暴发时眼,疼痛难开,时眼传染,羞明怕日。白珠生疮,粟沙隐涩,睑肿胞烂,拳毛
倒睫。 肉扳睛,赤筋贯瞳,翳膜遮睛,垂帘翳障。冲风出泪,漏睛脓出,伤寒流毒,乌珠下陷
。乌珠突出,偷针时发,胞肉生胶,风牵 斜。雀目凝睛,撞破生翳,血灌瞳神,飞尘伤目
。时发有根,睑硬肿胀,瞳神胀痛,时发瘅涩。小 赤涩,大 赤涩。冰轮翳,梅花翳,旋
螺翳,浮翳,实翳,湿翳,干翳,钉头翳,白翳,红翳,青翳,黄翳,黑翳,时发时散翳。
里急外弛,跌扑损伤。
世谓眼病属火,然非外受风邪,眼必不病。因腠理为风邪所束,内火不得外泄,挟肝
木而上奔眼窍,血随火行,故患赤眼。及时调治,自获全愈。倘日久不治,及治而无效,为粗工
所误,遂成外障等症。外障者,风凝热积血滞也,法当除风散热,活血明目,须用加减金
液汤主之,外点玉华丹自愈。如患翳膜遮睛者,用仙传紫金膏点之,此膏能开瞽,或武当、
人龙、此君亦妙。
治外障等症。
软前胡(一钱) 白桔梗(八分) 直防风(一钱) 川独活(三分) 京芍药(一钱) 肥知母
(五
分,炒)
咀片水煎热服。
如受风寒重者,初二剂加羌活(五分) 小川芎(二分) 白芷梢(二分) 后服仍去。
如泪多者,加北细辛(二分) 家园菊(五分)
如肿胀者,加葶苈子(三分)
如痛甚者,加浓黄柏(三分)
如红甚者,加连翘(三分) 桑白皮(四分) 牡丹皮(六分) 红花(三分)
如翳膜者,加木贼(四分) 白蒺藜(八分)
如翳障 肉者,加石决明(一钱, )
如昏懵者,加密蒙花(八分) 家白菊(五分)
如大 红者,加栀仁(七分,炒黑)
如小 红者,加酸枣仁(一钱,炒) 远志肉(甘草煎水浸软,去骨炒,一钱) 麦冬(一
钱,去心) 家白菊(三分) 生地黄(一钱) 当归尾(三分) 熟地黄(一钱)
如初发赤眼,服药六七剂可愈,目无后患。(外点药)
如屡发者,风邪积热,入在经络,遇寒即发,服金液汤十余剂后,或作散,或作丸服,
调理三十四日,外用玉华丹日点一次,即愈。
如体虚者,须用加减地黄丸,空心服,饭后用金液散,此法最妙。
如服金液汤,须饭后热服,每日止服一剂,不可骤进,恐伤胃气。服至六七日,自愈。
如内热甚者,大便闭结兼以体旺年少之人,加大黄一二钱,通后除去,此病北京最多,
汤用五龙。
突发性的眼病,眼睛疼痛剧烈难以睁开,具有传染性,畏光怕日。白眼球(巩膜)上生疮疡,感觉像有粟米沙子一样隐痛涩滞,眼睑肿胀、胞睑溃烂,睫毛向内倒刺。胬肉攀睛,赤色筋脉贯穿瞳孔,翳膜遮挡视线,如垂帘般的翳障。迎风流泪,漏睛症流出脓液,伤寒余毒未清导致黑眼球(角膜/晶状体区域)下陷。黑眼球突出,偷针症(麦粒肿)时常发作,胞睑肉质增生胶结,风邪牵引导致眼位偏斜。雀目(夜盲症)凝视不动,撞击破损产生翳膜,血灌瞳神,飞尘损伤眼睛。时发性眼病有根源,眼睑坚硬肿胀,瞳孔胀痛,时常发作且伴有干涩感。小眦(内眼角)赤涩,大眦(外眼角)赤涩。冰轮翳,梅花翳,旋螺翳,浮翳,实翳,湿翳,干翳,钉头翳,白翳,红翳,青翳,黄翳,黑翳,时发时散的翳。里急外弛,跌打损伤。
世人认为眼病属于火证,然而如果不是外受风邪侵袭,眼睛必定不会生病。因为腠理被风邪束缚,体内的火热之邪无法向外宣泄,挟带肝木之气向上冲奔至眼窍,血液随着火势运行,因此患赤眼病。及时调理治疗,自然能够痊愈。如果日久不治疗,或者治疗无效,被庸医误治,于是形成外障等病症。所谓外障,是风邪凝聚、热邪积聚、血液停滞所致,治疗方法应当祛风散热、活血明目,必须使用加减金液汤作为主方,外用玉华丹点眼即可自愈。如果有翳膜遮挡视线的情况,使用仙传紫金膏点眼,此膏能治愈盲人复明,或者使用武当、人龙、此君(指代特定药物或疗法,此处保留原名)也很好。
治疗外障等病症。
软前胡(一钱)、白桔梗(八分)、直防风(一钱)、川独活(三分)、京芍药(一钱)、肥知母(五分,炒制)。
切碎成片,加水煎煮,趁热服用。
如果是感受风寒较重的患者,前两剂加入羌活(五分)、小川芎(二分)、白芷梢(二分),后续服药则去掉这些药。
如果流泪多的,加入北细辛(二分)、家园菊(五分)。
如果肿胀的,加入葶苈子(三分)。
如果疼痛剧烈的,加入浓黄柏(三分)。
如果红肿严重的,加入连翘(三分)、桑白皮(四分)、牡丹皮(六分)、红花(三分)。
如果有翳膜的,加入木贼(四分)、白蒺藜(八分)。
如果有翳障和胬肉的,加入石决明(一钱,煅制)。
如果视力昏蒙的,加密蒙花(八分)、家白菊(五分)。
如果大眦红的,加入栀仁(七分,炒黑)。
