论曰肝气通于目,目者、肝之官,又五脏六腑之精气,皆上注于目,然目有五输,内应
五脏,而骨之精为瞳仁,筋之精为黑睛,若肝肾热实,或上膈壅滞,风邪毒瓦斯,上攻于目,
皆令目睛疼痛也。
治目睛疼痛,上连头疼。蔓荆实汤方
蔓荆实(去皮) 甘菊花 羌活(去芦头) 黄芩(去黑心) 芎 防风(去叉各一
两) 石
膏(三两) 甘草(炙锉半两)
上八味。粗捣筛,每服四钱匕,水一盏半,煎至七分,去滓食后临卧温服。
治上隔壅滞,风邪毒瓦斯攻目,令目睛疼痛。玄参散方
玄参 大黄(锉炒各二两半) 决明子(炒) 菊花 车前子 升麻 黄连(去须) 枳
壳(
去瓤麸炒各二两) 栀子仁(炒) 防风(去叉各一两半) 苦参(锉半两)
上一十一味。捣罗为散,每服三钱匕,食后临卧,蜜水调下、日三。
治风邪攻目,令目睛疼痛。柴胡散方
柴胡(去苗) 蛇衔(各一两) 黄连(去须) 芒硝(研各三分) 细辛(去苗叶) 竹
叶(焙
各半两)
上六味。捣研为散,每服二钱匕,水一盏,煎至六分,去滓食后临卧温服。
治目睛痛,上连头并颊骨俱痛,不可忍,生障泪出。羚羊角汤方
羚羊角(镑) 黄芩(去黑心) 芎 石膏(碎) 大黄(锉炒) 芒硝(研各一两)
芍药(
一两半) 柴胡(去苗三两)
上八味。粗捣筛,每服三钱匕,水一盏,入淡竹叶十片,煎至七分,去滓食后临卧温服
治目睛疼痛如脱。洗肝前胡汤方
前胡(去芦头) 升麻 枳壳(去瓤麸炒各二两) 决明子(炒) 防风(去叉) 车
前子(各
一两) 甘菊花 黄连(去须各半两) 细辛(去苗叶) 苦参(各三两)
上一十味。粗捣筛,每服五钱匕,水一盏半,煎至七分,去滓投芒硝末半钱匕,食后临
卧温服。
治风毒攻冲,目睛疼痛。旋复花饮方
旋复花 升麻 秦艽(去苗土) 防风(去叉) 羚羊角 葳蕤 黄柏(去粗皮) 甘
草(炙
锉各一两) 黄连 柴胡(去苗各一两半)
上一十味。粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓食后温服。
治肝气上壅,攻注目睛疼痛,及腹胁滞闷。细辛散方
细辛(半两) 川升麻(三分) 芎 (一两) 当归(一两去芦头) 丹参(三分) 赤
芍药(
一两锉) 黄芩(一两去腐) 槟榔(一两) 川大黄(一两锉炒) 甘草(半两炙黄锉) 枳
壳(一
两麸炒黄去瓤)
上一十一味。捣罗为散,每服三钱匕,水一盏,煎至六分,去滓食后温服。忌炙爆热
面。
治目睛疼痛,睡卧不得。地骨皮散方
地骨皮(二两) 石膏(三两研水飞) 甘草(半两炙黄锉) 川大黄(二两锉炒) 井
泉石(
二两)
上五味。捣罗为散,入石膏更研令匀,每服二钱匕,食后以白米泔调下。
治热毒风上攻,目睛疼痛。秦皮洗眼汤方
秦皮(一两) 秦艽(一两) 甘草(半两) 玄参(一两) 柴胡(去苗三分)
上五味。粗捣筛,每用一两,以水三盏,煎取一盏半,绵滤去滓,微热淋洗,冷即再暖
用。
治邪热攻冲,目睛疼痛。吹鼻碧玉散方
硝石(一分) 龙脑(一钱) 青黛(一钱)
上三味。合研令细,每用一豆许,搐两鼻内。
论述说:肝气与目相通,目是肝的外候器官,同时五脏六腑的精气都上注于目。然而目有五种组织分别内应五脏,其中骨之精为瞳仁,筋之精为黑睛。如果肝肾热盛实证,或者上膈部位壅滞不通,风邪毒气上攻于目,都会导致目睛疼痛。
治疗目睛疼痛,并向上牵连头痛的蔓荆实汤方:
蔓荆实(去皮)、甘菊花、羌活(去芦头)、黄芩(去黑心)、川芎、防风(去叉),各一两;石膏(三两);甘草(炙后锉碎,半两)。
以上八味药。粗捣筛碎,每次服用四钱匕,用水一盏半,煎至七分,去渣滓,饭后临睡前温服。
治疗上膈壅滞,风邪毒气攻目,导致目睛疼痛的玄参散方:
玄参、大黄(锉碎炒制,各二两半)、决明子(炒)、菊花、车前子、升麻、黄连(去须)、枳壳(去瓤麸炒,各二两)、栀子仁(炒)、防风(去叉,各一两半)、苦参(锉碎,半两)。
以上十一味药。捣罗成散剂,每次服用三钱匕,饭后临睡前,用蜜水调服,每日三次。
