（附论）
目属肝。肝受血而能视。则目之瞻视必资血。苟因物损伤。致血脉散乱。则败血侵睛。
灌注瞳仁。其痛如针刺。然无翳膜。亦或由肝气闭塞。血无所归而得。宜引血归肝。若为风
热伏留。胸膈壅滞。则血上行而注于目也。亦有因用针失度。恶血不消。流渍于眼。则疼痛
难忍。宜早疗之。免有所损也。
龙木论云。又血灌瞳仁外障。此眼初患之时。忽因物误刺着。或即针之失度。致令一眼
先患。后乃相牵俱损。盖为疼痛难忍。卧时好眼安着枕上。使流毒血。在好眼先患之。以致
俱损也。先宜服止疼痛没药散。后服坠血明目丸。点摩挲石散立效。
歌曰。眼因射刺五轮亏。疼痛眶中若受锥。好眼卧时安着枕。使流恶血隔光辉。可怜清
净无瑕翳。沉没明珠甚可危。须用婆娑为药点。却交恶血本乡归。
方
车前子散（出医方大成）治肝经积热。上攻眼目。逆顺生翳。血灌瞳仁。羞
明
多泪。
密蒙花（去枝叶） 羌活 菊花 白蒺藜（炒去刺） 粉草 草决明 车前子（各炒） 黄
芩龙
生干地黄散（出圣惠方）治眼肝心积热。血灌瞳仁肿痛。
生干地黄（一两） 蒲黄（三分） 犀角屑（三分） 黄连（三分去须） 黄芩 玄参 川
升麻（各
以水一中盏。
治眼血灌瞳仁。生障膜。（出圣惠方）
用生地黄汁。每温服一小盏。频服。以瘥为度。
麦门冬散（出圣惠方）治眼血灌瞳仁。昏涩赤痛。
麦门冬（一两半去心焙） 川大黄（锉碎微炒） 黄芩 地骨皮 玄参 葳蕤（各一两）
犀角屑 甘草（炙微赤锉各半两） 上为散。每服三钱。以水一中盏。煎至六分。去滓。入
马牙硝半钱。每于食后温服之。
坠血明目丸（出龙木论）治血灌瞳仁外障。
石决明 芎 五味子 干山药 知母（各一两） 细辛 人参（各一两半） 上为末。
炼蜜
麦门冬汤（名泻肝散出龙木论）治血灌瞳仁。昏涩疼痛。兼治辘轳转关外
障。
麦门冬（去心焙） 大黄（锉炒） 黄芩（去黑心） 桔梗（锉炒） 玄参（各一两） 细
辛（去苗叶） 芒硝（研各半两） 上除芒硝外。粗捣筛。每服五钱。以水一盏半。煎取七
分。去滓。
人参汤（出圣济总录）治血灌瞳仁涩痛。兼治内障散翳。
人参 赤茯苓（去黑皮一方用白茯苓） 细辛（去苗叶） 五味子 桔梗（炒各一两） 车
前子 防风（去叉各半两一方各二两） 上粗捣筛。每服五钱。以水一盏半。煎取七分。去
滓。食后。临卧温服。
通血丸（出危氏方）治血灌瞳仁。
生地黄（焙） 赤芍药 甘草（五钱） 川芎 防风 荆芥 当归尾（各一两） 上为
末。炼蜜丸如弹子大。食后。荆芥薄荷茶嚼下。血既散而归肝。又恐眼目生花。须再用还睛
散。
决明汤（出圣济总录）治血灌瞳仁。
石决明 人参 芎 细辛（去苗叶） 五味子（各一两） 赤茯苓〔去黑皮一（二）
两〕 上
真珠散（出圣惠方）治眼血灌瞳仁。生障膜。
真珠末 水晶 琥珀末（各半两） 朱砂 马牙硝（半两） 龙脑（少许） 上为同研
如粉。每服以铜箸。取如半小豆大点之。
槐花当归散 治眼目血灌瞳仁。眼睛胀痛。
槐花（炒赤四两） 何首乌 川芎 当归（各一两） 甘草（少许） 上为细末。每服
二钱。食后米泔水调下。
没药散 治眼血灌瞳仁。疼痛不可忍。
没药（一两半） 麒麟竭（一两） 川大黄（锉碎微炒） 川芒硝 生干地黄（各一两）
上为散。于食后。温水调下二钱服之。一方无生干地黄。
婆娑石散（出龙木论）治血灌瞳仁外障。
婆娑石（少许） 曾青（半两） 龙脑 石胆（各一分） 上为末令细。早晨夜后点眼。
又方（出仁存方一名 眼膏）治眼血灌瞳仁。障膜。
生地黄（五两烂研） 川大黄（一两捣罗为末） 上相和。以帛子剪作片子。如两三指
长阔。匀摊药于上。以铜器中盛。仰卧 眼。觉热即更换冷者。
芎黄散（出卫生家宝方）治血灌瞳仁。及睛疼。
白牵牛（炒） 大黄（煨） 川芎（各等分） 上为细末。每服三钱。临卧用砂糖水调
下。睛疼温酒调下。
桔梗丸（出保命集方）治太阳经卫虚。血灌瞳仁。睑肿。头中湿。淫肤脉。
