验方 生木鳖子一个去壳研末,丝绵裹好,左眼塞右鼻孔,右眼塞左鼻孔,两夜其毛自分上下。
又方(《袖珍》) 石斛、川芎各等分研末,口中噙水,随左右眼吹鼻中,日二次。
秘方 捉大虱子,挤血点之即愈。
倒睫拳毛 无名异研末,卷纸作捻,油润点灯吹灭,以烟薰之,睫毛自起。
又方 鳖胆涂之,眼毛自顺。
《秘笈》曰∶此证皆因肾水亏弱,肝血不足,乃忧思恐怒,劳役饥饱,过而不节,
皆伤脾胃。脾胃受伤则阳气下陷,五脏不能相生,阳衰不能抗阴,故夜有灯月,亦
不能见也。夫昼为阳,夜为阴,阳主气而阴主血,经曰∶目得血而能视,今夜间血
分当旺之时而反不能视,何也?《难经》曰∶血为荣,气为卫,荣行脉中,卫行脉外,盖
言气血相调,无偏胜之理,以偏为病,今遇夜之阴气盛,阳气衰,则血虽旺而气不
足,故阳气不能上升,而阴气亦不能独荣
于目矣。初起头旋,常见五色不定,目中困倦,时暗时明,宜服冲和养胃汤、四物
补肝散,后服猪肝散、石斛夜光丸。
又曰∶高风内障,此证皆因脏腑热极,气血两亏,肝肾虚劳,致使日夜不能见物,
先因肝虚,雀目久则不睹三光,谓之青盲,不治之证也。
煮肝方
石决明(一个, 研) 苍术(焙研,一钱)
猪肝一斤和药末炒熟,伏锅上先熏眼,然后食肝,连服三次,自效。
又方
石决明(一个,火 研细) 黄蜡(二两,熔化)
为丸。用驴肝一叶或猪、羊肝竹刀刮
开,将丸纳肝内,以线扎紧煮熟,露一宿,清晨炖热食之。
大人小儿雀目
石决明( ) 夜明砂(洗,各二钱)
研细,用犍猪肝一两,羊肝更好,竹刀剖开入药,线缚入砂锅内,米泔水煮熟,
临卧时肝汁并服。
四物补肝汤
当归 夏枯草(各一钱) 熟地 白芍 香附(各八分) 川芎(七钱) 甘草(三分)
白水煎,食远服。
猪肝散
犍猪肝尖(七个) 苍术(三钱)
米泔水浸,清晨至晚,入罐内煮至水干为度,露一宿,空心服,三四次即愈。
Prescription: Take one raw *Momordica cochinchinensis* seed (Mu Bie Zi), remove the shell, grind into powder, wrap well in silk cotton. If the left eye is affected, insert into the right nostril; if the right eye is affected, insert into the left nostril. After two nights, the inverted eyelashes will naturally separate upwards and downwards.
Another Prescription (from *Xiu Zhen Fang*): Equal parts of *Dendrobium nobile* stem (Shi Hu) and *Ligusticum chuanxiong* rhizome (Chuan Xiong), ground into powder. Hold water in the mouth, and according to the affected eye's side, blow the powder into the corresponding nostril, twice daily.
Secret Recipe: Catch a large louse, squeeze out its blood, and apply it to the affected area for immediate cure.
For Inverted Eyelashes (Quan Mao Dao Jie): Grind *Hematitum* (Wu Ming Yi) into powder, roll into paper wicks, moisten with oil, light as a lamp wick, extinguish, and fumigate the eyes with the smoke until the eyelashes rise naturally.
Another Prescription: Apply bile from a soft-shelled turtle (Bie Dan) to the area; the eyelashes will naturally become straight.
*Mi Ji* states: This condition arises from deficiency and weakness of Kidney Water and insufficiency of Liver Blood, compounded by worry, thought, fear, anger, overwork, and irregular eating habits without restraint, all of which damage the Spleen and Stomach. When the Spleen and Stomach are injured, Yang Qi sinks, and the Five Viscera cannot mutually generate. With declining Yang unable to counter Yin, vision is impaired even under lamplight or moonlight at night. Day belongs to Yang, Night to Yin; Yang governs Qi, and Yin governs Blood. The Classics state: "The eyes can see when nourished by Blood." Now, during the night when Blood should be flourishing, vision fails. Why? *Nan Jing* states: "Blood is Ying (Nutritive), Qi is Wei (Defensive); Ying circulates within the vessels, Wei circulates outside." This implies that Qi and Blood should be harmonious, without excess or deficiency. Pathology arises from imbalance. At night, Yin Qi is abundant and Yang Qi is weak; although Blood may be plentiful, Qi is insufficient. Thus, Yang Qi cannot ascend, and Yin Qi alone cannot nourish the eyes. Initially, there is dizziness, seeing unstable colors of five hues, ocular fatigue, and fluctuating vision. It is suitable to take Chonghe Yangwei Tang (Harmonizing and Stomach-Nourishing Decoction) and Siwu Bugan San (Four Substances Liver-Supplementing Powder), followed by Zhugan San (Pork Liver Powder) and Shihu Yeguang Wan (Dendrobium Night-Light Pill).
It also states: Gaofeng Neizhang (High-Wind Internal Cataract) results from extreme heat in the viscera, dual deficiency of Qi and Blood, and consumptive deficiency of the Liver and Kidneys, causing inability to see day or night. Initially due to Liver deficiency, prolonged Que Mu (Night Blindness) leads to inability to see the sun, moon, and stars, termed Qing Mang (Green Blindness), which is an incurable condition.
Boiled Liver Formula: *Haliotidis Concha* (Shi Jue Ming, one piece, ground); *Atractylodis Rhizoma* (Cang Zhu, roasted and ground, 1 qian). Stir-fry one jin (500g) of pork liver with the medicinal powder until cooked. First, fumigate the eyes over the pot's steam, then consume the liver. Take three consecutive doses for efficacy.
Another Prescription: *Haliotidis Concha* (Shi Jue Ming, one piece, fire-ground fine); Beeswax (Huang La, 2 liang, melted). Form into pills. Take one leaf of donkey liver, or scrape open pig or sheep liver with a bamboo knife, insert the pill inside, tie tightly with thread, boil until cooked, expose overnight, and stew hot for consumption in the early morning.
For Adult and Pediatric Night Blindness (Que Mu): *Haliotidis Concha* (Shi Jue Ming); *Cyathulae Semen* (Ye Ming Sha, washed, each 2 qian). Grind finely. Use 1 liang of castrated bull pork liver (sheep liver is better), cut open with a bamboo knife, insert medicine, bind with thread, place in a clay pot, and cook thoroughly in rice washing water. Consume the liver juice along with the liver before retiring.
Siwu Bugan Tang (Four Substances Liver-Supplementing Decoction): *Angelicae Sinensis Radix* (Dang Gui), *Prunellae Spica* (Xiakucao, each 1 qian); *Rehmanniae Radix Praeparata* (Shudi), *Paeoniae Radix Alba* (Baishao), *Cyperi Rhizoma* (Xiangfu, each 8 fen); *Ligustici Chuanxiong Rhizoma* (Chuanxiong, 7 qian); *Glycyrrhizae Radix et Rhizoma* (Gancao, 3 fen). Decoct in plain water and take well after meals.
Zhugan San (Pork Liver Powder): Tips of castrated bull pork liver (7 pieces); *Atractylodis Rhizoma* (Cang Zhu, 3 qian). Soak in rice washing water from early morning until evening. Boil in a jar until the water is dry, expose overnight, and take on an empty stomach. Cure within three to four doses.