藿香叶七分,山栀仁一钱,石膏五分,甘草七分
半,防风二钱,右锉细,用蜜拌炒,但微炒为末。水煎
温服。
黄连,黄柏、当归、赤芍各二钱,杏仁(去皮尖)五
钱,右锉细,用乳汁浸一宿。晒干为末。生地黄汁调一
字,频频点眼,以新帛醮荆芥汤洗之。
生地黄、赤芍、川芎、当归、甘草、天花粉,各等
分为末,每少许,灯心汤调服。
用生地黄、黑豆,湿研成膏,贴目上,其血自散。
如血泪既出,肿黑自消。甚妙。
谷精草一两,蝉退(去翅足)三钱,蜜蒙花五钱,白
蒺藜(炒去刺)三钱,共为末,每用一钱。取雄猪肝一
两,竹刀剖开,擦药于内,以草束定,水煮肝熟,令儿食肝
饮汤。
黄芩、荆芥穗、川芎、防风、薄荷叶、甘草、连翘、
山栀仁、当归、石膏、羌活,水煎温服。
小儿惊风。目斜视而不转睛者,灸风池穴,目左斜,灸右
穴,右斜,灸左穴。
西 江 月
小儿眼目多病,皆因自食酸甘,脏生邪热炙其肝,冲发于目
为患。或为赤肿痒痛,或多眵泪遮幔,甚则翳膜掩瞳间,更有睛
盲雀眼。
眼目部分当识,五脏各属一位,黑珠属肝白珠肺,瞳仁又属
肾水。大小两角虽异,心火是则属之,上下两胞属何如,脾上中
央定位。
目内若见赤色,心经积热上冲。导赤加连并防风,更有洗心
堪用。又或现出黄色,此为脾热蒸攻,泻黄散子有神功,此方又
医浮肿。
小儿目患赤痛,难用点药医攻,只将汤药内疏通,外用敷药
止痛。汤药洗心肝散,敷药田螺连同,二味共研要通融,纸摊贴
之休动。
如或要用点药,莫将眩药妄行[35],只把黄连细研匀,将大田
螺水浸,药末纳入螺内,须臾黄水流行(36),蘸水点入眼中存,
热退凉生痛定。
目痛肝经风热,泻肝散是仙方,外用乳洗目清凉,勿使点药
轻妄。久病目生白膜,肝虚之症消详,虚则补母用地黄,养血养
精为上。
藿香叶七分,山栀仁一钱,石膏五分,甘草七分半,防风二钱。将上述药材切碎成细末,用蜂蜜拌匀后微炒,研成粉末。用水煎煮,温服。
黄连、黄柏、当归、赤芍各二钱,杏仁(去皮尖)五钱。将上述药材切碎成细末,用乳汁浸泡一夜。晒干后研成粉末。用生地黄汁调取一字量,频频点入眼中,并用新布蘸荆芥汤清洗眼部。
生地黄、赤芍、川芎、当归、甘草、天花粉,各等分研成粉末。每次取少许,用灯心草汤调服。
用生地黄和黑豆,加水湿磨成膏状,贴敷于眼部,瘀血自然消散。如果血泪流出,肿胀和青黑自然会消退。效果甚妙。
谷精草一两,蝉蜕(去翅足)三钱,蜜蒙花五钱,白蒺藜(炒去刺)三钱,共同研成粉末,每次使用一钱。取雄猪肝一两,用竹刀剖开,将药粉擦在肝内,用草束紧,水煮至肝熟,让儿童吃肝并喝汤。
黄芩、荆芥穗、川芎、防风、薄荷叶、甘草、连翘、山栀仁、当归、石膏、羌活,用水煎煮,温服。
小儿惊风。眼睛斜视且眼球不转动者,灸风池穴。目左斜,灸右侧穴位;目右斜,灸左侧穴位。
西江月词:
小儿眼目多病,皆因自行食用酸甘食物,脏腑产生邪热熏灼肝脏,冲发于眼部造成危害。或者出现红肿痒痛,或者多眵泪遮挡眼睑,严重时翳膜掩盖瞳孔之间,更有睛盲雀目之症。
眼部解剖部位应当认识,五脏各属一位,黑珠属肝,白珠属肺,瞳仁又属肾水。内外眼角虽然不同,心火则归属于此,上下眼睑属于什么?脾土位于中央定位。
若目内见到赤色,是心经积热上冲。导赤散加黄连并防风,更有洗心丹可用。又或者现出黄色,这是脾热蒸攻,泻黄散子有神功,此方又能医治浮肿。
小儿眼部患赤痛,难以用点眼药治疗,只将汤药内部疏通,外用敷药止痛。汤药用洗心肝散,敷药用田螺连同(指田螺肉),二味共同研磨要调和均匀,用纸摊贴之不要移动。
如果要使用点眼药,不要随意使用刺激性药物,只把黄连细细研匀,将大田螺用水浸泡,药末纳入螺内,片刻后黄水流出来,蘸水点入眼中留存,热退凉生疼痛停止。
目痛因肝经风热,泻肝散是仙方,外用乳汁清洗眼部清凉,不要使点眼药轻率妄用。久病目生白膜,是肝虚之症详细分析,虚则补母用地黄,养血养精为上策。
Huoxiang Ye (Agastache Leaf) 0.7 qian, Zhizi Ren (Gardenia Seed) 1 qian, Shigao (Gypsum Fibrosum) 0.5 qian, Gancao (Licorice Root) 0.75 qian, Fangfeng (Saposhnikovia Root) 2 qian. The above herbs are finely chopped, mixed with honey, lightly stir-fried, and then ground into powder. Decoct in water and take warm.
Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Danggui (Angelica Sinensis Root), Chishao (Red Peony Root) each 2 qian, Xingren (Apricot Seed, peeled and tip removed) 5 qian. The above herbs are finely chopped, soaked in milk overnight. Dried and ground into powder. Mix with a "yi zi" amount of Shengdihuang Juice (Rehmannia Root Juice) and frequently instill into the eyes. Wash the eyes with fresh cloth dipped in Jingjie Tang (Schizonepeta Decoction).
Shengdihuang (Rehmannia Root), Chishao (Red Peony Root), Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Gancao (Licorice Root), Tianhuafen (Trichosanthes Root) in equal parts, ground into powder. Take a small amount each time, mixed with Dengxin Tang (Juncus Decoction).
Use Shengdihuang (Rehmannia Root) and Heidou (Black Soybean), wet-grinded into a paste, applied to the eyes. The blood stasis will dissipate naturally. If bloody tears flow out, swelling and blackness will subside naturally. Very effective.
Gujingcao (Equisetum Herba), Chantui (Cicada Slough, wings and feet removed) 3 qian, Mimenghua (Myrtus Flower) 5 qian, Baijili (Tribulus Fruit, stir-fried and thorns removed) 3 qian. Grind together into powder. Use 1 qian each time. Take 1 liang of male pig liver, cut open with a bamboo knife, rub the medicine inside, tie with grass, boil in water until the liver is cooked. Let the child eat the liver and drink the soup.
Huangqin (Scutellaria Root), Jingjiesui (Schizonepeta Spike), Chuanxiong (Ligusticum Rhizome), Fangfeng (Saposhnikovia Root), Bohe Ye (Mint Leaf), Gancao (Licorice Root), Lianqiao (Forsythia Fruit), Zhizi Ren (Gardenia Seed), Danggui (Angelica Sinensis Root), Shigao (Gypsum Fibrosum), Qianghuo (Notopterygium Rhizome). Decoct in water and take warm.
Pediatric Jing Feng (Convulsion). For eyes deviating and not rotating, moxa the Fengchi acupoint (GB20). If the eye deviates to the left, moxa the right acupoint; if to the right, moxa the left acupoint.
Xijiang Yue:
Children's eye diseases are mostly caused by self-consumption of sour and sweet foods, generating pathogenic heat in the zang organs that scorches the Liver, rushing to the eyes causing harm. It may present as redness, swelling, itching, and pain, or excessive discharge and tearing obscuring the eyelids. Severe cases involve nebula covering the pupil, or blindness and trachoma-like conditions.
The anatomy of the eye should be understood: each Zang organ corresponds to a specific part. The black pupil belongs to the Liver, the white sclera to the Lung, and the pupil again to Kidney Water. Although the inner and outer canthi differ, Heart Fire belongs to them. What about the upper and lower eyelids? Spleen Earth is located centrally.
If redness is seen inside the eye, it indicates accumulated heat in the Heart Meridian rushing upward. Daochi San (Guide Out Red Powder) added with Huanglian (Coptis Rhizome) and Fangfeng (Saposhnikovia Root), or Xixin Dan (Wash Heart Pill) can be used. If yellow color appears, this is due to Spleen Heat steaming and attacking. Xiehuang San (Drain Yellow Powder) has miraculous efficacy; this formula also treats edema.
For pediatric eye redness and pain, topical drops are difficult to use for treatment. Only internal decoctions should be used to unblock internally, while external applications relieve pain. The decoction uses Xixin Gan San (Wash Heart and Liver Powder); the application uses Freshwater Snail flesh. Grind these two ingredients together thoroughly, spread on paper, apply, and do not move it.
If eye drops are needed, do not recklessly use irritating medicines. Only grind Huanglian (Coptis Rhizome) finely, soak a large freshwater snail in water, insert the powder into the snail shell. After a moment, yellow fluid flows out. Dip in water and instill into the eyes. Heat recedes, coolness generates, and pain stops.
Eye pain due to Wind-Heat in the Liver Meridian: Xiegan San (Drain Liver Powder) is an immortal formula. Externally, wash the eyes with milk for coolness; do not recklessly use eye drops. For long-standing eye disease with white membrane formation, analyze carefully as a Liver Deficiency syndrome. When deficient, tonify the mother using Dihuang (Rehmannia Root); nourishing Blood and Essence is the superior approach.