疼者肝气实,风热,痰热、血瘀热,血实,气壅。
诸邪 风热∶羌活、甘菊、川芎、蔓荆子、荆芥穗。火∶酒炒芩、连、大黄、当归、
生地、防风、薄荷。湿热∶神芎丸。风∶川芎茶调散。
凉血 实者,犀角地黄汤加芩、连、荆穗、石膏、柴胡。虚者,四物加黄连、生地黄
、草荆穗、枳实。
清气 实者,凉膈。虚者,清心莲子饮,局方定志丸∶茯菟 人参(各三两) 远志
菖蒲(各二两) 蜜丸,辰砂为衣。
针 丝竹空、上星、百会、攒竹宣泄。痛者,风池、合谷。
导痰行气 二陈加枳壳、川芎、仙术、石膏、荆芥。
泻肝 泻青丸、羊肝丸(白羊肝一具,黄连末。)
养阳 东垣神效黄 汤。
滋阴 地黄丸。二者兼治,东垣滋阴地黄丸。
消翳膜方
甘菊 川椒 木贼 蒺藜子 密蒙花 蛇蜕 蝉蜕 川芎 蔓荆子 荆芥穗 石燕 黄
连薄荷叶 枳实 栝蒌根 羌活 当归 甘草上为末,蜜丸含化。
灸 大寒犯脑,连及目疼,或风湿相搏,风邪,皆可用。有翳取二间、合谷。
宣 痰实气郁,宜吐之,然后用药。
下 热胜气郁,承气汤。血实,玉烛散。
洗 汤泡散∶黄连、杏仁、当归、防风。
点药 末子用炉甘石,不拘多少,淬后为极细末点。先用童便淬,后用黄连汁淬之。
熊胆膏∶
黄连 黄柏(各三两) 蕤仁(一钱,去油) 先将三味煎浓汁,滤过入后药
熊胆(一钱) 硼砂(半钱) 牛黄(半钱) 脑子(四钱) 蜜(四两,和净水熬)
疼痛多由肝气实证引起,涉及风热、痰热、血瘀化热、血实及气机壅滞。
针对各种邪气:
风热证:使用羌活、甘菊(菊花)、川芎、蔓荆子、荆芥穗。
火证:使用酒炒黄芩、黄连、大黄、当归、生地黄、防风、薄荷。
湿热证:使用神芎丸。
风证:使用川芎茶调散。
凉血法:
实证:犀角地黄汤加黄芩、黄连、荆芥穗、石膏、柴胡。
虚证:四物汤加黄连、生地黄、荆芥穗、枳实。
清气法:
实证:使用凉膈散。
虚证:使用清心莲子饮,或局方定志丸(茯苓、菟丝子、人参各三两;远志、石菖蒲各二两;制成蜜丸,以辰砂为衣)。
针刺疗法:
丝竹空、上星、百会、攒竹穴用于宣泄邪气。
疼痛者,取风池、合谷穴。
消翳膜方:
甘菊、川椒、木贼、蒺藜子、密蒙花、蛇蜕、蝉蜕、川芎、蔓荆子、荆芥穗、石燕、黄连、薄荷叶、枳实、栝蒌根、羌活、当归、甘草。以上药材研为细末,用蜂蜜制成丸剂含服。
灸法:
大寒侵袭脑部,牵连眼睛疼痛,或风湿相搏、风邪侵袭,皆可用灸法。若有翳膜,取二间、合谷穴。
点眼药:
炉甘石粉末,用量不限,淬炼后研成极细末点眼。先用童便淬炼,后用黄连汁淬炼。
熊胆膏:
黄连、黄柏(各三两)、蕤仁(一钱,去油)。先将这三味药煎煮成浓汁,过滤后加入以下药物:
熊胆(一钱)、硼砂(半钱)、牛黄(半钱)、冰片(四钱)、蜂蜜(四两,加水调和熬制)。
Pain is often caused by excess Liver Qi, involving wind-heat, phlegm-heat, blood stasis with heat, blood excess, and qi stagnation.
For various pathogenic factors:
Wind-heat: Qianghuo (Notopterygii Rhizoma et Radix), Ganju (Chrysanthemi Flos), Chuanxiong (Chuanxiong Rhizoma), Manjingzi (Viticis Fructus), Jingjie Sui (Schizonepetae Spica).
