目有大角赤痛者何故?答曰∶心实也。大角属心,南方火位之象,心火旺,则大角赤痛,宜点青龙膏,服洗心
散、三黄汤。
洗心散 (二问六十二问俱有此名方各不同)
生地 薄荷 荆芥 防风 羌活 山栀
黄连 黄芩 柴胡 石羔 甘草 川芎 菊花 龙胆草 淡竹叶(各等分,研细末)
上散,日进三服。
三黄汤 治热泪倾出,沙涩睛疼,怕日羞明胞肿者。用
黄连 黄芩 黄柏(各等分俱炒)
水煎服。
目有小角赤者何也?答曰∶心虚也。心属火,火能生土,故火乃土之母,土实则火虚,如子肥知母瘦也。
宜点虎液珍珠琥珀膏,服补心散。
补心散 治疼痛不已。
当归(一两五钱) 芎 (一两) 生地(一两五钱) 粉草(一两五钱) 远志(去心,一两五钱)
柏子仁(三两) 酸枣(炒,二两) 人参(一两) 金箔(一帖) 麝香(一分) 琥珀(三钱) 茯苓(七钱)
南星(五钱) 半夏(五钱) 石菖蒲(六钱) 辰砂(五钱)
共为末,蒸饼为丸,如绿豆大,朱砂金箔为衣,每服七分,拌津含化,姜汤下。
目有白翳多者何故?答曰∶肺属金,金能生水。水若过旺,面上即见风膜,肺窍因塞,失其精华,致肺托
落。(肺托落三字他书罕见存疑)肺因干硬,故气涩之而为翳。金若不旺,则不能生水,水不能生肺,亦有干燥
之病,宜点珍珠膏,服补肺散、洗心散。(洗心散方名互见,药味不同。此不立方未便乱用,且其属肺前洗心,
二方似不相宜)
补肺散
当归(五钱) 黄芩(一两) 桔梗(四钱) 赤芍(五钱) 桑皮(一两) 麻黄(四钱) 枳壳(四钱)
葶苈(五钱) 地骨皮(八钱) 甘菊(四钱) 元参(八钱) 白芷(四钱) 生地(四钱) 甘草(四钱)
金银花(四钱)
共为细末,每服三钱。
What is the cause of redness and pain in the outer canthus (large corner) of the eye? The answer is: Heart Excess. The outer canthus belongs to the Heart, representing the Fire position in the South. When Heart Fire is hyperactive, it causes redness and pain in the outer canthus. It is appropriate to apply Qinglong Gao (Green Dragon Ointment), and take Xixin San (Mind-Washing Powder) and Sanhuang Tang (Three Yellows Decoction).
Xixin San (This formula name appears in Question 2 and Question 62, but the ingredients differ.)
Shengdi Huang (Rehmanniae Radix Preparata), Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Shanzhi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Juhua (Chrysanthemi Flos), Longdancao (Gentianae Radix), Danzhuye (Phyllostachidis Folium). (All in equal parts, ground into fine powder).
Take this powder three times a day.
Sanhuang Tang Treats symptoms such as profuse hot tears, gritty pain in the eyes, photophobia, and swollen eyelids. Use:
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex). (All in equal parts, stir-fried).
Decoct in water and take orally.
What is the cause of redness in the inner canthus (small corner) of the eye? The answer is: Heart Deficiency. The Heart belongs to Fire, and Fire generates Earth; thus, Fire is the mother of Earth. If Earth becomes excessive, Heart Fire becomes deficient, just as a plump child indicates a thin mother.
It is appropriate to apply Huye Zhenzhu Hupo Gao (Tiger Fluid Pearl Amber Ointment) and take Buxin San (Heart-Nourishing Powder).
Buxin San Treats persistent pain.
Danggui (Angelicae Sinensis Radix, 1 liang 5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Shengdi Huang (Rehmanniae Radix Preparata, 1 liang 5 qian), Fencao (Glycyrrhizae Radix et Rhizoma, 1 liang 5 qian), Yuanzhi (Polygalae Radix, heart removed, 1 liang 5 qian), Baiziren (Platycladi Semen, 3 liang), Suanzaoren (Ziziphi Spinosae Semen, stir-fried, 2 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang), Jinbo (Folium Aureum, one sheet), Muxiang (Moschus, 1 fen), Hupo (Electrum, 3 qian), Fuling (Poria, 7 qian), Nanxing (Arisaematis Cum Bile, 5 qian), Banxia (Pinelliae Rhizoma, 5 qian), Shichangpu (Acori Tatarinowii Rhizoma, 6 qian), Chencha (Cinnabaris, 5 qian).
Grind all into a fine powder, use steamed cake paste as a binder to form pills the size of mung beans. Coat with Zhusha (Cinnabaris) and Jinbo (Folium Aureum). Take 7 qian per dose, dissolve in saliva, and swallow with Ginger Decoction.
What is the cause of abundant white nebula (leukoma) in the eyes? The answer is: The Lung belongs to Metal, and Metal generates Water. If Water becomes excessively hyperactive, a wind-membrane may appear on the face, blocking the orifices of the Lung. This leads to the loss of essence, causing the Lung Qi to sink and fall off. (The term "Fei Tuoluo" [Lung sinking/falling] is rare in other books and remains under suspicion/verification). Because the Lung becomes dry and hard, Qi stagnation results in the formation of nebula. If Metal is not vigorous, it cannot generate Water; if Water cannot nourish the Lung, dryness diseases will also occur. It is appropriate to apply Zhenzhu Gao (Pearl Ointment) and take Bufei San (Lung-Nourishing Powder) and Xixin San. (Note: The name Xixin San appears in various contexts with different ingredients. The specific formula is not listed here to avoid misuse, and since the pathology involves the Lung, the previous Xixin San seems less suitable for this context).
Bufei San
Danggui (Angelicae Sinensis Radix, 5 qian), Huangqin (Scutellariae Radix, 1 liang), Jiegeng (Platycodonis Radix, 4 qian), Chishao (Paeoniae Radix Rubra, 5 qian), Sangpi (Mori Cortex, 1 liang), Mahuang (Ephedrae Herba, 4 qian), Zhike (Aurantii Fructus Immaturus, 4 qian), Tingli (Descurainiae Semen seu Lepidii Semen, 5 qian), Digupi (Lycti Cortex, 8 qian), Ganju (Chrysanthemi Indici Flos, 4 qian), Yuanshen (Scrophulariae Radix, 8 qian), Baizhi (Angelicae Dahuricae Radix, 4 qian), Shengdi Huang (Rehmanniae Radix Preparata, 4 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 4 qian), Jinyinhua (Lonicerae Japonicae Flos, 4 qian).
Grind all into a fine powder. Take 3 qian per dose.