论曰目为外所伤,轻者因物撞击,胞睑肿痛,重者或致目睛突出,但眼带未断,即内睑
中,急捣生地黄绵裹以敷之,仍以辟风膏摩四旁,无使外风乘隙,内服除热治风镇惊止痛药
以疗之,若治之失时,恶血凝积,腐瘀侵睛,致生翳膜,钩割熨烙,皆随所宜也。
治外物撞刺,目睛胞睑肿痛,除风散方
防风(去叉二两) 车前子 本(去苗土) 细辛(去苗叶) 五味子(各一两) 芎
桔
梗(锉炒各一两半)
上七味,捣罗为散,每日空心食前,米饮调下一钱匕。
治外物撞刺,目赤肿痛,压热,犀角饮方
犀角镑 大黄(锉炒) 知母(焙) 人参 白茯苓(去黑皮) 黄芩(去黑心) 玄
参(各一
两) 麦门冬(去心焙一两半) 甘草(炙锉半两)
上九味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓食后温服。
治目撞刺,赤肿痛,生障翳,退热,人参汤方
人参(二两) 玄参 白茯苓(去黑皮) 黄芩(去黑心) 五味子 羌活(去芦头) 细
辛(
去苗叶各一两) 车前子(一两半)
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓食后温服。
治目撞刺生翳,茺蔚子散方
茺蔚子(二两) 防风(去叉) 芎 桔梗(锉炒) 知母(焙各一两) 本(去
苗土一两
一分) 白芷(三分) 人参(一两)
上八味,捣罗为散,每日空心食前,米饮调下一钱匕。
治目伤睛损,木通汤方
木通(锉一两半) 防风(去叉一两) 赤芍药(一两半) 白芷(三分) 山栀子仁
(一两)
大黄(锉炒一两半)
上六味,粗捣筛,每服五钱匕,水一盏半,入苦竹叶七片,煎至七分,去滓入地黄汁一
合,更煎两沸,食后温服,临卧再服。
治目为物所伤,三胆汁点眼方
羊胆(二枚) 鸡胆(三枚) 鲤鱼胆(二枚)
上三味,摘破将汁合匀,每日点目三上。
治目为物所伤,睛陷 肉方。
生地肤(去土洗二两)
上一味,绞取汁,瓷合盛,每取少许点目,冬月将干者,煎取浓汁用。
又方
杏仁(汤浸去皮尖双仁)
上一味烂研,以人乳化开,日三度点 肉上。
又方
精羊肉(二两薄切片)
上一味,炙令微热熨目,勿令大热。
论述说:眼睛受到外物损伤,轻的因为物体撞击,眼睑红肿疼痛;重的可能导致眼球突出,但只要眼带(连接眼球与眼眶的组织)没有断裂,就立即用生地黄绵裹敷贴患处,同时用辟风膏按摩四周,防止外风乘虚而入。内服清热、祛风、镇惊、止痛的药物来治疗。如果治疗延误时机,恶血凝结积聚,腐瘀侵蚀眼球,导致生成翳膜,此时钩割、熨烙等手术方法都应根据具体情况适宜选用。
治疗外物撞击刺伤,眼球及眼睑红肿疼痛,除风散方:
防风(去叉二两)、车前子、藁本(去苗土)、细辛(去苗叶)、五味子(各一两)、川芎、桔梗(锉炒各一两半)。
以上七味药,捣碎过筛成散剂,每天空腹饭前,用米汤调服一钱匕。
治疗外物撞击刺伤,目赤肿痛,压热,犀角饮方:
犀角(镑片)、大黄(锉炒)、知母(焙干)、人参、白茯苓(去黑皮)、黄芩(去黑心)、玄参(各一两)、麦门冬(去心焙一两半)、甘草(炙锉半两)。
以上九味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至七分,去渣后饭后温服。
治疗眼睛撞刺,赤肿疼痛,生成障翳,退热,人参汤方:
人参(二两)、玄参、白茯苓(去黑皮)、黄芩(去黑心)、五味子、羌活(去芦头)、细辛(去苗叶各一两)、车前子(一两半)。
以上八味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至七分,去渣后饭后温服。
治疗眼睛撞刺生翳,茺蔚子散方:
茺蔚子(二两)、防风(去叉)、川芎、桔梗(锉炒)、知母(焙各一两)、藁本(去苗土一两一分)、白芷(三分)、人参(一两)。
以上八味药,捣碎过筛成散剂,每天空腹饭前,用米汤调服一钱匕。
治疗眼睛受伤眼球受损,木通汤方:
木通(锉一两半)、防风(去叉一两)、赤芍药(一两半)、白芷(三分)、山栀子仁(一两)、大黄(锉炒一两半)。
以上六味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入苦竹叶七片,煎至七分,去渣后加入地黄汁一合,再煮两沸,饭后温服,临睡前再服一次。
治疗眼睛被物所伤,三胆汁点眼方:
羊胆(二枚)、鸡胆(三枚)、鲤鱼胆(二枚)。
以上三味药,挑破混合其汁液均匀,每天点眼三次。
治疗眼睛被物所伤,眼球凹陷胬肉方:
生地肤(去土洗二两)。
以上一味药,绞取汁液,用瓷盒盛装,每次取少许点眼,冬季使用干燥者,煎取浓汁使用。
