目有暴生眵障,头面肿痛何也?答曰∶太阳火热,受风邪也。宜点珍珠虎液膏,服川芎散、洗心散。(方见二问。川
芎散漏未立方,按证用二问之洗心散,不如用五问之方效速,曾验)
目有纵横赤脉,沙涩眵膜多泪,怕日羞明者何也?答曰∶饮食不节,损伤脾土,以致精神短少。况水属太阳,
其气生肝木,木旺则生风,风湿相搏,故怕日羞明。点珍珠虎液膏,服柴胡散、退血散。(退血散漏未载方可惜)
柴胡散
柴胡 菊花 元参 甘草 地骨皮 赤芍 黄芩 羚羊角
共为末,白汤下。
目有黑花,当时堕泪难开者何也?答曰∶肝经不足,内受风热,上攻于目,或血气时行,暴赤肿痛,宜点推
云散(方见十四问),服明目流气饮。(方见一问)
目有沙涩流泪,烂弦赤痛者何也?答曰∶宜用手法,将眼皮翻过,用针轻轻拨破班疮,取三四次。宜服清毒
散,点推云散。(方见十四问)
清毒散 治风湿眼痛。
大黄 荆芥 牛蒡子 甘草
水煎服。
目有年深月久,赤脉贯睛,泪出如倾者何也?答曰∶心火未除,肺气相搏,故赤,宜服泻肺散。
泻肺散
桑白皮 茯苓 黄芩(炒)
共为末,每服二钱,灯心汤下。
目有 肉扳睛,红障壅上者何也?答曰∶用青龙膏一点,即用手法取之,再点,如痛者,加茶调散。
茶调散
防风 羌活 柴胡 甘草 当归 黄芩 生地 川芎 天花粉(以上各等分)
共为末,沙糖水茶调下。
眼睛突然产生大量眼屎和翳障,头部和面部肿胀疼痛,这是什么原因?回答说:这是太阳经火热,又受风邪侵袭所致。适宜点用珍珠虎液膏,内服川芎散、洗心散。(方剂见第二问。川芎散遗漏未载具体方药,根据证候使用第二问的洗心散,不如使用第五问的方子见效快,曾经验证过)
眼睛有纵横交错的红色血脉,感觉沙涩、眼屎多、泪膜多且流泪,怕光羞明,这是什么原因?回答说:饮食不节制,损伤了脾土,导致精神气血短少。况且水属太阳,其气滋生肝木,肝木旺盛则生风,风湿相互搏结,所以怕光羞明。点用珍珠虎液膏,内服柴胡散、退血散。(退血散遗漏未记载方药,令人惋惜)
柴胡散
柴胡 菊花 玄参 甘草 地骨皮 赤芍 黄芩 羚羊角
共研为末,用白开水送服。
眼睛出现黑花,当时流泪难以睁开,这是什么原因?回答说:肝经不足,内部感受风热,向上攻冲于眼睛,或者是血气流行失常,突然红肿疼痛,适宜点用推云散(方剂见第十四问),内服明目流气饮。(方剂见第一问)
眼睛感觉沙涩流泪,眼睑边缘溃烂发红疼痛,这是什么原因?回答说:适宜用手法治法,将眼皮翻转过来,用针轻轻拨破斑疮,取三四次。适宜内服清毒散,点用推云散。(方剂见第十四问)
清毒散 治疗风湿引起的眼痛。
大黄 荆芥 牛蒡子 甘草
用水煎服。
眼睛患病年深日久,红色血脉贯穿眼球,眼泪流出如倾泻一般,这是什么原因?回答说:心火未除,肺气与之相搏结,所以发红,适宜内服泻肺散。
泻肺散
桑白皮 茯苓 黄芩(炒制)
共研为末,每次服用二钱,用灯心草汤送服。
眼睛长出胬肉攀睛,红障壅塞向上生长,这是什么原因?回答说:用青龙膏一点,随即用手法治法去除它,再点药,如果疼痛,加用茶调散。
茶调散
防风 羌活 柴胡 甘草 当归 黄芩 生地 川芎 天花粉(以上各等分)
共研为末,用沙糖水调和茶汁送服。
The eyes suddenly develop excessive discharge and corneal opacities, accompanied by swelling and pain in the head and face. What is the cause? The answer is: This is due to Fire-Heat of the Taiyang (Greater Yang) channel combined with an invasion of Wind-Evil. It is appropriate to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) topically, and internally administer Chuanxiong San (Ligusticum Powder) and Xixin San (Heart-Cleansing Powder). (Prescriptions are found in Question 2. The prescription for Chuanxiong San was omitted; based on the syndrome, using the Xixin San from Question 2 is less effective than using the prescription from Question 5, which has been verified.)
