目有斑点者何也,答曰∶肝经邪热也。风气相搏,宜服洗肝散(方见二十四问)、清毒散(方见三十八问)。
诗曰∶偶然气肿不分明,斑点如珠日夜疼,数粒茱萸无二样,变来真是蟹睛形,乌珠突出针钩破,速备珍珠散更
明。此是良医无价宝,济人阴德不为轻(金仙作传记)。
目有小儿出痘,翳膜遮睛者何也?答曰∶浮翳可治,若视之如粉墙白者不治。若障浓者,点老膜散一二次
(方见二十七),再点推云散(方见十四问),并服蝉蜕无比散(方见二十二问)。
目有二三岁孩童患之者何也?答曰∶乳毒之故。若红肿流泪者,宜服三黄丸。
三黄丸
黄柏 黄连 黄芩
共为末蜜丸,米汤下。
目有出痘,眼下皮漏脓者何也?答曰∶痘之余毒,用三棱针四围拨破,出血为度,将金针蘸清净膏点漏处(方见
四十二问),宜点珍珠虎液膏,服白薇散。
白薇散
白薇(二两) 生地(一两) 白蒺藜(一两五钱) 防风(一两五钱) 石榴皮(九钱) 羌活(一两)
共为末,枸杞汤下。
目有珠上转如月出东海之状者何也?答曰∶名为扶桑翳,皆因肺被心火所伤,不安,心火炎炎,魄不守舍,
肝家元气不安,宜点珍珠散、洗心散(方见五问)。服补肾丸(洗心散前应脱一服字。十一问、六十六问俱有补肾丸,
与此各异。)
补肾丸 (白朱砂疑硼字误作朱字,朱砂本无白色,且后用朱砂为衣,更可证其误)
菟丝子 枸杞 白朱砂 青盐 熟地 破故纸 石斛 巴戟天 丹皮 酸枣仁 肉苁蓉 茴香
共为末,蜜为丸,梧桐子大,朱砂为衣,盐汤下。
眼睛出现斑点是什么原因呢?回答说:这是肝经邪热所致。风邪与热气相互搏结,适宜服用洗肝散(方剂见第二十四问)、清毒散(方剂见第三十八问)。
诗云:偶然气机肿胀导致视力模糊不清,斑点如珠粒般日夜疼痛,数粒吴茱萸并无二致,变化后真成了蟹睛的形状,黑眼珠突出需用针钩刺破,迅速准备珍珠散使视力更加清晰。这是良医无价的珍宝,救济他人的阴德不可轻视(由金仙撰写传记)。
眼睛患有小儿出痘,且有翳膜遮蔽瞳孔是什么原因呢?回答说:浮翳是可以治疗的,如果看起来像粉墙上的白色那样则无法治疗。如果障膜浓密厚重,点用老膜散一两次(方剂见第二十七问),再点用推云散(方剂见第十四问),并服用蝉蜕无比散(方剂见第二十二问)。
眼睛在两三岁的孩童身上患病是什么原因呢?回答说:这是乳毒的缘故。如果出现红肿流泪的症状,适宜服用三黄丸。
三黄丸
黄柏、黄连、黄芩
共同研磨成粉末,用蜂蜜制成丸剂,米汤送服。
眼睛出痘,眼下皮肤漏脓是什么原因呢?回答说:这是痘疹的余毒,用三棱针在四周挑破,以出血为度,将金针蘸取清净膏点涂于漏脓处(方剂见第四十二问),适宜点用珍珠虎液膏,服用白薇散。
白薇散
白薇(二两)、生地(一两)、白蒺藜(一两五钱)、防风(一两五钱)、石榴皮(九钱)、羌活(一两)
共同研磨成粉末,枸杞汤送服。
眼睛黑眼珠上转呈现如月亮从东海升起的形状是什么原因呢?回答说:这名为扶桑翳,都是因为肺被心火所伤,心神不安,心火炽盛,魄不守舍,肝家元气也不安宁,适宜点用珍珠散、洗心散(方剂见第五问)。服用补肾丸(此处洗心散前应脱去一个“服”字。第十一问、第六十六问中也有补肾丸,与此不同。)
补肾丸 (注:原文中的“白朱砂”疑为“硼”字误作“朱”字,因为朱砂本无白色,且后面提到用朱砂为衣,更可证明这是错误)
菟丝子、枸杞、白朱砂、青盐、熟地、破故纸、石斛、巴戟天、丹皮、酸枣仁、肉苁蓉、茴香
共同研磨成粉末,用蜂蜜制成丸剂,大小如梧桐子,用朱砂为衣,盐汤送服。
What is the cause of spots appearing in the eyes? The answer is: it is due to pathogenic heat in the Liver channel. When wind and heat struggle against each other, it is appropriate to take Xigan San (Wash the Liver Powder; see Question 24) and Qingdu San (Clear Toxin Powder; see Question 38).
