《宝鉴》云∶小儿雀目,夜不见物,灸手大指甲后一寸内 横纹头白肉际,灸一炷,如
小麦大。
小儿疳眼,灸合谷二穴各一壮,炷如小麦大,在手大指次指两骨间陷者中。
按∶灸法,详见《资生》等经,兹不备录。
拨云汤 治法见前东垣先生治徐总管条。
黄 (一分) 细辛叶(五分) 柴胡(七分) 生姜(五分) 荆芥穗(一钱) 羌活 防风(各一钱半)
本生甘草 升麻(各一钱) 葛根 川芎(各五分) 知母 归身(各一钱) 黄柏(一钱半)
作一服,水煎,稍热服,食后。
助阳活血汤 治眼发之后,犹有上热,白睛红上壅,无疼痛,隐涩难开,多眵泪。
防风 黄 炙甘草(各五分) 蔓荆子(二分) 归身(酒制,五分) 白芷(三分) 升麻(七分) 柴
胡(五分)
作一服,水煎,临卧稍热服。
神效明目汤 治眼棱紧急,致倒睫拳毛损目,及上下睑赤烂,睛赤疼痛昏暗,冷泪常流
下,则眼涩难开,眵泪皆满眼。
葛根(一钱半) 甘草(炙) 防风(各一钱) 蔓荆子(五分) 细辛(二分) 一法。加黄 (一钱)
作二服,水煎,临卧稍热服。
广大重明汤 治两目睑皆 热赤肿作痛,楞生疮,多眵泪,隐涩不能开视,及眼睑痒,
搔之至破者,并皆治之。
草龙胆(酒炒) 防风 生甘草 细辛(各一钱)
各杵如麻豆大,内甘草不锉,只作一梃,先以水一碗半,煎草龙胆一味,至一半,再入
余三味,煎至小半碗,滤去滓,用清汁带热洗,以重汤坐令热,日用五七次。每洗毕,合目
须臾。如 肉泛长及痒,亦验。
五秀重明丸 治翳膜遮睛,隐涩昏花。常服清利头目。
干菊(开头,五百朵) 荆芥穗(五百穗) 楮实子(五百粒) 木贼(去节,五百茎) 川椒(五百粒,
炒去目)
为末,炼蜜为丸,弹子大。每服一丸,细嚼,徐徐咽下。
升阳柴胡汤
羌活 独活 甘草根 归身 熟地黄(各一两) 人参 黄 白术(各半两) 泽泻(三钱) 白
芍药(一两) 陈皮 白茯苓 防风(各三钱) 肉桂(五分) 柴胡(一钱半) 生地黄(酒炒,半两) 楮实
子(酒拌,半两) 知母(酒制,三钱,夏月加至五钱)
每服五钱,水煎,稍热服,食后。另合一料,炼蜜为丸,如桐子大,食远茶清送下五十
丸。每日与前药各一服。如天气热甚,加五味子三钱或五钱,天门冬五钱,更加芍药、楮
实子各五钱。
芎辛汤 治两目昼夜隐涩难开,羞明畏日,目赤视物昏暗,神效。
芎 蔓荆子(各五分) 细辛(二分) 防风(一钱半) 甘草 白芷(各一钱)
作一服,水煎,临卧稍热服。
羌活退翳丸 治内障,右眼小 青白翳,大 微显白翳,脑痛,瞳子散大,上热恶热,
大便时难,小便如常,遇天热暖处,头痛睛胀,能食,日没后天阴则昏暗,此证亦可服滋阴
地黄丸。
熟地黄(八钱) 生地黄(酒制) 归身(酒制,焙) 黄柏(制,各半两) 川芎(三钱) 芍药(一两
二钱) 防己(二钱,酒制) 知母(三钱,酒制) 茺蔚子(半两) 牡丹皮(三钱) 丹参(半两) 寒水石(一
两,生用) 柴胡(半两) 羌活(三钱) 黑附子(一钱,炮)
为细末,炼蜜为丸,如小豆大。每服五七十丸,白汤送下,随以食压之。忌言语。(以
上俱见《东垣试效方》)
保命当归汤 治风热上攻,瞳子散大。
当归身 黄芩(各二钱) 黄连 柴胡(各一钱) 熟地黄(三钱) 芍药(二钱) 甘草(炙,三钱)
分三服,水煎,临卧温服。
瑞竹四神丸 治肾经虚损,眼目昏花,补虚益损,及云翳遮睛。