The eyes present with crisscrossing red blood vessels, a gritty sensation, excessive discharge, thick tear film, tearing, and photophobia (aversion to light). What is the cause? The answer is: Irregular diet has damaged the Spleen Earth, leading to a deficiency of Spirit and Qi. Furthermore, Water belongs to Taiyang, and its Qi generates Liver Wood. When Liver Wood is hyperactive, it generates Wind. The combination of Wind and Dampness causes photophobia. Apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) topically, and internally administer Chaihu San (Bupleurum Powder) and Tuixue San (Blood-Removing Powder). (It is regrettable that the prescription for Tuixue San was omitted.)
Chaihu San (Bupleurum Powder)
Chai Hu (Radix Bupleuri), Ju Hua (Flos Chrysanthemi), Yuan Shen (Radix Scrophulariae), Gan Cao (Radix Glycyrrhizae), Di Gu Pi (Cortex Lycii), Chi Shao (Radix Paeoniae Rubra), Huang Qin (Radix Scutellariae), Ling Yang Jiao (Cornu Saigae Tataricae).
Grind all into powder, take with plain warm water.
The eyes see black spots, accompanied by immediate tearing and difficulty opening the eyes. What is the cause? The answer is: Deficiency of the Liver Channel, internal contraction of Wind-Heat attacking upward to the eyes, or abnormal circulation of Blood and Qi causing sudden redness, swelling, and pain. It is appropriate to apply Tuiyun San (Cloud-Pushing Powder) topically (prescription found in Question 14), and internally administer Mingmu Liqi Yin (Brightening Eye and Regulating Qi Decoction). (Prescription found in Question 1.)
The eyes feel gritty and tearful, with ulceration, redness, and pain at the eyelid margins. What is the cause? The answer is: Manual therapy should be used to evert the eyelids, and a needle should gently puncture the pustules/lesions, repeated three to four times. It is appropriate to internally administer Qingdu San (Toxin-Clearing Powder) and apply Tuiyun San (Cloud-Pushing Powder) topically. (Prescription found in Question 14.)
Qingdu San (Toxin-Clearing Powder) Treats eye pain caused by Wind-Dampness.
Da Huang (Radix et Rhizoma Rhei), Jing Jie (Herba Schizonepetae), Niu Bang Zi (Fructus Arctii), Gan Cao (Radix Glycyrrhizae).
Decoct in water and take orally.
The disease has persisted for many years, with red blood vessels penetrating the eyeball, and tears flowing profusely as if pouring. What is the cause? The answer is: Heart Fire has not been eliminated, and Lung Qi is contending with it, resulting in redness. It is appropriate to internally administer Xiefei San (Lung-Draining Powder).
Xiefei San (Lung-Draining Powder)
Sang Bai Pi (Cortex Mori), Fu Ling (Poria), Huang Qin (Radix Scutellariae) (stir-fried).
Grind all into powder, take two qian per dose, administered with Deng Xin Tang (Juncus Decoction).
Nasolacrimal pterygium (Gan Rou Ban Jing) grows over the cornea, with red opacities obstructing upward. What is the cause? The answer is: Apply Qinglong Gao (Green Dragon Ointment) once, then use manual therapy to remove it, followed by another application. If pain occurs, add Chatiao San (Tea-Regulating Powder).
Chatiao San (Tea-Regulating Powder)
Fang Feng (Radix Saposhnikoviae), Qiang Huo (Rhizoma Notopterygii), Chai Hu (Radix Bupleuri), Gan Cao (Radix Glycyrrhizae), Dang Gui (Radix Angelicae Sinensis), Huang Qin (Radix Scutellariae), Sheng Di (Radix Rehmanniae), Chuan Xiong (Rhizoma Chuanxiong), Tian Hua Fen (Radix Trichosanthis) (all in equal parts).
Grind all into powder, take mixed with rock sugar water and tea.