条文:睑硬睛疼胞肿硬,瘀血翳膜目睛疼,膈中积热肝风盛,外涂焮肿□瘀红,
凉膈硝黄车前黑,黄芩知母栀仁茺。
方剂:焮肿膏方见卷末
凉膈散方
芒硝 大黄 车前子各一钱 黑参一钱半 黄芩 知母 栀子(炒) 茺
蔚子各一钱
右为粗末,以水二盏,煎至一盏,食后温服。
【注】[1]睑硬睛疼,初患之时,时觉疼胀,久则睑胞肿硬,睛珠疼痛。
[2]此缘膈中积热,肝经风毒,上冲于目,宜□洗去瘀,外涂焮肿膏,内
服凉膈散。
%
条文:鸡冠蚬肉内眦生,胃心积热共肝风,或青或赤如鸡蚬,轻侵风轮重掩瞳。
钩割后抽风桔,硝黄车黑细芩风,茺蔚丸芩石决黑,军芩山药地黄茺。
方剂:抽风汤方
桔梗一钱 芒硝一钱五分 大黄一钱 车前子一钱 黑参一钱五分 细辛
一钱 黄芩一钱五分 防风二钱
右为粗末,以水二盏,煎至一盏,食后,去渣温服。
茺蔚丸方
黄芩一两 石决子(□)一两 黑参一两 大黄一两 茯苓一两 山药(
炒)三两 生地黄一两五钱 茺蔚子二两
右为细末,炼蜜为丸,桐子大,空心茶清下三钱。
【注】[1]鸡冠蚬肉之证,起于睥眦之内,或青或赤,如鸡冠蚬肉之形,渐渐而
长,从大眦侵及风轮,久则掩及全目。
[2]此乃脾胃积热,肝风上冲所致。
[3]先宜用手法□割后,服抽风汤或茺蔚丸。
%
条文:眼睑僵硬、眼球疼痛,胞睑肿胀且坚硬,伴有瘀血形成的翳膜,导致目睛疼痛。这是由于胸膈间积热、肝风亢盛所致。治疗时,外部可涂抹以消除红肿和瘀血的药物(焮肿膏),内部服用凉膈散,方中包含芒硝、大黄、车前子、黑参、黄芩、知母、栀子仁、茺蔚子等药材。
方剂:焮肿膏方见卷末
凉膈散方
芒硝、大黄、车前子各一钱,黑参一钱半,黄芩、知母、栀子(炒制)、茺蔚子各一钱。
将上述药材捣成粗末,用水两盏,煎煮至一盏,饭后温服。
【注】[1] 睑硬睛疼,在初发病时,时常感觉疼痛和胀满,日久则胞睑肿胀坚硬,眼球疼痛。
[2] 此病是因为胸膈间积热,肝经风毒上冲于目所致。适宜采用清洗去除瘀血的方法,外部涂抹焮肿膏,内部服用凉膈散。
条文:鸡冠蚬肉生于内眼角,由胃心积热与肝风共同引起。症状或青或赤,形状像鸡冠或蚬肉,轻症仅侵犯风轮(角膜),重症则遮蔽瞳孔。治疗可用钩割法后服用抽风汤,方中含桔梗、防风、大黄、芒硝、车前子、黑参、细辛、黄芩;或者使用茺蔚丸,方中含茺蔚子、黄芩、石决明、黑参、大黄、山药、生地黄。
方剂:抽风汤方
桔梗一钱,芒硝一钱五分,大黄一钱,车前子一钱,黑参一钱五分,细辛一钱,黄芩一钱五分,防风二钱。
将上述药材捣成粗末,用水两盏,煎煮至一盏,饭后去渣温服。
茺蔚丸方
黄芩一两,石决子(煅)一两,黑参一两,大黄一两,茯苓一两,山药(炒制)三两,生地黄一两五钱,茺蔚子二两。
将上述药材研为细末,用炼蜜制成丸药,大小如梧桐子,空腹时用茶汁送服三钱。
【注】[1] 鸡冠蚬肉之证,起于内眼角,颜色或青或赤,形状如同鸡冠或蚬肉,逐渐生长,从大眼角侵犯到风轮,日久则遮蔽整个眼睛。
[2] 此病乃脾胃积热,肝风上冲所致。
[3] 先宜用手法治以钩割,之后服用抽风汤或茺蔚丸。
Translation:
Clause: The eyelid is stiff and the eyeball hurts; the eyelid sac is swollen and hard, accompanied by an opacity formed from blood stasis, causing pain in the eyes. This is due to accumulated heat in the chest and diaphragm and hyperactive liver wind. Externally, apply a plaster to reduce swelling and resolve blood stasis (Xinzhang Gao), and internally take Liangge San (Cool the Diaphragm Powder), which contains Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Cheqianzi (Plantaginis Semen), Heishen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Zimu (Anemarrhenae Rhizoma), Zhizi (Gardeniae Fructus), and Chongweizi (Leonuri Fructus).