睛
痛。肝风盛。
桔梗（一斤） 牵牛（头末三两） 上为末。炼蜜为丸。如梧桐子大。每服四十丸。加
至百丸。食前温水下。日再服。
治眼臃方\x（出本草）
（附论）
眼睛归属于肝脏。肝脏接受血液滋养后视力才能正常发挥，因此眼睛的视物功能必然依赖血液。如果因为外力损伤，导致血脉散乱，那么败坏的血液就会侵入眼球，灌注到瞳仁中。此时疼痛如同针刺一般，然而并没有翳膜遮挡；这种情况也可能是由于肝气闭塞，血液无处归依所致。治疗应当引导血液回归肝脏。如果是风热潜伏停留，导致胸膈部壅滞不通，那么血液就会上行并注入眼中。也有因为使用针灸操作不当，恶血无法消散，流注浸渍于眼部，从而导致疼痛难以忍受的情况，应当尽早治疗，以免造成伤害。
《龙木论》说：又有血灌瞳仁外障这一病症，此眼在初发之时，忽然因物体误刺伤，或者是因为针灸操作失度，导致一只眼睛先患病，随后牵连另一只眼睛共同受损。大概是因为疼痛难以忍受，睡觉时将健康的眼睛安放在枕头上，使得毒血流向患病的眼睛，先在好眼中发病，以致两只眼睛都受损。起初适宜服用止痛的没药散，之后服用坠血明目丸，点用摩挲石散可立即见效。
歌诀说道：眼睛因为射刺导致五轮亏损，眼眶中疼痛如同被锥子刺入。睡觉时将好眼安放在枕上，使恶血流走以阻隔光线（保护好眼）。可怜那清净无瑕的翳膜，沉没了明珠般的眼球，非常危险。必须使用婆娑石作为药物点眼，让恶血回到其本来的归属地（肝脏）。
方剂
车前子散（出自《医方大成》），治疗肝经积热，向上攻冲眼目，导致逆生或顺生翳膜，血灌瞳仁，畏光多泪。
密蒙花（去除枝叶）、羌活、菊花、白蒺藜（炒制去刺）、粉草、草决明、车前子（各炒制）、黄芩、龙[此处原文似有缺漏，结合上下文推测可能为龙胆草或其他，但按原文仅列“龙”字，暂不补译，或视为排版错误，此处依原文列出]
生干地黄散（出自《圣惠方》），治疗眼肝心积热，血灌瞳仁引起的肿痛。
生干地黄（一两）、蒲黄（三分）、犀角屑（三分）、黄连（三分，去须）、黄芩、玄参、川升麻（各[用量原文缺失，通常等分或遵医嘱，此处依原文结构]）
用法：用水一中盏煎煮。
治眼血灌瞳仁，生障膜。（出自《圣惠方》）
用生地黄汁，每次温服一小盏，频繁服用，以病愈为限度。
麦门冬散（出自《圣惠方》），治疗眼血灌瞳仁，昏涩赤痛。
麦门冬（一两半，去心焙干）、川大黄（锉碎微炒）、黄芩、地骨皮、玄参、葳蕤（各一两）、犀角屑、甘草（炙微赤锉碎，各半两）。
用法：以上药材研为散剂。每次服用三钱，用水一中盏，煎至六分，去渣滓，加入马牙硝半钱，每次饭后温服。
坠血明目丸（出自《龙木论》），治疗血灌瞳仁外障。
石决明、芎[藭]、五味子、干山药、知母（各一两）、细辛、人参（各一两半）。
用法：以上药材研为末，炼蜜为丸。
麦门冬汤（又名泻肝散，出自《龙木论》），治疗血灌瞳仁，昏涩疼痛。兼治辘轳转关外障。
麦门冬（去心焙干）、大黄（锉炒）、黄芩（去黑心）、桔梗（锉炒）、玄参（各一两）、细辛（去苗叶）、芒硝（研细，各半两）。
用法：除芒硝外，将其他药材粗捣筛过。每次服用五钱，用水一盏半，煎取七分，去渣滓。
人参汤（出自《圣济总录》），治疗血灌瞳仁涩痛。兼治内障散翳。
人参、赤茯苓（去黑皮，一方用白茯苓）、细辛（去苗叶）、五味子、桔梗（炒，各一两）、车前子、防风（去叉，各半两，一方各二两）。
用法：以上药材粗捣筛过。每次服用五钱，用水一盏半，煎取七分，去渣滓，饭后、临睡前温服。
通血丸（出自《危氏方》），治疗血灌瞳仁。
生地黄（焙干）、赤芍药、甘草（五钱）、川芎、防风、荆芥、当归尾（各一两）。
用法：以上药材研为末，炼蜜制成如弹子大的丸剂。饭后，用荆芥薄荷茶送服嚼下。血液既已消散并回归肝脏，又担心眼睛出现视物如花般的症状，必须再用还睛散。
决明汤（出自《圣济总录》），治疗血灌瞳仁。
