条文:因患病后生云翳,赤烂日久翳遮瞳,心无黄赤犹能见,羊肝丸疾菊川芎,
决地楮槐连五味,荆归甘草蕤仁风。
方剂:羊肝丸方
雄羊肝一具 白蒺藜(炒去刺)一两 菊花(去梗叶)一两 川芎三钱
石决明一两 生地黄一两 楮实子五钱 槐角(炒)五钱 黄连五钱 五
味子五钱 荆芥穗二钱五分 当归尾五钱 甘草五钱 蕤仁(去壳油)七
钱 防风二钱
右为细末,雄羊肝一具,滚水沸过,和前药,捣为丸,如桐子大。每服五
六十丸,空心薄荷汤下。
【注】[1]因患他病后生翳者,为患后生翳也。
[2]初则赤烂,日久渐生云翳,遮蔽瞳人,视无所见,医者当细看翳心,
若不黄赤,犹能通三光者,可治,宜常服羊肝丸可愈。
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条文:血灌瞳人目睛痛,犹如血灌色相同,胆汁肝血因热耗,血为火迫灌睛瞳,
急用止痛没药散,硝黄血竭引茶清,痛止大黄当归散,贼芩栀子菊苏红。
方剂:止痛没药散方
没药二两 芒硝一两半 大黄一两半 血竭一两
右捣筛为细末,食后,热茶清调下一钱。
大黄当归散方
大黄一两 当归二钱 木贼一两 黄芩一两 栀子五钱 菊花三钱 苏木
五钱 红花八钱
右为细末令匀,每服二钱,食远茶清调下。
【注】[1]血灌瞳人,目睛疼痛,瞳人如血灌红色。
[2]缘肝血热耗,胆汁皆亏,血因火迫,灌入瞳中。
[3]宜服止痛没药散,止疼后,服大黄当归散。
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条文:因患病后生出云翳,眼睛赤烂日久导致翳膜遮蔽瞳孔,若心中无黄赤之色(指翳色不黄赤)仍然能看见东西,可用羊肝丸治疗,方中包含菊花、川芎、决明子、地黄、楮实子、槐角、黄连、五味子、荆芥、当归、甘草和蕤仁。
方剂:羊肝丸方
雄羊肝一具,白蒺藜(炒去刺)一两,菊花(去梗叶)一两,川芎三钱,石决明一两,生地黄一两,楮实子五钱,槐角(炒)五钱,黄连五钱,五味子五钱,荆芥穗二钱五分,当归尾五钱,甘草五钱,蕤仁(去壳油)七钱,防风二钱。
以上药材研为细末,取雄羊肝一具,用滚水烫过,与前面的药粉混合,捣制成丸,大小如梧桐子。每次服用五六十丸,空腹时用薄荷汤送服。
【注】[1] 因患其他疾病后生出翳膜的,称为患后生翳。
[2] 起初表现为赤烂,日久逐渐生出云翳,遮蔽瞳孔,视物不见,医生应当仔细查看翳膜中心,如果颜色不黄赤,仍能透过翳膜看到光亮(通三光),属于可治之症,适宜常服羊肝丸即可痊愈。
条文:血液灌入瞳孔导致眼睛疼痛,犹如血液灌注且颜色相同,这是因为胆汁和肝血因热而耗损,血液被火邪逼迫灌入睛瞳,急需使用止痛没药散,方中含芒硝、大黄、血竭,并用茶清引药;疼痛停止后改用大黄当归散,方中含木贼、黄芩、栀子、菊花、苏木、红花。
方剂:止痛没药散方
没药二两,芒硝一两半,大黄一两半,血竭一两。
以上捣碎筛成细末,饭后,用热茶清调服一钱。
大黄当归散方
大黄一两,当归二钱,木贼一两,黄芩一两,栀子五钱,菊花三钱,苏木五钱,红花八钱。
以上研为细末使均匀,每次服用二钱,饭后较远时间用茶清调服。
【注】[1] 血灌瞳人,眼睛疼痛,瞳孔呈现如血液灌注般的红色。
[2] 原因是肝血热耗,胆汁皆亏,血液因火邪逼迫,灌入瞳中。
[3] 适宜服用止痛没药散,疼痛止住后,再服用大黄当归散。
Passage: Cloud-like nebulae (Yunyi) develop after an illness; prolonged redness and ulceration cause the nebula to obscure the pupil. If the nebula is not yellow or red, vision remains possible. The treatment involves Yanggan Wan (Sheep Liver Pill), which contains Juhua (Chrysanthemum Flower), Chuanxiong Rhizome, Shijueming (Concha Arcae), Dihuang (Rehmannia Root), Chushizi (Broussonetiae Fructus), Huaijiao (Sophorae Tonkinensis Fruit), Huanglian (Coptidis Rhizoma), Wuweizi (Schisandrae Fructus), Jingjie (Schizonepetae Herba), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root), and Ruiren (Pruni Semen).
