论曰目病先头痛,牵连眉骨,攻冲睛瞳者,盖阳经壅热,风毒上攻头脑,下连目系,致
生赤脉,心烦懊闷,呕逆怔忪,头面 热,神志不宁,痛久不已,或见飞花,渐致昏暗,及
生翳障也。
治风热上攻,眼眉骨连头疼痛。防风汤方
防风(去叉三分) 甘菊花 羌活(去芦头) 本(去苗土各一两) 石膏(二两) 旋
复花
蔓荆实 甘草(炙各半两)
上八味。粗捣筛,每服四钱匕,以水一盏,入生姜一枣大切,煎取七分,去滓温服食后
,日二。
治目痛,上连头脑。芎 汤方
芎 羌活(去芦头) 蔓荆实 甘菊花 黄芩(去黑心) 防风(去叉各一两) 枳
壳(去
瓤麸炒) 甘草(炙各半两) 石膏(二两)
上九味。粗捣筛,每服三钱匕,以水一盏,煎取七分,去滓温服,食后临卧,日再。
治风毒所攻,头目俱痛,及眉骨额角疼。羚羊角汤方
羚羊角(屑) 防风(去叉) 地骨皮 麦门冬(去心焙) 茯神(去木各一两) 黄
芩(去黑
心) 枳壳(去瓤麸炒) 蕤仁(汤浸去皮) 芒硝(各半两) 甘草(炙三分) 升麻(三
分) 石
膏(二两)
上一十二味。粗捣筛,每服三钱匕,以水一盏,煎取七分,去滓温服、食后。
治风热毒瓦斯,攻冲阳经,头痛目疼,连绕眉额。荆芥汤方
荆芥穗 防风(去叉) 甘菊 旋复花 芎 枳壳(去瓤麸炒) 甘草(炙各一两) 石
膏
(二两) 黄芩(去黑心半两)
上九味。粗捣筛,每服五钱匕,以水一盏半,入生姜半分切,煎取七分,去滓温服。食
后、日二。
治肝心壅热,目睛疼痛,牵连眉额。天麻丸方
天麻 鸡苏 独活(去芦头) 人参 芎 (各一两) 荆芥穗 细辛(去苗叶) 甘
草(炙)
犀角屑(各半两)
上九味。捣罗为末,炼蜜和丸,樱桃大,每服一丸嚼,细茶清下,食后服。
治风热头目疼痛,连绕额角。香甲散方
甘菊花(二两) 芎 (一两) 甘草(生用) 青橘皮(汤浸去白焙) 檀香(锉各
半两)
上五味。捣罗为散,每服二盏匕,沸汤入盐少许点服,不拘时候。
治风气上攻,眼睛疼痛,牵连头脑。细辛散方
细辛(去苗叶) 甘菊花 枳壳(去瓤麸炒) 赤芍药(各半两) 石膏(细研水飞)
本(
去苗土) 芎
防风(去叉各一两) 甘草(炙一分)
上九味。捣研为散,每服二钱匕,沸汤调下,食后,日二三服。
治风头目痛,及偏头痛。通顶散方
地龙(去土) 龙脑(研) 瓜蒂 赤小豆 马牙硝(各等分)
上五味。捣研为细散,每用一小豆许,吹入鼻内,偏头痛随左右用,含水搐尤佳。
治眼眉骨,及头脑俱痛。地龙散方
地龙(三钱去土) 谷精草(二钱) 乳香(锉一钱)
上三味。捣研为细散,每用半钱,于烧香饼子上取烟,用纸筒子罩熏鼻中,偏痛随左右
用之。
治肝脏受风,胸膈痰饮,头目俱痛,渐生翳障。独活丸方
独活(去芦头二两) 旋复花(去土半两) 牵牛子(微炒半两) 天南星(炮半两)
本(
去苗土半两) 天麻(二两) 芎 (二两) 细辛(去苗叶半两) 菊花(一两)
上九味。捣罗为细末,生姜汁煮糊,丸如梧桐子大,每服二十丸,荆芥汤下,食后服。
治眉骨太阳穴头面俱痛,眼见黑花,目渐昏暗。芎菊散方
芎 (二两) 菊花(一两) 白芷(二两) 细辛(去苗叶半两) 石膏(水飞半两)
防风(
去叉二两) 甘草(炙半两)
上七味。捣罗为细散,每服一钱匕,茶调食后服。
治胸膈风痰,头目旋晕,时发昏痛。天麻丸方
天麻(一两半) 羌活(去芦头一两半) 芎 (一两半) 羚羊角(镑一两) 干薄
荷叶(二
两) 人参(一两) 干蝎(炒四钱) 白僵蚕(直者微炙一两) 天南星(牛胆制者半两)
龙脑
麝香(各二钱研)
上一十一味。先将九味,捣罗为末,入龙脑麝香同研匀,炼蜜和丸,如鸡头大,以丹砂
为衣,每服一丸,细嚼、茶酒任下,食后服。
治头目偏痛,时多晕眩,鼻中壅塞,不闻香臭。芎辛散方
芎 白附子(各三钱) 细辛(去苗叶一钱) 滑石 槐芽(各三钱)
上五味。捣罗为细散,入生龙脑半钱匕,同研极细,每用一字,搐入鼻中。
论述说:眼部疾病首先出现头痛,牵连眉骨,攻冲睛瞳的,是因为阳经壅滞热邪,风毒上攻头脑,下连目系,导致产生赤脉(眼结膜充血),心烦懊闷,呕吐逆气,心悸怔忡,头面发热,神志不宁,疼痛日久不止,或者看见飞花(视物有黑影飘动),逐渐导致视力昏暗,以及产生翳障(角膜混浊或白内障等)的情况。
治疗风热上攻,眼眉骨连带头部疼痛的防风汤方:
防风(去叉三分)、甘菊花、羌活(去芦头)、藁本(去苗土各一两)、石膏(二两)、旋复花、蔓荆实、甘草(炙各半两)。
以上八味药。粗捣筛碎,每次服用四钱匕,用水一盏,加入生姜一大块切薄片,煎取七分药液,去渣温服,饭后服用,每日两次。