治疗风邪攻目,导致目睛疼痛的柴胡散方:
柴胡(去苗)、蛇衔,各一两;黄连(去须)、芒硝(研细),各三分;细辛(去苗叶)、竹叶(焙干),各半两。
以上六味药。捣研成散剂,每次服用二钱匕,用水一盏,煎至六分,去渣滓,饭后临睡前温服。
治疗目睛痛,向上牵连头部及颊骨均痛,痛苦难忍,生翳膜流泪的羚羊角汤方:
羚羊角(镑片)、黄芩(去黑心)、川芎、石膏(碎)、大黄(锉碎炒)、芒硝(研细),各一两;芍药(一两半);柴胡(去苗,三两)。
以上八味药。粗捣筛碎,每次服用三钱匕,用水一盏,加入淡竹叶十片,煎至七分,去渣滓,饭后临睡前温服。
治疗目睛疼痛剧烈如脱出的洗肝前胡汤方:
前胡(去芦头)、升麻、枳壳(去瓤麸炒,各二两)、决明子(炒)、防风(去叉)、车前子(各一两)、甘菊花、黄连(去须,各半两)、细辛(去苗叶)、苦参(各三两)。
以上十味药。粗捣筛碎,每次服用五钱匕,用水一盏半,煎至七分,去渣滓,投入芒硝末半钱匕,饭后临睡前温服。
治疗风毒攻冲,导致目睛疼痛的旋复花饮方:
旋复花、升麻、秦艽(去苗土)、防风(去叉)、羚羊角、葳蕤、黄柏(去粗皮)、甘草(炙后锉碎,各一两)、黄连、柴胡(去苗,各一两半)。
以上十味药。粗捣筛碎,每次服用五钱匕,用水一盏半,煎至一盏,去渣滓,饭后温服。
治疗肝气上壅,攻注导致目睛疼痛,以及腹部胁肋部滞闷的细辛散方:
细辛(半两)、川升麻(三分)、川芎(一两)、当归(去芦头,一两)、丹参(三分)、赤芍药(锉碎,一两)、黄芩(去腐,一两)、槟榔(一两)、川大黄(锉炒,一两)、甘草(炙黄锉,半两)、枳壳(麸炒黄去瓤,一两)。
以上十一味药。捣罗成散剂,每次服用三钱匕,用水一盏,煎至六分,去渣滓,饭后温服。忌食烤爆、热性面食。
治疗目睛疼痛,无法睡卧的地骨皮散方:
地骨皮(二两)、石膏(三两,研细水飞)、甘草(炙黄锉,半两)、川大黄(锉炒,二两)、井泉石(二两)。
以上五味药。捣罗成散剂,加入石膏再研匀,每次服用二钱匕,饭后用白米泔水调服。
治疗热毒风上攻,导致目睛疼痛的秦皮洗眼汤方:
秦皮(一两)、秦艽(一两)、甘草(半两)、玄参(一两)、柴胡(去苗,三分)。
以上五味药。粗捣筛碎,每次取一两,用水三盏,煎取一盏半,用绵布过滤去渣滓,微热时淋洗眼部,冷了再加热使用。
治疗邪热攻冲,导致目睛疼痛的吹鼻碧玉散方:
硝石(一分)、龙脑(一钱)、青黛(一钱)。
以上三味药。合研令细,每次取一粒豆大小的量,搐入两个鼻孔内。
Commentary states: The liver qi connects with the eyes; the eyes are the external organ of the liver. Furthermore, the essence and qi of all five zang organs and six fu organs ascend to pour into the eyes. However, the eyes have five distinct tissues that internally correspond to the five zang organs, where the essence of bone forms the pupil (tongren), and the essence of sinews forms the black part of the eye (heijing). If there is heat excess in the liver and kidney, or stagnation and obstruction in the upper diaphragm, wind pathogens and toxic vapors attacking upward toward the eyes will all cause pain in the eyeballs.
