徐仲光治一儿痘后,目黑睛初起细白点,大便顺,而日晡潮热。有用鸡 、花粉、威灵仙煮食,其瞳
神即高肿突出,白睛红肿。徐用泻青丸煎服,兼用羽皇散,五六剂而愈。
一儿白睛生翳,渐掩黑睛,连用去风去翳、凉血清热等药不效,即用泻青丸及羽皇散,间服数剂而安。鹅
不食草盐酒炒干、白蒺藜各二两,谷精草、石决明各二两,旋复花、蝉蜕、川芎、龙胆草各五分,羊胆三个,
蜜丸,每服二钱,盐汤下。(羽皇散。)
万密斋治萧别驾女,痘后不戒浓味。其俗有病者,必服附子,食雄鸡,灸关元。戒之不听,后两目出浪若
烂,此毒发于肝,肝火旺也。或曰∶目上下胞属脾,脾亦热乎?曰∶此因泪出不止,浸淫溃烂也。乃用泻青丸
去大黄,加柴胡、黄芩、密蒙花,蜜丸,服半年而愈。(雄按∶萧江西人,其俗至今犹然。)
雷邑巫孙痘,七日倒陷,已与发出,毒犹甚,欲解其毒,中气素虚,又恐倒陷。欲补其中,恐助毒火,又
伤其目。不如节饮食,适寒温,以待自安。不听,乃服参、 温补之剂,后两目俱盲。
王司训子,痘后两目畏明,此肝火太旺,宜服泻肝散加柴胡、蝉蜕、黄芩。初一剂用酒浸大黄,乃畏苦不
肯服,果成内障目盲。
萧氏子痘后目有白翳。曰∶此痘瘢也,治之无功。果盲。
徐淑道痘不靥,用陈氏木香散一服。曰∶误也,必损目矣。果盲其一。
周氏女痘后目闭不开。曰∶痘顺无余毒,必羞明症也。乃试之,向暗则开,向明则闭,不流泪,此肝经火
邪未除耳。用羌、防、归尾、川芎、柴胡、蔓荆、密蒙花、生甘草、淡竹叶,一服目开,遍身痘瘢肿凸。再用
四物汤加荆、防、人参、连翘、甘草而愈。
周氏子九岁,痘后出外,忽头肿,两目不开,此非毒,乃风热也。用羌、防、升、柴、芎、归、 本、蔓
荆、细辛、甘菊、黄芩,治之愈。
王肯堂治从子懋 ,痘后两目生翳,羞明特甚,窗牖皆以衣被覆蔽。就明展两眸视之,则白膜已遍覆黑睛,
泪如泉涌。婴科、眼科,投药不效,束手告技穷矣。乃闭户而思∶目者,清阳之所越也。忽焉而有翳膜,是浊
阴犯之也。浊阴恶敢与阳敌,故羞明特甚。乃以黄 助清阳之气为君,生地、当归养目真血为臣,羌、独、防、
芎、芷、甘菊、薄荷升清阳,黄芩、猪胆汁、车前、茯苓降浊阴为佐,仍间服泻青丸,八剂而目开翳已去矣。
凡眼科点洗药,概屏不用,惟以橄榄核磨汁,敷上皮而已。盖婴幼柔脆,点洗之药,必有所伤故也。
费建中治一女,三岁,痘稀而绽突红润,似可弗药,但烈热如炮,叫喊不绝,左目 肿如桃,以大黄、生
地、荆芥、甘菊、赤芍、黄连、木通、地丁、青皮,连进三朝,始身凉神静,目亦无恙。(痘后目翳,用荔枝肉
捣膏,贴囟门上即愈。但已过百日则不效。)
Xu Zhongguang treated a child who, after smallpox, initially presented with fine white spots on the black pupil (cornea and iris area). The stool was smooth, but tidal fever occurred daily in the afternoon. Someone used chicken, Tianhuafen (Trichosanthes Root), and Weilingxian (Clematis Root) for cooking and eating, which resulted in the high swelling and protrusion of the Tongshen (pupil and spirit of the eye), and redness and swelling of the Baijing (sclera and bulbar conjunctiva). Xu used Xieqing Wan (Draining Green Pill) decocted and taken orally, combined with Yuhuang San (Feathered Emperor Powder), and the child recovered after five or six doses.
Another child had nebulae (opacities) growing on the Baijing, gradually covering the black pupil. Continuous use of drugs to dispel wind, remove nebulae, cool blood, and clear heat was ineffective. Subsequently, Xieqing Wan and Yuhuang San were used, administered intermittently for several doses, leading to stabilization. Prescription: Ebucaocao (Galium Pavonii Herba) stir-fried with salt and wine until dry, and Bajieli (Tribuli Fructus) each 2 liang; Gujingcao (Evodiae Fructus) and Shijueming (Haliotidis Concha) each 2 liang; Xuanfuhua (Inulae Flos), Chantui (Cicadae Periostracum), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Longdancao (Gentianae Radix) each 5 fen; three sheep gallbladders. Made into honey pills, take 2 qian per dose, washed down with salt water. (This formula is called Yuhuang San.)
