论曰目者腑脏之精华,肝之外候也,小儿脏腑有热,与膈间痰饮相搏,气不宣通。熏渍
于肝,肝经受热,则血脉壅滞,循经上冲于目,故令目赤痛,不即治,热甚则生障翳。
治小儿眼赤,隐涩不开,膈中有热。决明汤方
决明子(炒) 黄芩(去黑心各一两一分) 柴胡(去苗) 大黄(研炒各一两半) 升麻 石
膏(碎) 栀子仁(各一两) 甘草(炙锉) 枳壳(去瓤麸炒各半两)
上九味,粗捣筛,每服一钱匕,水七分,入竹叶五片,同煎至四分,去滓分温二服,随
儿大小加减,食后服。
治小儿赤眼。黄芩饮方
黄芩(去黑心半两) 寒水石(一两一分) 升麻 甘草(炙锉各一分)
上四味,粗捣筛,每服一钱匕。水七分,入竹叶五片,同煎至四分,去滓分温二服。食
后临卧,随儿大小加减。
治小儿赤眼。决明丸方
决明子 牛黄(别研) 蕤仁(等分)
上三味,捣研为末,炼蜜丸如麻子大,临卧时乳汁下二丸,随儿大小加减,如热痛不可
忍者,用猪胆汁丸,立瘥。
治小儿肝热,眼赤疼痛,凉膈退热,白华散方
蛤粉(水飞研) 连翘 甘草(锉) 白药子 白附子(炮等分)
上五味,捣研为散,每服半钱匕,用麦门冬蜜熟水调下,量儿大小加减。
治小儿目赤肿痛,清肝散方
芍药 防风(去叉各一分) 大黄(锉) 羌活(去芦头) 甘草(锉各半两)
上五味,捣罗为散,每服一钱匕,水半盏,入灯心黑豆各少许,煎五七沸,去滓食后温
服,量儿大小加减。
治小儿风热眼赤痛,败毒汤方
大黄(锉碎麸炒) 甜硝(别研) 甘草(炙锉各二两) 陈橘皮(去白焙三两)
上四味,粗捣筛,每服一钱匕。水七分,入薄荷三叶,煎至四分,去滓食后,量儿大小
加减服,无薄荷,入乳香亦得。
治小儿赤眼,朴硝膏点方
朴硝(烧令干一分) 黄连(去须三分)
上二味,捣为粗末,绵裹以乳汁浸之,点眼良。
治小儿眼烂 痒痛泪出,不能视物,风伤则痛,黄连膏方
黄连(去须三分) 大铜钱(七文) 白矾(烧灰一分)
上三味,以水并白蜜各三合,用铜器盛。于饭上炊一次,绵滤去滓,贮瓷合内,点眼。
治小儿眼赤痛不开,洗眼,生地黄汤方
生干地黄(二两) 决明子 黄芩(去黑心) 竹叶(各一两) 芍药(半两)
上五味细锉,以水二升,煮五六沸,去滓澄清洗眼,一日三次,大人通用。
治小儿赤眼,黄柏汤洗方
黄柏(去粗皮锉) 秦皮(各一两锉) 蕤仁(去皮半两)
上三味,粗捣筛,每用两匙头,以水一碗,入干枣三枚,同煎三五沸,去滓适寒温洗眼。
治小儿目暴赤痛,铅丹丸洗眼方
铅丹(一两再研)
上一味,用白沙蜜调如稀糊,同入银器内搅匀,妙。候铅丹紫色可丸,即丸如皂子大,
每用一丸,沸汤化,乘热淋洗。
治小儿目赤涩痛,渐生翳膜,昏暗。大黄丸方
大黄(锉) 郁金 人参 黄连(去须各二钱)
上四味,捣罗为末,研鼠肝和丸,如绿豆大,每服三丸,米泔下,奶食后服,量儿大小
加减。
论述说:眼睛是脏腑精华的外在表现,也是肝脏的外部征候。小儿脏腑内有热邪,与膈间的痰饮相互搏结,导致气机不能宣通。热气熏蒸浸渍于肝脏,使肝经受热,进而血脉壅滞,循着经脉向上冲逆至眼部,因此导致眼睛红赤疼痛。如果不立即治疗,热邪严重则会生成障翳(角膜混浊或白内障)。
治疗小儿眼睛红赤、感觉隐涩难以睁开、膈间有热邪的决明汤方:
决明子(炒制)、黄芩(去除黑色中心部分,各一两一分)、柴胡(去除苗茎)、大黄(研磨后炒制,各一两半)、升麻、石膏(捣碎)、栀子仁(各一两)、甘草(炙烤后锉碎)、枳壳(去除瓤部,麸皮炒制,各半两)。
以上九味药,粗捣筛过,每次服用一钱匕,加水七分,放入五片竹叶,共同煎煮至剩余四分,滤去药渣,分两次温服,根据患儿年龄大小增减剂量,饭后服用。
治疗小儿红眼病的黄芩饮方:
黄芩(去除黑色中心部分,半两)、寒水石(一两一分)、升麻、甘草(炙烤后锉碎,各一分)。
以上四味药,粗捣筛过,每次服用一钱匕。加水七分,放入五片竹叶,共同煎煮至剩余四分,滤去药渣,分两次温服。饭后临睡前服用,根据患儿年龄大小增减剂量。
治疗小儿红眼病的决明丸方:
决明子、牛黄(单独研磨)、蕤仁(等量)。
以上三味药,捣碎研成细末,用炼蜜制成如麻子大小的丸剂,临睡前用乳汁送服两丸,根据患儿年龄大小增减剂量。如果热痛剧烈无法忍受,可用猪胆汁为丸,立即痊愈。
治疗小儿肝热引起的眼睛红赤疼痛,具有清泻膈热、退热作用的白华散方:
蛤粉(水飞法研磨)、连翘、甘草(锉碎)、白药子、白附子(炮制,等量)。
