阴阳以和为本。过与不及。病皆生焉。急者紧缩不解也。弛者宽纵不收也。紧缩属阳。宽纵属阴。不解不收。
皆为病也。手太阴肺。为辛为金也。主一身皮毛。而目之上下睫之外者。亦其属也。手少阴心为丁。手太阳
小肠为丙。丙丁为火。故为表里。故分上下。而目之上下睫之内者。亦其属也。足厥阴肝为乙。乙为木。其脉
循上睫之内。火其子也。故与心合。心肝小肠。三经受邪。则阳火内盛。故上下睫之内。紧缩而不解也。肺金
为火克。则受克者必衰。衰则阴气外行。故目之上下睫之外者。宽纵而不收也。上下睫既内急外弛。故睫
毛皆倒而刺里。睛既受刺。则深赤生翳。此翳者。睛受损也。故目所病者皆具。如羞明沙涩。畏风怕日。沁烂
或痛或痒。生眵流泪等证俱见。有用药夹。施于上睫之外者。欲弛者急。急者弛。欲睫毛无倒刺之患者。非
其治也。此徒能解厄于目前。而终复其病也。何则。为不审过与不及也。为不能除其病原也。治法。当攀出
内睑向外。速以三棱针。刺拨出血。以左手大指甲迎其针锋。后以黄 防风饮子主之。无比蔓荆子汤主
之。决明益阴丸主之。菊花决明散主之。 鼻碧云散亦宜兼用。如是。则紧缩自弛。宽纵渐急。或过不及。皆
复为和。夹治之法。慎勿施也。徒为苦耳。智者宜审此。
黄 防风饮子(治眼棱紧急。以致倒睫拳毛。损睛生翳。及上下睑 赤烂。羞涩难开。眵泪稠粘。)
蔓荆子 黄芩(各钱半) 黄 (蜜制) 防风(各八分) 北细辛(二分) 甘草(炙五分)
葛根(一钱)
上锉剂。白水二钟。煎至一钟。去滓。大热服。
上方以蔓荆子、细辛为君。除手太阳手少阴之邪。肝为二经之母。子平母安。此实则泻其子也。以甘草、
葛根为臣。治足太阴足阳明之弱。肺为二经之子。母薄子单。此虚则补其母也。黄 实皮毛。防风散滞
气。用之以为佐。黄芩疗湿热。去目中赤肿。为之使也。
无比蔓荆子汤(治证同上)
黄 (一钱二分) 川黄连(七分) 人参 甘草(各一钱) 柴胡(七分) 蔓荆子 当归 葛根 防风(各五
分) 细辛叶(三分)
上锉剂。白水二钟。煎至一钟。去滓温服。
上方为肺气虚。黄 、人参实之为君。心受邪耶。黄连除之。肝受邪耶。柴胡除之。小肠受邪耶。蔓荆子除
之。为臣。当归和血。葛根解肌。为佐。防风疗风散滞。生甘草大泻热火。细辛通利九窍。用叶者。取其升上
之意。为使也。
阴阳以和谐为根本。太过或不及,疾病便由此产生。急是指紧缩而不能舒展,弛是指宽纵而不能收敛。紧缩属于阳,宽纵属于阴。不能舒展、不能收敛,都是病态。
手太阴肺经,五行属辛金,主管全身的皮毛,而眼睛上下眼睑的外侧部分,也归属于它。手少阴心经属丁火,手太阳小肠经属丙火,丙丁均属火,所以它们互为表里,分别对应上部和下部,而眼睛上下眼睑的内侧部分,也归属于它们。足厥阴肝经属乙木,乙属木,其经脉循行于上眼睑的内侧,木是火的“子”(根据五行相生关系,木生火),所以它与心经相合。如果心、肝、小肠这三条经脉受到邪气侵袭,就会导致阳火在内过盛,所以上下眼睑的内侧会紧缩而不能舒展。
肺金被火克制,那么受克的一方必然衰弱。衰弱则阴气向外运行,所以眼睛上下眼睑的外侧会变得宽纵而不能收敛。既然上下眼睑出现了内侧紧急、外侧松弛的情况,睫毛就会全部向内倒刺入眼球内部。眼球既受到睫毛的刺伤,就会出现深红色并生成翳障。这种翳障,是因为眼球受损所致。因此,眼部出现的各种病症都会具备,比如畏光、沙涩感、怕风怕日、溃烂、疼痛或瘙痒、眼屎增多流泪等症状都会出现。
如果有用药夹,施用于上眼睑外侧的方法,目的是让松弛的变得紧急,让紧急的变得松弛,想要消除睫毛倒刺危害的人,如果不采用这种治法,是不能解决问题的。这只能暂时解除眼前的危难,但最终疾病还是会复发。为什么呢?因为没有仔细审视“太过与不及”的原因,也没有能去除疾病的根源。治疗方法,应当将内睑翻出向外,迅速用三棱针刺破出血,用左手的大指甲抵住针锋引导,随后用黄芪防风饮子主治。也可以用无比蔓荆子汤主治。或者用决明益阴丸主治。菊花决明散主治。鼻用碧云散也适宜兼用。像这样,紧缩的自然就会松弛,宽纵的逐渐就会紧急,无论是太过还是不及,都能恢复和谐。药夹治疗的方法,千万不要施用,只会徒增痛苦。明智的人应该审察这一点。
黄芪防风饮子(治疗眼棱紧急,导致倒睫拳毛,损伤眼球生成翳障,以及上下眼睑红肿溃烂,羞涩难开,眼屎眼泪稠粘。)
蔓荆子、黄芩(各一钱半)、黄芪(蜜制)、防风(各八分)、北细辛(二分)、甘草(炙,五分)、葛根(一钱)。
