局方洗心散 治风壅壮热,头目昏痛,热气上冲,口苦唇焦,咽喉肿痛,心神烦躁
,多渴,五心烦热,小便赤涩,大便秘滞。
大黄(煨) 甘草 当归 芍药 麻黄 荆芥穗(各六钱) 白术(半两)
上为末。每服二三钱,生姜薄荷汤煎服。
按∶此足太阳、阳明、厥阴、手足太阴经药也。今人多用之,故收入。然以白术合大黄
入心,故名洗心。而从以麻黄、荆芥,亦是表里药。
济生羊肝丸 治肝经有热,目赤睛疼,视物昏涩。
羊肝(一具,生用,《局方》用白羊肝) 黄连(去须,为末)
上先将羊肝去筋膜,于沙盆内捣烂,入黄连末,杵和,丸如梧子大。每五十丸,用熟水
送下。
按∶此手少阴、足太阴、厥阴药也。
东垣泻热黄连汤 治眼暴发,赤肿疼痛。
黄芩(酒制,炒) 黄连(同上制) 草龙胆 生地黄(各一两) 升麻(半两) 柴胡(一两)
上 咀。每服四钱,水煎去渣,于日午前饭后热服。
按∶此手少阴、太阴、足阳明、少阳、少阴药也。
局方明目流气饮 治风热上攻眼目,视物不明,常见黑花,当风多泪,隐涩难开。
大黄(煨) 牛蒡子(炒) 川芎 菊花 白蒺藜(炒) 细辛 防风 玄参 山栀 黄芩
甘草(炙) 蔓荆子 荆芥 木贼(各一两) 草决明(一两半) 苍术(泔汁炒,二两)
上为末。每二钱,临卧用温酒调下。
按∶此手足三阴、足阳明、太阴药也。
洗肝散 治风毒上攻,暴作赤目,肿痛难开,隐涩眵泪。
薄荷叶 当归 羌活 防风 山栀仁 甘草 大黄 川芎(各二两)
上为末。每二钱,食后煎水调下。
按∶此足太阳、厥阴、手足太阴药也。
钱氏泻青丸 治目暴发,赤肿疼痛。
当归 川芎 山栀 龙胆草(酒拌炒焦) 大黄 羌活 防风
上为末,蜜丸,鸡头子大。每一二丸。
按∶此足太阳、少阳、太阴、厥阴药也。
东垣连翘饮子 治目中溜火,恶日与火,隐涩,小角紧,久视昏花,迎风有泪。
蔓荆子 生甘草 连翘(各三分) 柴胡(二分) 黄芩(酒制,五分) 生地黄 当归 人参 红
葵花(各三分) 黄 防风 羌活(各五分) 升麻(一钱)
上 咀。作一服,水煎,食后热服。
按∶此足三阳、少阴、厥阴药也。
神芎丸 治湿热内甚,目赤肿,或白睛黄色。
大黄 黄芩(各二两) 牵牛 滑石(各四两) 黄连 薄荷 川芎(各半两)
上为末,水丸,如小豆大。温水下十丸,至十五、二十丸。
按∶此足阳明、厥阴药也。
东垣龙胆饮子 治肝眼流脓,生疳翳,湿热为病。
麻黄(一钱半) 黄芩(炒) 青蛤粉 羌活 草龙胆(酒拌,炒焦,各三钱) 蛇蜕皮 谷精草
川郁金 炙甘草(各五分) 升麻(二钱)
上为细末。每二钱,食后茶调服。
按∶此足太阳、阳明、手足太阴药也。
以上六方,宜随表里而轻重之,亦不可例用。
局方洗心散:治疗风邪壅盛引起的壮热,头部和眼睛昏沉疼痛,热气上冲,口苦嘴唇焦裂,咽喉肿痛,心神烦躁不安,口渴多饮,手足心发热,小便短赤涩痛,大便秘结不通。
大黄(煨制) 甘草 当归 芍药 麻黄 荆芥穗(各六钱) 白术(半两)
按语:这是足太阳经、足阳明经、足厥阴经以及手太阴经、手少阴经的药物组合。现在的人常用此方,所以将其收录进来。然而因为使用了白术配合大黄入心经,所以命名为“洗心”。再加上麻黄、荆芥,这也是表里双解的药物。
羊肝(一具,生用,《局方》中使用白羊肝) 黄连(去除须根,研为细末)
先将羊肝去除筋膜,在沙盆中捣烂,加入黄连末,杵匀调和,制成梧桐子大小的丸剂。每次五十丸,用温开水送下。
按语:这是手少阴经、足太阴经、足厥阴经的药物组合。
东垣泻热黄连汤:治疗眼睛突然发作红肿疼痛。
黄芩(酒制,炒) 黄连(同上法炮制) 草龙胆 生地黄(各一两) 升麻(半两) 柴胡(一两)
将药物切碎。每次服用四钱,加水煎煮去渣,在午前饭后趁热服用。
按语:这是手少阴经、手太阴经、足阳明经、足少阳经、足少阴经的药物组合。
