条文:胎风烂缘胎热,目赤眵粘眦烂红,小防风汤羌栀草,归尾将军赤芍风。
方剂:小防风汤
羌活 栀子 甘草 当归尾 大黄 赤芍药 防风各五分
右为粗末,以水一盏半,煎至五分,空心温服。
【注】[1]胎风赤烂之证,因在母腹其母过食辛热,或生后,乳母过食辛热,致
令小儿双目尽赤,眵泪胶粘,四眦湿烂,宜用小防风汤治之。
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条文:胎患小儿未出胎,热冲儿脑目生灾,护睛木香芩细射,川大黄与黑参偕。
方剂:护睛丸方
木香五钱 黄芩五钱 细辛三钱 射干五钱 大黄五钱 黑参一两
右为细末,炼蜜为丸,如桐子大,空心茶清服十丸。
【注】[1]胎患内障,儿在母腹之时,缘食辛辣过多,致热气内冲儿脑,及致生
后,眼成内障,宜用护睛丸。
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条文:胞肉胶凝胞肉肿,初小渐大摩隐瞳,胃脾风热上攻目,通脾泻胃热风清。
方剂:通脾泻胃汤方见黄膜上冲下
【注】[1]胞肉胶凝之证,睥中蠹肉壅起,初小渐大,摩隐瞳人,眼胞湿烂,眵
泪胶粘。
[2]此乃脾、胃中邪风积热,上壅于目所致。
[3]宜用通脾泻胃汤,散风清热,两解其邪。
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【条文】胎风赤烂是由于胎热所致,表现为眼睛发红、眼屎粘稠、眼角溃烂且红肿。治疗用小防风汤,药物包括羌活、栀子、甘草、当归尾、大黄(将军)、赤芍药和防风。
【方剂】小防风汤
组成:羌活、栀子、甘草、当归尾、大黄、赤芍药、防风各五分。
制法与用法:将上述药材捣成粗末,用水一盏半煎煮至五分量,空腹时温服。
【注】[1] 胎风赤烂这种病症,是因为胎儿在母腹中时,母亲过食辛辣温热食物;或者出生后,乳母过食辛辣温热食物,导致小儿双眼全部发红,眼屎和眼泪粘稠,四个眼角潮湿溃烂,适宜使用小防风汤治疗。
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【条文】胎儿在出生前就患上的疾病,热气冲犯胎儿头部导致眼部受灾。治疗用护睛丸,药物包括木香、黄芩、细辛、射干、川大黄和黑参。
【方剂】护睛丸方
组成:木香五钱、黄芩五钱、细辛三钱、射干五钱、大黄五钱、黑参一两。
制法与用法:将上述药材研成细末,用炼蜜制成梧桐子大小的丸剂,空腹时用茶汁送服十丸。
【注】[1] 胎患内障,是指婴儿在母腹中时,因为(母亲)食用过多辛辣食物,导致热气内冲胎儿头部,致使出生后眼睛形成内障,适宜使用护睛丸治疗。
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【条文】胞肉胶凝表现为眼睑肿胀,初起较小逐渐变大,摩擦遮挡瞳孔。这是由于胃脾的风热上攻于目所致,治疗用通脾泻胃汤以疏散风热。
【方剂】通脾泻胃汤(方剂见“黄膜上冲”条下)
【注】[1] 胞肉胶凝这种病症,表现为脾脏相关部位(此处指眼睑内的胬肉或组织)壅塞隆起,起初较小逐渐变大,摩擦并遮挡瞳孔,眼睑潮湿溃烂,眼屎和眼泪粘稠。
[2] 这是由于脾、胃中的邪风和积热,向上壅滞于眼部所致。
[3] 适宜使用通脾泻胃汤,以疏散风邪、清除热邪,同时解除这两种病邪。
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[Article] Congenital wind-induced redness and ulceration of the eyelid margins is caused by fetal heat. The symptoms include red eyes, sticky ocular discharge, and erosion with redness at the canthi. It should be treated with Xiao Fangfeng Tang (Minor Wind-Expelling Decoction), which contains Qianghuo (Notopterygii Rhizoma et Radix), Zhizi (Gardeniae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Dangguiwei (Angelicae Sinensis Radix caudex), Dahuang (Rhei Radix et Rhizoma, also known as Jiangjun), Chishao (Paeoniae Radix Rubra), and Fangfeng (Saposhnikoviae Radix).
[Formula] Xiao Fangfeng Tang (Minor Wind-Expelling Decoction)
Ingredients: Qianghuo, Zhizi, Gancao, Dangguiwei, Dahuang, Chishao, and Fangfeng, each 5 fen.
Preparation and Administration: Grind the above ingredients into a coarse powder. Decoct with 1.5 sheng of water until reduced to 0.5 sheng. Take warm on an empty stomach.
[Note] [1] The condition of congenital wind-induced redness and ulceration arises because the mother consumed excessive spicy and hot foods during pregnancy, or because the wet nurse consumed such foods after birth. This causes the infant's eyes to become entirely red, with sticky discharge and tears, and moist erosion at all four canthi. It is appropriate to treat this with Xiao Fangfeng Tang.
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[Article] For conditions present before birth where heat rushes to the fetus's head causing eye disasters, use Hujing Wan (Eye-Protection Pill). The ingredients include Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Shegan (Belamcandae Rhizoma), Chuan Dahuang (Rhei Radix et Rhizoma), and Heishen (Panacis Ginseng Radix Nigra, i.e., Black Ginseng).
[Formula] Hujing Wan (Eye-Protection Pill)
Ingredients: Muxiang 5 qian, Huangqin 5 qian, Xixin 3 qian, Shegan 5 qian, Dahuang 5 qian, Heishen 1 liang.
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills with tea infusion on an empty stomach.
[Note] [1] Congenital cataract occurs when, while in the womb, the fetus is affected by excessive consumption of spicy foods by the mother, causing internal heat to rush to the fetal head. After birth, this results in the formation of cataracts in the eyes. It is appropriate to treat this with Hujing Wan.
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[Article] Pao Rou Jiao Ning (Coagulation of Eyelid Tissue) presents with swelling of the eyelids. Initially small, it gradually enlarges and rubs against the pupil. This is caused by wind-heat from the Stomach and Spleen attacking the eyes upward. It should be treated with Tongpi Xiwei Tang (Decoction to Drain the Stomach and Purge the Spleen) to disperse wind and clear heat.
[Formula] Tongpi Xiwei Tang (Decoction to Drain the Stomach and Purge the Spleen) (See formula under "Yellow Membrane Rushing Up")
[Note] [1] In the condition of Pao Rou Jiao Ning, tissue within the spleen-related area (referring to pterygium or hypertrophic tissue in the eyelid) becomes obstructed and raised. Initially small, it gradually enlarges, rubbing against the pupil. The eyelids are moist and eroded, with sticky discharge and tears.
[2] This is caused by pathogenic wind and accumulated heat in the Spleen and Stomach rushing upward and obstructing the eyes.
[3] It is appropriate to use Tongpi Xiwei Tang to disperse wind and clear heat, thereby resolving both pathogens simultaneously.
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