如果小眦红的,加入酸枣仁(一钱,炒制)、远志肉(用甘草煎水浸软,去骨后炒制,一钱)、麦冬(一钱,去心)、家白菊(三分)、生地黄(一钱)、当归尾(三分)、熟地黄(一钱)。
如果是初次发作的赤眼病,服用六七剂药可以痊愈,眼睛没有后遗症。(外用点眼药)
如果是反复发作的,风邪积热深入经络,遇到寒冷就会发作,服用金液汤十余剂后,可以制成散剂或丸剂服用,调理三十四天,外用玉华丹每天点一次,即可痊愈。
如果是体质虚弱的,必须使用加减地黄丸,空腹服用,饭后服用金液散,这种方法最好。
如果服用金液汤,必须在饭后热服,每天只服用一剂,不可急于求成,恐怕损伤胃气。服用到六七天,疾病自会痊愈。
如果体内热邪严重,大便闭结,兼身体强壮的年轻人,加大黄一二钱,通便后除去大黄,这种病在北京最多见,汤剂使用五龙(可能指代某种复方或地域性称呼,保留原名)。
Sudden onset of eye disease, severe pain making it difficult to open the eyes, contagious nature of the epidemic eye disease, photophobia and aversion to sunlight. Ulcers form on the white part of the eye (sclera), with a sensation of hidden pain and grittiness as if millet sand were present; eyelid swelling and ulceration of the palpebral sacs, with inverted eyelashes. Pterygium growing over the cornea, red vessels penetrating the pupil, nebulae and membranes obscuring vision like a hanging curtain. Tearing when exposed to wind, leakage of pus from the lacrimal sac (chronic dacryocystitis), residual toxicity from Cold Damage causing depression of the black part of the eye (cornea/lens area). Protrusion of the black part of the eye, recurrent hordeolum (stye), proliferation of tissue in the eyelid sacs, strabismus induced by wind pulling. Night blindness with fixed gaze, trauma-induced nebula formation, blood flooding the pupil, injury from flying dust. Recurrent eye diseases with underlying causes, hard and swollen eyelids, distending pain in the pupil, frequent episodes accompanied by dryness and astringency. Redness and astringency at the inner canthus, redness and astringency at the outer canthus. Binglun nebula, plum blossom nebula, spiral nebula, floating nebula, solid nebula, damp nebula, dry nebula, nail-head nebula, white nebula, red nebula, green nebula, yellow nebula, black nebula, nebulae that appear and disappear intermittently. Internal tension with external relaxation, contusions and injuries.
