至宝膏,治暴发热壅有翳者甚效,用∶蕤仁(去油) 硼砂(各一钱) 辰砂(三分) 冰片(一分) 共为极
细末,蜜调点之。治烂眶眼用∶薄荷、荆芥、细辛,等分,为粗末,烧取烟烬,点眼。其法如香烧之,以青碗涂蜜
少许覆烟上,待烟烬为度,以瓷器收藏,凡眼有风热多泪者,皆可点之。平风止泪散,歌曰∶风热泪更兼疼,
苍附芎辛荷芷停,木贼夏枯防国老,煎汤服饵即安宁。又方点药,用寒水石捶碎,以童便浸七日,晒七日,再浸七日研
末,每一两加真轻粉五分,再研极细,又夜露七宿,晒七日,临用加冰片少许,点之。治血虚眼,用生熟地黄丸∶
生、熟地黄(各二两) 石斛 玄参(各一两) 末之,蜜丸。冬月眼暴发痛,亦当解散不可用凉药。黑睛有翳,皆
用黄柏、知母。眼睛痛,知母、黄柏泻肾火,当归养阴,羌活引经。眼中风泪,食后吞龙荟丸数粒,日三服。一人病
眼,至春夏便发,当作郁治∶黄芩(二两酒浸) 南星(姜制二两) 香附 苍术(以上便浸二两) 连翘(二两)
山栀(炒一两) 导芎(便浸一两半) 陈皮(酒浸半两) 草龙胆(酒蒸半两) 萝卜(半两) 青黛(半两)
柴胡(三钱) 上末之,曲糊丸。一人眼内陷∶生地 熟地(各一斤) 杏仁(四两) 石斛 牛膝(以上各半斤)
防风(六两) 枳壳(五两) 蜜丸服之。治暴发血热壅肿作痛,四物汤加草龙胆、防己、防风、羌活。眼眶涩烂因
风而作,用风药燥之。柴胡散∶柴胡、羌活、防风、生地黄、赤芍药、甘草、桔梗、荆芥。劳役饮食不节,内障
昏暗蔓荆子汤。治内障,四物汤加酒炒黄芩、黄连、黄柏,并服者,可用噙药,霜梅、僵蚕、白矾和丸,绵裹噙化。
喉痹方,以白梅入蚰蜓令化,噙梅于口内。治风热喉痹,先以千缗汤,
后以四物汤加黄柏、知母,养阴则火降。又方,以猪牙皂角末、霜梅为丸,噙化。又方,茜草一两,作一服,降血
中之火。又方∶焰硝(半钱) 枯矾(一钱) 硼砂(一钱) 共为细末,用杜、牛膝捣汁,调下。润喉散治气
郁夜热,咽干哽塞∶桔梗(二钱半) 粉草(一钱) 紫河车(四钱) 香附子(三钱) 百药煎(一钱半)
上为细末,敷口内。咽喉生疮损了,不用生姜折辣痛,又能散不收。咽痛,必用荆芥;阴火炎者,必用玄参。咽
痛,硼砂或和胆矾、僵蚕、白矾为末,霜梅捣和,噙之。治一切咽喉痛,用倒摘刺根,净洗,入些少好醋同研,滴入
喉中、耳中,痒即愈。咽喉生疮并痛,属热,多是虚火游行无制,客于咽喉。实火,用人参、黄柏蜜炙、荆芥;虚
火,用人参、竹沥。热用黄连、荆芥、薄荷、硝石,以蜜调噙。血虚者,以四物汤加竹沥。治喉痹,或有鼻中垂血
丝,结成小血珠垂在咽喉中,用杜牛膝,即鼓槌草直而独条者,捣碎,用好米醋少些和研,取汁三五滴滴入鼻中,即
破。一人体肥,膏粱饮酒,常劳倦发咽痛,鼻塞痰嗽,凉膈散加桔梗、荆芥、南星、枳实。杜清碧通神散,治喉痹
吐出风痰甚效方,见风条下。喉风吐剂,僵蚕、牙皂、白矾为末,黄齑汁调 ,探吐。针法,以三棱针于少商
穴刺之,出血立愈。
至宝膏,治疗突然发热、热邪壅盛导致眼睑生翳的症状非常有效。配方为:蕤仁(去除油脂)一钱,硼砂一钱,辰砂三分,冰片一分。将以上药材共同研磨成极细的粉末,用蜂蜜调和后点入眼中。
治疗眼眶溃烂的眼病,使用薄荷、荆芥、细辛,三者等量,研磨成粗末。将其燃烧取烟灰,用于点眼。其方法如同烧香一样,用一个青色的碗涂上少许蜂蜜,覆盖在烟灰上方,等待烟灰冷却凝固为止,然后用瓷器收藏。凡是眼睛有风热症状且多泪者,都可以使用此药点眼。
平风止泪散,歌诀曰:“风热泪更兼疼,苍附芎辛荷芷停,木贼夏枯防国老,煎汤服饵即安宁。”(意为:风热导致的流泪并伴有疼痛,可用苍耳子、香附、川芎、细辛、荷叶、白芷;若兼有木贼、夏枯草、防风、甘草,煎汤服用即可安宁。)