Mojing Shi Tang (Vitex Fruit Decoction) for treating pain in the eyeballs extending upward to headache:
Mojing Shi (Fructus Viticis, peeled), Gan Juhua (Chrysanthemi Flos), Qiang Huo (Notopterygii Rhizoma et Radix, removed rhizome head), Huang Qin (Scutellariae Radix, removed black heart), Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix, removed forks), each 1 liang; Shigao (Gypsum Fibrosum, 3 liang); Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, 0.5 liang).
The above eight herbs. Coarsely crush and sieve. Take 4 qianbi per dose, with 1.5 sheng of water, decoct until 0.7 sheng remains, remove dregs, and take warm after meals and before retiring.
Xuanshen San (Scrophulariae Radix Powder) for treating upper diaphragm stagnation, wind pathogen and toxic vapors attacking the eyes causing eyeball pain:
Xuanshen (Scrophulariae Radix), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, each 2.5 liang), Juemingzi (Cassiae Semen, stir-fried), Juhua (Chrysanthemi Flos), Cheqianzi (Plantaginis Semen), Shengma (Cimicifugae Rhizoma), Huanglian (Coptidis Rhizoma, removed stamens), Zhike (Aurantii Fructus Immaturus, removed pith and bran-roasted, each 2 liang), Zhizi Ren (Gardeniae Fructus, stir-fried), Fang Feng (Saposhnikoviae Radix, removed forks, each 1.5 liang), Kushen (Sophorae Flavescentis Radix, cut, 0.5 liang).
The above eleven herbs. Pound and sift into powder. Take 3 qianbi per dose, after meals and before retiring, mixed with honey water, three times daily.
Chaihu San (Bupleuri Radix Powder) for treating wind pathogen attacking the eyes causing eyeball pain:
Chaihu (Bupleuri Radix, removed seedlings), She Xian (Siphonostegiae Herba), each 1 liang; Huanglian (Coptidis Rhizoma, removed stamens), Mangxiao (Natrii Sulfas, ground), each 3 fen; Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Zhuye (Bambusae Folium, baked), each 0.5 liang.
The above six herbs. Pound and grind into powder. Take 2 qianbi per dose, with 1 sheng of water, decoct until 0.6 sheng remains, remove dregs, and take warm after meals and before retiring.
Lingyangjiao Tang (Saiga Antelope Horn Decoction) for treating severe eyeball pain extending to the head and cheekbones, unbearable, with formation of opacity and tearing:
Lingyangjiao (Saigae Tataricae Cornu, shaved), Huang Qin (Scutellariae Radix, removed black heart), Xiong (Ligustici Chuanxiong Rhizoma), Shigao (Gypsum Fibrosum, crushed), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Mangxiao (Natrii Sulfas, ground), each 1 liang; Shaoyao (Paeoniae Radix, 1.5 liang); Chaihu (Bupleuri Radix, removed seedlings, 3 liang).
The above eight herbs. Coarsely crush and sieve. Take 3 qianbi per dose, with 1 sheng of water, add 10 slices of Dan Zhuye (Bambusae Folium), decoct until 0.7 sheng remains, remove dregs, and take warm after meals and before retiring.
