条文:白翳黄心内障证,四围白包内中黄,大小眦中微带赤,翳隐黑珠障内光,
肺肝风热冲于目,涩痛羞明泪似汤。坠翳决明茺蔚子,人参甘菊共车防。
方剂:坠翳散方
石决明二钱 茺蔚子二钱 人参三钱 甘菊花三钱 车前子三钱 防风二
钱
右为细末,令匀,食后米饮汤调下一钱。
【注】[1]白翳黄心内障,四边皆白,中心一点微黄色,隐在黑珠内,映出珠外
,大小眦头微带赤色。
[2]乃肺肝风热,流入于眼,频频下泪涩痛,致成此证,宜服坠翳散。
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条文:天有日月阴阳精,人有二目脏腑精,众精之窠为之眼,肉精上下两胞名,
血精两眦气精白,筋精为黑骨精瞳,约束裹撷系属脑,目睛原始要详明。
方剂:
【注】[1]天有日月,犹人之有二目也。
[2]天之日月,乃天之阴阳之精而为之也。
[3]人之二目,亦人之五脏六腑之精上注于目而为之也。
[4]故众精之窠为之眼也,肉之精为上下胞也,血之精为两眦也,气之精
为白眼也,筋之精为黑眼也,骨之精为瞳人也,约束裹撷气血筋骨之
精,其系上属于脑。
[5]不可不明此目睛之原始也。
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条文:白翳黄心内障证,四周围绕着白色的翳障,中心呈现黄色,内外眼角微微发红,翳障遮蔽黑睛,阻碍内部光泽透出。
肺肝风热上冲于目,导致眼睛干涩疼痛、畏光流泪如汤水般。
治疗宜用坠翳散,药物包括决明子、茺蔚子、人参、甘菊花、车前子和防风。
方剂:坠翳散方
石决明二钱,茺蔚子二钱,人参三钱,甘菊花三钱,车前子三钱,防风二钱。
以上药材研为细末,混合均匀,饭后用米汤调服一钱。
【注】[1] 白翳黄心内障,四周都是白色翳障,中心有一点微黄色,隐藏在黑珠(黑睛)内,映照出珠外。
[2] 这是肺肝风热,侵入眼部,频繁流泪、干涩疼痛,从而形成此证,适宜服用坠翳散。
条文:天有太阳和月亮代表阴阳精气,人有两只眼睛也是脏腑精气的体现。
众多精气的汇聚之处称为眼,肉之精气构成上下眼睑,血之精气位于内外眼角,气之精气表现为白眼(巩膜),筋之精气构成黑眼(角膜/虹膜),骨之精气构成瞳人(瞳孔)。
约束包裹气血筋骨之精的结构系属于脑,关于眼睛的原始起源需要详细阐明。
方剂:无
【注】[1] 天有太阳和月亮,就像人有两只眼睛一样。
[2] 天上的太阳和月亮,是由天的阴阳精气所化生的。
[3] 人的两只眼睛,也是由人体五脏六腑的精气上注于目而形成的。
[4] 所以,众多精气的汇聚处称为眼;肉之精气为上下眼睑;血之精气为内外眼角;气之精气为白眼;筋之精气为黑眼;骨之精气为瞳人。约束包裹气血筋骨之精的结构,其上系属于脑。
[5] 不可不明白眼睛的原始起源。
Translation:
Clause: Syndrome of Internal Cataract with White Pterygium and Yellow Center, characterized by a white pterygium surrounding the periphery and a yellow center. Slight redness may be present at the inner and outer canthi. The pterygium obscures the black cornea (Heizhu), obstructing the internal luster.
Wind-heat from the Lung and Liver channels rushes upward to the eyes, causing dryness, pain, photophobia, and tearing profusely like hot water.
Treatment should employ Zhu Yi San (Pterygium-Falling Powder), comprising Shijueming (Haliotidis Concha), Chongweizi (Eryngii Fructus), Renshen (Ginseng Radix et Rhizoma), Ganjuhua (Chrysanthemi Flos), Cheqianzi (Plantaginis Semen), and Fangfeng (Saposhnikoviae Radix).
Formula: Zhu Yi San (Pterygium-Falling Powder)
Shijueming (Haliotidis Concha) 2 qian, Chongweizi (Eryngii Fructus) 2 qian, Renshen (Ginseng Radix et Rhizoma) 3 qian, Ganjuhua (Chrysanthemi Flos) 3 qian, Cheqianzi (Plantaginis Semen) 3 qian, Fangfeng (Saposhnikoviae Radix) 2 qian.
Grind the above herbs into fine powder, mix evenly, and take 1 qian after meals, mixed with rice water.
Annotation [1]: Internal cataract with white pterygium and yellow center presents with white pterygium on all sides and a slightly yellow spot in the center, hidden within the black cornea (Heizhu), reflecting outward.
Annotation [2]: This condition arises from wind-heat invading the eyes via the Lung and Liver channels, causing frequent tearing, dryness, and pain, leading to this syndrome. It is suitable for treatment with Zhu Yi San (Pterygium-Falling Powder).
Clause: Heaven has the Sun and Moon representing Yin-Yang Jing (Essence-Qi); humans have two eyes reflecting the essence of the Zang-Fu organs. The gathering place of various essences forms the eye. The essence of flesh constitutes the upper and lower eyelids; the essence of blood resides in the canthi; the essence of Qi manifests as the white sclera; the essence of sinews forms the black cornea/iris; the essence of bone forms the pupil. The structures that constrain and wrap these essences are connected to the brain. The original origin of the eyeball must be clearly understood.
Formula: None
Annotation [1]: Heaven possesses the Sun and Moon, analogous to humans possessing two eyes.
Annotation [2]: The Sun and Moon in heaven are formed by the Yin-Yang essence of heaven.
Annotation [3]: The two eyes in humans are formed by the essence of the Five Zang and Six Fu organs ascending to the eyes.
Annotation [4]: Thus, the gathering place of various essences is called the eye. The essence of flesh constitutes the upper and lower eyelids; the essence of blood constitutes the canthi; the essence of Qi constitutes the white sclera; the essence of sinews constitutes the black cornea/iris; the essence of bone constitutes the pupil. The structures constraining and wrapping the essence of Qi, Blood, Sinews, and Bone connect superiorly to the brain.
Annotation [5]: One must not fail to understand the original origin of the eyeball.