以上五味药,捣碎研成散剂,每次服用半钱匕,用麦门冬蜜和熟水调服,根据患儿年龄大小增减剂量。
治疗小儿眼睛红赤肿痛的清肝散方:
芍药、防风(去除叉枝,各一分)、大黄(锉碎)、羌活(去除芦头)、甘草(锉碎,各半两)。
以上五味药,捣碎过罗成散剂,每次服用一钱匕,加水半盏,放入少许灯心草和黑豆,煎煮五到七沸,滤去药渣,饭后温服,根据患儿年龄大小增减剂量。
治疗小儿风热引起的眼睛红赤疼痛的败毒汤方:
大黄(锉碎,麸皮炒制)、甜硝(单独研磨)、甘草(炙烤后锉碎,各二两)、陈橘皮(去除白色内瓤,焙干,三两)。
以上四味药,粗捣筛过,每次服用一钱匕。加水七分,放入三片薄荷叶,煎煮至剩余四分,滤去药渣,饭后服用,根据患儿年龄大小增减剂量。如果没有薄荷,加入乳香也可以。
治疗小儿红眼病,用于点眼的朴硝膏方:
朴硝(烧至干燥,一分)、黄连(去除须根,三分)。
以上两味药,捣成粗末,用棉布包裹后浸入乳汁中,用来点眼效果良好。
治疗小儿眼睑溃烂、瘙痒疼痛、流泪、不能视物,因风邪侵袭则疼痛的黄连膏方:
黄连(去除须根,三分)、大铜钱(七枚)、白矾(烧成灰,一分)。
以上三味药,用水和白蜜各三合,用铜器盛装。放在饭锅上蒸一次,用棉布过滤去渣,储存在瓷盒内,用来点眼。
治疗小儿眼睛红赤疼痛睁不开的生地黄汤洗眼方:
生干地黄(二两)、决明子、黄芩(去除黑色中心部分)、竹叶(各一两)、芍药(半两)。
以上五味药细锉,用水二升,煮沸五六次,滤去药渣澄清后清洗眼睛,每天三次,成人通用。
治疗小儿红眼病,用黄柏汤清洗的方子:
黄柏(去除粗皮锉碎)、秦皮(各一两锉碎)、蕤仁(去皮,半两)。
以上三味药,粗捣筛过,每次取两匙头,用水一碗,放入三枚干枣,共同煎煮三五沸,滤去药渣,待温度适宜时清洗眼睛。
治疗小儿眼睛突然红赤疼痛,用于洗眼的铅丹丸方:
铅丹(一两,再次研磨)。
以上一味药,用白沙蜜调成稀糊状,一同放入银器内搅拌均匀。等到铅丹呈现紫色可以制成丸剂时,就制成如皂荚种子大小的丸剂。每次取一丸,用沸水化开,趁热淋洗。
治疗小儿眼睛红赤涩痛,逐渐生成翳膜,视力昏暗的大黄丸方:
大黄(锉碎)、郁金、人参、黄连(去除须根,各二钱)。
以上四味药,捣碎过罗成细末,研磨鼠肝混合制成丸剂,如绿豆大小。每次服用三丸,用米泔水送服,在奶食之后服用,根据患儿年龄大小增减剂量。
Commentary states: The eyes are the manifestation of the essence of the Zang-Fu organs and serve as the external indicator of the Liver. In children, heat within the Zang-Fu organs combats with phlegm-fluids in the diaphragm, causing Qi to fail to circulate freely. Heat steams and soaks into the Liver; when the Liver Meridian is affected by heat, blood vessels become congested and stagnant, rushing upward along the meridian to the eyes, thus causing redness and pain. If not treated promptly, severe heat may generate nebulae (corneal opacity or cataracts).
Jue Ming Tang Decoction for treating red eyes, a sensation of hidden dryness preventing opening, and heat in the diaphragm in children:
Cassiae Semen (Fried), Scutellariae Radix (removed black heart, each 1 liang 1 fen), Bupleuri Radix (removed seedlings), Rhei Radix et Rhizoma (ground and fried, each 1 liang 5 qian), Cimicifugae Rhizoma, Gypsum Fibrosum (crushed), Gardeniae Fructus (each 1 liang), Glycyrrhizae Radix et Rhizoma (roasted and cut), Aurantii Fructus Pericarpium (pulp removed, bran-fried, each 0.5 liang).
The above nine ingredients are coarsely crushed and sieved. Each dose consists of one qian bi, boiled with 7/10 water and five leaves of Bambusa Leaves (Zhuye) until reduced to 4/10 volume. Strain and divide into two warm doses, adjusting according to the child's age. Take after meals.
Huang Qin Yin Decoction for treating red eyes in children:
Scutellariae Radix (removed black heart, 0.5 liang), Halaoxishi (1 liang 1 fen), Cimicifugae Rhizoma, Glycyrrhizae Radix et Rhizoma (roasted and cut, each 1 fen).
The above four ingredients are coarsely crushed and sieved. Each dose consists of one qian bi, boiled with 7/10 water and five leaves of Bambusa Leaves (Zhuye) until reduced to 4/10 volume. Strain and divide into two warm doses. Take after meals and before sleep, adjusting according to the child's age.
Jue Ming Wan Pills for treating red eyes in children:
Cassiae Semen, Bovis Calculus (separately ground), Pruni Semen (equal parts).
The above three ingredients are crushed and ground into powder, mixed with refined honey to form pills the size of hemp seeds. Take two pills with milk before sleep, adjusting according to the child's age. If heat and pain are unbearable, use Porcine Bile to form pills for immediate recovery.
Bai Hua San Powder for treating liver heat causing red, painful eyes, clearing the diaphragm and reducing heat in children:
Concha Tridacnidae (water-flown and ground), Forsythiae Fructus, Glycyrrhizae Radix et Rhizoma (cut), Dioscoreae Hypoglaucae Rhizoma, Typhonii Rhizoma (processed, equal parts).