局方明目流气饮:治疗风热上攻眼目,视物不明,经常看到眼前有黑花飞舞,迎风流泪多,眼部隐涩难睁。
大黄(煨制) 牛蒡子(炒) 川芎 菊花 白蒺藜(炒) 细辛 防风 玄参 山栀 黄芩 甘草(炙) 蔓荆子 荆芥 木贼(各一两) 草决明(一两半) 苍术(泔汁炒,二两)
将上述药物研为细末。每次二钱,临睡前用温酒调服。
按语:这是手三阴经、足三阴经、足阳明经、足太阴经的药物组合。
洗肝散:治疗风毒上攻,突然发作的红眼病,眼睛肿痛难以睁开,眼部隐涩且有眵泪。
薄荷叶 当归 羌活 防风 山栀仁 甘草 大黄 川芎(各二两)
将上述药物研为细末。每次二钱,饭后用水煎服调下。
按语:这是足太阳经、足厥阴经、手太阴经、手少阴经的药物组合。
钱氏泻青丸:治疗眼睛突然发作红肿疼痛。
将上述药物研为细末,用蜂蜜炼蜜为丸,如鸡头子大小。每次服用一二丸。
按语:这是足太阳经、足少阳经、手太阴经、足厥阴经的药物组合。
东垣连翘饮子:治疗眼中如火焰流动,畏光畏火,眼部隐涩,眼角紧绷,久视后视力模糊,迎风流泪。
蔓荆子 生甘草 连翘(各三分) 柴胡(二分) 黄芩(酒制,五分) 生地黄 当归 人参 红葵花(各三分) 黄柏 防风 羌活(各五分) 升麻(一钱)
将药物切碎。作为一服的量,加水煎煮,饭后趁热服用。
按语:这是足三阳经、手少阴经、足厥阴经的药物组合。
大黄 黄芩(各二两) 牵牛子 滑石(各四两) 黄连 薄荷 川芎(各半两)
将上述药物研为细末,用水泛为丸,如小豆大小。温水送服十丸,逐渐增加至十五、二十丸。
按语:这是足阳明经、足厥阴经的药物组合。
麻黄(一钱半) 黄芩(炒) 青蛤粉 羌活 草龙胆(酒拌,炒焦,各三钱) 蛇蜕皮 谷精草 川郁金 炙甘草(各五分) 升麻(二钱)
将上述药物研为细末。每次二钱,饭后用茶调服。
按语:这是足太阳经、足阳明经、手太阴经、手少阴经的药物组合。
以上六个方剂,应当根据表证或里证的轻重来调整使用剂量,也不可以一概而论地随意使用。
Ju Fang Xi Xin San (Prescribed Bureau's Heart-Washing Powder): Treats severe fever caused by wind-phlegm obstruction, dizziness and pain in the head and eyes, rising of hot qi, bitter taste in the mouth, cracked lips, sore throat, restlessness of the heart-mind, excessive thirst, heat sensation in the five centers (palms, soles, and chest), scanty and painful urination, and constipation.
Da Huang (Rhubarb Rhizome, baked) Gan Cao (Licorice Root) Dang Gui (Angelicae Sinensis Radix) Shao Yao (Paeoniae Radix) Ma Huang (Ephedrae Herba) Jing Jie Sui (Schizonepetae Spica) [each 6 qian] Bai Zhu (Atractylodis Macrocephalae Rhizoma) [0.5 liang]
Grind the above ingredients into fine powder. Take 2-3 qian each time, decocted with fresh ginger and mint water for administration.