甘州枸杞子(一斤,拣色赤滋润者,作四分,用酒一杯润之,一分) 川椒(一两同炒,一分) 小
茴香(一两同炒,一分,用芝麻一协议炒,一分,独炒用)
炒过,将川椒等筛去不用,再加熟地黄、白术、白茯苓各一两,共为细末,炼蜜为丸,
如梧桐子大。每服五七十丸,空心温酒送下。或加甘菊花一两。(见《医学纲目添加》)
补肝散 治肝风内障,不痛不痒,眼见花发黄白黑赤,或一物二形难辨。
羚羊角 防风(各二两) 羌活 人参 车前子 茯苓 细辛 玄参 黄芩(各一两)
为末。食后,米饮调服一钱。
简要补肝散 治肝虚目睛疼,泪出不止,筋脉痛,及羞明怕日。
夏枯草(四两) 香附子(一两)
为细末。每服一钱,茶清调下。
羚角饮子 治绿翳内障,头旋额痛,眼内痛涩者。
羚羊角 防风 知母 人参 茯苓 玄参 桔梗(各二两) 细辛(三两) 黄芩 车前子(各一
两)
为末。每服三二钱,水煎,食后温服。
《宝鉴》记载:小儿雀目(夜间视力障碍),表现为夜晚看不见东西,可灸手大指甲后方一寸处的横纹头白肉际穴位,每次灸一炷,艾炷大小如小麦。
小儿疳眼(因疳积引起的眼部病变),可灸合谷穴两侧各一壮,艾炷大小如小麦,穴位位于手大拇指与食指两骨之间的凹陷处。
按语:灸法详见《资生经》等典籍,此处不再详细记录。
拨云汤 治法见前文东垣先生治疗徐总管的条目。
黄耆(一分) 细辛叶(五分) 柴胡(七分) 生姜(五分) 荆芥穗(一钱) 羌活、防风(各一钱半)
本生甘草、升麻(各一钱) 葛根、川芎(各五分) 知母、归身(各一钱) 黄柏(一钱半)
以上为一剂药量,用水煎煮,饭后稍热服用。
助阳活血汤 用于治疗眼睛发病后,仍有上部热象,白睛红赤上壅,无疼痛感,但感觉隐涩难以睁开,分泌物多且流泪。
防风、黄耆、炙甘草(各五分) 蔓荆子(二分) 归身(酒制,五分) 白芷(三分) 升麻(七分) 柴胡(五分)
以上为一剂药量,用水煎煮,临睡前稍热服用。
神效明目汤 用于治疗眼睑边缘紧急,导致倒睫拳毛损伤眼睛,以及上下眼睑红肿溃烂,眼球红赤疼痛、视物昏暗,冷泪常流向下,则眼睑涩滞难以睁开,分泌物和泪水充满眼眶。
葛根(一钱半) 甘草(炙)、防风(各一钱) 蔓荆子(五分) 细辛(二分) 此为一种用法。另一种用法加黄耆(一钱)。
以上为二剂药量,用水煎煮,临睡前稍热服用。
广大重明汤 用于治疗双眼眼睑均发热、红赤、肿胀疼痛,眼角生疮,分泌物多且流泪,隐涩不能睁眼视物,以及眼睑瘙痒,抓挠至破皮者,均可治疗。
草龙胆(酒炒)、防风、生甘草、细辛(各一钱)
将药材捣碎如麻豆大小,其中甘草不切碎,只做成一根粗条。先取一碗半水,单独煎煮草龙胆一味药,煮至一半水量时,再加入其余三味药,煎至小半碗,过滤去渣,用澄清的药汁趁热清洗眼睛,将容器置于热水中保温以保持热度,每日使用五到七次。每次清洗完毕后,闭目片刻。如有胬肉增生及瘙痒,此法也有效。
五秀重明丸 用于治疗翳膜遮蔽瞳孔,感觉隐涩、视物昏花。常服可清利头目。
干菊花(去蒂,五百朵) 荆芥穗(五百穗) 楮实子(五百粒) 木贼(去节,五百茎) 川椒(五百粒,炒去目)
研为细末,用炼蜜制成丸药,大小如弹子。每次服用一丸,细细咀嚼,缓缓咽下。
升阳柴胡汤
羌活、独活、甘草根、归身、熟地黄(各一两) 人参、黄耆、白术(各半两) 泽泻(三钱) 白芍药(一两) 陈皮、白茯苓、防风(各三钱) 肉桂(五分) 柴胡(一钱半) 生地黄(酒炒,半两) 楮实子(酒拌,半两) 知母(酒制,三钱,夏季加至五钱)