治疗眼痛,向上牵连头部的芎䓖汤方:
川芎、羌活(去芦头)、蔓荆实、甘菊花、黄芩(去黑心)、防风(去叉各一两)、枳壳(去瓤麸炒)、甘草(炙各半两)、石膏(二两)。
以上九味药。粗捣筛碎,每次服用三钱匕,用水一盏,煎取七分药液,去渣温服,饭后及临睡前服用,每日两次。
治疗风毒所攻,头目俱痛,以及眉骨额角疼痛的羚羊角汤方:
羚羊角(屑)、防风(去叉)、地骨皮、麦门冬(去心焙)、茯神(去木各一两)、黄芩(去黑心)、枳壳(去瓤麸炒)、蕤仁(汤浸去皮)、芒硝(各半两)、甘草(炙三分)、升麻(三分)、石膏(二两)。
以上十二味药。粗捣筛碎,每次服用三钱匕,用水一盏,煎取七分药液,去渣温服,饭后服用。
治疗风热毒瓦斯,攻冲阳经,头痛目疼,连带环绕眉额的荆芥汤方:
荆芥穗、防风(去叉)、甘菊、旋复花、川芎、枳壳(去瓤麸炒)、甘草(炙各一两)、石膏(二两)、黄芩(去黑心半两)。
以上九味药。粗捣筛碎,每次服用五钱匕,用水一盏半,加入生姜半分切,煎取七分药液,去渣温服。饭后服用,每日两次。
治疗肝心壅热,眼睛疼痛,牵连眉额的天麻丸方:
天麻、鸡苏、独活(去芦头)、人参、川芎(各一两)、荆芥穗、细辛(去苗叶)、甘草(炙)、犀角屑(各半两)。
以上九味药。捣罗成末,炼蜜和丸,如樱桃大小,每次服用一丸嚼碎,用细茶清送下,饭后服用。
治疗风热头目疼痛,连带环绕额角的香甲散方:
甘菊花(二两)、川芎(一两)、甘草(生用)、青橘皮(汤浸去白焙)、檀香(锉各半两)。
以上五味药。捣罗成散剂,每次服用二盏匕,用沸水加入少许盐点服,不拘时候。
治疗风气上攻,眼睛疼痛,牵连头脑的细辛散方:
细辛(去苗叶)、甘菊花、枳壳(去瓤麸炒)、赤芍药(各半两)、石膏(细研水飞)、藁本(去苗土)、川芎、防风(去叉各一两)、甘草(炙一分)。
以上九味药。捣研成散剂,每次服用二钱匕,用沸水调下,饭后服用,每日二至三次。
治疗风头目痛,以及偏头痛的通顶散方:
地龙(去土)、龙脑(研)、瓜蒂、赤小豆、马牙硝(各等分)。
以上五味药。捣研成细散,每次取一小豆许量,吹入鼻内,偏头痛随左右侧使用,含水搐鼻效果更佳。
治疗眼眉骨及头脑俱痛的地龙散方:
地龙(三钱去土)、谷精草(二钱)、乳香(锉一钱)。
以上三味药。捣研成细散,每次取半钱,在烧香的饼子上取烟,用纸筒罩住熏鼻中,偏痛随左右侧使用。
治疗肝脏受风,胸膈痰饮,头目俱痛,逐渐产生翳障的独活丸方:
独活(去芦头二两)、旋复花(去土半两)、牵牛子(微炒半两)、天南星(炮半两)、藁本(去苗土半两)、天麻(二两)、川芎(二两)、细辛(去苗叶半两)、菊花(一两)。
以上九味药。捣罗成细末,用生姜汁煮糊,丸如梧桐子大,每次服用二十丸,用荆芥汤送下,饭后服用。
治疗眉骨太阳穴头面俱痛,眼见黑花,眼睛逐渐昏暗的芎菊散方:
川芎(二两)、菊花(一两)、白芷(二两)、细辛(去苗叶半两)、石膏(水飞半两)、防风(去叉二两)、甘草(炙半两)。
以上七味药。捣罗成细散,每次服用一钱匕,用茶调匀饭后服用。
治疗胸膈风痰,头目旋晕,时常发作昏痛的另一种天麻丸方:
天麻(一两半)、羌活(去芦头一两半)、川芎(一两半)、羚羊角(镑一两)、干薄荷叶(二两)、人参(一两)、干蝎(炒四钱)、白僵蚕(直者微炙一两)、天南星(牛胆制者半两)、龙脑、麝香(各二钱研)。
以上十一味药。先将前九味药捣罗成末,加入龙脑麝香同研均匀,炼蜜和丸,如鸡头大,以丹砂为衣,每次服用一丸,细嚼后用茶或酒送下,饭后服用。
治疗头目偏痛,时常多晕眩,鼻中壅塞,闻不到香臭的芎辛散方:
川芎、白附子(各三钱)、细辛(去苗叶一钱)、滑石、槐芽(各三钱)。
以上五味药。捣罗成细散,加入生龙脑半钱匕,同研极细,每次取一字量,搐入鼻中。
Discussion states: When eye diseases first present with headache, radiating to the eyebrow bones and attacking the pupil, it is due to the stagnation of heat in the Yang meridians (Yang Meridians), where wind-toxin attacks the head from below and connects to the eye system, causing red veins (conjunctival hyperemia), mental restlessness and oppression, vomiting and regurgitation, palpitations, heat in the head and face, unsettled spirit, prolonged unceasing pain, or seeing flying flowers (visual floaters), gradually leading to dimness of vision, and the formation of nebulae (corneal opacity or cataracts).