以上药材切碎,用水两钟,煎煮至一钟,去渣,大热服用。
上方以蔓荆子、细辛为君药,祛除手太阳、手少阴经的邪气。肝是这两条经脉的“母”(五行中水生木,此处逻辑似有特定语境或笔误,通常木生火,肝木为心火之母,但原文说肝为二经之母,可能指肝木生心火/小肠火,故肝为母),子平则母安,这是“实则泻其子”的方法。以甘草、葛根为臣药,治疗足太阴、足阳明经的虚弱。肺是这两条经脉的“子”(土生金,脾胃为肺之母,故肺为子),母薄子单,这是“虚则补其母”的方法。黄芪充实皮毛,防风疏散滞气,用作佐药。黄芩治疗湿热,去除眼中的赤肿,用作使药。
无比蔓荆子汤(治疗症状同上)
黄芪(一钱二分)、川黄连(七分)、人参、甘草(各一钱)、柴胡(七分)、蔓荆子、当归、葛根、防风(各五分)、细辛叶(三分)。
以上药材切碎,用水两钟,煎煮至一钟,去渣温服。
上方因为肺气虚,用黄芪、人参来充实它,作为君药。心经受邪吗?用黄连清除它。肝经受邪吗?用柴胡清除它。小肠经受邪吗?用蔓荆子清除它,作为臣药。当归调和血液,葛根解肌,作为佐药。防风治疗风邪疏散滞气,生甘草大力泻热火,细辛通利九窍,使用细辛叶,是取其上升之意,作为使药。
Yin and Yang take harmony as their foundation. Excess or deficiency gives rise to disease. "Ji" (Urgency/Tightness) refers to contraction that cannot be resolved; "Chi" (Laxity/Relaxation) refers to looseness that cannot be gathered. Contraction belongs to Yang, while looseness belongs to Yin. Inability to resolve or gather constitutes pathology.
The Hand-Taiyin Lung Meridian corresponds to Xin Metal in the Heavenly Stems and governs the skin and hair of the entire body. The outer aspects of the upper and lower eyelids also belong to it. The Hand-Shaoyin Heart Meridian corresponds to Ding Fire, and the Hand-Taiyang Small Intestine Meridian corresponds to Bing Fire. Since Bing and Ding both belong to Fire, they are exterior-interior pairs, dividing the upper and lower regions. The inner aspects of the upper and lower eyelids also belong to them. The Foot-Jueyin Liver Meridian corresponds to Yi Wood. Its meridian channel circulates along the inner aspect of the upper eyelid. As Wood is the "Son" of Fire (Wood generates Fire), it harmonizes with the Heart. If the Heart, Liver, and Small Intestine meridians are invaded by pathogenic factors, internal Yang-Fire becomes excessive. Consequently, the inner aspects of the upper and lower eyelids contract and remain unresolved.
