论曰肝气有热,冲发睑 ,则令人睑肉暴肿,风冷乘之,则凝结不散,甚则长大,肿若
梅李核,故谓之风肿。
治一切目风肿痛。茵陈蒿散方
茵陈蒿 荆芥穗 羌活(去芦头) 木贼(锉) 旋复花 蔓荆实 甘草(炙锉) 芎
苍
术(米泔浸一宿切焙) 蒺藜子(微炒去角) 石决明 草决明(等分)
上一十二味。捣罗为散,每服一钱匕,新汲水调下,不拘时,日三。
治目风肿痛。防风丸方
防风(去叉二两) 细辛(去苗叶一两半) 五味子(一两半) 茺蔚子(二两) 黄
芩(去黑
心一两) 桔梗(锉炒一两) 车前子(二两) 知母(二两) 人参(一两) 玄参(一
两)
上一十味。捣罗为末,炼蜜和丸,梧桐子大,每服三十丸,米饮下,食后服。
治眼目风肿,兼生翳膜等疾。蝉壳散方
蝉壳 地骨皮 黄连(宣州者去须) 牡丹(去心) 白术 苍术(米泔浸一宿切焙) 菊
花
(各一两) 龙胆(半两) 甜瓜子(半升)
上九味。捣罗为散,每服一钱半匕,荆芥煎汤调下,食后临卧各一服,大治时疾后、余
毒上攻眼目。
治风热毒瓦斯,忽冲眼肿,白睛似水泡,疼痛不可睡卧。栀子汤方
山栀子仁 升麻 决明子(微炒) 黄芩(去黑心各三分) 黄连(去须) 干蓝叶 大
黄(
锉炒各一两)
上七味。粗捣筛,每服五钱匕,以水一盏半,煎至八分,去滓入朴硝末半钱匕。再煎沸
,放温服,临卧再服。
治眼风肿热痛。大黄汤方
大黄(锉炒四两) 麻黄(去根节二两) 旋复花(二两) 甘草(炙锉一两) 山栀
子仁(二
两)
上五味。粗捣筛,每服五钱匕,以水一盏半,煎取八分,去滓入朴硝末半钱匕,食后服
,临卧再服。
治目风肿赤胀痛,大毒热泪出。枳实汤方
枳实(去瓤麸炒) 苦参 车前子(各一两) 黄连(去须半两)
上四味。粗捣筛,每服五钱匕,以水一盏半,煎取八分,去滓食后,临卧再服。
治热风目肿。豉心丸方
豉心(二两) 黄连(去须三两)
上二味。捣罗为末,炼蜜和丸,梧桐子大,每服三十丸,食后温水下。
治眼风肿。吹鼻散方
枸杞白皮 鸡子白皮(等分)
上二味。捣罗为散,又研令极细,每日三上,吹鼻内。
治风热攻眼。羚羊角丸方
羚羊角(镑) 蔓荆实(去皮) 甘菊花(微炒) 山栀子仁(各一两半) 防风(去
叉二两半)
蕤仁(去壳) 赤芍药 大麻子仁(研) 麦门冬(去心焙) 朴硝(研各三两)
上一十味。捣研为末,炼蜜和丸,如梧桐子大,每服三十丸,熟水下,食后。
治风热目赤肿痛。洗眼秦皮汤方
秦皮 蕤仁 甘草(各一两半) 细辛(去苗叶一两) 栀子仁(七枚) 苦竹叶(五
十片)
青盐(少许)
上七味。 咀如麻豆大,以淡浆水四升,煎取二升,去滓微温一合,洗眼慎风。
治目风,睑 暴肿,日渐长大,如梅李核,或 肉疼痛,或小儿疳障。胡黄连散方
胡黄连 菊花(各二两) 黄芩(去黑心) 大黄(锉) 井泉石(各一两)
上五味。捣研为散,每用二钱匕,用猪子肝二两,竹刀细锉,以新汲水三合搅和,滤
取汁调下,小儿每服一钱匕。
治目风肿攀睛肤翳赤脉肿 。圆灵丸方
苍术(四两) 甘草(一两) 荆芥穗(二两) 牵牛子(用四两捣取末一两) 黄柏
(去粗皮
一两)
上五味。并生,捣罗为末,用蒸饼去皮,以蜜水蘸,令干湿得所,杵和丸如弹子大,每
服一丸,食后以荆芥茶嚼下,日三服。
治肝脏壅热,上冲眼目,令睑肉风肿。黄连丸方
黄连(去须一两半) 防风(去叉一两) 恶实(炒二两)
上三味焙过,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,食后温水下,临卧再服
治目风眼睑暴肿,凝结不散,甚则如梅李核。祛风散方
五倍子(椎碎去土一两) 蔓荆实(去白皮一两半)
上二味。捣罗为散,每用二钱匕,水二盏,银石器内,煎及一盏,去滓乘热淋洗。
论述说:肝脏气机有热,上冲引发眼睑,就会导致眼睑肌肉突然肿胀;若风冷之邪乘虚侵袭,则导致气血凝结不散,严重时肿胀增大,形状如同梅子或李子的果核,因此称为“风肿”。
治疗各种因风邪引起的眼部肿痛。茵陈蒿散方
茵陈蒿、荆芥穗、羌活(去除芦头)、木贼(切碎)、旋覆花、蔓荆实、甘草(炙后切碎)、川芎、苍术(用米泔水浸泡一夜后切片焙干)、蒺藜子(微炒后去掉刺角)、石决明、草决明(以上药材各等分)。
以上十二味药。捣碎过筛制成散剂,每次服用一钱匕,用刚打来的冷水调服,不限时间,每日三次。