Fire: Jiu Chao Huangqin (Scutellariae Radix fried with wine), Lian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba).
Damp-heat: Shenxiong Wan (Shenxiong Pill).
Wind: Chuanxiong Chatiao San (Chuanxiong Tea-Powdering Powder).
Cooling Blood:
Excess syndrome: Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) plus Huangqin, Lian, Jing Sui, Shigao (Gypsum Fibrosum), Chaihu (Bupleuri Radix).
Deficiency syndrome: Siwu Tang (Four Substances Decoction) plus Huanglian (Coptidis Rhizoma), Shengdihuang, Jing Sui, Zhishi (Aurantii Fructus).
Clearing Qi:
Excess syndrome: Liangge San (Cool the Diaphragm Powder).
Deficiency syndrome: Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction), or Ju Fang Dingzhi Wan (Fixed Mind Pill from Standard Formulary): Fu Ling (Poria), Tutu (Cuscutae Semen), Renshen (Ginseng Radix et Rhizoma) (each 3 liang); Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma) (each 2 liang); honey pills coated with Chen Sha (Cinnabar).
Acupuncture:
Sizhukong (EX-HN4), Shangxing (GV23), Baihui (GV20), Cuanzhu (BL2) to vent pathogenic factors.
For pain: Fengchi (GB20), Hegu (LI4).
Guiding Phlegm and Moving Qi:
Erchen Tang (Two-Cured Decoction) plus Zhike (Aurantii Fructus), Chuanxiong, Xianzhu (Atractylodis Rhizoma), Shigao, Jingjie.
Draining Liver:
Xieqing Wan (Drain the Green Pill), Yanggan Wan (Sheep Liver Pill) (one whole white sheep liver, mixed with Huanglian powder).
Nourishing Yang:
Dongyuan Shenxiao Huangqi Tang (Dongyuan's Miraculous Astragalus Decoction).
Nourishing Yin:
Dihuang Wan (Rehmannia Pill). For simultaneous treatment of both, Dongyuan Ziyin Dihuang Wan (Dongyuan's Yin-Nourishing Rehmannia Pill).
Formula for Eliminating Cornea Opacity:
Ganju, Chuanjiao (Zanthoxyli Pericarpium), Muzei (Equiseti Herba), Jili Zi (Tribuli Fructus), Mimenghua (Flos Myricariae), Sheche (Ophichthidae Exuvies), Chantui (Cicadae Periostracum), Chuanxiong, Manjingzi, Jingjie Sui, Shiyan (Lithostes), Huanglian, Bohe Ye (Menthae Haplocalycis Folium), Zhishi, Gualou Gen (Trichosanthis Radix), Qianghuo, Danggui, Gancao (Glycyrrhizae Radix et Rhizoma). Grind all into powder, form into pills with honey, and dissolve in the mouth.
Moxibustion:
Applicable when severe cold invades the brain, radiating to eye pain, or when wind-dampness combats each other, or wind pathogen invades. If opacity exists, select Erjian (LI2), Hegu (LI4).
Emetic Method:
For phlegm-excess and qi depression, induce vomiting first, then administer medication.
Purgative Method:
For heat excess with qi depression, Chengqi Tang (Chengqi Decoction). For blood excess, Yuzhu San (Jade Candle Powder).
Washing Therapy:
Tangpao San (Decoction-Soaking Powder): Huanglian, Xingren (Armeniacae Semen Amarum), Danggui, Fangfeng.
Eye Drops:
Use Lu Ganshi (Calamina) powder, quantity unrestricted. After quenching, grind into extremely fine powder for application. First quench with Tongbian (Child's Urine), then quench with Huanglian juice.
Bear Gallbladder Ointment:
Huanglian, Huangbai (Phellodendri Cortex) (each 3 liang), Ruiren (Pruni Semen) (1 qian, oil removed). First, decoct these three ingredients into a concentrated liquid, filter it, then add the following:
Xiongdan (Ursi Fel) (1 qian), Pengsha (Borax) (0.5 qian), Niuhuang (Bovis Calculus) (0.5 qian), Naozi (Camphora) (4 qian), Fengmi (Mel) (4 liang, boiled with clean water).