It is stated that when the eyes are injured by external objects, mild cases involve swelling and pain of the eyelids due to impact; severe cases may result in protrusion of the eyeballs. As long as the eye tendons (connective tissues linking the eyeball to the orbit) remain intact, fresh Radix Rehmanniae Preparata (Shengdihuang, 生地黄) wrapped in cotton should be applied immediately for dressing. Simultaneously, Bifeng Gao (Wind-Repelling Ointment) should be massaged around the area to prevent external Wind from taking advantage of the breach. Internally, herbs that clear Heat, dispel Wind, calm fright, and relieve pain should be administered. If treatment is delayed, evil blood will coagulate and accumulate, with rotting stasis invading the eyeball, leading to the formation of nebulae (corneal opacities). In such cases, procedures such as hooking, cutting, moxibustion, and cauterization should be employed according to suitability.
Formula for Dispelling Wind to Treat Swelling and Pain of the Eyeball and Eyelids Caused by External Impact or Puncture:
Fangfeng (Saposhnikoviae Radix, 防风), Cheqianzi (Plantaginis Semen, 车前子), Bencao (Ligustici Rhizoma et Radix, 藁本), Xixin (Asari Radix et Rhizoma, 细辛), Wuweizi (Schisandrae Chinensis Fructus, 五味子) [each 2 liang]; Chuanxiong (Chuanxiong Rhizoma, 川芎), Jiegeng (Platycodonis Radix, 桔梗) [each 1.5 liang, sliced and stir-fried].
The above seven ingredients are crushed, sifted into a powder. Each day, before meals on an empty stomach, take one qianbi (a small measuring spoon) mixed with rice water.
Xijiao Yin (Rhinoceros Horn Drink) for Treating Redness, Swelling, Pain, and Heat in the Eyes Caused by External Impact or Puncture:
Xijiao (Rhinocerotis Cornu, 犀角), Dahuang (Rhei Radix et Rhizoma, 大黄), Zhimu (Anemarrhenae Rhizoma, 知母), Renshen (Ginseng Radix, 人参), Baifuling (Poria, 白茯苓), Huangqin (Scutellariae Radix, 黄芩), Xuanshen (Scrophulariae Radix, 玄参) [each 1 liang]; Maimendong (Ophiopogonis Radix, 麦门冬) [1.5 liang, heart removed and baked]; Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) [0.5 liang, roasted and sliced].
The above nine ingredients are coarsely crushed and sifted. For each dose, take 3 qianbi, add one zhan (unit of volume) of water, decoct until reduced to 7/10, strain, and take warm after meals.
