(附论)
飞血者。谓赤脉散于白精之上是也。由肝脏气虚。为风热所乘。致血飘溢。散络白睛。
势若飞驰。故谓之飞血。治法宜镇肝气。平心火。则飞血自除。
方
芍药汤(出圣济总录)治风热上攻。眼目飞血。赤脉涩痛难开。
芍药 白茯苓(去皮) 决明子 玄参 葳蕤 羚羊角(镑) 前胡(去芦) 秦皮 甘
草
(炙) 人参 苦参(各一两) 上粗捣筛。每服三钱。以水一盏。煎至七分。去滓。入生
地
黄汁少许。再煎沸。放温。食后临卧服。
红定眼药。去血丝定痒。
珍珠(水飞) 枇杷叶(各四钱) 李子树胶 可铁刺(无以红粉代之) 没药(各二
钱) 血
竭(
炒酥八
钱) 红珊瑚(四钱水飞过研细末为用) 上为细末。鸡子清为定。以女儿乳汁调匀。磨药
汁。
无
生犀饮(名犀角散出圣济总录)治目赤脉。冲贯黑暗。热毒肿痛。心躁烦
乱。
羚羊角汤(出圣济总录)治风热攻目。飞血赤脉。
羚羊角(镑) 五味子 葳蕤 茯神(去木) 远志(去心) 蔓荆子(去白皮) 黄
连(去须)
甘
滓。
食后临睡时服之。
黄连饮(一名羚羊角汤出圣惠方)治眼生赤脉涩。痛堆眵。
黄连(去须一两) 淡竹叶(五十片) 芦根 羚羊角(镑) 木通 旋复花 桑白皮
(各一
两半)
分三
点眼单方。(出圣济总录)治风血赤目疼痛。漠漠昏暗。兼热泪碜涩。
用诃黎勒去核两枝。细锉绢裹。用水半盏。浸一宿。次日频点。
点眼猪胆膏(出圣济总录)治飞血赤脉。及疼痛。
用 猪胆。不拘多少。取汁入银石器内慢熬。以少浆水调如膏。每点少许。日三五度。
秦皮洗眼汤(出圣惠方)治飞血赤脉。及痛涩。兼眼赤肿热。
秦皮(去粗皮) 蕤仁(去皮研) 甘草(生锉各一两半) 细辛(去苗叶) 栀子仁 苦
竹叶
(洗
一方
洗眼竹叶汤(出圣济总录)治眼飞血赤脉。
淡竹叶(洗三握) 黄连(去须一两) 古文钱(十四文) 大枣(去核十枚) 秦皮
(去粗皮
一两)
热洗。
冷即
苁蓉散(出圣济总录)治目赤飞血。
滑石(一分) 黄连(去须三分) 豉(炒半两) 井泉石(一两) 肉苁蓉(酒浸焙
切一两)
马鬃(一两即墙上青衣) 上为散。每服二钱许。以猪肝半两。烂研相和。冷水调下。临卧
再
服。
栀子散(出圣济总录)治目飞血。赤脉波贯黑睛。视物昏暗。隐涩疼痛。
栀子仁 木通(锉) 羚羊角(各一两) 决明子 黄芩 甘草(炙赤锉各半两) 上
为粗
散。每服四钱。以水一中盏。煎至六分。去滓。食后温服。日三次。忌炙爆热物面。
黄芩丸(出圣济总录)治热毒上冲。目赤飞血。头旋恶心。坐卧不得。精神
恍
惚。
人参 芍药(锉) 郁金 大黄(锉炒) 甘草(炙各一两) 黄芩(去黑心二两) 上
为细末。炼
菊花散(出圣济总录)治肝膈风壅。上攻眼目。飞血赤脉。
菊花(一两) 芎 防风(去叉) 蒺藜子(炒去角各半两) 木香 甘草(炙各一
分) 上为
蕤仁散(出圣惠方)治目飞血。赤脉波灌黑睛。
蕤仁(汤浸去皮一两) 甘草(炙赤锉) 枳壳(去瓤麸炒) 地骨皮 黄芩(各半两)
上为粗散。每服四钱。以水一中盏。煎六分。食后服。
黄连膏(出圣济总录)治眼飞血。赤痛昏暗。
地黄散(出本事方)治飞血赤脉。及血灌瞳仁疼痛。
生干地黄(焙) 大黄(锉炒) 朴硝(研各二两) 没药(研半两) 上为散。每服
一钱。以温水送下。食后临卧服。
点眼方(出圣济总录)治肝心热上冲。飞血赤脉。
点眼杏仁膏(出圣济总录)治肝飞血赤脉。
杏仁(汤浸去皮尖研半两) 黄连(去须一两) 轻粉(五分) 上以新绵裹。水一盏。
浸一时。日三五度点之。
栀子仁汤(出圣济总录)治飞血赤脉。及痛肿。(方见栀子汤)
洗眼车前草方(出圣济总录)治目飞血。赤脉暴发热痛。
车前子草(细切半两) 干蓝叶(切二升) 淡竹叶(净洗锉三握) 上以水四升。煎
取二
升。滤
蕤仁洗眼汤(出圣济总录)治飞血赤脉及发痛。
蕤仁(去皮研一两) 细辛(去苗叶半两) 苦竹叶(洗细物三握) 上以水二升。
煎取一升。滤去滓。微洗眼。冷即再暖。以瘥为度。
点眼蕤仁膏(出圣济总录)治风热飞血赤脉。仍痒痛无定。
蕤仁(去皮细研用半两) 好酥(一栗子大) 上将蕤仁与酥相和。研令匀。摊碗内。
后取
艾一小团。烧令烟出。既出即将碗覆烟上熏。符艾烟尽即止。重研令匀。每以麻子大点
头。日三度。