每次服用五钱,用水煎煮,稍热服用,饭后服用。另外配一料药,炼蜜制成丸药,大小如梧桐子,饭后用茶清送服五十丸。每日与前药各服用一次。如果天气非常炎热,加五味子三钱或五钱,天门冬五钱,再加芍药、楮实子各五钱。
芎辛汤 用于治疗双眼昼夜隐涩难开,畏光怕日,眼球红赤、视物昏暗,效果显著。
川芎、蔓荆子(各五分) 细辛(二分) 防风(一钱半) 甘草、白芷(各一钱)
以上为一剂药量,用水煎煮,临睡前稍热服用。
羌活退翳丸 用于治疗内障,右眼有小片青白色翳膜,大片微显白色翳膜,伴有头痛,瞳仁散大,上部热、恶热,大便困难,小便正常,遇到天气炎热温暖处,头痛且眼球胀痛,食欲正常,日落后天色阴暗则视物昏暗,此证也可服用滋阴地黄丸。
熟地黄(八钱) 生地黄(酒制)、归身(酒制,焙干)、黄柏(制,各半两) 川芎(三钱) 芍药(一两二钱) 防己(二钱,酒制) 知母(三钱,酒制) 茺蔚子(半两) 牡丹皮(三钱) 丹参(半两) 寒水石(一两,生用) 柴胡(半两) 羌活(三钱) 黑附子(一钱,炮制)
研为细末,用炼蜜制成丸药,大小如小豆。每次服用五七十丸,用白开水送服,服药后随即进食以压住药气。忌言语。(以上内容均见于《东垣试效方》)
保命当归汤 用于治疗风热上攻,导致瞳仁散大。
当归身、黄芩(各二钱) 黄连、柴胡(各一钱) 熟地黄(三钱) 芍药(二钱) 甘草(炙,三钱)
分为三剂,用水煎煮,临睡前温服。
瑞竹四神丸 用于治疗肾经虚损,眼目昏花,补虚益损,以及云翳遮蔽瞳孔。
甘州枸杞子(一斤,挑选颜色红润滋润的,分成四份,用一杯酒润湿一份) 川椒(一两同炒,取出一份) 小茴香(一两同炒,取出一份,再用芝麻一协议炒,取出一份,单独炒一份)
炒过后,筛去川椒等不用,再加熟地黄、白术、白茯苓各一两,共研为细末,炼蜜制成丸药,大小如梧桐子。每次服用五七十丸,空腹用温酒送服。也可加甘菊花一两。(见于《医学纲目添加》)
补肝散 用于治疗肝风内障,不痛不痒,眼前出现黄、白、黑、赤色花影,或看一物成二形难以分辨。
羚羊角、防风(各二两) 羌活、人参、车前子、茯苓、细辛、玄参、黄芩(各一两)
研为细末。饭后,用米饮调服一钱。
简要补肝散 用于治疗肝虚引起的目睛疼痛,流泪不止,筋脉疼痛,以及畏光怕日。
夏枯草(四两) 香附子(一两)
研为细末。每次服用一钱,用茶清调服。
羚角饮子 用于治疗绿翳内障,头晕额痛,眼内疼痛涩滞者。
羚羊角、防风、知母、人参、茯苓、玄参、桔梗(各二两) 细辛(三两) 黄芩、车前子(各一两)
研为细末。每次服用二三钱,用水煎煮,饭后温服。
Baogian (Treasure Mirror) states: For pediatric nyctalopia (night blindness), characterized by the inability to see at night, moxibustion should be applied to the intersection of the transverse crease and the white flesh margin, one cun distal to the nail of the thumb. Apply one moxa cone, sized like a wheat grain.
