(附论)
夫肝开窍于目。肝气虚热。毒瓦斯则乘虚上攻于目。故目赤疼痛。或生翳赤白膜息肉及疮
也。
方
升麻散(出圣惠方)治时气热攻于肝脏。目赤色痛。宜服。
川升麻(五钱) 地骨皮(五钱) 玄参(五钱) 甘草(五钱炙微赤锉) 黄芩(五
钱) 赤茯
苓(五钱) 栀子仁(五钱) 防风(五钱) 羌活(五钱) 桑根白皮(锉五钱) 决明
子(半两)
石膏(三两) 上为散。每服五钱。以水一大盏。入竹叶二七片。黑豆五十粒。煎至五分。
去
滓。不计时候。温服。
栀子散(出圣惠方)治时气热毒未除。心胸烦闷。毒瓦斯上攻而眼赤肿。宜
服。
栀子仁(半两) 黄连(去须半两) 枳壳(麸炒微黄去瓤五钱) 龙胆(去芦头五钱)
赤芍
药(半两) 甘草(炙微赤锉五钱) 川大黄(锉碎微炒五钱) 上为散。每服五钱。以水
一大盏。
煎至五分。去滓。食后温服。
羚羊角散(出圣惠方)治时气肝脏虚热。眼昏赤痛。宜服。
羚羊角屑(半两) 赤茯苓(半两) 防风(去芦头半两) 麦门冬(去心半两) 甘
草(炙微
赤锉半两) 地骨皮(半两) 枳壳(麸炒微黄去瓤半两) 蕤仁(半两) 上为散。每服
五钱。
以水一钟。煎至五分。去滓。入蜜一茶匙。更煎两沸。食后温服。
地骨皮散(出圣惠方)治时气热毒攻眼疼痛。心中烦躁。宜服。
地骨皮(一两) 防风(去芦头一两) 赤芍药(一两) 葛根(一两锉) 羚羊角屑
(一两)
川大黄(锉碎微炒一两) 上为散。每服五钱。以水一大盏。入豉五十粒。葱白一茎。煎至
五
分。去滓。食后温服。
治时气热毒攻眼。不能见物。(出圣惠方)
川升麻(一两) 决明子(一两) 细辛(半两) 蕤仁(一两) 黄连(一两去须) 犀
角屑
(半两) 上为散。每服食后以温浆水调下二钱。
洗眼竹叶汤 治时气目赤碜痛。及痒不可忍。宜服。
竹叶(一百片) 秦皮(三分) 防风(三分) 甘菊花(三分) 葳蕤(三分) 蕤
仁(三分)
甘草(一分生用) 上细锉。以水二大盏。煎至五分。以绵沥去滓。避风处洗眼目三五度瘥。
猪胆点眼方(出圣惠方)治时气热毒攻眼。中有努肉。睑里有疮。日夜下
泪不见物。
猪胆(一枚用汁) 川朴硝 黄连末(五分) 龙脑(如豌豆大一块研细) 上都研
细。与
猪胆相和匀。浸一宿。昼夜点眼。若热气泪至多。当时便止。
治时气热毒攻眼。肿痛不可忍。洗眼方。(出圣惠方)
以水煮蜂窠洗之。日六七度。甚效。
猪肝贴眼方(出圣惠方)治时气后。因吃葵、蒜热面损眼。暗不见物。昼
夜疼痛不可忍者。宜服。
以 猪肝一具。薄切。以清水浸淘如法。贴眼睑上。干即换之。连日及夜贴之。重者不
过一二日效。
漏芦连翘汤 治时气热毒。变作赤色痈疽丹疹毒肿。及眼赤肿。生障翳。
漏芦(一两) 连翘(一两) 黄芩(一两) 麻黄(一两) 白蔹(一两) 升麻(一
两) 甘草
(一两) 枳壳(二两) 大黄(二两) 上 咀。以水九升。煮取三升。分三服。如人行
五里时
更服。热盛者。可加芒硝二两。
(附论)
肝脏的生理功能开窍于眼睛。如果肝气虚弱且伴有内热,毒邪就会趁虚侵袭并向上攻冲至眼部。因此会出现眼睛发红、疼痛的症状,或者长出翳膜、赤白膜、息肉以及疮疡等病变。
方剂
升麻散(出自《圣惠方》),治疗时行疫病的热邪攻入肝脏,导致眼睛发红、颜色深且疼痛的情况,适宜服用。
川升麻(五钱)、地骨皮(五钱)、玄参(五钱)、甘草(五钱,炙烤至微红后切碎)、黄芩(五钱)、赤茯苓(五钱)、栀子仁(五钱)、防风(五钱)、羌活(五钱)、桑根白皮(切碎,五钱)、决明子(半两)、石膏(三两)。以上药材研为散剂。每次服用五钱,用水一大盏,加入竹叶十四片、黑豆五十粒,煎煮至剩余五分之一的药液,滤去药渣。不限时间,温服。
栀子散(出自《圣惠方》),治疗时行疫病的热毒尚未清除,心胸烦闷燥热,毒邪上攻导致眼睛红肿的情况,适宜服用。
