条文:横翳横格在瞳心,形如剑脊白如银,内虚风热攻冲脑,胃熟肝邪致目昏。
还睛决明车前地,芩防辛味黑人参,七宝车前连炙草,丹砂石决犀羚均。
方剂:横翳还睛丸方
石决明一两 车前子一两 生地黄二两 黄芩一两 防风二两 细辛五钱
五味子半两 黑参一两 人参一两
右为细末,炼蜜为丸,如桐子大,空心茶清送下三钱。
七宝散方
车前子 胡黄连 丹砂 石决明 甘草各五分 犀角一钱 羚羊角一钱
右为细末,以水二盏,煎去一盏,食后去渣温服。
【注】[1]横翳又名剑脊翳,自瞳人中映出于外如剑脊,中高边薄,横格于瞳人
中心,色白如银。
[2]缘内虚肝邪胃热,上冲于脑,脑脂下流入眼,致成内障,宜服还睛丸
七宝散。
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条文:涩翳微赤凝脂色,瞳人端正渐失明,时时隐涩疼无泪,或聚或开无定形。
还睛散内车防桔,元味芩茶叶茺,亦用七宝丸珠珀,决脑茺参熊胆同。
方剂:涩翳还睛散方
车前子一钱半 防风一钱 桔梗一钱 元参一钱 五味子五分 知母二钱
黄芩一钱 细茶二钱半 茺蔚子一钱
右为粗末,以水二盏,煎至一盏,食后去渣温服。
涩翳七宝丸方
珍珠五钱 琥珀二两 石决明二两 龙脑一分 茺蔚子一两 人参一两
熊胆一两
右为细末,炼蜜为丸,如桐子大,食前茶清送下一钱。
【注】[1]涩翳证,瞳神内微赤如凝脂之色,瞳神端正,渐渐昏朦,时复涩痛而
无泪出,其翳无定,或聚或开,宜先用还睛散,后用七宝丸内消其翳
也。
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条文:横翳(一种横向生长的翳障)位于瞳孔中心,形状像剑脊一样,颜色白如银。这是由于体内虚弱,风热之邪攻冲脑部,加上胃中有热、肝有邪气,导致视力昏花。
治疗可用还睛丸或决明车前散等方剂,药物包括生地黄、黄芩、防风、细辛、五味子、黑参(即人参的一种加工品)、七宝散中的车前子、连翘及炙甘草,以及丹砂、石决明、犀角和羚羊角等。
方剂:横翳还睛丸方
石决明一两,车前子一两,生地黄二两,黄芩一两,防风二两,细辛五钱,五味子半两,黑参一两,人参一两。
以上药材研成细末,用炼蜜制成丸药,大小如梧桐子,空腹时用茶汁送服三钱。
七宝散方
车前子、胡黄连、丹砂、石决明、甘草各五分,犀角一钱,羚羊角一钱。
以上药材研成细末,用水两盏,煎至一盏,饭后去渣温服。
【注】[1] 横翳又名剑脊翳,从瞳孔中映出在外,形状像剑脊,中间高两边薄,横向阻隔在瞳孔中心,颜色白如银。
[2] 因为体内虚弱,肝邪与胃热上冲于脑,脑脂下流入眼,导致内障形成,适宜服用还睛丸和七宝散。
条文:涩翳(一种质地粗糙的翳障)微红,呈凝脂色,瞳孔端正但逐渐失明,时常感觉隐痛干涩而无泪,翳障有时聚集有时散开,没有固定的形状。
治疗可用还睛散,内含车前子、防风、桔梗、元参、五味子、黄芩、茶叶、茺蔚子;也可使用七宝丸配合珍珠、琥珀、石决明、龙脑、茺蔚子、人参和熊胆。
方剂:涩翳还睛散方
车前子一钱半,防风一钱,桔梗一钱,元参一钱,五味子五分,知母二钱,黄芩一钱,细茶二钱半,茺蔚子一钱。
以上药材研成粗末,用水两盏,煎至一盏,饭后去渣温服。
涩翳七宝丸方
珍珠五钱,琥珀二两,石决明二两,龙脑一分,茺蔚子一两,人参一两,熊胆一两。
以上药材研成细末,用炼蜜制成丸药,大小如梧桐子,饭前用茶汁送服一钱。
【注】[1] 涩翳证,瞳孔内部微红,像凝脂的颜色,瞳孔位置端正,渐渐变得昏朦,时常感到涩痛且无泪流出,其翳障没有固定形态,有时聚集有时散开,适宜先用还睛散,后用七宝丸来内消翳障。
Translation:
Clause: Hengyi (Horizontal Opacity) is located at the center of the pupil, shaped like the ridge of a sword, and white as silver. It is caused by internal deficiency with wind-heat attacking the brain, along with stomach heat and liver pathogenic factors, leading to blurred vision.