治疗目风引起的肿痛。防风丸方
防风(去叉枝二两)、细辛(去苗叶一两半)、五味子(一两半)、茺蔚子(二两)、黄芩(去除黑心一两)、桔梗(切碎炒制一两)、车前子(二两)、知母(二两)、人参(一两)、玄参(一两)。
以上十味药。捣碎过筛制成粉末,用炼蜜调和做成丸药,大小如梧桐子,每次服用三十丸,用米汤送下,饭后服用。
治疗眼目风肿,兼治生翳膜等疾病。蝉壳散方
蝉壳、地骨皮、黄连(宣州产的去须)、牡丹皮(去心)、白术、苍术(用米泔水浸泡一夜后切片焙干)、菊花(以上各一两)、龙胆(半两)、甜瓜子(半升)。
以上九味药。捣碎过筛制成散剂,每次服用一钱半匕,用荆芥煎汤调服,饭后及临睡前各服一次,主要治疗时行疾病后,余毒上攻眼目的情况。
治疗风热毒气,突然冲击眼睛导致肿胀,白睛像水泡一样,疼痛得无法躺卧。栀子汤方
山栀子仁、升麻、决明子(微炒)、黄芩(去除黑心,各三分)、黄连(去须)、干蓝叶、大黄(切碎炒制,各一两)。
以上七味药。粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至八分,滤去药渣,加入朴硝末半钱匕。再次煮沸,放温后服用,临睡前再服一次。
治疗眼风肿热痛。大黄汤方
大黄(切碎炒制四两)、麻黄(去根节二两)、旋覆花(二两)、甘草(炙后切碎一两)、山栀子仁(二两)。
以上五味药。粗捣筛过,每次服用五钱匕,用水一盏半,煎取八分,滤去药渣,加入朴硝末半钱匕,饭后服用,临睡前再服一次。
治疗目风肿赤胀痛,毒气盛热泪流出。枳实汤方
枳实(去瓤麸炒)、苦参、车前子(以上各一两)、黄连(去须半两)。
以上四味药。粗捣筛过,每次服用五钱匕,用水一盏半,煎取八分,滤去药渣,饭后服用,临睡前再服一次。
治疗热风引起的目肿。豉心丸方
豉心(二两)、黄连(去须三两)。
以上两味药。捣碎过筛制成粉末,用炼蜜调和做成丸药,大小如梧桐子,每次服用三十丸,饭后用温水送下。
治疗眼风肿。吹鼻散方
枸杞白皮、鸡子白皮(以上等分)。
以上两味药。捣碎过筛制成散剂,又研磨至极细,每天三次,吹入鼻内。
治疗风热攻犯眼睛。羚羊角丸方
羚羊角(镑片)、蔓荆实(去皮)、甘菊花(微炒)、山栀子仁(以上各一两半)、防风(去叉枝二两半)、蕤仁(去壳)、赤芍药、大麻子仁(研碎)、麦门冬(去心焙干)、朴硝(研碎,以上各三两)。
以上十味药。捣碎研磨成粉末,用炼蜜调和做成丸药,大小如梧桐子,每次服用三十丸,用熟水送下,饭后服用。
治疗风热引起的目赤肿痛。洗眼秦皮汤方
秦皮、蕤仁、甘草(以上各一两半)、细辛(去苗叶一两)、栀子仁(七枚)、苦竹叶(五十片)、青盐(少许)。
以上七味药。切碎如麻豆大小,用淡浆水四升,煎取二升,滤去药渣,取一合微温的药液,清洗眼睛,注意避风。
治疗目风,眼睑突然肿胀,日渐长大,如同梅李果核,或者眼睑肉疼痛,或者是小儿疳积障翳。胡黄连散方
胡黄连、菊花(以上各二两)、黄芩(去除黑心)、大黄(切碎)、井泉石(以上各一两)。
以上五味药。捣碎研磨成散剂,每次用二钱匕,取猪子肝二两,用竹刀细细切碎,用新汲水三合搅拌混合,过滤取汁调服散剂,小儿每次服用一钱匕。
治疗目风肿攀睛肤翳赤脉肿。圆灵丸方
苍术(四两)、甘草(一两)、荆芥穗(二两)、牵牛子(取四两捣取末一两)、黄柏(去除粗皮一两)。
以上五味药。均生用,捣碎过筛制成粉末,用蒸饼去皮,蘸蜜水,使干湿适度,杵和做成如弹子大的丸药,每次服用一丸,饭后用荆芥茶嚼服,每日三次。
治疗肝脏壅滞有热,上冲眼目,导致眼睑肌肉风肿。黄连丸方
黄连(去须一两半)、防风(去叉枝一两)、恶实(炒二两)。
以上三味药焙干后,捣碎过筛制成粉末,用炼蜜调和做成丸药,大小如梧桐子,每次服用三十丸,饭后用温水送下,临睡前再服一次。
治疗目风眼睑突然肿胀,凝结不散,严重时如同梅李果核。祛风散方
五倍子(捶碎去土一两)、蔓荆实(去白皮一两半)。
以上两味药。捣碎过筛制成散剂,每次用二钱匕,水二盏,在银石器内煎煮至一盏,滤去药渣,趁热淋洗眼睛。