Note: This formula consists of herbs acting on the Foot-Taiyang, Foot-Yangming, Foot-Jueyin, Hand-Taiyin, and Hand-Shaoyin meridians. It is currently widely used by people, hence it is included here. However, because Bai Zhu is combined with Da Huang to enter the Heart, it is named "Xi Xin" (Washing the Heart). With the addition of Ma Huang and Jing Jie, it also functions as a formula addressing both exterior and interior conditions.
Ji Sheng Yang Gan Wan (Ji Sheng's Lamb Liver Pill): Treats heat in the Liver meridian, resulting in redness and pain in the eyes, and blurred or dry vision.
Yang Gan (Lamb Liver, one piece, raw; *Ju Fang* uses white lamb liver) Huang Lian (Coptidis Rhizoma, remove roots, grind into powder)
First, remove the fascia from the lamb liver, pound it into a paste in a mortar, add the Huang Lian powder, mix thoroughly, and form pills the size of wetted sorghum seeds. Take 50 pills each time, swallowed with warm boiled water.
Note: This formula consists of herbs acting on the Hand-Shaoyin, Foot-Taiyin, and Foot-Jueyin meridians.
Dong Yuan Xie Re Huang Lian Tang (Dong Yuan's Heat-Draining Coptis Decoction): Treats sudden onset of eye redness, swelling, and pain.
Huang Qin (Scutellariae Radix, wine-processed, stir-fried) Huang Lian (Coptidis Rhizoma, processed similarly) Cao Long Dan (Gentianae Radix et Rhizoma) Sheng Di Huang (Rehmanniae Radix Recens) [each 1 liang] Sheng Ma (Cimicifugae Rhizoma) [0.5 liang] Chai Hu (Bupleuri Radix) [1 liang]
Cut the herbs into small pieces. Take 4 qian per dose, decoct in water, strain, and take hot before noon after meals.
Note: This formula consists of herbs acting on the Hand-Shaoyin, Hand-Taiyin, Foot-Yangming, Foot-Shaoyang, and Foot-Shaoyin meridians.
Ju Fang Ming Mu Liu Qi Yin (Prescribed Bureau's Eye-Brightening Qi-Circulating Decoction): Treats wind-heat attacking upward to the eyes, causing blurred vision, frequent appearance of black spots in the visual field, excessive tearing when exposed to wind, and a feeling of grittiness making it difficult to open the eyes.
Da Huang (Rhubarb Rhizome, baked) Niu Bang Zi (Arctii Fructus, stir-fried) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Ju Hua (Chrysanthemi Flos) Bai Ji Li (Tribuli Fructus, stir-fried) Xi Xin (Asari Radix et Rhizoma) Fang Feng (Saposhnikoviae Radix) Xuan Shen (Scrophulariae Radix) Shan Zhi (Gardeniae Fructus) Huang Qin (Scutellariae Radix) Gan Cao (Licorice Root, honey-fried) Man Jing Zi (Vittaginis Fructus) Jing Jie (Schizonepetae Spica) Mu Zei (Equiseti Herba) [each 1 liang] Cao Jue Ming (Cassiae Semen) [1.5 liang] Cang Zhu (Atractylodis Rhizoma, fried in rice wash water, 2 liang)
Grind the above ingredients into fine powder. Take 2 qian each time, mixed with warm wine before going to bed.
Note: This formula consists of herbs acting on the Three Hand-Yin, Three Foot-Yin, Foot-Yangming, and Foot-Taiyin meridians.
Xi Gan San (Liver-Washing Powder): Treats wind-toxin attacking upward, causing sudden red eyes, severe swelling and pain making it hard to open them, and gritty sensations with discharge and tears.
Bo He Ye (Menthae Haplocalycis Folium) Dang Gui (Angelicae Sinensis Radix) Qiang Huo (Notopterygii Rhizoma et Radix) Fang Feng (Saposhnikoviae Radix) Shan Zhi Ren (Gardeniae Fructus) Gan Cao (Licorice Root) Da Huang (Rhubarb Rhizome) Chuan Xiong (Ligustici Chuanxiong Rhizoma) [each 2 liang]
Grind the above ingredients into fine powder. Take 2 qian each time, taken with water decoction after meals.