Fangfeng Decoction for treating wind-heat attacking upward, causing pain in the eyes, eyebrow bones, and connected head.
Ingredients: Fangfeng (Saposhnikoviae Radix, prepared by removing twigs) 3 fen; Gan Juhua (Chrysanthemi Flos); Qianghuo (Notopterygii Rhizoma et Radix, prepared by removing rhizome stump); Ben Cao (Ligustici Rhizoma, prepared by removing seedlings and soil) 1 liang each; Shigao (Gypsum Fibrosum) 2 liang; Xuanfu Hua (Inulae Flos); Manjingzi (Viticis Fructus); Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 0.5 liang each.
Preparation: The above eight herbs are coarsely crushed and sifted. Each dose consists of 4 qianbi (approx. 4-6 grams), boiled in one zhan (approx. 200ml) of water with one large piece of roughly chopped fresh ginger. Decoct until seven-tenths remain, strain, and take warm after meals, twice daily.
Xiongqu Tang for treating eye pain radiating upward to the head.
Ingredients: Xiongqu (Ligustici Chuanxiong Rhizoma); Qianghuo (Notopterygii Rhizoma et Radix, prepared by removing rhizome stump); Manjingzi (Viticis Fructus); Gan Juhua (Chrysanthemi Flos); Huangqin (Scutellariae Radix, prepared by removing black heart); Fangfeng (Saposhnikoviae Radix, prepared by removing twigs) 1 liang each; Zhike (Aurantii Fructus, prepared by removing pulp and stir-fried with bran); Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 0.5 liang each; Shigao (Gypsum Fibrosum) 2 liang.
Preparation: The above nine herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until seven-tenths remain. Strain and take warm after meals and before retiring, twice daily.