栀子仁(半两)、黄连(去掉须根,半两)、枳壳(麸炒至微黄,去掉瓤,五钱)、龙胆(去掉芦头,五钱)、赤芍药(半两)、甘草(炙烤至微红后切碎,五钱)、川大黄(切碎,微炒,五钱)。以上药材研为散剂。每次服用五钱,用水一大盏,煎煮至剩余五分之一的药液,滤去药渣。饭后温服。
羚羊角散(出自《圣惠方》),治疗时行疫病导致的肝脏虚热,出现眼睛昏花、发红、疼痛的情况,适宜服用。
羚羊角屑(半两)、赤茯苓(半两)、防风(去掉芦头,半两)、麦门冬(去掉心,半两)、甘草(炙烤至微红后切碎,半两)、地骨皮(半两)、枳壳(麸炒至微黄,去掉瓤,半两)、蕤仁(半两)。以上药材研为散剂。每次服用五钱,用水一钟,煎煮至剩余五分之一的药液,滤去药渣,加入蜂蜜一茶匙,再煮沸两次。饭后温服。
地骨皮散(出自《圣惠方》),治疗时行疫病的毒邪攻冲眼部引起疼痛,心中烦躁不安的情况,适宜服用。
地骨皮(一两)、防风(去掉芦头,一两)、赤芍药(一两)、葛根(一两,切碎)、羚羊角屑(一两)、川大黄(切碎,微炒,一两)。以上药材研为散剂。每次服用五钱,用水一大盏,加入豆豉五十粒、葱白一根,煎煮至剩余五分之一的药液,滤去药渣。饭后温服。
治疗时行疫病的毒邪攻冲眼部,导致视力模糊不能视物。(出自《圣惠方》)
川升麻(一两)、决明子(一两)、细辛(半两)、蕤仁(一两)、黄连(一两,去掉须根)、犀角屑(半两)。以上药材研为散剂。每次饭后用温浆水调服二钱。
洗眼竹叶汤,治疗时行疫病引起的眼睛发红、异物感疼痛,以及瘙痒难忍的情况,适宜使用。
竹叶(一百片)、秦皮(三分)、防风(三分)、甘菊花(三分)、葳蕤(三分)、蕤仁(三分)、甘草(一分,生用)。以上药材细细切碎,用水两大盏,煎煮至剩余五分之一的药液,用绵布过滤去渣。在避风处清洗眼睛三到五次,即可痊愈。
猪胆点眼方(出自《圣惠方》),治疗时行疫病的毒邪攻冲眼部,眼中长有努肉(睑裂部球结膜增生),眼睑内有疮疡,日夜流泪无法视物的情况。
猪胆汁(一枚,取汁)、川朴硝、黄连末(五分)、龙脑(如豌豆大小的一块,研细)。以上药物共同研细,与猪胆汁混合均匀,浸泡一夜。昼夜滴眼。如果热气导致眼泪过多,应立即停止使用。
治疗时行疫病的毒邪攻冲眼部,肿痛剧烈难以忍受的洗眼方。(出自《圣惠方》)
用水煮蜂巢来清洗眼部,每天六到七次,效果显著。
猪肝贴眼方(出自《圣惠方》),治疗时行疫病之后,因食用葵菜、大蒜或热面损伤眼睛,导致视力昏暗无法视物,日夜疼痛难以忍受的情况,适宜使用。
取猪肝一副,薄切,用清水按照上述方法浸泡淘洗。贴在眼睑上,干了就更换。连续白天黑夜贴敷。病情重的,不超过一两天见效。
漏芦连翘汤,治疗时行疫病的毒邪,转变为红色的痈疽丹疹毒肿,以及眼睛红肿、生成障翳的情况。
漏芦(一两)、连翘(一两)、黄芩(一两)、麻黄(一两)、白蔹(一两)、升麻(一两)、甘草(一两)、枳壳(二两)、大黄(二两)。以上药材切碎,用水九升,煮取三升药液,分三次服用。如果行人走五里路的时间间隔再服一次。热势旺盛者,可加芒硝二两。
(Attached Discussion)
The Liver opens into the eyes. When Liver Qi is deficient and accompanied by internal heat, toxic pathogens will take advantage of this deficiency to attack upwards towards the eyes. Consequently, there will be symptoms of redness and pain in the eyes, or the formation of nebulae (corneal opacity), red-and-white membranes, polyps, and sores.