石决明、人参、芎[藭]、细辛（去苗叶）、五味子（各一两）、赤茯苓〔去黑皮一（二）两〕。
用法：以上药材[煎煮方法原文缺失，依常规推断]。
真珠散（出自《圣惠方》），治疗眼血灌瞳仁，生障膜。
真珠末、水晶、琥珀末（各半两）、朱砂、马牙硝（半两）、龙脑（少许）。
用法：以上药材一同研成粉末。每次用铜箸取如半颗小豆大小的量点眼。
槐花当归散，治疗眼目血灌瞳仁，眼睛胀痛。
槐花（炒赤四两）、何首乌、川芎、当归（各一两）、甘草（少许）。
用法：以上药材研为细末。每次服用二钱，饭后用米泔水调服。
没药散，治疗眼血灌瞳仁，疼痛不可忍受。
没药（一两半）、麒麟竭（一两）、川大黄（锉碎微炒）、川芒硝、生干地黄（各一两）。
用法：以上药材研为散剂。饭后，用温水调服二钱。一方无生干地黄。
婆娑石散（出自《龙木论》），治疗血灌瞳仁外障。
婆娑石（少许）、曾青（半两）、龙脑、石胆（各一分）。
用法：以上药材研为细末。早晨和夜晚点眼。
又一方（出自《仁存方》，一名眼膏），治疗眼血灌瞳仁，障膜。
生地黄（五两，烂研）、川大黄（一两，捣罗为末）。
用法：两者混合，用帛子剪成片状，长约两三指宽，均匀摊药在上面，盛放在铜器中。仰卧，将药片敷于眼上，感觉热了就更换冷的。
芎黄散（出自《卫生家宝方》），治疗血灌瞳仁，及睛疼。
白牵牛（炒）、大黄（煨）、川芎（各等分）。
用法：以上药材研为细末。每次服用三钱，临睡前用砂糖水调服。若睛疼，用温酒调服。
桔梗丸（出自《保命集方》），治疗太阳经卫气虚弱，血灌瞳仁，眼睑肿胀，头中湿邪，淫肤脉，睛痛，肝风盛。
桔梗（一斤）、牵牛（头末三两）。
用法：以上药材研为末，炼蜜为丸，如梧桐子大。每次服用四十丸，加至一百丸，饭前温水送服，每日两次。
治眼臃方（出自《本草》）
(Attached Discussion)
The eyes belong to the Liver. The Liver receives blood and enables vision; thus, the visual function of the eyes must rely on blood. If damage occurs due to external objects, causing the blood vessels to scatter and become chaotic, then ruined blood will invade the eyeball and pour into the pupil (Tongren). The pain is like needle pricking, yet there is no pterygium or membrane. This condition may also arise from the obstruction of Liver Qi, where blood has nowhere to return. Treatment should guide the blood back to the Liver. If wind-heat lingers and stagnates in the chest and diaphragm, blood will ascend and pour into the eyes. There are also cases caused by improper use of acupuncture, where evil blood fails to dissipate and flows into the eye, causing unbearable pain. Early treatment is necessary to prevent further damage.
