卫气少而寒气乘之也,元气微而饮食伤之也,外乘内伤,酿而成之也。父母以其纯阳耶
,故深冬不为裳;父母以其恶风耶,故盛夏不解衣;父母以其数饥耶,故饲后强食之;父母
以其或渴耶,故乳后更饮之。有愚戆而为父母者,又不审其寒暑饮食也,故寒而不为暖,暑
而不能凉,饮而不至渴,食而不及饥。而小儿幽玄 默,抱疾而不能自言,故外乘内伤,因
循积渐,酿而成疳也。渴而易饥,能食而瘦,腹胀下利,作HT HT 声,日远不治,遂生
目病。其病生翳,睫闭不能开,眵泪如糊,久而脓流,竟枯两目。何则?为阳气下走也,为
阴气反上也。治法∶当如《阴阳应象大论》曰∶清阳出上窍,浊阴出下窍,清阳发腠理,浊
阴走五脏,清阳实四肢,浊阴归六腑。各还其原,不反其常,是其治也。当作升阳降阴之剂
,茯苓泻湿汤主之,升麻龙胆草饮子主之。此药非专于目,并治以上数证。然勿后,后则危
也。为父母者其审诸。
君为主,臣为辅,佐为助,使为用,置方之原也。逆则攻,从则顺,反则异,正则宜,
治病之法也。必热必寒,必散必收者,君之主也。不宣不明,不授不行者,臣之辅也。能受
能令,能合能力者,佐之助也。或击或发,或劫或开者,使之用也。破寒必热,逐热必寒,
去燥必濡,除湿必泄者,逆则攻也。治惊须平,治损须温,治留须收,治坚须溃者,从则顺
也。热病用寒药,而导寒攻热者必热。阳明病发热,大便硬者,大承气汤,酒制大黄热服之
类也。寒病用热药,而导热去寒者必寒。少阴病下利,服附子、干姜不止者,白通汤加人尿
、猪胆之类也。塞病用通药,而导通除塞者必寒。胸满烦惊,小便不利者,柴胡加龙骨牡蛎
汤之类也。通病用塞药,而导塞止通者必通。太阳中风下利,心下痞硬者,十枣汤之类也。
反则异也。治远以大,治近以小,治主以缓,治客以急,正则宜也。《至真要大论》曰∶辛
甘发散为阳,酸苦涌泄为阴,咸味涌泄为阴,淡味渗泄为阳。六者或收或散,或缓或急,或
燥或湿,或 或坚。所以利而行之,调其气,使其平。故味之薄者,为阴中之阳,味薄则通
,酸苦咸平是也。气之浓者,为阳中之阳,气浓则热,辛甘湿热是也。气之薄者,为阳中之
阴,气薄则发泄,辛甘淡平寒凉是也。味之浓者,为阴中之阴,味浓则泄,酸苦咸寒是也。
《易》曰∶同声相应,同气相求。水流湿,火就燥,云从龙,风从虎。圣人作而万物睹,本
乎天者亲上,本乎地者亲下,则各从其类也。故置方治病如后。
卫气虚弱而寒气侵袭,元气微弱而饮食损伤,外邪乘虚而入,内伤由饮食而起,内外合邪,逐渐酿成此病。父母因为孩子属纯阳之体,所以在深冬时节不给孩子穿厚衣;父母因为孩子怕风,所以在盛夏时节不让孩子脱去衣服;父母因为孩子经常饥饿,所以在喂奶后强行喂食;父母因为孩子偶尔口渴,所以在哺乳后额外喂水。有些愚笨的父母,不仔细辨别寒暑和饮食适宜与否,所以天气寒冷时不给孩子保暖,天气炎热时不给孩子降温,喝水不能解渴,吃饭达不到饱腹。而小儿年幼无知,沉默寡言,身患疾病却无法自己诉说,所以外邪侵袭与内伤积滞,因循拖延,逐渐积累,最终酿成疳积病。症状表现为口渴且容易饥饿,能吃但身体消瘦,腹部胀满并伴有腹泻,肠鸣音如雷声(漉漉声),如果日久不治疗,就会引发眼部疾病。病症表现为眼睑生翳,睫毛闭合无法睁开,眼屎泪水粘稠如糊状,时间久了流脓,最终导致双目失明。为什么呢?这是因为阳气下陷走于下部,阴气反而上逆所致。治疗方法:应当遵循《黄帝内经·阴阳应象大论》所说的:“清阳之气出于上窍,浊阴之气出于下窍;清阳之气发散于腠理,浊阴之气走注于五脏;清阳之气充实于四肢,浊阴之气归入六腑。”使各归其原,不违背正常规律,这才是正确的治法。应当使用升发阳气、降泄阴气的方剂,以茯苓泻湿汤为主,或以升麻龙胆草饮子为主。这些药物并非专门治疗眼疾,而是同时治疗上述几种证候。然而不可延误治疗,一旦延误则病情危重。作为父母的一定要审慎对待。
君药为主帅,臣药为辅助,佐药为帮助,使药为引导,这是组方的根本原则。逆其病势则用攻法,顺其病势则用和法,反常情况用异法,正治法则适宜,这是治病的方法。必须用热药或寒药,必须用散法或收法,这是君药的主导作用。如果不宣通就不明达,如果不授受就不运行,这是臣药的辅助作用。能够承受药力、能够听从指挥、能够合力协同,这是佐药的帮助作用。或者攻击或者激发,或者劫夺或者开泄,这是使药的引导作用。破除寒邪必须用热药,驱逐热邪必须用寒药,去除燥结必须用润药,除湿邪必须用利水渗湿药,这是逆则攻法。治疗惊悸须用平肝息风药,治疗虚损须用温补药,治疗留滞须用收敛药,治疗坚积须用软坚散结药,这是从则顺法。热病使用寒药,但为了引导寒邪攻逐热邪,服药时需用热服法。例如阳明病发热,大便硬结的,用大承气汤,将酒制大黄热服之类。寒病使用热药,但为了引导热邪去除寒邪,服药时需用冷服法。例如少阴病下利,服用附子、干姜不止的,用白通汤加入人尿、猪胆汁之类。闭塞之病使用通利药,但为了引导通利消除闭塞,需用寒性药。例如胸中烦闷惊悸,小便不利的,用柴胡加龙骨牡蛎汤之类。通利之病使用固涩药,但为了引导固涩停止通利,需用通利药。例如太阳中风兼有下利,心下痞硬的,用十枣汤之类。反则异法。治疗远部疾病用药量大,治疗近部疾病用药量小,治疗主病用药缓和,治疗客病用药急峻,这是正则宜法。《黄帝内经·至真要大论》说:“辛味和甘味能发散,属于阳;酸味和苦味能涌吐和泄下,属于阴;咸味能涌吐和泄下,属于阴;淡味能渗湿和泄下,属于阳。”这六种味道有的收敛有的发散,有的缓和有的急迫,有的燥湿不同,有的软硬各异。所以要利用它们来调理气机,使其平衡。因此,气味薄的,属于阴中之阳,气味薄则能通利,如酸、苦、咸、平之品。气味浓的,属于阳中之阳,气味浓则温热,如辛、甘、热、湿之品。气味薄的,属于阳中之阴,气味薄则能发泄,如辛、甘、淡、平、寒凉之品。气味浓的,属于阴中之阴,气味浓则泄下,如酸、苦、咸、寒之品。《易经》说:“同样的声音互相呼应,同样的气息互相吸引。水往湿处流,火向干燥处烧,云跟随龙而生,风伴随虎而起。圣人兴起而万物显现,源于天的亲近上方,源于地的亲近下方,这就是各自跟随同类。”所以组方治病如下所述。