Prescriptions
Shengma San (Cinnamon Twig Powder) [from *Shenghui Fang*]: Treats epidemic febrile diseases where heat attacks the Liver channel, causing redness and painful vision in the eyes. Suitable for consumption.
Chuan Shengma (*Rhizoma Cimicifugae*, 5 qian), Digupi (*Cortex Lycii*, 5 qian), Xuanshen (*Radix Scrophulariae*, 5 qian), Gancao (*Radix Glycyrrhizae*, 5 qian, honey-fried until slightly reddish and crushed), Huangqin (*Radix Scutellariae*, 5 qian), Chi Fuling (*Poria with Red Core*, 5 qian), Zhizi Ren (*Semen Gardeniae*, 5 qian), Fangfeng (*Radix Saposhnikoviae*, 5 qian), Qianghuo (*Rhizoma et Radix Notopterygii*, 5 qian), Sanggen Baipi (*Cortex Mori Radicis*, 5 qian, crushed), Juemingzi (*Fructus Cassiae*, 0.5 liang), Shigao (*Gypsum Fibrosum*, 3 liang). The above ingredients are processed into a powder. Take 5 qian per dose. Add one large cup of water, fourteen leaves of Zhuye (*Folium Bambusae*), and fifty beans of Heidou (*Semen Sojae Nigrum*). Decoct until only one-fifth of the liquid remains. Strain off the dregs. Take warm at any time.
Zhizi San (Gardenia Powder) [from *Shenghui Fang*]: Treats epidemic febrile diseases where heat toxins have not yet been eliminated, causing restlessness and oppression in the chest and heart, with toxic pathogens attacking upwards leading to red and swollen eyes. Suitable for consumption.
Zhizi Ren (*Semen Gardeniae*, 0.5 liang), Huanglian (*Rhizoma Coptidis*, 0.5 liang, remove roots), Zhike (*Fructus Aurantii Immaturus*, 5 qian, stir-bran fried until slightly yellow, remove pulp), Longdan (*Radix Gentianae*, 5 qian, remove rhizome), Chi Shaoyao (*Radix Paeoniae Rubra*, 0.5 liang), Gancao (*Radix Glycyrrhizae*, 5 qian, honey-fried until slightly reddish and crushed), Chuan Dahuang (*Radix et Rhizoma Rhei*, 5 qian, crushed and lightly stir-fried). The above ingredients are processed into a powder. Take 5 qian per dose. Add one large cup of water. Decoct until only one-fifth of the liquid remains. Strain off the dregs. Take warm after meals.
Lingyangjiao San (Antelope Horn Powder) [from *Shenghui Fang*]: Treats epidemic febrile diseases causing deficient heat in the Liver, resulting in blurred vision, redness, and pain in the eyes. Suitable for consumption.
Lingyangjiao Xie (*Cornu Saigae Tataricae*, 0.5 liang), Chi Fuling (*Poria with Red Core*, 0.5 liang), Fangfeng (*Radix Saposhnikoviae*, 0.5 liang, remove rhizome), Maimendong (*Radix Ophiopogonis*, 0.5 liang, remove heart), Gancao (*Radix Glycyrrhizae*, 0.5 liang, honey-fried until slightly reddish and crushed), Digupi (*Cortex Lycii*, 0.5 liang), Zhike (*Fructus Aurantii Immaturus*, 0.5 liang, stir-bran fried until slightly yellow, remove pulp), Ruiren (*Semen Pruni Armeniacae*, 0.5 liang). The above ingredients are processed into a powder. Take 5 qian per dose. Add one bell of water. Decoct until only one-fifth of the liquid remains. Strain off the dregs. Add one teaspoon of honey, boil two more times. Take warm after meals.
Digupi San (Lycium Bark Powder) [from *Shenghui Fang*]: Treats epidemic febrile diseases where heat toxins attack the eyes causing pain, accompanied by mental restlessness. Suitable for consumption.
Digupi (*Cortex Lycii*, 1 liang), Fangfeng (*Radix Saposhnikoviae*, 1 liang, remove rhizome), Chi Shaoyao (*Radix Paeoniae Rubra*, 1 liang), Gegen (*Radix Puerariae*, 1 liang, crushed), Lingyangjiao Xie (*Cornu Saigae Tataricae*, 1 liang), Chuan Dahuang (*Radix et Rhizoma Rhei*, 1 liang, crushed and lightly stir-fried). The above ingredients are processed into a powder. Take 5 qian per dose. Add one large cup of water, fifty grains of Chishi (*Fructus Sojae Preparatus*), and one stalk of Congbai (*Bulbus Allii Cepae*). Decoct until only one-fifth of the liquid remains. Strain off the dregs. Take warm after meals.