Lingyangjiao Tang for treating pain in both head and eyes caused by wind-toxin attack, as well as pain in the eyebrow bones and frontal angles.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu, powdered); Fangfeng (Saposhnikoviae Radix, prepared by removing twigs); Digupi (Lycii Cortex); Maimendong (Ophiopogonis Radix, prepared by removing heart and roasting); Fushen (Poria with Hostwood, prepared by removing wood) 1 liang each; Huangqin (Scutellariae Radix, prepared by removing black heart); Zhike (Aurantii Fructus, prepared by removing pulp and stir-fried with bran); Ruiren (Pruni Armeniaci Semen) prepared by soaking in hot water and peeling; Mangxiao (Natrii Sulfas) 0.5 liang each; Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 3 fen; Shengma (Cimicifugae Rhizoma) 3 fen; Shigao (Gypsum Fibrosum) 2 liang.
Preparation: The above twelve herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until seven-tenths remain. Strain and take warm after meals.
Jingjie Tang for treating wind-heat toxic qi attacking the Yang meridians, causing headache and eye pain radiating around the eyebrows and forehead.
Ingredients: Jingjie Sui (Schizonepetae Spica); Fangfeng (Saposhnikoviae Radix, prepared by removing twigs); Gan Ju (Chrysanthemi Flos); Xuanfu Hua (Inulae Flos); Xiongqu (Ligustici Chuanxiong Rhizoma); Zhike (Aurantii Fructus, prepared by removing pulp and stir-fried with bran); Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 1 liang each; Shigao (Gypsum Fibrosum) 2 liang; Huangqin (Scutellariae Radix, prepared by removing black heart) 0.5 liang.
Preparation: The above nine herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in one and a half zhan of water with half a portion of chopped fresh ginger. Decoct until seven-tenths remain, strain, and take warm after meals, twice daily.
Tianma Wan for treating liver and heart heat stagnation causing eye pain radiating to the eyebrows and forehead.
Ingredients: Tianma (Gastrodiae Rhizoma); Jisu (Elsholtziae Herba); Duhuo (Angelicae Pubescentis Radix, prepared by removing rhizome stump); Renshen (Ginseng Radix); Xiongqu (Ligustici Chuanxiong Rhizoma) 1 liang each; Jingjie Sui (Schizonepetae Spica); Xixin (Asari Radix et Rhizoma, prepared by removing seedlings and leaves); Gancao (Glycyrrhizae Radix et Rhizoma, roasted); Xijiao Xie (Rhinocerotis Cornu, powdered) 0.5 liang each.
Preparation: The above nine herbs are pounded into powder, mixed with refined honey to form pills the size of a cherry. Take one pill per dose, chew thoroughly, and swallow with clear fine tea decoction after meals.
Xiangjia San for treating wind-heat headache and eye pain radiating around the frontal angles.
Ingredients: Gan Juhua (Chrysanthemi Flos) 2 liang; Xiongqu (Ligustici Chuanxiong Rhizoma) 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, raw); Qingju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, and dried); Tanxiang (Santalum Album Lignum, sliced) 0.5 liang each.
Preparation: The above five herbs are pounded into a powder. Each dose consists of two zhanbi, taken with boiling water mixed with a little salt, at any time.
Xixin San for treating wind qi attacking upward, causing eye pain radiating to the head.
Ingredients: Xixin (Asari Radix et Rhizoma, prepared by removing seedlings and leaves); Gan Juhua (Chrysanthemi Flos); Zhike (Aurantii Fructus, prepared by removing pulp and stir-fried with bran); Chi Shaoyao (Paeoniae Radix Rubra) 0.5 liang each; Shigao (Gypsum Fibrosum, finely ground and washed with water); Ben Cao (Ligustici Rhizoma, prepared by removing seedlings and soil); Xiongqu (Ligustici Chuanxiong Rhizoma); Fangfeng (Saposhnikoviae Radix, prepared by removing twigs) 1 liang each; Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 1 fen.
Preparation: The above nine herbs are pounded and ground into a powder. Each dose consists of 2 qianbi, taken with boiling water after meals, two to three times daily.
Tongding San for treating headache and eye pain, as well as hemicrania.
Ingredients: Dilong (Pheretima, cleaned of soil); Longnao (Borneolum Syntheticum, ground); Gudi (Trichosanthis Fructus Seed); Chi Xiaodou (Phaseoli Angularis Semen); Mayaxiao (Natrii Sulfatis Crystallis) equal parts.
