(附论)
夫目脓漏者。缘血脉壅热。传入于足太阳膀胱之经。膀胱之脉。起于目内 。则令人睑
肿
眼因
即难
出
虽然
乌珠
方
羚羊角丸(出圣济总录)
治毒风上攻目轮。眼烂肉疮翳生。眼睛肉臭。
羚羊角(镑) 黄柏皮(去粗皮炙) 防风(去叉各一两半) 玄参 荆芥穗 芎 黄
连
(去
仁
生干
黄(锉酒炒)
升
末。炼蜜
为
玄参丸(出圣惠方)
治眼脓漏。 赤痒。日夜出脓水不止。
玄参 决明子 黄 (锉) 黄连(去须) 露蜂房(微炒) 青葙子 漏芦 羚羊角
屑(各
二两)
入研了
药。一
再服之。
黄 散(出圣惠方)
治眼脓漏不止。
黄 (锉) 防风(去芦头) 黄芩 川大黄(锉碎微炒各二两) 地骨皮 远志(去
心) 人参(
煎至六分。去滓
防风汤(一名治风黄 汤出龙木论)
治眼漏睛。脓出外障。
防风(去叉二两一方用一两) 知母(二两) 大黄(锉炒二两一方用一两) 远志(去
心) 地骨
一钱匕。水一
点眼方(出圣惠方)
治眼脓漏。视物不见。
雄黄(细研) 石决明(捣碎研细水飞) 马牙硝(细研以上各二两) 蜜(三合) 青
盐(半
两细
内盛。
白矾煎方(出圣惠方)
治眼脓漏久不止。宜点。
白矾(一分烧灰) 黄柏末(三分) 黄连末(七分) 雄黄(一分) 熊胆(一钱) 朱
砂(一
分)
滤过
龙脑散(出圣济总录)
治睛漏疮。目大 出脓汁。
龙脑(研) 马牙硝(各半两) 绿豆粉(一钱) 上同研极细。用灯心拈药点眼目。
四五日上。
[Attached Discussion]
The condition known as "Ocular Purulent Discharge" (Mu Nong Lou) arises from the stagnation and heat accumulation in the blood vessels, with pathogenic factors transmitting to the Foot-Taiyang Bladder Meridian (Zu Taiyang Pangguang Jing). The Bladder meridian originates at the inner canthus of the eye; therefore, it causes swelling of the eyelids, difficulty in opening the eyes, and although tears may flow, the black pupil appears obscured or distorted.
Lingyangjiao Wan (Antelope Horn Pill), sourced from *Shengji Zonglu* (General Records of the Holy Emergency):
Treats toxic wind attacking upward, causing redness, swelling, ulceration, and growth of nebulae on the eyelids; rotting of ocular tissue with foul odor.
Ingredients: Lingyangjiao (Antelope Cornu, sliced), Huangbai Pi (Phellodendri Cortex, scraped of rough bark and stir-fried), Fangfeng (Saposhnikoviae Radix, twigs removed, each 1.5 liang), Xuanshen (Scrophulariae Radix), Jingjie Sui (Schizonepetae Spica), Xiong (Ligustici Rhizoma et Radix), Huanglian (Coptidis Rhizoma, mustards removed), Shenggan Di (Prepared Rehmanniae Radix, cut and wine-stir-fried), Shengma (Bupleuri Radix). Processed into powder, mixed with refined honey to form pills.
Xuanshen Wan (Scrophularia Pill), sourced from *Taiping Shenghui Fang* (Holy惠民 Formulas of the Taiping Era):
Treats ocular purulent discharge, redness and itching of the eyes, with continuous purulent discharge day and night.
Ingredients: Xuanshen (Scrophulariae Radix), Juemingzi (Cassiae Semen), Dihuang (Rehmanniae Radix, cut), Huanglian (Coptidis Rhizoma, mustards removed), Lufengfang (Vespa Nest), Qingxiangzi (Celosiae Semen), Lulü (Euphorbiae Humifusae Herba), Lingyangjiao Xie (Antelope Cornu shavings, each 2 liang). Grind the medicines thoroughly. Take appropriate dose twice daily.
Dihuang San (Rehmannia Powder), sourced from *Taiping Shenghui Fang*:
Treats persistent ocular purulent discharge.
Ingredients: Dihuang (Rehmanniae Radix, cut), Fangfeng (Saposhnikoviae Radix, radix removed), Huangqin (Scutellariae Radix), Chuan Dahuang (Rhei Radix et Rhizoma, cut and lightly stir-fried, each 2 liang), Digupi (Lycii Cortex), Yuanzhi (Polygalae Radix, heart removed), Renshen (Ginseng Radix, sliced). Decoct until the liquid reduces to six-tenths, then filter out the dregs.
Fangfeng Tang (Wind-Dispersing Decoction, also known as Zhifeng Dihuang Tang), sourced from *Longmu Lun*:
Treats dacryocystitis (eye leakage), with purulent discharge and external obstruction (nebula).
Ingredients: Fangfeng (Saposhnikoviae Radix, twigs removed, 2 liang; one prescription uses 1 liang), Zhimu (Anemarrhenae Rhizoma, 2 liang), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 2 liang; one prescription uses 1 liang), Yuanzhi (Polygalae Radix, heart removed), Digupi (Lycii Cortex, each 2 liang; one prescription uses 1 liang). Decoct with one cup of water until reduced to a quantity equivalent to one qianbi (approx. 1-2 grams), use for instillation into the eyes.
Diyan Fang (Eye Instillation Formula), sourced from *Taiping Shenghui Fang*:
Treats ocular purulent discharge resulting in blindness.
Ingredients: Xionghuang (Realgar, finely ground), Shijueming (Haliotidis Concha, crushed and finely ground, processed by water levigation), Mayaxiao (Natrii Sulfas, finely ground, each 2 liang), Mi (Honey, 3 he), Qingyan (Green Salt, half liang, finely ground). Mix and store in a container.
Bai Fan Jian Fang (Alum Decoction Formula), sourced from *Taiping Shenghui Fang*:
Treats chronic ocular purulent discharge that does not cease; suitable for instillation.
Ingredients: Baifan (Alumen, 1 fen, calcined to ash), Huangbai Mo (Phellodendri Cortex powder, 3 fen), Huanglian Mo (Coptidis Rhizoma powder, 7 fen), Xionghuang (Realgar, 1 fen), Xiongdan (Ursi Fel, 1 qian), Zhusha (Cinnabar, 1 fen). Filter through a sieve.
Longnao San (Borneol Powder), sourced from *Shengji Zonglu*:
Treats ocular fistula/ulcer, with swollen eyes discharging pus.
Ingredients: Longnao (Borneolum Syntheticum, ground), Mayaxiao (Natrii Sulfas, half liang each), Lv Dou Fen (Phaseoli Volubilis Semen powder, 1 qian). Grind all ingredients together until extremely fine. Use a rush pith (dengxin) to apply the medicine to the eyes. Continue for four to five days.