The poem states: Occasionally, qi swelling causes unclear vision, with spots like pearls causing pain day and night. A few grains of Cornus officinalis fruit are indistinguishable, transforming truly into the shape of crab's eye (crab-eye corneal opacity). If the black pupil protrudes, it must be pierced with a needle hook; quickly prepare Zhenzhu San (Pearl Powder) for clearer vision. This is the priceless treasure of good physicians; the merit of helping others is not light (Biography written by Jin Xian).
What is the cause of children suffering from smallpox with nebulae membranes covering the pupils? The answer is: floating nebulae can be treated; if they look white like a lime-washed wall, they are incurable. If the obstruction is thick and dense, apply Laomo San (Old Membrane Powder) one or two times (see Question 27), then apply Tuiyun San (Pushing Clouds Powder; see Question 14), and concurrently take Chantui Wubi San (Cicada Slough Peerless Powder; see Question 22).
What is the cause of this disease affecting children aged two or three? The answer is: it is due to milk toxin. If there is redness, swelling, and tearing, it is appropriate to take Sanhuang Wan (Three Yellows Pill).
Sanhuang Wan (Three Yellows Pill)
Phellodendri Cortex (Huangbai), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin)
Grind together into powder, form pills with honey, and swallow with rice soup.
What is the cause of smallpox in the eyes with pus leaking from the skin under the eyes? The answer is: it is the residual toxin of smallpox. Use a triangular needle to puncture around the periphery until bleeding occurs, then dip a golden needle into Qingjing Gao (Pure Ointment; see Question 42) to apply to the leaking area. It is appropriate to apply Zhenzhu Huye Gao (Pearl Tiger Liquid Ointment) and take Baiwei San (Cynanchum Atratum Powder).
Baiwei San (Cynanchum Atratum Powder)
Cynanchum Atratum Root (Baiwei, 2 liang), Rehmanniae Radix Preparata (Shengdi, 1 liang), Tribuli Fructus (Baijili, 1.5 liang), Saposhnikoviae Radix (Fangfeng, 1.5 liang), Pomegranate Peel (Shiliupi, 9 qian), Notopterygii Rhizoma et Radix (Qianghuo, 1 liang)
Grind together into powder, and swallow with Goji berry soup.
What is the cause of the eyeball turning upward resembling the moon rising from the East Sea? The answer is: this is named Fusang Yi (Fusang Nebula). It is all because the Lungs are injured by Heart fire, causing restlessness. With blazing Heart fire, the Po (Corporeal Soul) does not guard its residence, and the Yuan Qi of the Liver is also unsettled. It is appropriate to apply Zhenzhu San (Pearl Powder) and Xi Xin San (Wash the Heart Powder; see Question 5). Take Bushen Wan (Tonify Kidney Pill) (Note: The character "fu" [take medicine] should be omitted before Xi Xin San. Bushen Wan also appears in Questions 11 and 66, but is different here.)
Bushen Wan (Tonify Kidney Pill)
(Note: "White Cinnabar" in the original text is suspected to be a typo for "Boron" or similar, as Cinnabar is naturally red, and the pill is later coated with Cinnabar, further proving the error.)
Cuscutae Semen (Tusizi), Lycii Fructus (Gouqi), White Cinnabar (Baizhusha - *erroneous term*), Green Salt (Qingyan), Prepared Rehmannia Root (Shudi), Cistanches Herba (Poguzhi), Dendrobii Caulis (Shihu), Morinda Officinalis Root (Bajitian), Moutan Cortex (Danpi), Ziziphi Spinosae Semen (Suanzaoren), Cistanche Stem (Rongcong), Fennel (Huixiang)
Grind together into powder, form pills with honey, size of Sophora japonica seeds, coat with Cinnabar, and swallow with salt water.