Xi Gan Qianhu Tang (Liver-Washing Peucedani Radix Decoction) for treating eyeball pain as if protruding:
Qianhu (Peucedani Radix, removed rhizome head), Shengma (Cimicifugae Rhizoma), Zhike (Aurantii Fructus Immaturus, removed pith and bran-roasted, each 2 liang), Juemingzi (Cassiae Semen, stir-fried), Fang Feng (Saposhnikoviae Radix, removed forks), Cheqianzi (Plantaginis Semen), each 1 liang; Gan Juhua (Chrysanthemi Flos), Huanglian (Coptidis Rhizoma, removed stamens), each 0.5 liang; Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Kushen (Sophorae Flavescentis Radix), each 3 liang.
The above ten herbs. Coarsely crush and sieve. Take 5 qianbi per dose, with 1.5 sheng of water, decoct until 0.7 sheng remains, remove dregs, add 0.5 qianbi of Mangxiao powder, and take warm after meals and before retiring.
Xuanfuhua Yin (Inulae Flos Drink) for treating wind-toxic attacking and rushing causing eyeball pain:
Xuanfuhua (Inulae Flos), Shengma (Cimicifugae Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix, removed seedlings and soil), Fang Feng (Saposhnikoviae Radix, removed forks), Lingyangjiao (Saigae Tataricae Cornu), Weirui (Polygonati Odorati Rhizoma), Huangbai (Phellodendri Cortex, removed rough bark), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1 liang), Huanglian (Coptidis Rhizoma), Chaihu (Bupleuri Radix, removed seedlings, each 1.5 liang).
The above ten herbs. Coarsely crush and sieve. Take 5 qianbi per dose, with 1.5 sheng of water, decoct until 1 sheng remains, remove dregs, and take warm after meals.
Xixin San (Asari Radix et Rhizoma Powder) for treating liver qi ascending and obstructing, attacking the eyes causing pain, and abdominal/hypochondriac stagnation and fullness:
Xixin (Asari Radix et Rhizoma, 0.5 liang), Chuan Shengma (Cimicifugae Rhizoma, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, removed rhizome head, 1 liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 fen), Chi Shaoyao (Paeoniae Radix Rubra, cut, 1 liang), Huang Qin (Scutellariae Radix, removed rot, 1 liang), Binglang (Arecae Semen, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted yellow and cut, 0.5 liang), Zhike (Aurantii Fructus Immaturus, bran-roasted yellow and removed pith, 1 liang).
The above eleven herbs. Pound and sift into powder. Take 3 qianbi per dose, with 1 sheng of water, decoct until 0.6 sheng remains, remove dregs, and take warm after meals. Avoid roasted, fried, and hot wheat noodles.
Digupi San (Lycii Cortex Powder) for treating eyeball pain preventing sleep:
Digupi (Lycii Cortex, 2 liang), Shigao (Gypsum Fibrosum, 3 liang, ground and washed with water), Gancao (Glycyrrhizae Radix et Rhizoma, roasted yellow and cut, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 2 liang), Jingquanshi (Jingquanshi, 2 liang).
The above five herbs. Pound and sift into powder, add Shigao and grind evenly. Take 2 qianbi per dose, after meals, mixed with white rice wash water.
Qinpi Xiyan Tang (Eucommia Bark Eye-Washing Decoction) for treating heat-toxic wind attacking upward causing eyeball pain:
Qinpi (Eucommiae Cortex, 1 liang), Qin Jiao (Gentianae Macrophyllae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Xuanshen (Scrophulariae Radix, 1 liang), Chaihu (Bupleuri Radix, removed seedlings, 3 fen).
The above five herbs. Coarsely crush and sieve. Take 1 liang per use, with 3 sheng of water, decoct to obtain 1.5 sheng, filter through silk cloth to remove dregs, and wash the eyes while slightly warm; re-warm if cooled.
Chubi San (Jade-Blue Nasal Snuff Powder) for treating evil heat attacking and rushing causing eyeball pain:
Xiaoshi (Nitrums, 1 fen), Longnao (Borneolum Syntheticum, 1 qian), Qingdai (Indigo Naturalis, 1 qian).
The above three herbs. Mix and grind finely. Use a quantity resembling a bean per application, insufflate into both nostrils.