Wan Mizhai treated the daughter of Vice-Commander Xiao. After smallpox, she did not abstain from rich and strong-flavored foods. Local custom dictates that patients must consume Fuzi (Aconiti Lateralis Radix Praeparata), eat rooster, and moxa the Guanyuan point (CV4). Despite warnings, she did not listen. Later, both eyelids became ulcerated and rotten-looking. This indicated toxin erupting in the Liver, with hyperactive Liver fire. Someone asked: "The upper and lower eyelids belong to the Spleen; does the Spleen also have heat?" Wan said: "This is due to incessant tearing, causing maceration and ulceration." He then used Xieqing Wan (Draining Green Pill) removing Dahuang (Rhei Radix et Rhizoma), adding Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), and Mimenghua (Mnesarchae Flower), made into honey pills. She took them for half a year and recovered. (Note: Xiao was from Jiangxi, and this custom persists there today.)
Sun, a shaman in Lei County, treated his child for smallpox. On the seventh day, the eruption inverted (collapsed inward). Although it had erupted, the toxin was still severe. To resolve the toxin, considering the child's inherent deficiency of Middle Qi, there was fear of inversion. To tonify the Middle, there was fear of aiding the toxic fire, which might further damage the eyes. It was better to regulate diet and adjust cold/warmth, waiting for spontaneous recovery. They did not listen and administered Ginseng and Renshen (Codonopsis) along with warming and tonifying agents. Later, both eyes went blind.
The son of Instructor Wang, after smallpox, exhibited photophobia (aversion to light) in both eyes. This indicated excessive Liver fire, suitable for treating with Xiegan San (Draining Liver Powder) plus Chaihu (Bupleuri Radix), Chantui (Cicadae Periostracum), and Huangqin (Scutellariae Radix). The first dose used Da Huang (Rhei Radix et Rhizoma) soaked in wine. The child refused to take it due to bitterness and indeed developed internal cataracts and blindness.
The son of the Xiao family had white nebulae in the eyes after smallpox. The doctor said: "This is a smallpox scar; treatment will be futile." He indeed went blind.
Xu Shudao treated a child whose smallpox pustules had not yet crusted over, using Chen Shi Muxiang San (Chen's Costus Powder) for one dose. He said: "This is a mistake; the eyes will surely be damaged." Indeed, one eye went blind.
The Zhou family's daughter had her eyes closed and unable to open after smallpox. The doctor said: "The smallpox course was favorable with no residual toxin; this must be a case of photophobia." A test was performed: when facing darkness, the eyes opened; when facing light, they closed. There was no tearing. This indicated that the Fire pathogen in the Liver meridian had not been eliminated. Treatment involved Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Dangguiwei (Angelicae Sinensis Radix tail), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chaihu (Bupleuri Radix), Manjingzi (Viticis Semen), Mimenghua (Mnesarchae Flower), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), and Dan Zhuyez (Phyllostachys Viridis Folium). One dose allowed the eyes to open, accompanied by swelling and protrusion of smallpox scars all over the body. Subsequently, Siwu Tang (Four Substance Decoction) plus Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Renshen (Codonopsis Radix), Lianqiao (Forsythiae Fructus), and Gancao (Glycyrrhizae Radix et Rhizoma) cured the condition.
The Zhou family's nine-year-old son went outside after smallpox and suddenly developed head swelling and inability to open his eyes. This was not toxin, but Wind-Heat. Treatment with Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gaoben (Ligustici Wallichii Rhizoma et Radix), Manjingzi (Viticis Semen), Xixin (Asari Radix et Rhizoma), Ganju (Chrysanthemi Indici Flos), and Huangqin (Scutellariae Radix) cured him.
Wang Kentang treated his nephew Mao. After smallpox, nebulae grew in both eyes, with extreme photophobia. Windows were covered with clothes and quilts. When viewing in bright light, white membranes completely covered the black pupils, and tears flowed like springs. Pediatric and ophthalmological treatments failed, leaving practitioners helpless. He closed the door and pondered: "The eyes are where Clear Yang ascends. The sudden appearance of nebulae indicates invasion by Turbid Yin. How dare Turbid Yin oppose Yang? Hence the extreme photophobia." He used Huangqi (Astragali Radix) to assist Clear Yang as the Sovereign herb; Shengdi (Rehmanniae Radix) and Danggui (Angelicae Sinensis Radix) to nourish the true blood of the eyes as Ministers; Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Ganju (Chrysanthemi Indici Flos), and Bohe (Menthae Haplocalycis Herba) to ascend Clear Yang; Huangqin (Scutellariae Radix), Zhu Danzhi (Porci Bile), Cheqianzi (Plantaginis Semen), and Fuling (Poria) to descend Turbid Yin as Assistants. Intermittently, Xieqing Wan (Draining Green Pill) was also administered. After eight doses, the eyes opened and the nebulae disappeared. All ophthalmic drops and washes were discarded; only juice ground from olive pits was applied to the upper eyelids. This was because infants are tender and fragile, and drop/wash medications would inevitably cause injury.
Fei Jianzhong treated a three-year-old girl. Her smallpox was sparse, protruding, red, and healthy-looking, suggesting no medication might be needed. However, she had intense fever like burning, incessant crying, and the left eye was swollen like a peach. Using Dahuang (Rhei Radix et Rhizoma), Shengdi (Rehmanniae Radix), Jingjie (Schizonepetae Spica), Ganju (Chrysanthemi Indici Flos), Chishao (Paeoniae Radix Rubra), Huanglian (Coptidis Rhizoma), Mutong (Akebiae Caulis), Dingduan (Taraxaci Herba), and Qingpi (Citri Reticulatae Pericarpium Viride), administered continuously for three days, her body finally cooled, spirit calmed, and the eye remained unharmed. (Note: For post-smallpox eye nebulae, lychee flesh mashed into paste applied to the fontanelle can cure it. However, if more than one hundred days have passed, it is ineffective.)