The above five ingredients are crushed and ground into powder. Each dose consists of half a qian bi, taken with Ophiopogonis Radix honey and cooked water, adjusting according to the child's age.
Qing Gan San Powder for treating red, swollen, and painful eyes in children:
Paeoniae Radix, Saposhnikoviae Radix (removed forks, each 1 fen), Rhei Radix et Rhizoma (cut), Notopterygii Rhizoma et Radix (removed rhizome head), Glycyrrhizae Radix et Rhizoma (cut, each 0.5 liang).
The above five ingredients are crushed and sifted into powder. Each dose consists of one qian bi, boiled with half a zhan of water, adding a small amount of Junci Medulla and Sojae Semen Nigrum, boiled for five to seven boils. Strain and take warm after meals, adjusting according to the child's age.
Bai Du Tang Decoction for treating wind-heat causing red, painful eyes in children:
Rhei Radix et Rhizoma (cut and fried with bran), Natrii Sulfas Dulcis (separately ground), Glycyrrhizae Radix et Rhizoma (roasted and cut, each 2 liang), Citri Reticulatae Pericarpium (white pith removed, dried, 3 liang).
The above four ingredients are coarsely crushed and sieved. Each dose consists of one qian bi, boiled with 7/10 water and three leaves of Menthae Haplocalycis Herba until reduced to 4/10 volume. Strain and take after meals, adjusting according to the child's age. If Menthae Haplocalycis Herba is unavailable, Incense (Ru Xiang) may be added.
Pu Xiao Gao Drops for treating red eyes in children:
Natrii Sulfas (burned until dry, 1 fen), Coptidis Rhizoma (removed roots, 3 fen).
The above two ingredients are crushed into coarse powder, wrapped in cotton, and soaked in milk for eye drops.
Huang Lian Gao Drops for treating eyelid ulceration, itching, pain, tearing, inability to see, and pain caused by wind injury in children:
Coptidis Rhizoma (removed roots, 3 fen), Large Copper Coins (seven pieces), Alumen (burned to ash, 1 fen).
The above three ingredients are placed in a copper vessel with three he of water and three he of white honey. Steam once over rice. Filter through cotton to remove dregs, store in a porcelain container, and use for eye drops.
Sheng Di Huang Tang Decoction for washing eyes to treat sudden redness, pain, and inability to open eyes in children:
Rehmanniae Radix Preparata (2 liang), Cassiae Semen, Scutellariae Radix (removed black heart), Bambusa Leaves (Zhuye) (each 1 liang), Paeoniae Radix (0.5 liang).
The above five ingredients are finely cut, boiled in two sheng of water for five to six boils. Strain and clarify for eye washing, three times a day. Also applicable to adults.
Huang Bo Tang Decoction for washing eyes to treat red eyes in children:
Phellodendri Cortex (removed rough bark and cut), Fraxini Cortex (each 1 liang, cut), Pruni Semen (peeled, 0.5 liang).
The above three ingredients are coarsely crushed and sieved. Use two spoon heads per dose, boil with one bowl of water and three dried dates for three to five boils. Strain and wash eyes at a suitable temperature.
Qian Dan Wan Pills for washing eyes to treat sudden redness and pain of the eyes in children:
Lithargyrum (1 liang, re-ground).
The above single ingredient is mixed with white sand honey to form a thin paste, stirred evenly in a silver vessel. When Qian Dan turns purple and can be formed into pills, shape them like soap seeds. Use one pill per dose, dissolve in boiling water, and rinse while hot.
Da Huang Wan Pills for treating red, astringent, painful eyes, gradual formation of nebulae, and dim vision in children:
Rhei Radix et Rhizoma (cut), Curcumae Radix, Ginseng Radix et Rhizoma, Coptidis Rhizoma (removed roots, each 2 qian).
The above four ingredients are crushed, sifted into powder, and mixed with ground rat liver to form pills the size of mung beans. Take three pills per dose with rice water, after milk feeding, adjusting according to the child's age.