Metal of the Lung is controlled by Fire; thus, the controlled party inevitably weakens. Weakness allows Yin Qi to move outward. Therefore, the outer aspects of the upper and lower eyelids become loose and fail to gather. Since the upper and lower eyelids exhibit inner urgency and outer laxity, the eyelashes turn inward and pierce the interior of the eye. Once the eyeball is pierced, it becomes deeply red and develops nebulae (corneal opacities). These nebulae result from damage to the eyeball. Thus, all eye diseases manifest: photophobia, gritty sensation, aversion to wind and sunlight, erosion, pain or itching, increased discharge, and tearing.
If medicinal clamps are applied to the outer side of the upper eyelid to make lax parts urgent and urgent parts lax, aiming to prevent harm from inverted eyelashes, this is not the correct treatment. It only resolves immediate distress but fails to cure the disease ultimately. Why? Because it does not examine the causes of excess and deficiency, nor does it eliminate the root cause of the disease. The treatment method should involve everting the inner eyelid outward and rapidly puncturing with a three-edged needle to bleed. Use the thumbnail of the left hand to guide the needle tip. Subsequently, treat primarily with Huangqi Fangfeng Yin (Astragalus and Saposhnikovia Decoction). Alternatively, use Wubi Manjingzi Tang (Peerless Vitex Decoction), Mingming Yiyin Wan (Cassia Seed Nourishing Yin Pill), or Juhua Mingming San (Chrysanthemum and Cassia Powder). Biyun San (Green Cloud Powder) administered nasally is also suitable for concurrent use. In this manner, urgency will naturally relax, and laxity will gradually tighten. Whether excess or deficiency, harmony will be restored. Do not employ clamp therapy; it only causes suffering. Wise individuals should scrutinize this.
Huangqi Fangfeng Yin (Treats tightness at the eye corners leading to inverted eyelashes and curled hairs, damaging the eyeball and causing nebulae, as well as redness and erosion of the upper and lower eyelids, difficulty opening due to soreness, and thick sticky discharge.)
Vitex Fruit (Manjingzi) and Scutellaria Root (Huangqin): 1.5 qian each.
Astragalus Root (Huangqi): Honey-processed.
Saposhnikovia Root (Fangfeng): 8 fen.
Asarum Root (Beixixin): 2 fen.
Licorice Root (Gancao): Roasted, 5 fen.
Kudzu Root (Gegen): 1 qian.
Crush the ingredients. Add two zhong of clear water, decoct until one zhong remains, strain, and drink while very hot.
In this formula, Vitex Fruit and Asarum serve as the Sovereign herbs to expel pathogens from the Hand-Taiyang and Hand-Shaoyin meridians. The Liver is the "Mother" of these two meridians (Wood generates Fire); calming the Son stabilizes the Mother. This applies the principle of "draining the Son when there is excess." Licorice and Kudzu serve as Minister herbs to treat weakness in the Foot-Taiyin and Foot-Yangming meridians. The Lung is the "Son" of these two meridals (Earth generates Metal); tonifying the Mother addresses the emptiness of the Son. This applies the principle of "tonifying the Mother when there is deficiency." Astragalus consolidates the skin and hair; Saposhnikovia disperses stagnant Qi; these serve as Assistant herbs. Scutellaria treats damp-heat and removes redness and swelling in the eyes; this serves as Envoy herb.
Wubi Manjingzi Tang (Treats the same symptoms as above)
Astragalus Root (Huangqi): 1.2 qian.
Coptis Rhizome (Chuanhuanglian): 7 fen.
Codonopsis Root (Renshen) and Licorice Root (Gancao): 1 qian each.
Bupleurum Root (Chaihu): 7 fen.
Vitex Fruit (Manjingzi), Angelica Sinensis Root (Danggui), Kudzu Root (Gegen), and Saposhnikovia Root (Fangfeng): 5 fen each.
Asarum Leaf (Xixin Ye): 3 fen.
Crush the ingredients. Add two zhong of clear water, decoct until one zhong remains, strain, and take warm.
In this formula, due to Lung Qi deficiency, Astragalus and Codonopsis are used to consolidate them, serving as Sovereign herbs. If the Heart meridian is affected, Coptis expels it. If the Liver meridian is affected, Bupleurum expels it. If the Small Intestine meridian is affected, Vitex expels it; these serve as Minister herbs. Angelica Sinensis harmonizes blood; Kudzu releases the muscle layer; these serve as Assistant herbs. Saposhnikovia treats wind and disperses stagnation; Raw Licorice strongly clears heat and fire; Asarum unblocks the nine orifices. The leaves of Asarum are used to exploit their ascending properties; this serves as Envoy herb.