疳热上攻眼疳成,痒涩赤烂胞肿疼,白睛生翳渐遮满,流泪羞明目不睁,疏解泻肝散最妙,云翳清热
退翳灵,日久不瘥当补养,逍遥羊肝二方从。
【注】眼疳者,疳热上攻于眼,故发时痒涩赤烂,眼胞肿疼,白睛生翳,渐渐遮满,不
时流泪,羞明闭目也。先用泻肝散疏解之,再用清热退翳汤消其翳。若目久不瘥,法当调
补逍遥散,或羊肝散主之。
泻肝散
生地黄 当归 赤芍 川芎 连翘(去心) 栀子(生) 龙胆草 大黄 羌活 甘草(生) 防风
引用灯心,水煎服。
【方歌】泻肝散治肝热壅,生地当归赤芍芎,连翘栀子龙胆草,大黄羌活草防风。
清热退翳汤
栀子(微炒) 胡黄连 木贼草 赤芍 生地 羚羊角 龙胆草 银柴胡 蝉蜕 甘草(生) 菊
花蒺藜
引用灯心,水煎服。
【方歌】清热退翳消云翳,栀连木贼芍生地,羚羊龙胆银柴胡,蝉蜕甘草菊疾藜。
逍遥散
羊肝散
青羊肝(一具,去筋膜,切韭吐浓片) 人参 羌活 白术(土炒) 蛤粉(各等分)
上为细末,令匀听用,将药置荷叶上,如钱浓一层,铺肝一层包固,外以新足青布包裹蒸熟,任儿食之,如不食
者,及夏月恐腐坏,则晒干为末,早晚白汤调服,服完再合,以好为度。若热者减人参。
疳积之热邪上攻于目,导致眼疳形成。症状表现为眼部瘙痒、干涩、红肿溃烂,眼睑肿胀疼痛;白睛(巩膜)出现云翳,逐渐遮蔽瞳孔,伴有流泪、畏光,眼睛难以睁开。治疗首选疏解泻肝散最为巧妙;若已有云翳,则使用清热退翳灵(方剂名)。若病程日久不愈,应当采用补养之法,可选用逍遥散或羊肝散两方。
【注】所谓眼疳,是疳积的热邪上攻于眼睛所致,因此发作时出现眼痒、干涩、红肿溃烂,眼睑肿胀疼痛,白睛生翳并逐渐遮蔽视野,不时流泪,畏光闭目。初期先用泻肝散进行疏解,再用清热退翳汤消除云翳。如果眼睛久治不愈,治疗方法应当调整为调理补益的逍遥散,或者以羊肝散为主进行治疗。
泻肝散
组成:生地黄、当归、赤芍、川芎、连翘(去心)、栀子(生用)、龙胆草、大黄、羌活、甘草(生用)、防风。
用法:引用灯心草为引,加水煎煮后服用。
【方歌】泻肝散主治肝经热邪壅滞,方中生地、当归、赤芍、川芎,配合连翘、栀子、龙胆草,以及大黄、羌活、甘草、防风。
清热退翳汤
组成:栀子(微炒)、胡黄连、木贼草、赤芍、生地、羚羊角、龙胆草、银柴胡、蝉蜕、甘草(生用)、菊花、蒺藜。
用法:引用灯心草为引,加水煎煮后服用。
【方歌】清热退翳汤用于消除云翳,方中包含栀子、胡黄连、木贼草、赤芍、生地,以及羚羊角、龙胆草、银柴胡,还有蝉蜕、甘草、菊花、蒺藜。
逍遥散
(原文此处未列具体药物组成,仅列方名)
羊肝散
组成:青羊肝(一只,去除筋膜,切成韭菜叶厚的薄片)、人参、羌活、白术(土炒)、蛤粉(以上各等分)。
制法与用法:将上述药材研成细末,混合均匀备用。取荷叶铺底,如铜钱厚度的一层药粉,铺一层羊肝,如此层层包裹固定,外层用新的青色布包裹,蒸熟。让患儿食用。如果患儿不吃,或者在夏季担心腐败变质,则将药晒干研成粉末,早晚用白开水调服。服完后再重新配制,以疗效好为标准。若患儿有热象,则减少人参用量。
Heat from Gan (malnutrition syndrome) attacks upward to the eyes, resulting in Eye Gan. Symptoms include itching, dryness, redness, and ulceration of the eyes; swelling and pain of the eyelids; nebulae (cloudy opacities) appearing on the sclera (white part of the eye), gradually covering the pupil; tearing; photophobia (aversion to light); and inability to open the eyes. The most effective treatment is Shujie Xiegan San (Liver-Draining Powder for Dispersing and Resolving). If nebulae are present, Qingre Tuiyi Ling (Clearing Heat and Removing Nebulae Elixir) should be used. If the condition persists for a long time without improvement, nourishing methods should be employed, selecting either Xiaoyao San (Free and Easy Wanderer Powder) or Yanggan San (Sheep Liver Powder).