Note: This formula consists of herbs acting on the Foot-Taiyang, Foot-Jueyin, Hand-Taiyin, and Hand-Shaoyin meridians.
Qian Shi Xie Qing Wan (Qian's Draining-Green Pill): Treats sudden onset of eye redness, swelling, and pain.
Dang Gui (Angelicae Sinensis Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Shan Zhi (Gardeniae Fructus) Long Dan Cao (Gentianae Radix et Rhizoma, mixed with wine and stir-fried until scorched) Da Huang (Rhubarb Rhizome) Qiang Huo (Notopterygii Rhizoma et Radix) Fang Feng (Saposhnikoviae Radix)
Grind the above ingredients into fine powder, mix with honey to form pills the size of corn kernels. Take 1-2 pills each time.
Note: This formula consists of herbs acting on the Foot-Taiyang, Foot-Shaoyang, Hand-Taiyin, and Foot-Jueyin meridians.
Dong Yuan Lian Qiao Yin Zi (Dong Yuan's Forsythia Decoction): Treats "flowing fire" in the eyes, aversion to sunlight and fire, gritty sensation, tightness at the corners of the eyes, blurred vision after prolonged looking, and tearing when exposed to wind.
Man Jing Zi (Vittaginis Fructus) Sheng Gan Cao (Raw Licorice Root) Lian Qiao (Forsythiae Fructus) [each 3 fen] Chai Hu (Bupleuri Radix) [2 fen] Huang Qin (Scutellariae Radix, wine-processed, 5 fen) Sheng Di Huang (Rehmanniae Radix Recens) Dang Gui (Angelicae Sinensis Radix) Ren Shen (Ginseng Radix) Hong Kui Hua (Helianthi Annuus Flos) [each 3 fen] Huang Bo (Phellodendri Cortex) Fang Feng (Saposhnikoviae Radix) Qiang Huo (Notopterygii Rhizoma et Radix) [each 5 fen] Sheng Ma (Cimicifugae Rhizoma) [1 qian]
Cut the herbs into small pieces. Prepare as one dose, decoct in water, and take hot after meals.
Note: This formula consists of herbs acting on the Three Foot-Yang, Hand-Shaoyin, and Foot-Jueyin meridians.
Shen Xiong Wan (Divine Ligusticum Pill): Treats severe internal damp-heat, resulting in red and swollen eyes, or yellow sclera.
Da Huang (Rhubarb Rhizome) Huang Qin (Scutellariae Radix) [each 2 liang] Qian Niu (Pharbitidis Semen) Hua Shi (Talcum) [each 4 liang] Huang Lian (Coptidis Rhizoma) Bo He (Menthae Haplocalycis Herba) Chuan Xiong (Ligustici Chuanxiong Rhizoma) [each 0.5 liang]
Grind the above ingredients into fine powder, make water pills the size of mung beans. Take 10 pills with warm water, gradually increasing to 15-20 pills.
Note: This formula consists of herbs acting on the Foot-Yangming and Foot-Jueyin meridians.
Dong Yuan Long Dan Yin Zi (Dong Yuan's Gentian Decoction): Treats suppurative eye diseases (gan ying) caused by damp-heat.
Ma Huang (Ephedrae Herba) [1.5 qian] Huang Qin (Scutellariae Radix, stir-fried) Qing Ge Fen (Concha Meretricis et Cyclinae) Qiang Huo (Notopterygii Rhizoma et Radix) Cao Long Dan (Gentianae Radix et Rhizoma, mixed with wine and stir-fried until scorched) [each 3 qian] She Tui Pi (Bombyx Batryticatus) Gu Jing Cao (Evodiae Flos) Chuan Yu Jin (Curcumae Radix) Zhi Gan Cao (Honey-fried Licorice Root) [each 5 fen] Sheng Ma (Cimicifugae Rhizoma) [2 qian]
Grind the above ingredients into fine powder. Take 2 qian each time, mixed with tea after meals.
Note: This formula consists of herbs acting on the Foot-Taiyang, Foot-Yangming, Hand-Taiyin, and Hand-Shaoyin meridians.
The above six formulas should be adjusted in dosage according to the severity of exterior or interior patterns; they should not be applied indiscriminately.