The *Longmu Lun* states: Regarding "blood pouring into the pupil" with an external obstruction, when this eye disease first appears, it is suddenly caused by accidental injury from an object or improper acupuncture manipulation. This leads to one eye being affected first, which then spreads to affect both. This is likely because the pain is unbearable; when sleeping, the healthy eye is placed on the pillow, allowing the toxic blood to flow towards the affected eye, initially harming the good eye, resulting in damage to both. Initially, it is appropriate to take Moyao San (Myrrh Powder) to stop the pain, followed by Zhuixue Mingmu Wan (Blood-Descending and Vision-Brightening Pill), and applying Mosha Shi San (Mosha Stone Powder) for immediate effect.
A song says:
When the eyes are injured by piercing, the Five Wheels are compromised,
Pain in the orbit feels as if pierced by an awl.
When lying down, place the good eye on the pillow,
To let the evil blood flow away and protect the light.
Alas, the pure and flawless membrane sinks,
The pearl-like globe is submerged, a perilous state.
You must use Posuo Stone as medicine to apply,
To return the evil blood to its home (Liver).
Formulas
Cheqianzi San (from *Yifang Dacheng*) treats liver meridian accumulated heat attacking the eyes, causing pterygium growing in reverse or forward direction, blood pouring into the pupil, photophobia, and excessive tearing.
Mimenghua (Buddlejae Flos, removed branches and leaves), Qianghuo (Notopterygii Rhizoma et Radix), Juhua (Chrysanthemi Flos), Baijili (Tribuli Fructus, stir-fried and thorns removed), Fencǎo (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Caojueming (Cassiae Semen), Cheqianzi (Plantaginis Semen, each stir-fried), Huangqin (Scutellariae Radix), Long [Text incomplete].
Shenggan Dihuang San (from *Shenghui Fang*) treats accumulated heat in the liver and heart of the eyes, causing swelling and pain from blood pouring into the pupil.
Shenggan Dihuang (Prepared Rehmanniae Radix, 1 liang), Puhuang (Typhae Pollen, 3 fen), Xijiao Xie (Rhinocerotis Cornu, 3 fen), Huanglian (Coptidis Rhizoma, 3 fen, whiskers removed), Huangqin (Scutellariae Radix), Xuanshen (Scrophulariae Radix), Chuan Shengma ( Cimicifugae Rhizoma, each [dosage missing]).
Usage: Decoct with one zhong of water.
Treating blood pouring into the pupil and formation of membranes (from *Shenghui Fang*).
Use juice of fresh Rehmannia root (Shengdihuang Zhi). Take one small zhong warm each time, frequently, until cured.
Maimendong San (from *Shenghui Fang*) treats blood pouring into the pupil, causing dimness, dryness, redness, and pain.
Maimendong (Ophiopogonis Radix, 1.5 liang, heart removed and roasted), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and slightly stir-fried), Huangqin (Scutellariae Radix), Digupi (Lycii Cortex), Xuanshen (Scrophulariae Radix), Weirui (Polygonati Odorati Rhizoma, each 1 liang), Xijiao Xie (Rhinocerotis Cornu), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, slightly reddened, and crushed, each 0.5 liang).
Usage: Grind into powder. Take 3 qian each time. Decoct with one zhong of water until reduced to 6/10 parts. Remove dregs, add Mayaxiao (Natrii Sulfas), take 0.5 qian, warm after meals.
Zhuxue Mingmu Wan (from *Longmu Lun*) treats blood pouring into the pupil with external obstruction.
Shijueming (Haliotidis Concha), Xiong [Cong], Wuweizi (Schisandrae Fructus), Ganshanyao (Dioscoreae Rhizoma), Zhimu (Anemarrhenae Rhizoma, each 1 liang), Xixin (Asari Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma, each 1.5 liang).
Usage: Grind into powder, make pills with refined honey.
Maimendong Tang (also named Xiegan San, from *Longmu Lun*) treats blood pouring into the pupil, causing dimness, dryness, and pain. Also treats Lulu Zhuan'guan external obstruction.
Maimendong (Ophiopogonis Radix, heart removed and roasted), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Huangqin (Scutellariae Radix, black heart removed), Jiegeng (Platycodonis Radix, crushed and stir-fried), Xuanshen (Scrophulariae Radix, each 1 liang), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Mangxiao (Natrii Sulfas, ground, each 0.5 liang).
Usage: Except for Mangxiao, coarsely crush and sieve. Take 5 qian each time. Decoct with 1.5 zhan of water until 7/10 parts remain. Remove dregs.
Renshen Tang (from *Shengji Zonglu*) treats blood pouring into the pupil causing dryness and pain. Also treats internal cataracts and scattering of opacities.
