无端瘀血灌睛丹,丧目亡明是祸端,变症风生休小视,急将开导用针砭。
此症为目病最毒,举世无知,若人偏执己见,不用开砭者,其目必坏。初起不过红赤,
次后紫胀,及白睛胀起,甚则胀形如虬筋。盖其病乃血贯睛中,滞塞不通,在睥则肿胀如
杯,椒疮之患,在珠则轮涌起凝脂黄膜,痕HT 成窟,花翳白陷,鹘眼凝睛等症。失治者
必有青黄牒出HT 凸之祸。凡见白珠赤紫,睥肿虬筋紫胀,敷点不退,必有瘀滞在内
可翻睥内视之。若睥肉已发泛浮,椒疮粟疮者,皆用导之之法。不然,变症生矣。宜服∶
分珠散 治眼患瘀血灌睛,恶血不散。
槐花 生地黄 白芷 炒栀子 荆芥 龙胆草 黄芩(酒炒) 赤芍药 甘草 当归尾(各
等分)
上为末。每服三钱,白水二钟,煎至八分,去滓热服。春,加大黄泻肝;夏,加黄连泻
心。秋,加桑白皮泻肺。
宣明丸 治眼内瘀血贯睛,赤肿涩痛,大热壅上。
赤芍药 当归尾 黄连 大黄 生地黄 薄荷叶 黄芩 川芎(各等分)
上为末,炼蜜为丸,如桐子大。每服三钱,食后米饮送下。
血灌瞳神病最奇,世之患者亦云稀,神膏胆汁俱伤损,急急医时亦是迟。
此症谓视瞳神不见黑莹,但见一点鲜红,甚则紫浊,病为甚危,一二日尚可救。盖肾之
真一有伤,胆中精汁皆损,元阳正气皆耗。故此一点之神光不见,而血之英色,来乘肾部,
十患九不治者。今人但见瘀血灌时,便为血灌瞳神,不知血灌瞳神,乃清阳纯和之气已损,
其英华血色,乘于肾部,命亦不久,岂比火入血分,瘀凝有形之急者比乎。宜服∶
坠血明目饮
细辛 人参(各一钱) 赤芍药 五味子(十粒) 川芎(酒洗,炒) 牛膝(酒洗,炒) 石决明
(醋 ) 生地黄 山药 知母(盐水洗) 白蒺藜(研,去刺) 当归尾 防风(各八分)
上锉剂。白水二钟,煎至八分,去渣温服。
摩挲石散
摩挲石(少许) 曾青 龙脑 石胆(各等分)
上研极细腻粉。每日早晨夜后点眼。
落红散 治血贯瞳神,致成红障。
穿山甲(炒) 桔梗(炒) 砂(研细另入) 人蜕(焙,各三钱) 谷精草(纸焙) 蝉蜕(去
头足) 蛇蜕(蝉蛇二蜕洗净,入甘草水焙干) 鹅不食草(纸烘干为末,各一钱)
上为细末。吹入鼻中,次日以筒吸目,渐次为之,自然障落。
造吸筒法,或用好铜打成漏斗相似,筒上留一窍,用猪脂薄皮扎筒窍上,如临用时,以
筒口安病目上,医者吸气一口,次看其翳轻重,渐吸则渐除矣。
无端瘀血灌睛丹,丧目亡明是祸端,变症风生休小视,急将开导用针砭。
这种病症是眼病中最毒烈的,世间无人知晓其机理。如果有人固执己见,不使用刺破排瘀的方法,眼睛必然毁坏。初起时不过红赤,随后变为紫胀,甚至白睛(巩膜)肿胀隆起,严重时肿胀形状像盘曲的筋脉。因为这是血液灌注在眼球中,阻滞不通。如果在眼睑(胞睑),则肿胀如杯,有椒疮(沙眼)的隐患;如果在黑珠(角膜/晶状体区域),则轮圈涌起,凝结黄膜,形成窟窿,出现花翳白陷、鹘眼凝睛等病症。延误治疗必定会有青黄色分泌物排出、眼球凸出的灾祸。凡是见到白珠赤紫,眼睑肿胀、筋脉虬曲紫胀,外敷点眼药物无效的,内部必有瘀滞,可以翻开眼睑向内观察。如果眼睑肉已经发生泛浮,患有椒疮或粟疮(滤泡性结膜炎)的,都应当使用疏导的方法。否则,变症就会产生。适宜服用:
分珠散 治疗眼患瘀血灌睛,恶血不散。
槐花 生地黄 白芷 炒栀子 荆芥 龙胆草 黄芩(酒炒) 赤芍药 甘草 当归尾(各等分)
以上药材研为细末。每次服用三钱,用白水两钟,煎至八分,去渣后热服。春季,加大黄以泻肝火;夏季,加黄连以泻心火。秋季,加桑白皮以泻肺火。
宣明丸 治疗眼内瘀血贯睛,赤肿涩痛,大热壅盛于上。
赤芍药 当归尾 黄连 大黄 生地黄 薄荷叶 黄芩 川芎(各等分)
以上药材研为细末,炼蜜制成丸药,大小如梧桐子。每次服用三钱,饭后用米汤送服。
血灌瞳神病最奇,世之患者亦云稀,神膏胆汁俱伤损,急急医时亦是迟。
这种病症称为血灌瞳神,最为奇特,世间患病者也很少见。神膏(玻璃体)和胆汁都受到损伤,即使急忙医治,时机也已太晚。
这种病症表现为看瞳孔时不见黑色的晶莹光泽,只看见一点鲜红色,严重时变为紫浊,病情非常危险,一两天内尚可救治。这是因为肾的真阴受损,胆中的精汁皆被损耗,元阳正气全部耗竭。因此,这一点点的神光消失,而血的精华颜色,乘虚侵犯肾部,十个患者九个无法治愈。现在的人只要见到瘀血灌入,就认为是血灌瞳神,却不知道血灌瞳神,乃是清阳纯和之气已经受损,其英华血色,乘袭肾部,寿命也不长了,这怎么能与火入血分,瘀凝成形的急症相比呢?适宜服用:
坠血明目饮
细辛 人参(各一钱) 赤芍药 五味子(十粒) 川芎(酒洗,炒) 牛膝(酒洗,炒) 石决明(醋淬) 生地黄 山药 知母(盐水洗) 白蒺藜(研,去刺) 当归尾 防风(各八分)
以上药材切碎。用白水两钟,煎至八分,去渣后温服。
摩挲石散
摩挲石(少许) 曾青 龙脑 石胆(各等分)
以上药材研成极细腻的粉末。每天早晨和夜晚点眼。
落红散 治疗血贯瞳神,导致形成红障(虹膜脱出或粘连)。
穿山甲(炒) 桔梗(炒) 砂(研细另入) 人蜕(焙,各三钱) 谷精草(纸焙) 蝉蜕(去头足) 蛇蜕(蝉蛇二蜕洗净,入甘草水焙干) 鹅不食草(纸烘干为末,各一钱)
以上药材研为细末。吹入鼻中,次日用筒状工具吸出眼中异物,逐渐进行,自然会使障膜脱落。