Formula: Xinzhang Gao (Plaster for Reducing Swelling) is found at the end of this volume.
Liangge San (Cool the Diaphragm Powder):
Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Cheqianzi (Plantaginis Semen) each 1 qian; Heishen (Scrophulariae Radix) 1.5 qian; Huangqin (Scutellariae Radix), Zimu (Anemarrhenae Rhizoma), Zhizi (Gardeniae Fructus, stir-fried), Chongweizi (Leonuri Fructus) each 1 qian.
Grind the above herbs into coarse powder. Add two cups of water, decoct until one cup remains, and take warm after meals.
Annotation: [1] In the early stage of "stiff eyelid and painful eyeball," there is often a sensation of pain and distension. Over time, the eyelid becomes swollen and hard, and the eyeball hurts.
[2] This condition arises from accumulated heat in the chest and diaphragm and toxic wind from the Liver channel rushing upward to the eyes. It is appropriate to wash away the blood stasis, externally apply Xinzhang Gao (Plaster for Reducing Swelling), and internally take Liangge San (Cool the Diaphragm Powder).
Clause: "Rooster Comb and Mussel Flesh" grows in the inner canthus, caused by accumulated heat in the Stomach and Heart combined with Liver wind. The lesion may be green or red, resembling the shape of a rooster comb or mussel flesh. Mild cases invade only the Wind Wheel (cornea), while severe cases cover the pupil. Treatment involves hooking and cutting followed by taking Choufeng Tang (Wind-Extinguishing Decoction), containing Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Cheqianzi (Plantaginis Semen), Heishen (Scrophulariae Radix), Xixin (Asari Radix et Rhizoma), and Huangqin (Scutellariae Radix); or alternatively, using Chongwei Wan (Leonuri Pill), containing Chongweizi (Leonuri Fructus), Huangqin (Scutellariae Radix), Shijueming (Arconis Concha), Heishen (Scrophulariae Radix), Dahuang (Rhei Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), and Shengdihuang (Rehmanniae Radix).
Formula: Choufeng Tang (Wind-Extinguishing Decoction):
Jiegeng (Platycodonis Radix) 1 qian; Mangxiao (Natrii Sulfas) 1.5 qian; Dahuang (Rhei Radix et Rhizoma) 1 qian; Cheqianzi (Plantaginis Semen) 1 qian; Heishen (Scrophulariae Radix) 1.5 qian; Xixin (Asari Radix et Rhizoma) 1 qian; Huangqin (Scutellariae Radix) 1.5 qian; Fangfeng (Saposhnikoviae Radix) 2 qian.
Grind the above herbs into coarse powder. Add two cups of water, decoct until one cup remains, remove the dregs, and take warm after meals.
Chongwei Wan (Leonuri Pill):
Huangqin (Scutellariae Radix) 1 liang; Shijuezi (Arconis Concha, calcined) 1 liang; Heishen (Scrophulariae Radix) 1 liang; Dahuang (Rhei Radix et Rhizoma) 1 liang; Fuling (Poria) 1 liang; Shanyao (Dioscoreae Rhizoma, stir-fried) 3 liang; Shengdihuang (Rehmanniae Radix) 1.5 liang; Chongweizi (Leonuri Fructus) 2 liang.
Grind the above herbs into fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 3 qian on an empty stomach with tea infusion.
Annotation: [1] The condition known as "Rooster Comb and Mussel Flesh" originates in the inner canthus. It may be green or red, resembling the shape of a rooster comb or mussel flesh. It gradually grows, invading from the outer canthus to the Wind Wheel (cornea), and over time may cover the entire eye.
[2] This condition is caused by accumulated heat in the Spleen and Stomach and Liver wind rushing upward.
[3] Initially, surgical intervention such as hooking and cutting should be performed, followed by administering Choufeng Tang (Wind-Extinguishing Decoction) or Chongwei Wan (Leonuri Pill).