榉皮洗眼方。(出圣济总录)治飞血赤脉。
榉皮(去粗皮二两) 古文钱(七文) 上以水一升半。煎取七合。去滓热洗。冷则再
暖。
鱼胆敷眼膏(出十便良方一名神效方)\x治飞血赤脉。及痛暴赤眼涩。
鲤鱼胆(五枚) 黄连(去须为末半两) 上取胆汁调黄连末。纳磁盒盛。于饭上蒸一
时。
取出。干即入蜜少许。调似膏。涂敷目 。日五七度。
(Attached Discussion)
"Fei Xue" (Flying Blood) refers to the condition where red blood vessels scatter over the white part of the eye (sclera). This is caused by deficiency of Qi in the Liver, allowing Wind-Heat pathogenic factors to invade, leading to the floating and overflowing of blood, which disperses into the collaterals on the surface of the eyeball. The momentum is rapid like flying, hence the name "Fei Xue". The treatment method should focus on calming Liver Qi and clearing Heart Fire, so that Fei Xue will naturally resolve.
Formulas:
Shaoyao Tang (Cinnamon Twig-like Decoction? No, Peony Decoction - *Correction: Shaoyao means Peony*) (from *Shengji Zonglu*), treating Wind-Heat attacking upwards causing eye Fei Xue, red blood vessels, astringent pain, and difficulty opening the eyes.
Ingredients: Shaoyao (Radix Paeoniae Alba/Rubra), Baifuling (Poria with Hostwood, peeled), Juemingzi (Cassiae Semen), Xuanshen (Scrophulariae Radix), Weirui (Polygonati Odorati Rhizoma), Lingyangjiao (Antelope Horn, shaved), Qianhu (Peucedani Radix, radicle removed), Qinpi (Fraxini Cortex), Gancao (Licorice Root, honey-fried), Renshen (Ginseng Radix), Kushen (Sophorae Flavescentis Radix) (each 1 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 3 qian per dose, add 1 zhan of water, decoct until 0.7 zhan remains, filter out the dregs, add a small amount of fresh Shengdihuang (Rehmanniae Radix) juice, boil again, let cool to warm temperature, and take after meals and before bedtime.
Hongding Eye Drop (Red Stabilizing Eye Medicine), used to remove blood streaks and relieve itching.