Discussion states: When Liver Qi has heat and rushes upward to affect the eyelids, it causes sudden swelling of the eyelid flesh. If wind-cold pathogens invade this condition, the pathogenic factors coagulate and do not dissipate. In severe cases, the swelling enlarges, resembling a plum or cherry pit; hence, it is termed "Wind Swelling."
Treatment for all types of eye pain and swelling caused by Wind pathogens. Yinchen Hao San (Artemisiae Scopariae Powder) Formula:
Artemisiae Scopariae Herba (Yinchen Hao), Schizonepetae Spica (Jingjie Sui), Notopterygii Rhizoma et Radix (Qianghuo, removed rhizome head), Equiseti Hiemalis Herba (Muzei, chopped), Inulae Flos (Xuanfu Hua), Viticis Fructus (Manjing Shi), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and chopped), Ligustici Chuanxiong Rhizoma (Chuanxiong), Atractylodis Macrocephalae Rhizoma (Cangzhu, soaked in rice wash water overnight, sliced, and baked), Tribuli Fructus (Jilizi, lightly stir-fried and thorns removed), Haliotidis Concha (Shijueming), Cassiae Semen (Juemingzi). (All ingredients in equal proportions).
The above twelve ingredients are crushed, sieved, and made into a powder. Take one qianbi (approx. 3-5g) per dose, mixed with fresh cold water. Administer at any time, three times daily.
Treatment for eye pain and swelling caused by Wind. Fangfeng Wan (Saposhnikoviae Pill) Formula:
Saposhnikoviae Radix (Fangfeng, removed twigs, 2 liang), Asari Radix et Rhizoma (Xixin, removed seedlings and leaves, 1.5 liang), Schisandrae Fructus (Wuweizi, 1.5 liang), Leonuri Fructus (Chongweizi, 2 liang), Scutellariae Radix (Huangqin, removed black heart, 1 liang), Platycodonis Radix (Jiegeng, chopped and stir-fried, 1 liang), Plantaginis Semen (Cheqianzi, 2 liang), Anemarrhenae Rhizoma (Zhimu, 2 liang), Ginseng Radix (Renshen, 1 liang), Scrophulariae Radix (Xuanshen, 1 liang).
