旧说眼疾不可浴浴则病甚至有失明者承直郎白彦良云未壮岁之前岁岁患赤眼一道人劝但
能断沐头则不复病此彦良自此不沐今七十余更无眼病(泊宅编)
有人患赤眼肿痛脾胃虚弱吃饮食不得诊其肝脉盛脾脉弱凉药以治肝则损脾愈吃饮食不得
服暖
药以益脾则肝愈盛而加病何以治之但于温平药中倍加肉桂不得用茶调恐损脾也肉桂杀肝而益
脾故一治而两得之传曰木得桂而死(医余)
有人患眼疾每睡起则眼赤肿良久却无事百方治之无效师曰此血热也非肝病也卧则血归于
肝热
血归肝故令眼赤肿也良久便无事者人睡起血复散于四肢故也遂用生地黄汁浸粳米半升掺干曝
令
透骨干凡三浸三干用瓷瓶子煎汤一升令沸下地黄米四五匙煎成薄粥汤放温食半饱后饮一两盏
即睡如此两日遂愈生地黄汁凉血故也(同上)
凡眼疾有上盛下虚者有上虚下实者虚者宜服补肾药补其母也实者宜服凉心经药泻其子也
眼科
云所谓补药者非硫黄附子鹿茸苁蓉之类是朱砂磁石之类也治眼而补下当用眼药故也兹为至理
(同上)
钱 年老一目失明闻中朝国医胡某者善医上言求之晋祖遣医泛海而往医视其目曰尚父可
无疗
此当延五七岁寿若决瘼去内障即复旧但虑损福尔 曰吾得不为一目鬼于地下足矣愿医尽其术
以疗之当浓报医为治之复故 大喜见赂医金帛宝带五万缗具舟送归京师医至 卒年八十一矣
(刘颖叔异苑)
旧时的说法认为,患有眼疾的人不可洗澡,否则病情可能会加重,甚至导致失明。承直郎白彦良说,在壮年之前,他每年都要患红眼病。一位道士劝他说,只要停止洗头,病就不会再犯了。白彦良从此不再洗头,如今七十多岁了,再也没有患过眼病。(出自《泊宅编》)
有人患有红眼病,眼睛红肿疼痛,且脾胃虚弱,无法进食。诊察其脉象,肝脉盛而脾脉弱。如果用凉药治疗肝脏,就会损伤脾胃,导致更加无法进食;如果服用暖药来补益脾胃,则肝火会更旺,病情加重。该如何治疗呢?只需在温和平缓的药物中加倍加入肉桂,同时避免使用茶调散(因恐其损伤脾胃)。因为肉桂能抑制肝火而补益脾胃,所以一举两得。古书说:“木得桂而死。”(出自《医余》)
有人患有眼疾,每次睡醒后眼睛就红肿,过了很久才恢复正常。用各种方法治疗都无效。师父说:“这是血热所致,并非肝病。人躺下睡觉时,血液回归肝脏,热血归肝导致眼睛红肿。过了一会儿没事了,是因为人睡醒后,血液重新散布到四肢。”于是用生地黄汁浸泡粳米半升,反复浸透、晒干,共进行三次。然后用瓷瓶煎煮汤液一升,煮沸后放入浸好的地黄米四五匙,煎成稀粥。待汤放温,在半饱之后饮用一两盏,然后睡觉。如此两天,病就好了。这是因为生地黄汁能凉血。(同上)
凡是眼疾,有上盛下虚的,也有上虚下实的。虚证适宜服用补肾药物,因为肾为肝之母,补母即所以实子。实证适宜服用清泻心经的药物,因为心为肝之子,泻子即所以疏肝。眼科书中说,所谓的“补药”,并不是指硫黄、附子、鹿茸、肉苁蓉这类温热药,而是指朱砂、磁石这类重镇潜阳的药。治疗眼疾而补下焦,应当配合使用眼药,这才是至理名言。(同上)
患有红眼病的人,用热水洗脚是有益的。如果洗澡,必定会导致失明。千万不可食用狗肉、鸡肉、鱼肉以及鸡鸭蛋。
钱某年老时一只眼睛失明。听说朝廷中的国医胡某擅长治疗眼疾,便上书请求医治。晋祖派遣医生泛海前往。医生查看他的眼睛后说:“尚父您可以不用治疗。这只会延长您五七年的寿命。如果决意去除内障,虽然可以恢复视力,但恐怕会折损您的福报。”钱某说:“我宁愿做地下一只眼的鬼也足够了,希望医生尽力医治,我将重重报答。”医生为他治疗,恢复了视力。钱某大喜,赠送给医生金帛、宝带等价值五万缗的财物,并备船送他回京城。医生回到京城后去世,享年八十一岁。(出自刘颖叔《异苑》)
Old theories held that individuals suffering from eye diseases should not bathe, as doing so might exacerbate the condition or even lead to blindness. Bai Yanliang, holding the title of Chengzhi Lang (Official Rank), stated that before reaching his prime, he suffered from red eyes every year. A Daoist priest advised him that if he ceased washing his hair, the illness would not recur. Bai Yanliang followed this advice and has not washed his hair since; now in his seventies, he has not suffered from eye disease again. (From *Bozhai Bian*)
A patient suffered from red eyes with swelling and pain, accompanied by weak spleen and stomach function, rendering him unable to eat. Pulse diagnosis revealed a surging liver pulse and a weak spleen pulse. Using cooling herbs to treat the liver would damage the spleen, making eating impossible; conversely, using warming herbs to tonify the spleen would cause the liver fire to surge further, worsening the illness. How should this be treated? One should double the dosage of Cinnamon Twig (*Rougui*, *Cinnamomi Cortex*) within warm and neutral formulas, while avoiding *Chatiao San* (Tea-Powdered Pill) for fear of damaging the spleen. Cinnamon Twig suppresses liver fire while benefiting the spleen, achieving two goals with one treatment. As the classics state: "Wood dies when it encounters Cinnamon." (From *Yiyu*)