Wei Qi (Defensive Qi) is deficient, allowing Cold Evil to invade; Yuan Qi (Source Qi) is weak, damaged by diet. External pathogens exploit the deficiency while internal injury arises from improper diet; external and internal factors combine, gradually brewing into this disease. Parents, believing children possess pure Yang nature, fail to clothe them warmly in deep winter; parents, fearing wind, do not remove clothes from children in midsummer; parents, noting frequent hunger, force-feed after nursing; parents, observing occasional thirst, provide extra water after breastfeeding. Some foolish parents, failing to examine suitability of cold/heat and diet, neither warm the child when cold nor cool them when hot, nor satisfy thirst with drinking or hunger with eating. Children, being young and silent, cannot speak of their illness when afflicted. Thus, external invasion and internal injury accumulate over time, eventually brewing into Gan Syndrome (Chronic Malnutrition Disease). Symptoms include thirst with easy hunger, ability to eat yet emaciation, abdominal distension with diarrhea, borborygmus (rumbling bowel sounds), and if untreated for long, ocular diseases arise. The disease manifests as corneal opacity (nebula), eyelids closed unable to open, discharge like paste, progressing to pus flow and eventual blindness of both eyes. Why? Because Yang Qi sinks downward, and Yin Qi rebels upward. Treatment method: As stated in *Yin Yang Ying Xiang Da Lun* (Great Treatise on Yin and Yang Corresponding to Images): "Clear Yang emerges from the upper orifices, Turbid Yin exits through the lower orifices; Clear Yang disperses through Cou Li (interstices), Turbid Yin travels to the Zang Organs; Clear Yang fills the four limbs, Turbid Yin returns to the Fu Organs." Each returns to its origin, not reversing normalcy; this is the correct treatment. One should prepare decoctions that raise Yang and descend Yin, primarily using Fuling Xie Shi Tang (Poria Decoction to Drain Dampness) or Shengma Longdancao Yinzi (Cimicifuga and Gentian Drink). These medicines are not exclusively for the eyes but treat the aforementioned syndromes collectively. Do not delay; delay leads to danger. Parents must be prudent.