Preparation: The above five herbs are pounded and ground into a fine powder. Use a small amount equivalent to a small bean, insufflated into the nostrils. For hemicrania, use according to the affected side. It is especially effective if done while holding water in the mouth.
Dilong San for treating pain in the eyebrow bones and head simultaneously.
Ingredients: Dilong (Pheretima, cleaned of soil) 3 qian; Gujingcao (Euphrasiae Herba) 2 qian; Ruxiang (Olibanum, sliced) 1 qian.
Preparation: The above three herbs are pounded and ground into a fine powder. Use half a qian per dose. Take smoke from incense burned on an incense cake, cover the nose with a paper tube, and fumigate. Use according to the side of pain.
Duhuo Wan for treating liver affected by wind, phlegm-fluid retention in the chest and diaphragm, simultaneous head and eye pain, and gradual formation of nebulae.
Ingredients: Duhuo (Angelicae Pubescentis Radix, prepared by removing rhizome stump) 2 liang; Xuanfu Hua (Inulae Flos, cleaned of soil) 0.5 liang; Qianniu Zi (Pharbitidis Semen, lightly stir-fried) 0.5 liang; Tiannanxing (Arisaematis Rhizoma, processed) 0.5 liang; Ben Cao (Ligustici Rhizoma, prepared by removing seedlings and soil) 0.5 liang; Tianma (Gastrodiae Rhizoma) 2 liang; Xiongqu (Ligustici Chuanxiong Rhizoma) 2 liang; Xixin (Asari Radix et Rhizoma, prepared by removing seedlings and leaves) 0.5 liang; Juhua (Chrysanthemi Flos) 1 liang.
Preparation: The above nine herbs are pounded into a fine powder. Make paste with fresh ginger juice and form pills the size of wutong seeds. Take 20 pills per dose, swallowed with Jingjie Tang decoction after meals.
Xiongju San for treating pain in the eyebrow bones, temporal regions, and face, seeing black flowers, and gradual dimness of vision.
Ingredients: Xiongqu (Ligustici Chuanxiong Rhizoma) 2 liang; Juhua (Chrysanthemi Flos) 1 liang; Baizhi (Angelicae Dahuricae Radix) 2 liang; Xixin (Asari Radix et Rhizoma, prepared by removing seedlings and leaves) 0.5 liang; Shigao (Gypsum Fibrosum, washed with water) 0.5 liang; Fangfeng (Saposhnikoviae Radix, prepared by removing twigs) 2 liang; Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 0.5 liang.
Preparation: The above seven herbs are pounded into a fine powder. Take 1 qianbi per dose, mixed with tea and taken after meals.
Tianma Wan for treating wind-phlegm in the chest and diaphragm, dizziness of head and eyes, and frequent episodes of fainting pain.
Ingredients: Tianma (Gastrodiae Rhizoma) 1.5 liang; Qianghuo (Notopterygii Rhizoma et Radix, prepared by removing rhizome stump) 1.5 liang; Xiongqu (Ligustici Chuanxiong Rhizoma) 1.5 liang; Lingyangjiao (Saigae Tataricae Cornu, shaved) 1 liang; Gan Boheyeye (Dry Thin Lotus Leaf) 2 liang; Renshen (Ginseng Radix) 1 liang; Ganxie (Dry Scorpion, stir-fried) 4 qian; Baijiangcan (Bombyx Batryticatus, straight ones slightly roasted) 1 liang; Tiannanxing (Arisaematis Rhizoma, prepared with ox gall) 0.5 liang; Longnao (Borneolum Syntheticum); Shexiang (Moschus) 2 qian each, ground.
Preparation: First, pound the first nine herbs into powder. Mix with Longnao and Shexiang evenly. Combine with refined honey to form pills the size of a corn kernel, coated with Cinnabar. Take one pill per dose, chew thoroughly, and swallow with tea or wine after meals.
Xiongxin San for treating hemicrania of head and eyes, frequent dizziness, nasal congestion, and loss of smell.
Ingredients: Xiongqu (Ligustici Chuanxiong Rhizoma); Baifuzi (Typhonii Rhizoma) 3 qian each; Xixin (Asari Radix et Rhizoma, prepared by removing seedlings and leaves) 1 qian; Huashi (Talcum); Huaiya (Sophorae Flavescentis Germen) 3 qian each.
Preparation: The above five herbs are pounded into a fine powder. Add half a qianbi of raw Longnao (Borneolum Syntheticum) and grind extremely fine. Use a "zi" amount (approx. 0.5-1 gram), insufflated into the nostrils.