For pediatric gan eye disease (ocular lesions caused by gan syndrome), moxibustion should be applied to Hegu (LI4) bilaterally, one moxa mound per side, with the cone sized like a wheat grain. The acupoint is located in the depression between the first and second metacarpal bones.
Note: Moxibustion methods are detailed in Zisheng Jing (Aid to Life Classic) and other texts; they are not recorded here in full.
Boyun Tang (Cloud-Piercing Decoction): Treatment method is seen in the section regarding Master Dongyuan's treatment of Commander Xu.
Huangqi (Radix Astragali) - 1 fen
Xixin Ye (Folium Asari) - 5 fen
Chaihu (Radix Bupleuri) - 7 fen
Shengjiang (Rhizoma Zingiberis Recens) - 5 fen
Jingjie Sui (Cacumen Schizonepetae) - 1 qian
Qianghuo (Rhizoma et Radix Notopterygii) and Fangfeng (Radix Saposhnikoviae) - each 1.5 qian
Gancao (Radix Glycyrrhizae) and Shengma (Rhizoma Cimicifugae) - each 1 qian
Gegen (Radix Puerariae) and Chuanxiong (Rhizoma Chuanxiong) - each 5 fen
Zhimu (Rhizoma Anemarrhenae) and Guishen (Radix Angelicae Sinensis) - each 1 qian
Huangbai (Cortex Phellodendri) - 1.5 qian
Take as one dose. Decoct in water and take warm after meals.
Zhuyang Huoxue Tang (Yang-Assisting and Blood-Activating Decoction): Used for ocular inflammation where upper heat persists after onset, presenting with redness and congestion of the sclera, without pain but with a sensation of tightness and difficulty opening the eyes, accompanied by excessive discharge and tearing.
Fangfeng (Radix Saposhnikoviae), Huangqi (Radix Astragali), and Zhigancao (Prepared Radix Glycyrrhizae) - each 5 fen
Manjingzi (Fructus Viticis) - 2 fen
Guishen (Radix Angelicae Sinensis), prepared with wine - 5 fen
Baizhi (Radix Angelicae Dahuricae) - 3 fen
Shengma (Rhizoma Cimicifugae) - 7 fen
Chaihu (Radix Bupleuri) - 5 fen
Take as one dose. Decoct in water and take warm before retiring.
Shenxiao Mingmu Tang (Miraculous Eye-Brightening Decoction): Used for tight eyelid margins causing trichiasis and entropion damaging the eye, as well as erythema and ulceration of the upper and lower eyelids, redness and pain of the eyeball, dim vision, constant flow of cold tears downwards leading to gritty difficulty in opening the eyes, and copious discharge and tears filling the eye.
Gegen (Radix Puerariae) - 1.5 qian
Zhigancao (Prepared Radix Glycyrrhizae) and Fangfeng (Radix Saposhnikoviae) - each 1 qian
Manjingzi (Fructus Viticis) - 5 fen
Xixin (Herba Asari) - 2 fen
This is one prescription. Another variation adds Huangqi (Radix Astragali) - 1 qian.
Take as two doses. Decoct in water and take warm before retiring.
Guangda Chongming Tang (Great-Vast Double-Brightening Decoction): Used for bilateral eyelid heat, redness, swelling, and pain, cantharidal sores, excessive discharge and tearing, gritty inability to open eyes or look, and itchy eyelids that bleed when scratched. All these conditions are treated by this formula.
Caolongdan (Radix Gentianae Macrophyllae), fried with wine
Fangfeng (Radix Saposhnikoviae)
Shenggancao (Raw Radix Glycyrrhizae)
Xixin (Herba Asari)
Each 1 qian.
Crush the herbs until they are the size of hemp seeds. Do not cut Gancao; keep it as one stick. First, decoct Caolongdan alone in one and a half bowls of water until reduced by half. Then add the remaining three herbs and decoct until only a small half bowl remains. Filter out the dregs and use the clear liquid to wash the eyes while hot. Keep the container hot by placing it in a larger pot of hot water. Use five to seven times daily. After each washing, close the eyes for a moment. This is also effective for pterygium growth and itching.