Ingredients: Zhenzhu (Pearl, processed by water levigation), Pipaye (Loquat Leaf, each 4 qian), Lizishujiao (Plum Tree Gum), Keteci (Kete Stem/Bark; if unavailable, Hongfen can be substituted), Moyao (Myrrha), Xuejie (Dragon's Blood, stir-fried until crisp, 8 qian), Hongshanhu (Red Coral, 4 qian, processed by water levigation and ground into fine powder for use).
Preparation and Administration: Grind the above ingredients into a fine powder. Use egg white as a binder, mix evenly with breast milk from a young girl, and grind into a medicinal liquid for use.
Wusheng Xi Yin (Non-Boiled Rhinoceros Horn Drink, also known as Xijiao San) (from *Shengji Zonglu*), treating red blood vessels in the eyes penetrating the dark pupil/cornea, swelling and pain due to Heat-Toxin, and mental restlessness/confusion.
(Note: Original text lacks specific ingredients and preparation details here, retaining only formula name and indications.)
Lingyangjiao Tang (Antelope Horn Decoction) (from *Shengji Zonglu*), treating Wind-Heat attacking the eyes causing Fei Xue and red blood vessels.
Ingredients: Lingyangjiao (Antelope Horn, shaved), Wuweizi (Schisandrae Fructus), Weirui (Polygonati Odorati Rhizoma), Fushen (Poria with Pine Root, woody core removed), Yuanzhi (Polygalae Radix, heart removed), Manjingzi (Viticis Fructus, white skin removed), Huanglian (Coptidis Rhizoma, fibers removed).
(Note: Original text lacks subsequent preparation, dosage, and administration details here, listing only partial ingredients.)
Huanglian Yin (Coptis Decoction, also named Lingyangjiao Tang, from *Shengji Zonglu* / *Tai Ping Hui Min He Ji Ju Fang*) treating eye generation of red blood vessels, astringency, pain, and accumulation of discharge.
Ingredients: Huanglian (Coptidis Rhizoma, fibers removed, 1 liang), Danzhuye (Light Bamboo Leaf, 50 leaves), Lugeng (Phragmitis Rhizome), Lingyangjiao (Antelope Horn, shaved), Mutong (Akebiae Caulis), Xuanfuhua (Inulae Flos), Sangbaipi (Mori Cortex) (each 1.5 liang).
(Note: Original text lacks subsequent preparation and administration details here.)
Eye-Dropping Single Formula (from *Shengji Zonglu*), treating Wind-Blood causing red eyes with pain, blurred vision, accompanied by hot tears and gritty sensation.
Administration: Take 2 branches of Helile (Chebulae Fructus) with pits removed, finely cut, wrap in silk gauze, soak in half a zhan of water overnight. On the next day, drop frequently into the eyes.
Zhu Dan Gao (Pig Gallbladder Ointment) (from *Shengji Zonglu*), treating Fei Xue, red blood vessels, and pain.
Administration: Take pig gallbladders, quantity不拘 (unrestricted). Extract the juice and slowly simmer in a silver or ceramic vessel. Mix with a small amount of Jiangshui (fermented grain liquid) to form an ointment. Apply a small amount each time, 3-5 times daily.
Qinpi Eye-Washing Decoction (from *Tai Ping Hui Min He Ji Ju Fang* / *Shengji Zonglu* context implies *Shengji* but source cited as *Shenghui*, likely *Heji Ju Fang* variants or similar texts often grouped; sticking to text: *Shenghui Fang*) treating Fei Xue, red blood vessels, pain, and astringency, accompanied by red, swollen, and hot eyes.
Ingredients: Qinpi (Fraxini Cortex, coarse bark removed), Ruiren (Pruni Semen, peeled and ground), Gancao (Licorice Root, raw and cut, each 1.5 liang), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Zhizi Ren (Gardeniae Semen), Kuzhuye (Bitter Bamboo Leaf).
(Note: Original text lacks subsequent preparation and administration details here.)
Yifang Eye-Washing Bamboo Leaf Decoction (from *Shengji Zonglu*), treating eye Fei Xue and red blood vessels.