又一方剂用于点眼,使用寒水石捶碎,用童子尿浸泡七日,晾晒七日,再浸泡七日,然后研磨成末。每一两药末中加入真轻粉五分,再次研磨至极细,又在夜间露天放置七宿,晾晒七日,临用时加入少许冰片,点入眼中。
治疗血虚引起的眼病,使用生熟地黄丸:生地黄、熟地黄各二两,石斛一两,玄参一两。研成末,用蜂蜜制成丸剂。冬季眼睛突发疼痛,也应当采用解散法治疗,不可使用凉性药物。黑睛(角膜)生翳,均使用黄柏、知母。眼睛疼痛,用知母、黄柏泻肾火,当归滋养阴血,羌活作为引经药。眼中风导致流泪,饭后吞服龙荟丸数粒,每日三次。
有一人患眼病,到了春夏季节便发作,应当当作“郁证”来治疗:黄芩二两(酒浸),南星二两(姜制),香附、苍术(以上各二两,用小便浸泡),连翘二两,山栀一两(炒),导芎一两半(用小便浸泡),陈皮半两(酒浸),草龙胆半两(酒蒸),萝卜半两,青黛半两,柴胡三钱。以上药材研成末,用神曲糊制成丸剂。
有一人眼球内陷:生地一斤,熟地一斤,杏仁四两,石斛半斤,牛膝半斤,防风六两,枳壳五两。制成蜜丸服用。
治疗突发血热壅肿作痛,使用四物汤加草龙胆、防己、防风、羌活。眼眶干涩溃烂因风邪引起,使用祛风药燥湿治疗。
柴胡散:柴胡、羌活、防风、生地黄、赤芍药、甘草、桔梗、荆芥。因劳役过度、饮食不节导致内障昏暗,使用蔓荆子汤。治疗内障,使用四物汤加酒炒黄芩、黄连、黄柏,并配合含化药物:霜梅、僵蚕、白矾和丸,用棉布包裹含化。
喉痹方,将白梅放入蚰蜒中令其融化,含白梅于口中。治疗风热喉痹,先用千缗汤,后用四物汤加黄柏、知母,滋养阴血则火势下降。又一方,用猪牙皂角末、霜梅制成丸剂,含化。又一方,茜草一两,作为一剂服用,以降血中之火。又一方:焰硝半钱,枯矾一钱,硼砂一钱,共同研成细末,用杜牛膝捣汁调服。
润喉散治疗气郁导致的夜热、咽干哽塞:桔梗二钱半,粉草一钱,紫河车四钱,香附子三钱,百药煎一钱半。以上研成细末,敷于口内。咽喉生疮破损后,不用生姜,因为生姜辛辣会加剧疼痛,且不能收敛伤口。咽痛,必须用荆芥;若是阴火上炎,必须用玄参。咽痛,可用硼砂或配合胆矾、僵蚕、白矾研末,用霜梅捣和,含化。
治疗一切咽喉痛,使用倒摘刺根,洗净,加入少许好醋共同研磨,滴入喉中和耳中,感到痒感消失即愈。咽喉生疮并疼痛,属于热证,多是虚火游行无制,客居于咽喉。实火,用人参、蜜炙黄柏、荆芥;虚火,用人参、竹沥。热证用黄连、荆芥、薄荷、硝石,用蜂蜜调和含化。血虚者,以四物汤加竹沥。
治疗喉痹,若有鼻中垂下血丝,结成小血珠垂在咽喉中,使用杜牛膝(即鼓槌草,直而独条者),捣碎,用好米醋少许调和研磨,取汁液三五滴滴入鼻中,血珠即破。
一人身体肥胖,喜食肥甘厚味及饮酒,常因劳倦引发咽痛、鼻塞、痰嗽,使用凉膈散加桔梗、荆芥、南星、枳实。
杜清碧通神散,治疗喉痹吐出风痰非常有效,见“风”条之下。喉风吐剂,用僵蚕、牙皂、白矾研末,用黄齑汁调匀,探喉催吐。针法,用三棱针在少商穴刺之,出血后立即痊愈。
Zhibao Ointment is highly effective for treating sudden fever and heat accumulation causing eyelid pterygium. The prescription consists of: Ruren (Seed of Prunus Persica, removed of oil) 1 qian, Pengsha (Borax) 1 qian, Chensha (Cinnabar) 3 fen, Bingpian (Borneol) 1 fen. Grind these ingredients into an extremely fine powder, mix with honey, and apply to the eyes.