Wuxiu Chongming Wan (Five-Essence Double-Brightening Pill): Used for nebula covering the pupil, causing a gritty sensation and blurred vision. Regular use clears and benefits the head and eyes.
Ganju (Dried Chrysanthemi Flos), de-stemmed - 500 flowers
Jingjie Sui (Cacumen Schizonepetae) - 500 spikes
Chushizi (Fructus Cudraniae Tricuspidae) - 500 seeds
Muzei (Herba Equiseti) - 500 stems, nodes removed
Chuanjiao (Pericarpium Zanthoxyli) - 500 grains, stir-fried and eyes removed
Grind into fine powder. Form pills using refined honey, sized like bullet seeds. Take one pill per dose, chew thoroughly, and swallow slowly.
Shengyang Chaihu Tang (Yang-Raising Bupleurum Decoction)
Qianghuo (Rhizoma et Radix Notopterygii), Duhuo (Radix Angelicae Pubescentis), Gancaogen (Radix Glycyrrhizae), Guishen (Radix Angelicae Sinensis), Shudihuang (Prepared Radix Rehmanniae) - each 1 liang
Renshen (Radix Ginseng), Huangqi (Radix Astragali), Baizhu (Rhizoma Atractylodis Macrocephalae) - each 0.5 liang
Zexie (Rhizoma Alismatis) - 3 qian
Baishaoyao (Radix Paeoniae Alba) - 1 liang
Chenpi (Pericarpium Citri Reticulatae), Baifuling (Poria), Fangfeng (Radix Saposhnikoviae) - each 3 qian
Rougui (Cortex Cinnamomi) - 5 fen
Chaihu (Radix Bupleuri) - 1.5 qian
Shengdihuang (Radix Rehmanniae), stir-fried with wine - 0.5 liang
Chushizi (Fructus Cudraniae Tricuspidae), mixed with wine - 0.5 liang
Zhimu (Rhizoma Anemarrhenae), prepared with wine - 3 qian (increase to 5 qian in summer)
Take 5 qian per dose. Decoct in water and take warm after meals. Prepare another batch separately, form pills with refined honey, sized like paulownia seeds. Take 50 pills after meals, washed down with tea infusion. Take one dose of this pill and one dose of the decoction daily. If the weather is very hot, add Wuweizi (Fructus Schisandrae) 3 or 5 qian, Tianmendong (Herba Asparagi) 5 qian, and increase Shaoyao (Radix Paeoniae) and Chushizi (Fructus Cudraniae Tricuspidae) to 5 qian each.
Xiongxin Tang (Ligusticum and Asari Decoction): Used for bilateral eyes that are gritty and difficult to open day and night, photophobia, red eyes, and dim vision. Highly effective.
Chuanxiong (Rhizoma Chuanxiong) and Manjingzi (Fructus Viticis) - each 5 fen
Xixin (Herba Asari) - 2 fen
Fangfeng (Radix Saposhnikoviae) - 1.5 qian
Gancao (Radix Glycyrrhizae) and Baizhi (Radix Angelicae Dahuricae) - each 1 qian
Take as one dose. Decoct in water and take warm before retiring.
Qianghuo Tuiyi Wan (Notopterygium Nebula-Dispelling Pill): Used for internal cataracts, presenting with small blue-white opacities in the right eye, large faint white opacities, headache, dilated pupils, upper body heat and aversion to heat, difficult defecation, normal urination. Headache and eye distension occur in hot/warm weather; appetite is normal; vision dims after sunset on cloudy days. This condition may also be treated with Ziyin Dihuang Wan (Yin-Nourishing Rehmannia Pill).