Treats epidemic febrile diseases where heat toxins attack the eyes, causing inability to see objects clearly. [from *Shenghui Fang*]
Chuan Shengma (*Rhizoma Cimicifugae*, 1 liang), Juemingzi (*Fructus Cassiae*, 1 liang), Xixin (*Herba Asari*, 0.5 liang), Ruiren (*Semen Pruni Armeniacae*, 1 liang), Huanglian (*Rhizoma Coptidis*, 1 liang, remove roots), Xijiao Xie (*Cornu Rinocerotis*, 0.5 liang). The above ingredients are processed into a powder. After each meal, take 2 qian mixed with warm Jiangshui (fermented rice water).
Xieyan Zhuye Tang (Eye-Washing Bamboo Leaf Decoction): Treats epidemic febrile diseases causing red, gritty, and painful eyes, as well as unbearable itching. Suitable for use.
Zhuye (*Folium Bambusae*, 100 pieces), Qinpi (*Cortex Fraxini*, 3 fen), Fangfeng (*Radix Saposhnikoviae*, 3 fen), Gan Juhua (*Flos Chrysanthemi*, 3 fen), Weirui (*Rhizoma Polygonati Odorati*, 3 fen), Ruiren (*Semen Pruni Armeniacae*, 3 fen), Gancao (*Radix Glycyrrhizae*, 1 fen, raw). The above ingredients are finely crushed. Add two large cups of water. Decoct until only one-fifth of the liquid remains. Filter through cotton cloth to remove dregs. Wash the eyes three to five times in a wind-shaded place until healed.
Zhudan Dianyan Fang (Pig Gallbladder Eye-Dropping Prescription) [from *Shenghui Fang*]: Treats epidemic febrile diseases where heat toxins attack the eyes, resulting in caruncle-like growths (Nurou), sores inside the eyelids, continuous tearing day and night, and inability to see objects.
Zhudan Zhi (*Bile Sus Scrofa*, juice from one gallbladder), Chuan Puxiao (*Natrii Sulfas*), Huanglian Mo (*Powder of Rhizoma Coptidis*, 5 fen), Longnao (*Borneolum Syntheticum*, a piece the size of a pea, ground fine). Grind all ingredients together until fine. Mix evenly with pig bile. Soak overnight. Apply to the eyes day and night. If excessive tearing occurs due to heat, stop immediately.
Eye-washing prescription for treating epidemic febrile diseases where heat toxins attack the eyes, causing severe swelling and pain that is unbearable. [from *Shenghui Fang*]
Boil honeycomb in water and wash the eyes with it. Do this six to seven times a day. Very effective.
Zhugan Tieyan Fang (Pork Liver Eye-Pasting Prescription) [from *Shenghui Fang*]: Treats damage to the eyes caused by consuming kelp, garlic, or hot noodles after an epidemic febrile disease, resulting in dim vision, inability to see, and unbearable pain day and night. Suitable for use.
Take one liver of pork. Slice thinly. Soak and rinse in clear water according to standard procedure. Paste onto the eyelids. Replace when dry. Apply continuously day and night. For severe cases, improvement occurs within one to two days.
Loulu Lianqiao Tang (Aralia and Forsythia Decoction): Treats epidemic febrile diseases where heat toxins transform into red carbuncles, ulcers, erysipelas, toxic swellings, as well as red and swollen eyes and the formation of cataracts/nubeculae.
Loulu (*Radix Rhapontici*, 1 liang), Lianqiao (*Fructus Forsythiae*, 1 liang), Huangqin (*Radix Scutellariae*, 1 liang), Mahuang (*Herba Ephedrae*, 1 liang), Bailian (*Rhizoma Belamcandae*, 1 liang), Shengma (*Rhizoma Cimicifugae*, 1 liang), Gancao (*Radix Glycyrrhizae*, 1 liang), Zhike (*Fructus Aurantii Immaturus*, 2 liang), Dahuang (*Radix et Rhizoma Rhei*, 2 liang). Coarsely crush the above ingredients. Add nine sheng of water. Boil to obtain three sheng of decoction. Divide into three doses. Administer again after the time it takes a person to walk five li. If heat is intense, add Mangxiao (*Natrii Sulfas*, 2 liang).