For treating ulcerative blepharitis (rotten eye orbits), use Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Herba), and Xixin (Asari Radix et Rhizoma) in equal parts. Grind into a coarse powder, burn to obtain ash, and apply to the eyes. The method is similar to burning incense: cover the ash with a small green bowl coated with a little honey, wait until the ash cools and solidifies, then store in a porcelain vessel. This can be applied to any eye condition characterized by wind-heat and excessive tearing.
Pingfeng Zhile San (Wind-Calming and Tearing-Stopping Powder) has the following verse: "Wind-heat causes tears and pain; Cang'erzi, Xiangfu, Chuanxiong, Xixin, Heluoye, Baizhi stop it; Muzei, Xiakucao, Fangfeng, Gancao calm it; decocting and drinking brings peace."
Another eye-drop formula uses Hanshuishi (Aragonite). Crush the stone, soak in urine of a healthy boy for seven days, sun-dry for seven days, soak again for seven days, then grind into powder. For every 1 liang of powder, add 5 fen of Zhen Qingfen (Calomel), grind extremely fine, expose to night dew for seven nights, sun-dry for seven days. Before use, add a little Bingpian (Borneol) and apply to the eyes.
For eye diseases caused by Blood deficiency, use Shengshu Dihuang Wan (Raw and Prepared Rehmannia Pill): Shengdihuang (Rehmanniae Radix) and Shudihuang (Rehmanniae Radix Preparata) each 2 liang, Shihu (Dendrobii Caulis) 1 liang, Xuanshen (Scrophulariae Radix) 1 liang. Grind into powder and make pills with honey. In winter, if eyes suddenly become painful, dispersal methods should be used; cold-natured medicines must not be employed. For pterygium on the cornea (Heijing), Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma) are used. For eye pain, Zhimu and Huangbai clear Kidney fire, Danggui (Angelicae Sinensis Radix) nourishes Yin, and Qianghuo (Notopterygii Rhizoma et Radix) acts as a guiding herb. For wind-stroke in the eyes causing tearing, swallow several pills of Longhui Wan (Pellet of Dragon Gallbladder) after meals, three times daily.
One patient suffered from eye disease that flared up in spring and summer; this should be treated as Qi Stagnation (Yu Zheng): Huangqin (Scutellariae Radix) 2 liang (soaked in wine), Nanxing (Arisaematis Rhizoma) 2 liang (processed with ginger), Xiangfu (Cyperi Rhizoma) and Cangzhu (Atractylodis Rhizoma) each 2 liang (soaked in urine), Lianqiao (Forsythiae Fructus) 2 liang, Shanzhi (Gardeniae Fructus) 1 liang (stir-fried), Daoxiong (Chuanxiong Rhizome soaked in urine) 1.5 liang, Chenpi (Citri Reticulatae Pericarpium) 0.5 liang (soaked in wine), Caolongdan (Gentianae Radix) 0.5 liang (steamed in wine), Luobo (Raphani Fructus) 0.5 liang, Qingdai (Indigo Naturalis) 0.5 liang, Chaihu (Bupleuri Radix) 3 qian. Grind into powder and make pills with Shenqu paste.
One patient had sunken eyeballs: Shengdi 1 jin, Shudi 1 jin, Xingren (Armeniacae Semen) 4 liang, Shihu 0.5 jin, Niuxi (Achyranthis Bidentatae Radix) 0.5 jin, Fangfeng (Saposhnikoviae Radix) 6 liang, Zhike (Aurantii Fructus Immaturus) 5 liang. Make honeyed pills and take orally.