Renshen (Ginseng Radix et Rhizoma), Chi Fuling (Poria with Red Host, black skin removed; one formula uses white Poria), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Wuweizi (Schisandrae Fructus), Jiegeng (Platycodonis Radix, stir-fried, each 1 liang), Cheqianzi (Plantaginis Semen), Fangfeng (Saposhnikoviae Radix, forked parts removed, each 0.5 liang; one formula uses 2 liang each).
Usage: Coarsely crush and sieve. Take 5 qian each time. Decoct with 1.5 zhan of water until 7/10 parts remain. Remove dregs. Warm intake after meals and before bed.
Tongxue Wan (from *Weishi Fang*) treats blood pouring into the pupil.
Shengdihuang (Rehmanniae Radix, roasted), Chi Shaoyao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Dangguiwei (Angelicae Sinensis Radix tail, each 1 liang).
Usage: Grind into powder, make pills with refined honey the size of a bullet. Take after meals, chewed down with Perilla and Mint tea. Once blood dissipates and returns to the Liver, fear that flowers may appear in vision; must subsequently use Huanjing San.
Jueming Tang (from *Shengji Zonglu*) treats blood pouring into the pupil.
Shijueming (Haliotidis Concha), Renshen (Ginseng Radix et Rhizoma), Xiong [Cong], Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Wuweizi (Schisandrae Fructus, each 1 liang), Chi Fuling (Poria with Red Host, black skin removed [1 or 2 liang]).
Usage: [Decoction method omitted in source].
Zhenzhu San (from *Shenghui Fang*) treats blood pouring into the pupil and formation of membranes.
Zhenzhu Mo (Pearl Powder), Shuijing (Quartz), Hupo Mo (Amber Powder, each 0.5 liang), Zhusha (Cinnabar), Mayaxiao (Natrii Sulfas, 0.5 liang), Naobing (Borneolum Syntheticum, a little).
Usage: Grind together into powder. Each time, use a copper chopstick to take a amount the size of half a small bean to apply to the eye.
Huaihua Danggui San treats blood pouring into the eyes and eye distension pain.
Huaihua (Sophorae Flos, stir-fried until red, 4 liang), Heshouwu (Polygoni Multiflori Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, a little).
Usage: Grind into fine powder. Take 2 qian each time, mixed with rice wash water after meals.
Moyao San treats blood pouring into the pupil, with unbearable pain.
Moyao (Myrrha, 1.5 liang), Qilinjie (Dragon's Blood, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and slightly stir-fried), Chuan Mangxiao (Natrii Sulfas), Shenggan Dihuang (Prepared Rehmanniae Radix, each 1 liang).
Usage: Grind into powder. Take 2 qian mixed with warm water after meals. One formula excludes Shenggan Dihuang.
Posuo Shi San (from *Longmu Lun*) treats blood pouring into the pupil with external obstruction.
Posuo Shi (Posuo Stone, a little), Zengqing (Azurite, 0.5 liang), Naobing (Borneolum Syntheticum), Shidan (Melanteritum, each 1 fen).
Usage: Grind into fine powder. Apply to the eyes in the morning and at night.
Another Formula (from *Ren Cun Fang*, also called Eye Ointment) treats blood pouring into the pupil and membranes.
Shengdihuang (Fresh Rehmanniae Radix, 5 liang, pounded thoroughly), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, pounded and sifted into powder).
Usage: Mix together. Cut cloth into pieces, about two or three fingers long and wide. Spread the medicine evenly on the cloth. Place in a copper vessel. Lie supine and apply to the eye. Replace with cold ones when it feels hot.
Xionghuang San (from *Weisheng Jiabao Fang*) treats blood pouring into the pupil and eye pain.
Bai Qianniu (White Morning Glory Seed, stir-fried), Dahuang (Rhei Radix et Rhizoma, baked), Chuanxiong (Ligustici Chuanxiong Rhizoma, equal parts).
Usage: Grind into fine powder. Take 3 qian each time, mixed with sugar water before bed. For eye pain, mix with warm wine.
Jiegeng Wan (from *Baoming Ji Fang*) treats deficiency of Wei Qi in the Taiyang meridian, blood pouring into the pupil, eyelid swelling, dampness in the head, Yin Fu Mai, eye pain, and excess Liver Wind.
Jiegeng (Platycodonis Radix, 1 jin), Qianniu (Morning Glory Seed, first powder, 3 liang).
Usage: Grind into powder, make pills with refined honey the size of Sophora seeds. Take 40 pills each time, increasing to 100 pills. Take with warm water before meals, twice daily.
Formula for Treating Eye Swelling (from *Bencao*)