制造吸筒的方法,可以用好铜打成类似漏斗的形状,筒上留一个孔,用猪脂薄皮扎住筒上的孔。等到使用时,将筒口安在患眼的上面,医者吸气一口,其次观察翳膜的轻重,逐渐吸取则逐渐清除。
Wu Duan Yu Xue Guan Jing Dan (Unprovoked Blood Infusion into the Eye Pill), losing sight is the root of disaster; do not underestimate the generation of wind-like complications, urgently apply needle and lancet for guidance.
This condition is the most toxic among eye diseases, unknown to the world. If one adheres stubbornly to personal views and does not use lancing and draining methods, the eye will surely be ruined. Initially, there is only redness; subsequently, it becomes purple and swollen, and the Bai Jing (sclera) swells and bulges. In severe cases, the swelling resembles coiled tendons. This is because blood fills the eyeball, causing stagnation and blockage. If it occurs in the Pi (eyelids), the swelling is like a cup, posing a risk of Jiao Chuang (trachoma); if it occurs in the Zhu (cornea/lens area), the wheel (limbus) bulges with condensed yellow membrane, forming cavities, presenting symptoms such as Hua Yi Bai Xian (flower-like white opacity sinking) and Hu Yan Ning Jing (hawk-eye condensing). Delayed treatment will inevitably lead to the discharge of green-yellow pus and protrusion of the eyeball. Whenever the white sclera appears red and purple, the eyelids are swollen with coiled, purple veins, and topical applications fail to resolve it, there must be internal stagnation; one can flip the eyelid to inspect inward. If the eyelid flesh has become floating and edematous, or if Jiao Chuang (trachoma) or Su Chuang (follicular conjunctivitis) are present, guiding/draining methods should be used. Otherwise, complications will arise. It is suitable to take:
Fen Zhu San (Divide Pearl Powder) treats eye conditions of blood infusion into the eye and un-dispersed evil blood.
Huai Hua (Sophorae Flos), Sheng Di Huang (Rehmanniae Radix), Bai Zhi (Angelicae Dahuricae Radix), Chao Zhi Zi (Gardeniae Fructus, stir-fried), Jing Jie (Schizonepetae Herba), Long Dan Cao (Gentianae Radix), Huang Qin (Scutellariae Radix, wine-fried), Chi Shao Yao (Paeoniae Radix Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui Wei (Angelicae Sinensis Radix, tail portion) (equal parts).