Shudihuang (Prepared Radix Rehmanniae) - 8 qian
Shengdihuang (Radix Rehmanniae), prepared with wine
Guishen (Radix Angelicae Sinensis), prepared with wine and dried
Huangbai (Cortex Phellodendri), processed - each 0.5 liang
Chuanxiong (Rhizoma Chuanxiong) - 3 qian
Shaoyao (Radix Paeoniae) - 1.2 liang
Fangji (Radix Stephaniae Tetrandrae), prepared with wine - 2 qian
Zhimu (Rhizoma Anemarrhenae), prepared with wine - 3 qian
Chongweizi (Fructus Leonuri) - 0.5 liang
Mudanpi (Cortex Moutan) - 3 qian
Danshen (Radix Salviae Miltiorrhizae) - 0.5 liang
Hanshuishi (Halysitum) - 1 liang, raw
Chaihu (Radix Bupleuri) - 0.5 liang
Qianghuo (Rhizoma et Radix Notopterygii) - 3 qian
Heifuzi (Radix Aconiti Lateralis Preparata) - 1 qian, processed
Grind into fine powder. Form pills with refined honey, sized like small beans. Take 50-70 pills per dose, washed down with plain boiled water, followed immediately by food to suppress the medicinal qi. Avoid speaking. (All above from Dongyuan Shi Xiao Fang)
Baoming Danggui Tang (Life-Preserving Angelica Decoction): Used for wind-heat attacking upwards, causing dilated pupils.
Dangguishen (Radix Angelicae Sinensis) and Huangqin (Radix Scutellariae) - each 2 qian
Huanglian (Rhizoma Coptidis) and Chaihu (Radix Bupleuri) - each 1 qian
Shudihuang (Prepared Radix Rehmanniae) - 3 qian
Shaoyao (Radix Paeoniae) - 2 qian
Zhigancao (Prepared Radix Glycyrrhizae) - 3 qian
Divide into three doses. Decoct in water and take warm before retiring.
Ruizhu Sishen Wan (Ruizhu Four-Spirit Pill): Used for kidney meridian deficiency causing blurred vision, tonifying deficiency and benefiting damage, as well as cloud-like nebula covering the pupil.
Ganzhou Gouqizi (Fructus Lycii), selected for red color and moist texture - 1 jin. Divide into four parts. Moisten one part with one cup of wine.
Chuanjiao (Pericarpium Zanthoxyli), stir-fried with Gouqizi - 1 liang. Take one part.
Xiaohuixiang (Fructus Foeniculi), stir-fried with Gouqizi - 1 liang. Take one part. Stir-fry with sesame seeds - take one part. Stir-fry alone - take one part.
After stir-frying, sieve out and discard Chuanjiao etc. Add Shudihuang (Prepared Radix Rehmanniae), Baizhu (Rhizoma Atractylodis Macrocephalae), and Baifuling (Poria), each 1 liang. Grind into fine powder. Form pills with refined honey, sized like paulownia seeds. Take 50-70 pills per dose, washed down with warm wine on an empty stomach. Alternatively, add Ganjuhua (Chrysanthemi Flos) 1 liang. (From Yixue Gangmu Tiazeng)
Bugan San (Liver-Tonifying Powder): Used for liver wind internal cataract, without pain or itching, seeing colored halos (yellow, white, black, red), or diplopia (seeing one object as two).
Lingyangjiao (Cornu Saigae Tataricae) and Fangfeng (Radix Saposhnikoviae) - each 2 liang
Qianghuo (Rhizoma et Radix Notopterygii), Renshen (Radix Ginseng), Cheqianzi (Semen Plantaginis), Fuling (Poria), Xixin (Herba Asari), Xuanshen (Radix Scrophulariae), Huangqin (Radix Scutellariae) - each 1 liang
Grind into powder. Take 1 qian after meals, mixed with rice drink.
Jianyao Bugan San (Brief Liver-Tonifying Powder): Used for liver deficiency causing eye pain, continuous tearing, tendon/muscle pain, and photophobia.
Xiakucao (Herba Prunellae) - 4 liang
Xiangfuzi (Rhizoma Cyperi) - 1 liang
Grind into fine powder. Take 1 qian per dose, mixed with tea infusion.
Lingjiao Yinzi (Antelope Horn Infusion): Used for green nebula internal cataract, vertigo, frontal headache, and painful/gritty eyes.
Lingyangjiao (Cornu Saigae Tataricae), Fangfeng (Radix Saposhnikoviae), Zhimu (Rhizoma Anemarrhenae), Renshen (Radix Ginseng), Fuling (Poria), Xuanshen (Radix Scrophulariae), Jiegeng (Radix Platycodonis) - each 2 liang
Xixin (Herba Asari) - 3 liang
Huangqin (Radix Scutellariae), Cheqianzi (Semen Plantaginis) - each 1 liang
Grind into powder. Take 2-3 qian per dose. Decoct in water and take warm after meals.