Jun (Monarch) is the main agent, Chen (Minister) is auxiliary, Zuo (Assistant) provides help, Shi (Envoy) serves as guide; this is the origin of formula construction. Against the pathogen implies attacking methods, following the pathogen implies harmonizing methods, contrary methods differ, orthodox methods are suitable; this is the method of treating disease. Necessitating heat or cold, dispersion or consolidation, defines the Monarch's role. Without unblocking there is no clarity, without transmission there is no movement, defining the Minister's assistance. Capable of receiving commands, combining forces, defines the Assistant's help. Striking, stimulating, purging, or opening, defines the Envoy's function. To break Cold, one must use Heat; to drive out Heat, one must use Cold; to remove Dryness, one must moisten; to eliminate Dampness, one must drain; this is "Against" attacking. To treat Jing (Fright/Shock), one must calm; to treat Sun (Damage/Deficiency), one must warm; to treat Liu (Retention), one must consolidate; to treat Jian (Hardness/Induration), one must soften; this is "Following" harmonizing. For Heat diseases using Cold medicines, to guide Cold to attack Heat, the medicine must be taken hot. For example, Yangming disease with fever and hard stool uses Dachengqi Tang (Major Order the Qi Decoction), where Jiuhuang (Wine-processed Rhubarb) is taken hot. For Cold diseases using Hot medicines, to guide Heat to remove Cold, the medicine must be taken cold. For example, Shaoyin disease with diarrhea, where Fuzi (Aconite) and Ganjiang (Dried Ginger) fail to stop it, uses Baitong Tang (White Passage Decoction) added with Renao (Human Urine) and Zhudan (Pig Gallbladder Bile). For Obstruction diseases using Unblocking medicines, to guide Unblock to remove Obstruction, Cold medicines are used. For example, chest fullness with fright and difficult urination uses Chaihu Jia Longgu Muli Tang (Bupleurum plus Dragon Bone and Oyster Shell Decoction). For Unblocking diseases using Blocking medicines, to guide Block to stop Unblocking, Unblocking medicines are used. For example, Taiyang Wind Strike with diarrhea and epigastric hardness uses Shizao Tang (Ten Jujube Decoction). Contrary means different. Treating distant ailments requires large doses, treating nearby ailments requires small doses, treating primary ailments requires gentle action, treating secondary ailments requires urgent action; this is Orthodox Suitability. *Zhi Yao Da Lun* (Great Treatise on Essential Truths) states: "Acrid and Sweet disperse and belong to Yang; Sour and Bitter induce vomiting/drain and belong to Yin; Salty induces vomiting/drain and belongs to Yin; Bland渗泄 (percolates/drains) and belongs to Yang." These six flavors either consolidate or disperse, either moderate or urgent, either drying or moistening, either softening or hardening. Thus, utilize them to regulate Qi and achieve balance. Therefore, thin flavor belongs to Yin within Yang; thin flavor promotes unblocking, such as Sour, Bitter, Salty, and Neutral tastes. Dense aroma belongs to Yang within Yang; dense aroma generates heat, such as Acrid, Sweet, Hot, and Damp aromas. Thin aroma belongs to Yang within Yin; thin aroma promotes excretion, such as Acrid, Sweet, Bland, Neutral, Cold, and Cool aromas. Dense flavor belongs to Yin within Yin; dense flavor promotes drainage, such as Sour, Bitter, Salty, and Cold flavors. The *I Ching* (Book of Changes) states: "Same sounds resonate, same energies seek each other. Water flows to wetness, Fire goes to dryness, Clouds follow Dragons, Winds follow Tigers. When Sages arise, all things are seen; those rooted in Heaven亲 (attach to) above, those rooted in Earth attach below; thus each follows its kind." Therefore, constructing formulas to treat diseases is as follows.