医眼。以青桑干枝就硬炭火上烧取白灰。铜箸点二三次。妙甚。不可用水桑黄桑。亦不
可杂炭灰。
眼病不一。烂沿恶泊羞明医膜涩痛雀目韬针内外障等证。难以枚举。今独举赤眼数种。
应患
眼者。不问远年近有。上诸证并可用四物汤。下生熟地黄丸。敷洗之剂。当求之专科。四物
汤加入蒸熟大黄一块。如栗子大。尤妙。
有久视损目。肝血不足。以致见物不明。眼中常见烟焰起。此当益血。宜生熟地黄丸。
有因茹素致目少光。或成雀目。盖食能生精。亏之则目无所资而减明。
眼疾诸证。医家多用治眼流气饮。此则专门之业也。寻常赤眼用黄连碾末。先用大菜头
一个
切了盖。剜中心作一窍。入连末在内。复以盖遮住。竹签签定。慢火内煨熟取出。候冷以
菜头中水滴入眼中。
赤眼有数种。气毒赤者。热壅赤者。有时眼赤者。无非血壅肝经所主。盖肝主血。通窍
于眼
赤眼之病。大率皆由于肝。并黑神散消风散等分。白汤调。食后睡时服。仍用豆腐切片敷
其上。盐就者可用。酸浆者。不可用。即乌豆敷 之意。
风热。赤甚者。于黑神散消风散二药中。放令消风头高。间以折二泔。睡时冷调洗肝散
或菊
花散服。仍进四物汤。内地黄用生。芍药用赤。只须半帖。食后作一服。却加入赤茯苓半钱
醉将军即酒蒸大黄是也。早晨盐汤下养正丹二十三十粒。
若不便于过凉之剂。则不必用洗肝散。宜以二钱黑神散。一钱消风散。
若赤眼久而不愈。用诸眼药皆无效。早起则以苏子降气汤。下黑锡丹。临睡则以消风散
下三黄丸。日中别以酒调黑神散。此数药不独治久赤。诸眼疾皆治之。
若眼晕生花。则属肝虚。当于虚损门眩晕证求药。或正坐他病以致病花。合就其所得之病
随证施治。
又有气眼。才怒气则亦痛。宜服酒调复元通气散。
又有头风眼。偏正头痛。眼不可开。多泪羞明。宜决明散。
Treating eye diseases. Burn the dry branches of green mulberry trees over hard charcoal fire to obtain white ash. Dip copper chopsticks into the ash and apply to the eyes two or three times; this is highly effective. Do not use branches from water mulberry or yellow mulberry, nor mix in ordinary charcoal ash.
Eye diseases vary greatly, including conditions such as eyelid ulceration (Lanyan), aversion to light and discharge (Eman Xiuming), leukoma obscuring vision (Yimo), astringency and pain (Se Tong), night blindness (Que Mu), photophobia with stinging pain (Tao Zhen), internal cataract (Nei Zhang), and external cataract (Wai Zhang), among others, which are too numerous to list exhaustively. Here, only several types of red eye (Chi Yan) are presented. For those suffering from any eye disease, regardless of whether it is chronic or recent, the above-mentioned conditions can be treated with Siwu Tang (Four Substances Decoction), accompanied by Shengshu Dihuang Wan (Raw and Cooked Rehmannia Pill). Applications and washes should be sought from specialized practitioners. Adding a piece of steamed Rhizoma Rhei Preparatum (Zheng Da Huang), sized like a chestnut, to Siwu Tang is particularly excellent.
Prolonged visual strain damages the eyes, leading to insufficiency of Liver Blood, resulting in blurred vision and a sensation of smoke or flames rising within the eyes. This condition requires nourishing blood, for which Shengshu Dihuang Wan is suitable.
Long-term vegetarianism may lead to dim vision or night blindness. Since food generates essence, its deficiency deprives the eyes of nourishment, reducing clarity of sight.
For various eye conditions, physicians often employ Zhiyan Liuqi Yin (Eye-Regulating Qi-Flowing Drink), which falls under specialized ophthalmology. For common red eye, grind Coptidis Rhizoma (Huanglian) into powder. Take one large Radish (Laitao), cut off the top to serve as a lid, hollow out the center to create a cavity, insert the Huanglian powder inside, replace the lid, secure it with bamboo skewers, and slowly roast over low heat until cooked. Remove, let cool, and drip the juice from the radish into the eyes.
Red eye presents in several types: those caused by Qi toxicity, those caused by Heat stagnation, and those that occur intermittently. These are all essentially due to Blood stagnation in the Liver Meridian, as the Liver stores Blood and opens into the eyes. Red eye pathology generally stems from the Liver. Mix Heishen San (Black Divine Powder) and Xiaofeng San (Wind-Expelling Powder) in equal proportions, take with warm water after meals and before sleep. Additionally, apply slices of tofu to the eyes; salted tofu is acceptable, but fermented sour tofu is not. This corresponds to the principle of applying black soybeans to the eyes.
If the condition involves Wind-Heat with severe redness, increase the proportion of Xiaofeng San relative to Heishen San. Occasionally, rinse the eyes with diluted rice water at bedtime using cold Ligan San (Liver-Washing Powder) or Juhua San (Chrysanthemum Powder) for both washing and oral administration. Continue taking Siwu Tang, using raw Sheng Dihuang (Raw Rehmanniae Radix) and Chi Shao (Red Peony Root), taking only half a dose, administered once after meals. Then add Ban Qian of Chufeng Fuling (Polyporus with Red Dye) and Zuì Jiāngjūn (Jiu Zheng Dahuang, i.e., Rhizoma Rhei prepared with wine). In the morning, take 20–30 pills of Yangzheng Dan (Upright-Qi Preserving Pill) with salt water.
If overly cooling agents are unsuitable, Ligan San need not be used. Instead, use two qian of Heishen San and one qian of Xiaofeng San.
If red eye persists without cure and various eye medications prove ineffective, take Suzi Jiangqi Tang (Perilla Seed Descending-Qi Decoction) upon waking, followed by Heixi Dan (Black Tin Pill). Before sleep, take Xiaofeng San followed by Sanhuang Wan (Three Yellows Pill). At noon, take Heishen San mixed with wine. These medicines treat not only chronic red eye but various other eye diseases.
If visual halos or floaters appear, this indicates Liver Deficiency. Seek remedies from the section on Deficiency Syndromes regarding vertigo/dizziness. Alternatively, if floaters result from another primary illness, treat according to the specific diagnosis of that underlying condition.
There is also "Qi Eye," characterized by pain immediately following anger. This is suitable for treatment with Jiutiao Fuyuan Tongqi San (Alcohol-Mixed Restoring Circulation and Unblocking-Qi Powder).
There is also "Headwind Eye," presenting with unilateral or central headache, inability to open the eyes, excessive tearing, and photophobia. Mingmu San (Clear-Vision Powder) is appropriate.