The above ten ingredients are crushed, sieved, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take thirty pills per dose, swallowed with rice drink, after meals.
Treatment for eye Wind swelling, combined with diseases such as corneal opacity (Yi Mo). Chanke San (Cicada Slough Powder) Formula:
Cicadae Periostracum (Chanke), Lycii Cortex (Digupi), Coptidis Rhizoma (Huanglian, from Xuanzhou, removed threads), Moutan Cortex (Mudan, removed heart), Atractylodis Rhizoma (Baizhu), Atractylodis Macrocephalae Rhizoma (Cangzhu, soaked in rice wash water overnight, sliced, and baked), Chrysanthemi Flos (Juhua). (Each 1 liang). Gentianae Radix et Rhizoma (Longdan, 0.5 liang), Benincasae Semen (Tianguazi, 0.5 sheng).
The above nine ingredients are crushed, sieved, and made into a powder. Take 1.5 qianbi per dose, mixed with decoction of Schizonepetae Spica (Jingjie). Administer after meals and before retiring. This formula effectively treats eye attacks caused by residual toxins following epidemic febrile diseases.
Treatment for Wind-Heat toxic qi suddenly rushing to the eyes causing swelling, where the sclera resembles blisters, accompanied by pain preventing sleep. Zhizi Tang (Gardenia Decoction) Formula:
Gardeniae Fructus (Shanzhizi Ren), Cimicifugae Rhizoma (Shengma), Cassiae Semen (Juemingzi, lightly stir-fried), Scutellariae Radix (Huangqin, removed black heart, each 3 fen), Coptidis Rhizoma (Huanglian, removed threads), Isatidis Folium Dryum (Ganlan Ye), Rhei Radix et Rhizoma (Dahuang, chopped and stir-fried, each 1 liang).
The above seven ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 cups of water, boil until reduced to 0.8 cup, filter out dregs, and add 0.5 qianbi of Natrii Sulfas (Puxiao) powder. Boil again, let cool to warm temperature, and take. Take another dose before retiring.
Treatment for eye Wind swelling, heat, and pain. Dahuang Tang (Rhubarb Decoction) Formula:
Rhei Radix et Rhizoma (Dahuang, chopped and stir-fried, 4 liang), Ephedrae Herba (Mahuang, removed roots and joints, 2 liang), Inulae Flos (Xuanfu Hua, 2 liang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and chopped, 1 liang), Gardeniae Fructus (Shanzhizi Ren, 2 liang).
The above five ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 cups of water, boil until reduced to 0.8 cup, filter out dregs, and add 0.5 qianbi of Natrii Sulfas (Puxiao) powder. Take after meals, and another dose before retiring.
Treatment for eye Wind swelling, redness, distending pain, abundant toxic heat, and tearing. Zhishi Tang (Immature Bitter Orange Decoction) Formula:
Aurantii Fructus Immaturus (Zhishi, removed pulp and bran-roasted), Sophorae Flavescentis Radix (Kushen), Plantaginis Semen (Cheqianzi). (Each 1 liang), Coptidis Rhizoma (Huanglian, removed threads, 0.5 liang).
The above four ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 cups of water, boil until reduced to 0.8 cup, filter out dregs. Take after meals, and another dose before retiring.
Treatment for Wind-Heat causing eye swelling. Shixin Wan (Fermented Soybean Heart Pill) Formula:
Sojae Semens Praeparatum (Shixin, 2 liang), Coptidis Rhizoma (Huanglian, removed threads, 3 liang).
The above two ingredients are crushed, sieved, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take thirty pills per dose, swallowed with warm water after meals.
Treatment for eye Wind swelling. Chuibi San (Nasal Insufflation Powder) Formula:
Lycii Cortex (Gouqi Baipi), Gallus Galli Albumen Membrana (Jizi Baipi). (Equal proportions).
The above two ingredients are crushed, sieved, and ground extremely fine. Apply to the nose three times daily via insufflation.