The world believes that eye diseases belong to Fire syndromes; however, without external invasion of Wind pathogen, the eyes would not become diseased. Because the couli (pores and interstitial spaces) are constrained by Wind pathogen, internal Fire cannot vent outward, carrying Liver Wood Qi upward to rush into the eye orifices. Blood follows the Fire's movement, resulting in Red Eye disease. With timely regulation and treatment, complete recovery is naturally achieved. If left untreated for a long time, or if treatment is ineffective and mismanaged by incompetent physicians, it eventually forms Externally Obstructing disorders (Wai Zhang). The so-called Externally Obstructing disorder is caused by the condensation of Wind, accumulation of Heat, and stagnation of Blood. The therapeutic method should be to dispel Wind, clear Heat, invigorate Blood, and brighten the eyes. One must use Modified Jin Ye Tang (Golden Fluid Decoction) as the main formula, and apply Yu Hua Dan (Jade Flower Powder) externally to the eyes for self-healing. In cases where nebulae and membranes obscure vision, apply Xian Zhuan Zi Jin Gao (Immortal Transmitted Purple Gold Ointment); this ointment can restore sight to the blind. Alternatively, using Wudang, Renlong, or Cijun is also excellent.
Treatment for Externally Obstructing disorders and similar conditions.
Ruan Qianhu (Soft Peucedani Radix, 1 qian), Bai Jiegeng (White Platycodonis Radix, 8 fen), Zhi Fangfeng (Straight Saposhnikoviae Radix, 1 qian), Chuan Duhuo (Sichuan Angelicae Pubescentis Radix, 3 fen), Jing Shaoyao (Peony Root from Beijing, 1 qian), Fei Zhimu (Platycodoni Rhizoma fried, 5 fen).
Chop into slices, decoct in water, and take hot.
For those with heavy invasion of Wind-Cold, add Qianghuo (Notopterygii Rhizoma et Radix, 5 fen) and Xiao Chuanxiong (Sichuan Chuanxiong Rhizome, 2 fen) and Baizhi Shao (Angelicae Dahuricae Radix tip, 2 fen) in the first two doses; remove these herbs in subsequent doses.
For excessive tearing, add Beixixin (Asari Radix et Rhizoma, 2 fen) and Jiayuanju (Garden Chrysanthemi Flos, 5 fen).
For swelling, add Tinglizi (Descurainiae Semen, 3 fen).
For severe pain, add Nong Huangbo (Phellodendri Cortex, 3 fen).
For severe redness, add Lianqiao (Forsythiae Fructus, 3 fen), Sangbaipi (Mori Cortex, 4 fen), Mudanpi (Moutan Cortex, 6 fen), and Honghua (Carthami Flos, 3 fen).
For nebulae, add Muzei (Equiseti Herba, 4 fen) and Bai Jili (Tribuli Fructus, 8 fen).
For nebulae and pterygium, add Shijueming (Concha Arcae, 1 qian, calcined).
For blurred vision, add Mimenghua (Buddlejae Flos, 8 fen) and Ji Baiju (White Chrysanthemi Flos, 5 fen).
For redness at the outer canthus, add Zhiren (Gardeniae Fructus, 7 fen, charred).
For redness at the inner canthus, add Suanzaoren (Ziziphi Spinosae Semen, 1 qian, fried), Yuanzhi Rou (Polygalae Radix flesh soaked in Licorice decoction, bone removed, fried, 1 qian), Maidong (Ophiopogonis Tuber, 1 qian, heart removed), Ji Baiju (White Chrysanthemi Flos, 3 fen), Sheng Dihuang (Rehmanniae Radix, 1 qian), Danggui Wei (Angelicae Sinensis Radix tail, 3 fen), and Shu Dihuang (Prepared Rehmanniae Radix, 1 qian).
For initial onset of Red Eye disease, taking 6-7 doses will result in cure with no sequelae for the eyes. (External eye drops)
For recurrent cases, where Wind pathogen and accumulated Heat have entered the meridians and flare up upon exposure to cold, take Jin Ye Tang (Golden Fluid Decoction) for more than 10 doses. Afterwards, it may be prepared as a powder or pill for administration. Regulate for 34 days, applying Yu Hua Dan (Jade Flower Powder) externally once daily, and it will heal.
For those with weak constitutions, use Modified Di Huang Wan (Rehmannia Pill) taken on an empty stomach, and Jin Ye San (Golden Fluid Powder) after meals; this method is most excellent.
When taking Jin Ye Tang (Golden Fluid Decoction), it must be taken hot after meals. Only one dose per day should be taken; do not advance rapidly, lest it damage Stomach Qi. After 6-7 days of administration, the disease will heal spontaneously.
For those with severe internal Heat, constipation, and robust young constitutions, add Dahuang (Rhei Radix et Rhizoma) 1-2 qian to promote bowel movement, then remove Dahuang. This disease is most common in Beijing; the decoction uses Wu Long (Five Dragons).