Grind the above into powder. Take three qian per dose, with two zhong of clear water, decoct until eight fen remains, remove dregs, and take hot. In spring, add Da Huang (Rhei Radix et Rhizoma) to purge Liver fire; in summer, add Huang Lian (Coptidis Rhizoma) to purge Heart fire. In autumn, add Sang Bai Pi (Mori Cortex) to purge Lung fire.
Xuan Ming Wan (Clarify Brightness Pill) treats intraocular blood infusion, redness, swelling, astringency, pain, and excessive heat congesting upwards.
Chi Shao Yao (Paeoniae Radix Rubra), Dang Gui Wei (Angelicae Sinensis Radix, tail portion), Huang Lian (Coptidis Rhizoma), Da Huang (Rhei Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Bo He Ye (Menthae Haplocalycis Herba), Huang Qin (Scutellariae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (equal parts).
Grind the above into powder, make pills with refined honey, size of paulownia seeds. Take three qian per dose, swallow with rice drink after meals.
Xue Guan Tong Shen Bing Zui Qi (Blood Infusion into Pupil Disease is Most Strange), patients in the world are also said to be rare; both Shen Gao (vitreous humor) and Dan Zhi (bile juice) are damaged, even urgent medical treatment is too late.
This condition is called Xue Guan Tong Shen (Blood Infusion into Pupil), which is the most peculiar, and patients in the world are rare. The Shen Gao (vitreous humor) and Dan Zhi (bile juice) are both damaged; even if treated urgently, the timing is already late.
This condition presents as inability to see the black, crystal-clear luster of the pupil, seeing only a spot of fresh red, or in severe cases, purple turbidity. The disease is extremely critical; it can still be saved within one or two days. This is because the True One of the Kidney is injured, the essence juice of the Gallbladder is all damaged, and the Yuan Yang Zheng Qi (primordial yang righteous qi) is exhausted. Therefore, this bit of Shen Guang (spiritual light) disappears, and the essence color of blood attacks the Kidney region. Nine out of ten cases are untreatable. Nowadays, people simply see blood infusion and assume it is Xue Guan Tong Shen, not knowing that Xue Guan Tong Shen implies that the pure and harmonious Qi of Clear Yang is already damaged, and its essence blood color attacks the Kidney region, meaning life is short. How can this be compared to the acute condition where Fire enters the Blood level, causing tangible stasis and coagulation? It is suitable to take:
Zhui Xue Ming Mu Yin (Drop Blood Brighten Eyes Decoction)
Xi Xin (Asari Radix et Rhizoma), Ren Shen (Ginseng Radix) (each one qian), Chi Shao Yao (Paeoniae Radix Rubra), Wu Wei Zi (Schisandrae Chinensis Fructus) (ten grains), Chuan Xiong (Ligustici Chuanxiong Rhizoma, wine-washed, stir-fried), Niu Xi (Achyranthis Bidentatae Radix, wine-washed, stir-fried), Shi Jue Ming (Haliotidis Concha, vinegar-quenched), Sheng Di Huang (Rehmanniae Radix), Shan Yao (Dioscoreae Rhizoma), Zhi Mu (Anemarrhenae Rhizoma, salt-water washed), Bai Ji Li (Tribuli Fructus, ground, thorns removed), Dang Gui Wei (Angelicae Sinensis Radix, tail portion), Fang Feng (Saposhnikoviae Radix) (each eight fen).
Cut the above into pieces. Use two zhong of clear water, decoct until eight fen remains, remove dregs, and take warm.
Mo Suo Shi San (Rubbing Stone Powder)
Mo Suo Shi (Mineral, small amount), Ceng Qing (Azurite), Long Nao (Borneolum Syntheticum), Shi Dan (Melanterite) (equal parts).
Grind the above into extremely fine powder. Apply to the eyes every morning and night.
Luo Hong San (Fall Red Powder) treats blood penetrating the pupil, resulting in the formation of Hong Zhang (red barrier/prolapse).
Chuan Shan Jia (Manis Squama, stir-fried), Jie Geng (Platycodonis Radix, stir-fried), Sha (Sand, ground fine, added separately), Ren Tui (Human Placenta, baked, each three qian), Gu Jing Cao (Euphrasiae Herba, paper-baked), Chan Tui (Cicadae Periostracum, head and feet removed), She Tui (Bomby Batryticatus, washed clean with licorice water and baked dry), E Bu Shi Cao (Heliotropii Indici Herba, paper-dried into powder, each one qian).
Grind the above into fine powder. Blow into the nose. The next day, use a tube to suck from the eye, proceeding gradually, and the barrier will naturally fall off.
Method for making the suction tube: Make a funnel-like shape from good copper, leaving a hole on the tube. Cover the hole with thin pig fat skin. When using, place the tube mouth over the affected eye. The physician takes one breath of air, then observes the severity of the opacity. Gradually sucking will gradually remove it.