Treatment for Wind-Heat attacking the eyes. Lingyangjiao Wan (Antelope Horn Pill) Formula:
Saiga Tatarica Cornu (Lingyangjiao, shaved), Viticis Fructus (Manjing Shi, peeled), Chrysanthemi Indici Flos (Ganjuhua, lightly stir-fried), Gardeniae Fructus (Shanzhizi Ren). (Each 1.5 liang), Saposhnikoviae Radix (Fangfeng, removed twigs, 2.5 liang), Prunus Persica Seed (Ruiren, shelled), Paeoniae Radix Rubra (Chishaoyao), Cannabis Fructus (Dama Zi Ren, pounded), Ophiopogonis Tuber (Maidong, removed heart and baked), Natrii Sulfas (Puxiao, pounded). (Each 3 liang).
The above ten ingredients are crushed, ground into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take thirty pills per dose, swallowed with cooked water after meals.
Treatment for Wind-Heat causing redness and painful swelling of the eyes. Qinpi Tang (Fraxinus Decoction for Eye Washing) Formula:
Fraxini Cortex (Qinpi), Prunus Persica Seed (Ruiren), Glycyrrhizae Radix et Rhizoma (Gancao). (Each 1.5 liang), Asari Radix et Rhizoma (Xixin, removed seedlings and leaves, 1 liang), Gardeniae Fructus (Zhizi Ren, 7 pieces), Phyllostachys Viridis Folium (Kuzhuye, 50 leaves), Natrii Chloridum (Qingyan, a small amount).
The above seven ingredients are cut into sizes similar to hemp seeds. Add 4 sheng of light fermented grain water, boil until reduced to 2 sheng, filter out dregs. Take 1 he of the liquid, warm slightly, and wash the eyes. Avoid wind.
Treatment for eye Wind, sudden eyelid swelling that gradually enlarges like a plum or cherry pit, or eyelid flesh pain, or pediatric malnutrition-related corneal opacity (Gan Zhang). Huhuanglian San (Coptidis Rhizoma Substitute Powder) Formula:
Cosmoscorodes Radix (Huhuanglian), Chrysanthemi Flos (Juhua). (Each 2 liang), Scutellariae Radix (Huangqin, removed black heart), Rhei Radix et Rhizoma (Dahuang, chopped), Jingquanshi (Well Spring Stone). (Each 1 liang).
The above five ingredients are crushed, ground, and made into a powder. Use 2 qianbi per dose. Take 2 liang of pig liver, finely chop with a bamboo knife, mix with 3 he of fresh cold water, stir, filter to extract juice, and use this juice to dissolve the powder. For children, take 1 qianbi per dose.
Treatment for eye Wind swelling, pterygium-like growths, corneal opacity, red vessels, and swelling. Yuanling Wan (Circle Spirit Pill) Formula:
Atractylodis Macrocephalae Rhizoma (Cangzhu, 4 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang), Schizonepetae Spica (Jingjie Sui, 2 liang), Sedgeae Fructus (Qianniu Zi, take 4 liang, pound to obtain 1 liang of powder), Phellodendri Cortex (Huangbai, removed rough bark, 1 liang).
The above five ingredients are used raw, crushed, sieved, and made into powder. Use steamed dough (removed skin), dipped in honey water to achieve appropriate moisture content, knead, and form pills the size of bullet shots. Take one pill per dose, chewed down with Jingjie tea after meals, three times daily.
Treatment for Liver organ stagnation with heat rushing upward to the eyes, causing Wind swelling of the eyelid flesh. Huanglian Wan (Coptis Pill) Formula:
Coptidis Rhizoma (Huanglian, removed threads, 1.5 liang), Saposhnikoviae Radix (Fangfeng, removed twigs, 1 liang), Arctii Fructus (Eshi, stir-fried, 2 liang).
The above three ingredients are baked, crushed, sieved, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take thirty pills per dose, swallowed with warm water after meals, and another dose before retiring.
Treatment for eye Wind causing sudden eyelid swelling that coagulates and does not dissipate, severely resembling a plum or cherry pit. Qufeng San (Expel Wind Powder) Formula:
Myrobalani Fructus (Wubeizi, pounded to remove earth, 1 liang), Viticis Fructus (Manjing Shi, removed white skin, 1.5 liang).
The above two ingredients are crushed, sieved, and made into a powder. Use 2 qianbi per dose, add 2 cups of water, boil in a silver or ceramic vessel until reduced to 1 cup, filter out dregs, and rinse the eyes while hot.