A patient suffered from an eye condition where the eyes became red and swollen upon waking from sleep, only to return to normal after a long time. Various treatments proved ineffective. The master said, "This is due to blood heat, not a liver disease. When lying down to sleep, blood returns to the liver; the return of hot blood to the liver causes the redness and swelling. It resolves later because upon waking, blood disperses again into the four limbs." Therefore, fresh juice of Rehmannia Root (*Shengdihuang*, *Rehmanniae Radix*) was used to soak half a sheng of glutinous rice. The rice was soaked until thoroughly penetrated and then dried in the sun, repeating this process three times. The prepared rice was then boiled in water in a porcelain vessel until one liter of decoction remained boiling. Four or five spoonfuls of the Rehmannia-soaked rice were added and cooked into a thin porridge. After cooling to a warm temperature, one or two cups were consumed after being half-full, followed by sleep. Following this regimen for two days, the illness resolved. This is because Rehmannia Root juice cools the blood. (Ibid.)
Generally, eye diseases present either as excess above and deficiency below, or deficiency above and excess below. Deficiency patterns are suitable for treatment with kidney-tonifying herbs, as the Kidney is the Mother of the Liver, and tonifying the Mother strengthens the Child. Excess patterns are suitable for treatment with herbs that clear and drain the Heart Meridian, as the Heart is the Child of the Liver, and draining the Child relieves the Mother. Ophthalmological texts state that so-called "tonifying herbs" do not refer to warming substances like Sulfur (*Liuhuang*), Prepared Aconite Root (*Fuzi*, *Aconiti Lateralis Radix Praeparata*), Deer Antler (*Lurong*, *Cervi Cornu Degelatinatum*), or Cistanche (*Rongrong*, *Cistanches Herba*), but rather to heavy-settling agents like Cinnabar (*Zhusha*, *Cinnabaris*) and Magnetite (*Cishi*, *Magnetitum*). To tonify the lower jiao while treating eye diseases, ophthalmic preparations should be employed; this is considered the highest principle. (Ibid.)
For patients with red eyes, washing the feet with hot water is beneficial. Bathing, however, may inevitably lead to blindness. One must strictly avoid consuming dog meat, chicken, fish, and eggs from chickens or ducks.
An elderly man named Qian lost vision in one eye. Hearing that Hu, a national physician in the central court, was skilled in treating eye diseases, he submitted a memorial requesting treatment. Emperor Jinzu dispatched a physician who traveled by sea. Upon examining the eye, the physician said, "Your Excellency need not undergo treatment. This condition will extend your lifespan by five to seven years. If you insist on removing the cataract to restore vision, although sight may be regained, it is feared that your fortune will be diminished." Qian replied, "I am content to become a one-eyed ghost underground. I wish for the doctor to exert all skill in treating me, and I shall reward you generously." The physician treated him, and his vision was restored. Overjoyed, Qian presented the physician with gold, silk, precious belts, and other valuables worth fifty thousand strings of cash, and provided a ship to return to the capital. The physician died after returning to the capital at the age of eighty-one. (From Liu Yingshu's *Yiyuan*)