To treat sudden swelling and pain due to Blood Heat stagnation, use Siwu Tang (Four Substances Decoction) plus Caolongdan, Fangji (Stephaniae Tetrandrae Radix), Fangfeng, and Qianghuo. For dry and ulcerative eye orbits caused by Wind, use Wind-dispelling herbs to dry dampness.
Chaihu San (Bupleurum Powder): Chaihu, Qianghuo, Fangfeng, Shengdihuang, ChiShaoyao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Jingjie. For internal cataracts and dim vision caused by overwork and irregular diet, use Manjingzi Tang (Vitex Fruit Decoction). To treat internal cataracts, use Siwu Tang plus Jiu Chao Huangqin, Huanglian (Coptidis Rhizoma), and Huangbai, along with lozenge medicines: Shuangmei (Preserved Plum), Jiangcan (Bombyx Batryticatus), and Baifan (Alumen) made into pills, wrapped in cotton and held in the mouth to dissolve.
For Bi Syndrome of the throat (Hou Bi), place a white plum inside a house centipede (Youyan) until it dissolves, then hold the plum in the mouth. For wind-heat Hou Bi, first use Qianmian Tang, then Siwu Tang plus Huangbai and Zhimu; nourishing Yin will subdue the fire. Another formula uses Zhu Ya Zaojiao (Gleditsiae Sinensis Spina) powder and Shuangmei made into pills for holding in the mouth. Another formula uses Qiancao (Rubiae Cordifoliae Radix) 1 liang as a single dose to descend fire in the blood. Another formula: Yanxiao (Natrii Nitras) 0.5 qian, Kufan (Calcined Alumen) 1 qian, Pengsha 1 qian, ground into fine powder, taken with juice extracted from Du Niuxi (Achyranthes bidentata stem).
Runhou San (Throat-Moistening Powder) treats night fever, dry throat, and choking sensation due to Qi Stagnation: Jiegeng 2.5 qian, Fencacao (Licorice Root) 1 qian, Ziheche (Human Placenta) 4 qian, Xiangfuzi (Cyperi Rhizoma) 3 qian, Baiyaojian (Fermented Tea Pill) 1.5 qian. Grind into fine powder and apply to the inside of the mouth. If sores form in the throat and break, do not use Shengjiang (Zingiberis Rhizoma Freshum) because its pungency increases pain and prevents healing. For sore throat, Jingjie is essential; if caused by Deficient Fire flaming upward, Xuanshen is essential. For sore throat, Pengsha can be mixed with Danfan (Melanterium), Jiangcan, and Baifan into powder, combined with Shuangmei pulp, and held in the mouth.
To treat all types of sore throat, use Daozha Ci Gen (Root of Rhamnus davurica), wash clean, grind with a little good vinegar, and drip into the throat and ears; relief comes when itching stops. Sores and pain in the throat belong to Heat, often caused by uncontrolled wandering Deficient Fire lodging in the throat. For Excess Fire, use Renshen (Ginseng Radix), Honey-fried Huangbai, and Jingjie; for Deficient Fire, use Renshen and Zhuli (Bamboo Sap). For Heat, use Huanglian, Jingjie, Bohe (Menthae Haplocalycis Herba), and Xiaoshi (Natrii Nitratis Crystal), mixed with honey and held in the mouth. For Blood deficiency, use Siwu Tang plus Zhuli.
To treat Hou Bi where nasal blood threads hang down forming small blood clots in the throat, use Du Niuxi (specifically the straight, single-stemmed Achyranthes root), crush it, grind with a little good rice vinegar, extract the juice, and drip 3-5 drops into the nose to rupture the clot.
A fat person who consumes rich food and alcohol, often suffering from sore throat, nasal congestion, and phlegmy cough due to fatigue, should use Liangge San (Cool the Chest Powder) plus Jiegeng, Jingjie, Nanxing, and Zhishi (Aurantii Fructus Immaturus).
Du Qingbi Tongshen San (Du Qingbi's Spirit-Communicating Powder) is very effective for expelling Wind-Phlegm in Hou Bi; see the "Wind" section. For Hou Feng (Wind-Throat) expectoration, use Jiangcan, Ya Zao (Gleditsiae Sinensis Spina), and Baifan ground into powder, mixed with Huangji Zhi (Pickled Mustard Green Juice) to induce vomiting by tickling the throat. Acupuncture method: prick Shaoshang (LU11) with a three-edged needle to release blood for immediate cure.