目有翳而多泪不凝结者何故?答曰∶即
是肺托落,肝虚也,宜点珍珠琥珀膏,服阿胶散、补肺散。(方见七问)
阿胶散
白茯苓(二钱) 白术(二钱) 川芎(二钱) 阿胶(炒成珠,二钱) 当归(一钱)
姜三片,枣三枚,水煎,不拘时服。
目有怕日羞明何故?答曰∶脾实也。脾属土,土受湿气传于肺,肺受心经邪火而传于目,太阳受湿热则胜脾
土,土盛肌肉壅塞难开,乃是湿气相搏,故怕日羞明,宜点珍珠膏,服洗脾饮、密蒙丸。
洗脾饮 治胞肿赤痛。
当归 天花粉 赤芍 黄芩 羌活 穿山甲(炒) 金银花 白芷 连翘
水煎将好,加大黄芒硝一二钱,即取起,食后服。
密蒙丸 此方还有在后,看加减服。(此言还有在后,查后未见,疑系脱简)
密蒙花 菊花 羌活 石决明(盐水浸炒) 青精石 白蒺藜(炒去角)
上各等分为末,炼蜜为丸,桐子大,每服三十丸,食后服,日三服。
目有视物不真者何故?答曰∶脾虚也。脾属土,肝属木,木克土,青黄相争,黄不胜青,故视物不真。宜点
珍珠膏,服苍术汤、补肾丸。(方见十一问)
苍术汤
苍术(米泔浸炒,一钱二分) 本(一钱) 白芷(一钱) 羌活(一钱) 川芎(一钱) 甘草(一钱)
葱姜煎服。
眼睛出现翳障且流泪多而不凝结是什么原因?回答说:这是肺金虚弱,肝血不足所致,适宜点用珍珠琥珀膏,服用阿胶散、补肺散。(方剂见第七问)
阿胶散
白茯苓(二钱) 白术(二钱) 川芎(二钱) 阿胶(炒至成珠状,二钱) 当归(一钱)
生姜三片,大枣三枚,加水煎煮,不限时间服用。
眼睛怕光羞明是什么原因?回答说:这是脾实热所致。脾属土,湿气传于肺,肺受心经邪火影响而传于目,太阳经受湿热则克制脾土,脾土旺盛导致肌肉壅塞难以张开,乃是湿气相互搏结,所以怕光羞明,适宜点用珍珠膏,服用洗脾饮、密蒙丸。
洗脾饮 治疗眼睑肿胀赤痛。
当归 天花粉 赤芍 黄芩 羌活 穿山甲(炒) 金银花 白芷 连翘
水煎至将好时,加入大黄、芒硝一二钱,立即取出,饭后服用。
密蒙丸 此方在后面还有,根据情况加减服用。(此处说后面还有,但查阅后未见,怀疑是脱简遗漏)
密蒙花 菊花 羌活 石决明(盐水浸炒) 青精石 白蒺藜(炒去角刺)
以上各药等分为末,炼蜜为丸,如梧桐子大,每次服用三十丸,饭后服用,每日三次。
眼睛视物不清是什么原因?回答说:这是脾虚所致。脾属土,肝属木,木克土,青色与黄色相争,黄色不胜过青色,所以视物不清。适宜点用珍珠膏,服用苍术汤、补肾丸。(方剂见第十一问)
What is the reason for having nebula (corneal opacity) in the eyes with excessive tearing that does not coagulate? The answer is: This is due to Lung Qi deficiency and Liver Blood deficiency. It is appropriate to apply Zhenzhu Hupo Gao (Pearl and Amber Ointment) and take Ejiao San (Donkey-Hide Gelatin Powder) and Bufei San (Lung-Supplementing Powder). (The formula is seen in Question Seven.)
Ejiao San
Baifuling (Poria, 2 qian) Baizhu (Atractylodes Macrocephala Rhizome, 2 qian) Chuanxiong (Ligusticum Chuanxiong Rhizome, 2 qian) Ejiao (Asini Corii Colla, fried until bead-like, 2 qian) Danggui (Angelica Sinensis Radix, 1 qian)
Add three slices of Shengjiang (Zingiberis Rhizoma Recens), three dates (Jujubae Fructus), decoct in water, and take at any time.
What is the reason for photophobia and aversion to bright light? The answer is: This is due to Spleen Excess Heat. The Spleen belongs to Earth; dampness transmits from the Spleen to the Lung; the Lung is affected by pathogenic fire from the Heart Meridian and transmits it to the eyes. When the Taiyang (Greater Yang) meridian is affected by damp-heat, it overacts on Spleen Earth. When Spleen Earth is excessive, muscle congestion occurs, making it difficult to open, which is caused by the struggle between dampness factors. Therefore, there is photophobia and aversion to bright light. It is appropriate to apply Zhenzhu Gao (Pearl Ointment) and take Xipi Yin (Spleen-Washing Decoction) and Mimeng Wan (Mimeng Pill).
Xipi Yin Treats eyelid swelling, redness, and pain.
Danggui (Angelica Sinensis Radix) Tianhuafen (Trichosanthis Radix) Chishao (Paeoniae Radix Rubra) Huangqin (Scutellariae Radix) Qianghuo (Notopterygii Rhizoma et Radix) Chanshanjia (Manis Squama, fried) Jinyinhua (Lonicerae Japonicae Flos) Baizhi (Angelicae Dahuricae Radix) Lianqiao (Forsythiae Fructus)
Decoct in water. Just before completion, add Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas) one or two qian, remove immediately, and take after meals.
Mimeng Wan This formula appears later; take with modifications according to conditions. (It states that more follows, but upon checking, nothing is found afterwards; it is suspected to be a missing leaf.)
Mimenghua (Glochidion Flower) Juhua (Chrysanthemi Flos) Qianghuo (Notopterygii Rhizoma et Radix) Shijueming (Haliotidis Concha, soaked in salt water and fried) Qingjingshi (Qingjingshi) Bajili (Tribuli Fructus, fried and thorns removed)
Grind all ingredients into powder in equal proportions. Make pills using refined honey, sized like wu-tong seeds. Take thirty pills per dose, after meals, three times a day.
What is the reason for blurred vision? The answer is: This is due to Spleen Deficiency. The Spleen belongs to Earth, and the Liver belongs to Wood. Wood controls Earth. There is a conflict between Green (Wood/Liver) and Yellow (Earth/Spleen); since Yellow cannot overcome Green, vision becomes unclear. It is appropriate to apply Zhenzhu Gao (Pearl Ointment) and take Cangzhu Tang (Atractylodis Rhizoma Decoction) and Bushen Wan (Kidney-Supplementing Pill). (The formula is seen in Question Eleven.)
Cangzhu Tang
Cangzhu (Atractylodis Rhizoma, soaked in rice wash water and fried, 1.2 qian) Bencao/Gaoben (Ligustici Wallichii Rhizoma et Radix, 1 qian) Baizhi (Angelicae Dahuricae Radix, 1 qian) Qianghuo (Notopterygii Rhizoma et Radix, 1 qian) Chuanxiong (Ligustici Chuanxiong Rhizome, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian)
Decoct with Congbai (Allii Fistulosi Bulbus) and Shengjiang (Zingiberis Rhizoma Recens) and take.