, sifted), Ci Shi (Magnetitum) (calcined with vinegar nine times, sifted), Shi Lv (Malachite) (finely ground, 1 liang each), Qing Fen (Calomelas) (finely ground), Niu Huang (Bovis Calculus) (finely ground), Fen Shuang (Hydrargyri Oxydum Rubrum) (finely ground), She Xiang (Moschus) (finely ground, 5 qian each), Jin Bo (Lamina Aurea), Yin Bo (Lamina Argenti) (each 100 sheets, used for coating).
The first ten ingredients above are separately ground to an extremely fine powder and mixed together. Use wine-boiled wheat paste to form pills the size of a corn kernel. Take one pill per dose, taken with Mint decoction and wine. Elderly patients take half a pill. Children under ten years old divide one pill into four doses, taken with honey-water. Children under four years old divide one pill into five doses. Infants under one year old divide one pill into seven doses. If the jaw is locked, pry it open with a tool and administer the medicine.