[Note] Eye Gan is caused by heat from Gan attacking the eyes. Therefore, upon onset, symptoms include eye itching, dryness, redness, and ulceration; swelling and pain of the eyelids; nebulae on the sclera gradually obscuring vision; frequent tearing; and photophobia with closed eyes. Initially, use Xiegan San (Liver-Draining Powder) to disperse and resolve the pathogen, followed by Qingre Tuiyi Tang (Clearing Heat and Removing Nebulae Decoction) to eliminate the nebulae. If the eye condition does not heal after a long period, the treatment method should shift to regulating and tonifying using Xiaoyao San (Free and Easy Wanderer Powder), or primarily using Yanggan San (Sheep Liver Powder).
Xiegan San (Liver-Draining Powder)
Ingredients: Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lianqiao (Forsythiae Fructus, heart removed), Zhizi (Gardeniae Fructus, raw), Longdancao (Gentianae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Fangfeng (Saposhnikoviae Radix).
Usage: Use Dengxincao (Junci Medullia) as a guiding herb, decoct in water, and take orally.
[Fangge - Formula Song]: Xiegan San treats liver heat stagnation; it contains Shengdi, Danggui, Chishao, and Chuanxiong, along with Lianqiao, Zhizi, Longdancao, Dahuang, Qianghuo, Gancao, and Fangfeng.
Qingre Tuiyi Tang (Clearing Heat and Removing Nebulae Decoction)
Ingredients: Zhizi (Gardeniae Fructus, lightly stir-fried), Huhuanglian (Coptidis Rhizoma var. chinensis), Muzeicao (Equiseti Herba), Chishao (Paeoniae Radix Rubra), Shengdi (Rehmanniae Radix), Lingyangjiao (Saigae Tataricae Cornu), Longdancao (Gentianae Radix et Rhizoma), Yinchaihu (Cistanches Herba), Chantui (Cicadae Periostracum), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Juhua (Chrysanthemi Flos), Jili (Tribuli Fructus).
Usage: Use Dengxincao (Junci Medullia) as a guiding herb, decoct in water, and take orally.
[Fangge - Formula Song]: Qingre Tuiyi Tang clears heat and removes nebulae; it includes Zhizi, Hulian, Muzei, Shaodi, Shengdi, Lingyang, Longdan, Yinchaihu, Chantui, Gancao, Ju, and Jili.
Xiaoyao San (Free and Easy Wanderer Powder)
(Note: Specific ingredients were not listed in the original text, only the formula name.)
Yanggan San (Sheep Liver Powder)
Ingredients: Qingyanggan (Capra Hircus Liver, one whole, remove fascia, slice thinly like leek leaves), Renshen (Ginseng Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Gafen (Concha Meretricis et Cyclinae). (All in equal proportions).
Preparation and Usage: Grind all ingredients into a fine powder and mix evenly. Place a layer of powder (thickness of a coin) on a lotus leaf, then a layer of sheep liver, repeating this process. Wrap securely, then encase in new green cloth and steam until cooked. Allow the child to eat. If the child refuses to eat, or during summer months when spoilage is a concern, dry the mixture and grind into powder. Take morning and evening mixed with warm water. Prepare again after consumption, continuing until satisfactory results are achieved. If there is excess heat, reduce the amount of Renshen (Ginseng).