Treatment may involve formulas such as Huanjing Wan or Jueming Cheqian San, containing herbs such as Shengdihuang (Rehmanniae Radix), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Fructus), Heishen (Black Ginseng), Cheqianzi (Plantaginis Semen) in Qibao San, Lianqiao (Forsythiae Fructus), Zhi Gancao (Prepared Licorice Root), Dansha (Cinnabar), Shijueming (Haliotidis Concha), Xijiao (Rhinocerotis Cornu), and Lingyangjiao (Capris Cornu).
Formula: Hengyi Huanjing Wan Formula
Shijueming (Haliotidis Concha) 1 liang, Cheqianzi (Plantaginis Semen) 1 liang, Shengdihuang (Rehmanniae Radix) 2 liang, Huangqin (Scutellariae Radix) 1 liang, Fangfeng (Saposhnikoviae Radix) 2 liang, Xixin (Asari Radix et Rhizoma) 5 qian, Wuweizi (Schisandrae Fructus) 0.5 liang, Heishen (Black Ginseng) 1 liang, Renshen (Ginseng Radix et Rhizoma) 1 liang.
Grind the above ingredients into fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 3 qian with tea infusion on an empty stomach.
Qibao San Formula
Cheqianzi (Plantaginis Semen), Huahuanglian (Coptidis Rhizoma processed with honey? Note: Text says Huhuanglian, likely Hyoscyamus or similar, but standard is often Coptis. Given context of clearing heat, assuming generic "Hu" prefix might indicate foreign origin or specific processing, but strictly translating name: Huhuanglian), Dansha (Cinnabar), Shijueming (Haliotidis Concha), Gancao (Licorice Root) each 5 fen, Xijiao (Rhinocerotis Cornu) 1 qian, Lingyangjiao (Capris Cornu) 1 qian.
Grind the above ingredients into fine powder. Decoct with 2 cups of water until reduced to 1 cup. Strain and take warm after meals.
[Note] [1] Hengyi is also known as Jianjiyi (Spike-shaped Opacity). It protrudes from the center of the pupil outward, resembling the ridge of a sword, being thick in the middle and thin at the edges, horizontally obstructing the center of the pupil. Its color is white as silver.
[2] Due to internal deficiency, liver pathogens, and stomach heat rushing upward to the brain, brain fluid flows downward into the eye, causing internal cataracts. It is appropriate to take Huanjing Wan and Qibao San.
Clause: Seyi (Rough Opacity) is slightly red, with a color resembling congealed fat. The pupil remains upright but vision gradually deteriorates. There is frequent dull pain and dryness without tears. The opacity varies, sometimes gathering and sometimes dispersing, with no fixed shape.
Treatment may involve Huanjing San, containing Cheqianzi (Plantaginis Semen), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Yuan Shen (Scrophulariae Radix), Wuweizi (Schisandrae Fructus), Huangqin (Scutellariae Radix), Xi Cha (Fine Tea), and Chongweizi (Leonuri Fructus). Alternatively, Qibao Wan can be used combined with Zhenzhu (Pearl), Hupo (Amber), Shijueming (Haliotidis Concha), Longnao (Borneolum Syntheticum), Chongweizi (Leonuri Fructus), Renshen (Ginseng Radix et Rhizoma), and Xiong Dan (Ursi Bile).
Formula: Seyi Huanjing San Formula
Cheqianzi (Plantaginis Semen) 1.5 qian, Fangfeng (Saposhnikoviae Radix) 1 qian, Jiegeng (Platycodonis Radix) 1 qian, Yuan Shen (Scrophulariae Radix) 1 qian, Wuweizi (Schisandrae Fructus) 5 fen, Zhimu (Anemarrhenae Rhizoma) 2 qian, Huangqin (Scutellariae Radix) 1 qian, Xi Cha (Fine Tea) 2.5 qian, Chongweizi (Leonuri Fructus) 1 qian.
Grind the above ingredients into coarse powder. Decoct with 2 cups of water until reduced to 1 cup. Strain and take warm after meals.
Seyi Qibao Wan Formula
Zhenzhu (Margarita) 5 qian, Hupo (Electrum) 2 liang, Shijueming (Haliotidis Concha) 2 liang, Longnao (Borneolum Syntheticum) 1 fen, Chongweizi (Leonuri Fructus) 1 liang, Renshen (Ginseng Radix et Rhizoma) 1 liang, Xiong Dan (Ursi Bile) 1 liang.
Grind the above ingredients into fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 1 qian with tea infusion before meals.
[Note] [1] In the condition of Seyi, the interior of the pupil is slightly red, resembling the color of congealed fat. The pupil position is upright, but vision gradually becomes dim. There is frequent dryness and pain without tear secretion. The opacity has no fixed form, sometimes gathering and sometimes dispersing. It is appropriate to first use Huanjing San, followed by Qibao Wan to internally dissipate the opacity.