Formula: Yanggan Wan (Sheep Liver Pill) Formula
One male sheep liver, Baijili (Tribuli Fructus) one tael (stir-fried, thorns removed), Juhua (Chrysanthemum Flower) one tael (stalks and leaves removed), Chuanxiong Rhizome three qian, Shijueming (Concha Arcae) one tael, Shengdihuang (Rehmanniae Radix) one tael, Chushizi (Broussonetiae Fructus) five qian, Huaijiao (Sophorae Tonkinensis Fruit) five qian (stir-fried), Huanglian (Coptidis Rhizoma) five qian, Wuweizi (Schisandrae Fructus) five qian, Jingjie Sui (Schizonepetae Spica) two qian and five fen, Danggui Wei (Angelicae Sinensis Radix tail) five qian, Gancao (Licorice Root) five qian, Ruren (Pruni Semen) seven qian (shelled and oil removed), Fangfeng (Saposhnikoviae Radix) two qian.
Grind all ingredients into a fine powder. Take one male sheep liver, blanch in boiling water, mix with the medicinal powder, and pound into pills the size of paulownia seeds. Take 50-60 pills per dose, on an empty stomach, washed down with Bohe Tang (Mint Decoction).
Annotation [1]: Nebulae developing after other illnesses are referred to as post-illness nebulae.
Annotation [2]: Initially presenting as redness and ulceration, prolonged duration leads to the gradual formation of cloud-like nebulae that obscure the pupil, resulting in loss of vision. The physician should carefully examine the center of the nebula. If it is not yellow or red, and light can still penetrate (tong sangguang), the condition is treatable. Regular consumption of Yanggan Wan (Sheep Liver Pill) will lead to recovery.
Passage: Blood flooding the pupil causes eye pain, resembling blood infusion with similar coloration. This results from the depletion of bile and liver blood due to heat, where blood is forced by fire into the eyeball and pupil. Urgently apply Zhitong Moyao San (Pain-Relieving Myrrh Powder), containing Xiaosha (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), and Xuejie (Sanguis Draconis), guided by Cha Qing (Tea Infusion). Once pain subsides, use Dahuang Danggui San (Rhubarb and Angelica Powder), containing Muzei (Equiseti Herba), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Juhua (Chrysanthemum Flower), Sumu (Lignum Santali Rubrum), and Honghua (Carthami Flos).
Formula: Zhitong Moyao San (Pain-Relieving Myrrh Powder) Formula
Moyao (Myrrha) two taels, Mangxiao (Natrii Sulfas) one and a half taels, Dahuang (Rhei Radix et Rhizoma) one and a half taels, Xuejie (Sanguis Draconis) one tael.
Pound and sieve into a fine powder. After meals, take one qian mixed with hot tea infusion.
Dahuang Danggui San (Rhubarb and Angelica Powder) Formula
Dahuang (Rhei Radix et Rhizoma) one tael, Danggui (Angelicae Sinensis Radix) two qian, Muzei (Equiseti Herba) one tael, Huangqin (Scutellariae Radix) one tael, Zhizi (Gardeniae Fructus) five qian, Juhua (Chrysanthemum Flower) three qian, Sumu (Lignum Santali Rubrum) five qian, Honghua (Carthami Flos) eight qian.
Grind into a uniform fine powder. Take two qian per dose, well after meals, mixed with tea infusion.
Annotation [1]: Blood flooding the pupil presents with eye pain, and the pupil appears red as if flooded with blood.
Annotation [2]: The cause is the depletion of liver blood and bile due to heat, causing blood to be forced by fire into the pupil.
Annotation [3]: It is appropriate to administer Zhitong Moyao San (Pain-Relieving Myrrh Powder); after pain cessation, administer Dahuang Danggui San (Rhubarb and Angelica Powder).