白眼痛有表里等症,或疼极而痛,从外走内者,宜温之散之,有不红肿而涩痛者,火伏
气分,泻白散为主。有白珠变青蓝色,乃郁邪蒸逼,走散珠中,亟宜调气以养之。
不肿不赤,爽快不得,沙涩昏朦,名曰白涩,气分伏隐,脾肺湿热。
此症南人俗呼白眼,其病不肿不赤,只是涩痛。乃气分隐伏之火,脾肺络湿热,秋天多
患此,欲称稻芒赤目者,非也。
桑白皮汤
桑白皮(一钱半) 泽泻 黑玄参(各八分) 甘草(二分半) 麦门冬(去心) 黄芩 旋复花(各一
钱) 菊花(五分) 地骨皮 桔梗 白茯苓(各七分)
上锉剂。白水二钟,煎至八分,去滓温服。
邪攻精液神膏走,色变青蓝无白珠,急访明医求妙手,免教走尽悔之迟。
此症乃目之白睛,忽变青蓝色也,病症尤急,盖气轮本白,被郁邪蒸逼走入珠中,膏汁
游出,入于气轮之内,故色变青蓝,瞳神必有大小之患,失治者,瞳神损而终身疾矣。宜服
天麻汤
天麻 家菊花 川芎 当归身 羌活 白芍药 甘草(各等分)
上锉剂。白水二钟,煎至八分,去滓,食后热服。
伤寒疟后,白珠青者,加柴胡、麦门冬(去心)、黄芩、天花粉;毒瓦斯所攻,白珠青者,
加黄芩、牛蒡子(炒研)、连翘、黄连。
还阴救苦汤(见卷二)
白眼痛有表证和里证等不同症状,或者疼痛剧烈且痛感由外向内扩散的,适宜用温散的方法治疗;有不红肿但伴有涩痛的,是火邪潜伏在气分,以泻白散为主治方剂。如果有白眼球变为青蓝色,这是郁结的病邪蒸腾逼迫,游走散乱于珠中,急需调理气机来滋养它。
不肿不红,感觉不爽快,沙涩昏蒙,称为白涩症,这是气分伏隐,脾肺湿热所致。
这种病症南方人俗称“白眼”,其病状是不肿不红,只是涩痛。这是气分中隐伏的火邪,以及脾肺络脉中的湿热,秋季多患此病,有人想称之为“稻芒赤目”的,是不正确的。
桑白皮汤
桑白皮(一钱半) 泽泻 黑玄参(各八分) 甘草(二分半) 麦门冬(去心) 黄芩 旋复花(各一钱) 菊花(五分) 地骨皮 桔梗 白茯苓(各七分)
以上药材切碎成剂。用白水两钟,煎煮至八分,滤去药渣,温服。
邪气攻冲精液神膏导致游走,颜色变为青蓝而失去白珠本色,急忙寻找明医求取妙手救治,以免病情恶化到无法挽回时后悔已晚。
这种病症是眼睛的白睛,突然变为青蓝色,病情尤其紧急,因为气轮本应是白色的,被郁结的病邪蒸腾逼迫走入珠中,膏汁游出,进入气轮之内,所以颜色变为青蓝,瞳神必然会出现大小异常的祸患,如果失治,瞳神受损将终身患病。适宜服用天麻汤
天麻 家菊花 川芎 当归身 羌活 白芍药 甘草(各等分)
以上药材切碎成剂。用白水两钟,煎煮至八分,滤去药渣,饭后热服。
伤寒或疟疾之后,白珠变青色的,加柴胡、麦门冬(去心)、黄芩、天花粉;毒瓦斯所攻冲,白珠变青色的,加黄芩、牛蒡子(炒研)、连翘、黄连。
还阴救苦汤(见卷二)
White-eye pain presents with various symptoms such as exterior and interior patterns. If the pain is severe and radiates from the outside inward, warm dispersing methods should be employed. For cases without redness or swelling but with a gritty, painful sensation, it indicates fire latent in the Qi level (Qi-level heat), and Xiebai San (White-Draining Powder) is the primary formula. If the white of the eye turns blue-green, this is due to constrained pathogenic factors steaming and forcing their way into the eyeball; it is urgent to regulate Qi to nourish the area.
Without swelling or redness, accompanied by discomfort, grittiness, and blurred vision, it is named White-Grittiness Syndrome (Baise). This results from latent fire in the Qi level and damp-heat in the Spleen and Lungs.
This condition is colloquially called "white-eye" in southern regions. Its pathology involves no swelling or redness, only grittiness and pain. It stems from hidden fire within the Qi level and damp-heat in the collaterals of the Spleen and Lungs. It is common in autumn. Some wish to call it "Rice-Awn Red Eye," which is incorrect.
Sangbaipi Decoction (Mulberry Bark Decoction)
Sangbaipi (Cortex Mori Radicis, 1.5 qian) Zexie (Rhizoma Alismatis, 0.8 fen) Xuanshen (Radix Scrophulariae, 0.8 fen) Gancao (Radix Glycyrrhizae, 0.25 qian) Maimendong (Tuber Ophiopogonis, heart removed) Huangqin (Radix Scutellariae, 1 qian) Xuanfuhua (Capitium Inulae, 1 qian) Juhua (Flos Chrysanthemi, 0.5 qian) Digupi (Cortex Lycii Radicis, 0.7 fen) Jiegeng (Radix Platycodonis, 0.7 fen) Baifuling (Poria, 0.7 fen)
Decoct these ingredients. Use two zhong of plain water, boil down to eight-tenths, strain, and take warm.
When pathogenic factors attack the essence, fluid, and divine paste causing them to wander, and the color changes to blue-green losing the white sclera, urgently seek a skilled physician to avoid regretting too late when the damage is complete.
This condition refers to the sudden change of the white sclera to blue-green. The pathology is particularly acute because the Qi Wheel (sclera/conjunctiva) is originally white. Constrained pathogens steam and force their way into the eyeball, causing the aqueous humor to seep out into the Qi Wheel, thus changing its color to blue-green. The pupil will inevitably suffer abnormalities in size. If untreated, damage to the pupil will result in lifelong disability. It is suitable to administer Tianma Tang (Gastrodia Decoction).
Tianma (Rhizoma Gastrodiae) Juhua (Flos Chrysanthemi) Chuanxiong (Rhizoma Chuanxiong) Dangguishen (Radix Angelicae Sinensis, body part) Qianghuo (Rhizoma Notopterygii) Baishaoyao (Radix Paeoniae Alba) Gancao (Radix Glycyrrhizae) (all in equal proportions)
Decoct these ingredients. Use two zhong of plain water, boil down to eight-tenths, strain, and take hot after meals.
If the white sclera turns blue following Taiyang Cold Damage (Shanghan) or malaria, add Chaihu (Radix Bupleuri), Maimendong (Tuber Ophiopogonis, heart removed), Huangqin (Radix Scutellariae), and Tianhuafen (Radix Puerariae).
If the white sclera turns blue due to toxic vapors attacking, add Huangqin (Radix Scutellariae), Niubangzi (Fructus Arctii, stir-fried and crushed), Lianqiao (Fructus Forsythiae), and Huanglian (Rhizoma Coptidis).
Huanyin Jiuku Tang (Restore Yin and Rescue from Bitterness Decoction) (see Volume 2)