Renshen Tang (Ginseng Decoction) for Treating Eye Trauma with Redness, Swelling, Pain, Nebula Formation, and Heat Clearance:
Renshen (Ginseng Radix, 人参) [2 liang]; Xuanshen (Scrophulariae Radix, 玄参), Baifuling (Poria, 白茯苓), Huangqin (Scutellariae Radix, 黄芩), Wuweizi (Schisandrae Chinensis Fructus, 五味子), Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Xixin (Asari Radix et Rhizoma, 细辛) [each 1 liang, rhizome and root removed]; Cheqianzi (Plantaginis Semen, 车前子) [1.5 liang].
The above eight ingredients are coarsely crushed and sifted. For each dose, take 3 qianbi, add one zhan of water, decoct until reduced to 7/10, strain, and take warm after meals.
Chongweizi San (Leonurus Seed Powder) for Treating Nebula Formation After Eye Trauma:
Chongweizi (Leonuri Fructus, 茺蔚子) [2 liang]; Fangfeng (Saposhnikoviae Radix, 防风); Chuanxiong (Chuanxiong Rhizoma, 川芎), Jiegeng (Platycodonis Radix, 桔梗) [sliced and stir-fried]; Zhimu (Anemarrhenae Rhizoma, 知母) [each 1 liang, baked]; Bencao (Ligustici Rhizoma et Radix, 藁本) [1.1 liang, rhizome and root removed]; Baizhi (Angelicae Dahuricae Radix, 白芷) [0.3 liang]; Renshen (Ginseng Radix, 人参) [1 liang].
The above eight ingredients are crushed, sifted into a powder. Each day, before meals on an empty stomach, take one qianbi mixed with rice water.
Mutong Tang (Akebia Decoction) for Treating Eye Injury and Damage to the Eyeball:
Mutong (Akebiae Caulis, 木通) [1.5 liang, sliced]; Fangfeng (Saposhnikoviae Radix, 防风) [1 liang]; Chishaoyao (Paeoniae Radix Rubra, 赤芍药) [1.5 liang]; Baizhi (Angelicae Dahuricae Radix, 白芷) [0.3 liang]; Shanzhiziren (Gardeniae Fructus, 山栀子仁) [1 liang]; Dahuang (Rhei Radix et Rhizoma, 大黄) [1.5 liang, sliced and stir-fried].
The above six ingredients are coarsely crushed and sifted. For each dose, take 5 qianbi, add 1.5 zhan of water, include 7 leaves of Ku Zhu Ye (Bitter Bamboo Leaf), decoct until reduced to 7/10, strain, add 1 he of Dihuang Zhi (Radix Rehmanniae Preparata Juice), boil twice more, and take warm after meals. Take again before retiring.
San Danzhi Dianyan Fang (Three Gallbladder Juice Eye Drops) for Treating Eye Injury by Foreign Objects:
Yangdan (Ovis Gallbladder, 羊胆), Jidan (Galli Gallbladder, 鸡胆), Liyudan (Cyprini Carassii Gallbladder, 鲤鱼胆).
The above three ingredients are pierced, their juices extracted and mixed evenly, and applied to the eyes three times daily.
Formula for Treating Sunken Eyeballs and Pterygium (Nirou, 胬肉) Caused by Eye Injury:
Shengdifushi (likely referring to a specific plant part or typo for Shengdihuang juice source, treated here as raw material) [2 liang, soil removed and washed].
The single ingredient is squeezed to extract juice, stored in a porcelain container. Apply a small amount to the eyes each time. In winter, use dried material and decoct to obtain concentrated juice.
Another Formula:
Xingren (Pruni Armeniaci Semen Amarum, 杏仁) [soaked in hot water, skin and tips removed, double-kernel].
The single ingredient is ground thoroughly, dissolved in human milk, and applied to the pterygium three times daily.
Another Formula:
Jing Yangrou (Lean Mutton, 精羊肉) [2 liang, thinly sliced].
The single ingredient is roasted until slightly warm and used to compress/foment the eyes. Do not make it too hot.