Ingredients: Danzhuye (Light Bamboo Leaf, washed, 3 handfuls), Huanglian (Coptidis Rhizoma, fibers removed, 1 liang), Guwenqian (Ancient Coins, 14 pieces), Dazao (Jujubae Fructus, pits removed, 10 pieces), Qinpi (Fraxini Cortex, coarse bark removed, 1 liang).
Preparation and Administration: Decoct with water and wash the eyes while hot. If it cools, reheat it. Repeat until recovery.
Congrong San (Cistanche Powder) (from *Shengji Zonglu*), treating red eyes and Fei Xue.
Ingredients: Huashi (Talcum, 1 fen), Huanglian (Coptidis Rhizoma, fibers removed, 3 fen), Chi (Fermented Soybean, stir-fried, 0.5 liang), Jingquanshi (Well Spring Stone, 1 liang), Roucongrong (Cistanches Herba, wine-soaked, baked, cut, 1 liang), Mazong (Horse Mane Hair, 1 liang, specifically green horse hair from walls).
Preparation and Administration: Grind the above ingredients into a powder. Take approximately 2 qian per dose. Take half a liang of pork liver, grind thoroughly, mix with the powder, and swallow mixed with cold water. Take another dose before bedtime.
Zhizi San (Gardenia Powder) (from *Shengji Zonglu*), treating eye Fei Xue, red blood vessels spreading through the black pupil/cornea, blurred vision, dullness, astringency, and pain.
Ingredients: Zhizi Ren (Gardeniae Semen), Mutong (Akebiae Caulis, cut), Lingyangjiao (Antelope Horn, each 1 liang), Juemingzi (Cassiae Semen), Huangqin (Scutellariae Radix), Gancao (Licorice Root, honey-fried, reddened, cut, each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 4 qian per dose, add one zhong-zhan of water, decoct until 0.6 zhan remains, filter out dregs, and take warm after meals. Three times daily. Avoid roasted, fried, and hot-natured wheat foods.
Huangqin Wan (Scutellaria Pill) (from *Shengji Zonglu*), treating Heat-Toxin attacking upwards, red eyes and Fei Xue, vertigo, nausea, inability to sit or lie comfortably, and spiritual confusion.
Ingredients: Renshen (Ginseng Radix), Shaoyao (Peony Root, cut), Yujin (Curcumae Radix), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Gancao (Licorice Root, honey-fried, each 1 liang), Huangqin (Scutellariae Radix, remove black heart, 2 liang).
Preparation and Administration: Grind the above ingredients into a fine powder and make pills with refined honey. (Note: Original text lacks pill size and dosage instructions here.)
Juhua San (Chrysanthemum Powder) (from *Shengji Zonglu*), treating Wind obstruction in Liver and Diaphragm attacking upwards to the eyes, causing Fei Xue and red blood vessels.
Ingredients: Juhua (Chrysanthemi Flos, 1 liang), Xiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix, forked roots removed), JLizi (Tribuli Fructus, stir-fried and thorns removed, each 0.5 liang), Muxiang (Aucklandiae Radix), Gancao (Licorice Root, honey-fried, each 1 fen).
Preparation and Administration: Grind the above ingredients into a powder. (Note: Original text lacks administration instructions here.)
Ruiren San (Pruni Semen Powder) (from *Tai Ping Hui Min He Ji Ju Fang* / *Shenghui Fang*), treating eye Fei Xue, red blood vessels spreading into the black pupil/cornea.
Ingredients: Ruiren (Pruni Semen, soaked in water, peeled, 1 liang), Gancao (Licorice Root, honey-fried, reddened, cut), Zhike (Aurantii Fructus, pulp and bran removed, stir-fried), Digupi (Lychnidis Cortex), Huangqin (Scutellariae Radix, each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 4 qian per dose, add one zhong-zhan of water, decoct until 0.6 zhan remains, and take after meals.
Huanglian Gao (Coptis Ointment) (from *Shengji Zonglu*), treating eye Fei Xue, redness, pain, and dimness.
(Note: Original text lacks specific ingredients and preparation details here.)
Dihuang San (Rehmannia Powder) (from *Ben Shi Fang* / *Bo Ji Fang*), treating Fei Xue, red blood vessels, and pain caused by blood flooding the pupil.
Ingredients: Sheng Gan Dihuang (Dried Rehmanniae Radix, baked), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Puxiao (Natrii Sulfas, ground, each 2 liang), Moyao (Myrrha, ground, 0.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 1 qian per dose, swallow with warm water, after meals and before bedtime.
Eye-Dropping Formula (from *Shengji Zonglu*), treating Heat from Liver and Heart attacking upwards, causing Fei Xue and red blood vessels.
(Note: Original text lacks specific ingredients and preparation details here.)
Xingren Gao (Almond Ointment for Eye Dropping) (from *Shengji Zonglu*), treating Liver Fei Xue and red blood vessels.
Ingredients: Xingren (Armeniacae Semen Amarum, soaked in water, peeled and pitted, ground, 0.5 liang), Huanglian (Coptidis Rhizoma, fibers removed, 1 liang), Qingfen (Calomelas, 5 fen).
Preparation and Administration: Wrap the ingredients in new cotton, add one zhan of water, soak for one shichen (two hours). Drop into eyes 3-5 times daily.
Zhizi Ren Tang (Gardenia Seed Decoction) (from *Shengji Zonglu*), treating Fei Xue, red blood vessels, pain, and swelling. (Formula details see under Zhizi Tang entry.)
Cheqian Cao Eye-Washing Formula (from *Shengji Zonglu*), treating eye Fei Xue, sudden onset of red blood vessels with heat and pain.
Ingredients: Cheqian Zi Cao (Plantaginis Semen/Herb, finely cut, 0.5 liang), Gan Lanye (Dried Isatidis Folium, cut, 2 sheng), Danzhuye (Light Bamboo Leaf, clean, washed, cut, 3 handfuls).
Preparation and Administration: Add four sheng of water, decoct to obtain two sheng, filter out dregs. (Note: Original text lacks specific eye-washing operation details here.)
Ruiren Eye-Washing Decoction (from *Shengji Zonglu*), treating Fei Xue, red blood vessels, and onset of pain.
Ingredients: Ruiren (Pruni Semen, peeled and ground, 1 liang), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 0.5 liang), Kuzhuye (Bitter Bamboo Leaf, washed, fine parts, 3 handfuls).
Preparation and Administration: Add two sheng of water, decoct to obtain one sheng, filter out dregs. Wash eyes gently with warm liquid. If it cools, reheat it. Continue until recovered.
Ruiren Eye-Dropping Ointment (from *Shengji Zonglu*), treating Wind-Heat Fei Xue and red blood vessels, still accompanied by intermittent itching and pain.
Ingredients: Ruiren (Pruni Semen, peeled, finely ground, use 0.5 liang), Hao Su (Good Butter/Ghee, size of a chestnut).
Preparation and Administration: Mix Ruiren and Su, grind evenly, spread in a bowl. Take a small ball of Ai (Mugwort), burn until smoke emerges, immediately cover the bowl upside down over the smoke. Stop when Ai smoke is exhausted. Grind evenly again. Each time, take a size of hemp seed to drop into the eye, three times daily.
Jupi Eye-Washing Formula (from *Shengji Zonglu*), treating Fei Xue and red blood vessels.
Ingredients: Jupi (Zelkovae Cortex, coarse bark removed, 2 liang), Guwenqian (Ancient Coins, 7 pieces).
Preparation and Administration: Add one and a half sheng of water, decoct to obtain seven ge, filter out dregs, wash eyes while hot. If it cools, reheat it.
Yu Dan Eye-Smearing Ointment (from *Shi Bian Liang Fang*, also named Shen Xiao Fang), treating Fei Xue, red blood vessels, and sudden red eyes with astringency.
Ingredients: Liyu Dan (Carp Gallbladder, 5 pieces), Huanglian (Coptidis Rhizoma, fibers removed, ground into powder, 0.5 liang).
Preparation and Administration: Mix bile with Huanglian powder, place in a porcelain box, steam over rice for one shichen. Remove, if too dry add a little honey, mix to form an ointment. Smear on the eyes, 5-7 times daily.