辨证
左寸洪数心火炎也,关脉弦洪肝火盛也,右寸关俱弦洪,乃肝木乘相火侮所不胜之金制。
家传暴赤眼方 川芎一钱 白芍一钱 生地一钱 当归一钱 防风八分 荆芥穗八分
本八分 甘菊一钱 泽泻八分 甘草五分 灯心二十段
水二碗,煎一碗,临睡时服。
明目流气饮 明目荆防芎细芩,玄栀蔓子蒺藜真,菊花牛蒡薄荷使,或加大黄并决明。
速效散 黄连 黄芩 黄柏(酒炒) 栀子 柴胡 荆芥穗 连翘 薄荷 蔓荆子 牛蒡子
白蒺藜 归尾 生地 草决明 石决明 枳壳 花粉 地骨皮 甘草水煎,食后服。大 红
肉堆起,乃心经实热,倍黄连、生地,减菊花、牛蒡。小 红丝血胀,乃心经虚热,加茯苓
、莲肉、荆芥、蔓荆。乌睛有翳瘴,乃肝经病,倍柴胡、连翘。白珠有死血,倍骨皮、花粉
,减薄荷。白珠有红筋膜,乃肺热,加羚羊角为君。日夜疼痛,加防己、玄参。火眼后昏,
加柴胡、陵游草。
洗心散 洗心散用麻大黄,白术当归芍药凉,荆芥穗同甘草等,姜薄加上水煎汤。
洗肝散 洗肝散用薄荷叶,当归羌活山栀仁,大黄防风甘草等,川芎治眼效如神。
羊肝丸
五十丸,空心盐汤下。
单方
香附、夏枯草各一两,粉草五钱。为末,临卧以松□茶送下。火眼痛甚者,三服见效。
又方
黄泥包食盐,煨红冷定,取盐研细,清晨洗眼,永除一切目疾。
又方
明矾 松茗各七分 黄豆七粒(打碎)
重汤煮洗,能散红肿,开翳膜。
又方
归尾 黄连各四分 明矾 铜绿 皮硝各二分
煮洗,同上
又方
吃乳婴孩,吐出蛔虫,分二片,榐干,入碾细硼砂二钱,新瓦焙为末,点眼去翳。
又方
治雀目。夜明砂、蛤粉各一钱,入犍猪肝一片(三指大),麻线扎住,同陈米一合煮熟
,空心吃肝。
余论
目疾暴发,皆因内有积热,外感风寒,寒闭其热,上行走窍,不得外泄,故痛。初起之
时,即用荆防散,其风寒则火热泻,而痛自止。若骤用凉药,轻则热邪内伏,重则脾胃受伤,
皆致坏眼。亦不宜出血,盖目以血而能视,血少则昏矣,戒之戒之。洗眼药方 用桑白皮一
撮,清水一碗,煎八分,照下开日期洗之,一年后,目明如童子目一般,愈洗愈亮,无效验。
正月初一,二月初七,三月初五,四月初一,五月初五,六月初七,七月初十,八月初二,
九月初一,十月初十,十一月初一,十二月初十。
又方
黄连一钱,生姜一块,切二段,用刀挖一孔,将黄连入内,仍合一处,纸包水湿,火
取出黄连,用人乳半杯,熟水调好,擦数次,永不发。
眼皮烂 用红枣一枚,去核,入明矾二分,入枣肉,面包,慢火煨熟,搽眼皮,二日愈。
夜盲眼 夏枯草研细,将雄猪肝剖开,入药在内,煨熟食之。
偷针眼 初起时,看患人背上有红疤如蚊叮状,用指揩碎出血,即消。
治时行害眼,风眼有泪者 用皮硝六钱,水一瓯,煎七分,俟冷定洗眼,每日洗数次,
眼如童子明,每日煎一遍洗。
又方
即用朴硝。
治眼昏 肉,及肿痛神效方 黄丹(飞过)一两 官粉 砂 乳香各五钱 铜绿 硼
砂没
治偷针眼 初起时,看其人背上有红疤如蚊叮者,揩碎之。
一洗时眼 用明矾(研末)二钱 皂矾(研末)二钱 甘草二钱 生姜二钱 黑枣五枚
古铜钱
代之。
辨证
左寸脉洪大数急,是心火亢盛;关脉弦而洪大,是肝火旺盛;右寸和关脉都呈现弦洪之象,这是肝木克制相火,进而侮慢所不能胜的肺金(制约肝木的金气)。
家传治疗暴发赤眼方:川芎一钱,白芍一钱,生地一钱,当归一钱,防风八分,荆芥穗八分,本八分,甘菊一钱,泽泻八分,甘草五分,灯心二十段。
用水两碗,煎至一碗,睡前服用。
明目流气饮:由明目、荆芥、防风、川芎、细辛、黄芩组成,加上玄参、栀子、蔓荆子、蒺藜、菊花、牛蒡子、薄荷、使君子,或者加大黄和决明子。
速效散:黄连、黄芩、黄柏(酒炒)、栀子、柴胡、荆芥穗、连翘、薄荷、蔓荆子、牛蒡子、白蒺藜、归尾、生地、草决明、石决明、枳壳、花粉、地骨皮、甘草。水煎,饭后服用。若眼球表面肉堆起,属于心经实热,加倍使用黄连、生地,减少菊花、牛蒡子。若出现小红丝血胀,属于心经虚热,加入茯苓、莲肉、荆芥、蔓荆子。若黑睛有翳障,属于肝经病变,加倍使用柴胡、连翘。若白珠有死血,加倍使用地骨皮、花粉,减少薄荷。若白珠有红筋膜,属于肺热,以羚羊角为君药。日夜疼痛,加入防己、玄参。火眼之后视力昏花,加入柴胡、陵游草。
洗心散:洗心散使用麻黄、大黄,配合白术、当归、芍药以凉血,荆芥穗与甘草等量,加上生姜、薄荷,水煎汤。
洗肝散:洗肝散使用薄荷叶,配合当归、羌活、山栀仁、大黄、防风、甘草等,川芎治疗眼疾效果如神。
羊肝丸:每次五十丸,空腹时用盐汤送服。
单方
香附、夏枯草各一两,粉草五钱。研为末,临睡前用松茶送下。火眼痛甚者,服用三次见效。
又一方
用黄泥包裹食盐,煨烧至红透后冷却,取出食盐研细,清晨用来洗眼,可永久去除一切眼疾。
又一方
明矾、松茗各七分,黄豆七粒(打碎)。
隔水加热煮后清洗,能消散红肿,开启翳膜。
又一方
归尾、黄连各四分,明矾、铜绿、皮硝各二分。
煮水清洗,用法同上。
又一方
吃奶婴儿吐出蛔虫,将蛔虫分成两片,烘干,加入碾细的硼砂二钱,在新瓦上焙干研为末,点入眼中以去除翳膜。
又一方
治疗雀目(夜盲症)。夜明砂、蛤粉各一钱,放入犍猪肝一片(约三指大小),用麻线扎紧,同陈米一合煮熟,空腹吃猪肝。
余论
眼疾突然发作,都是因为体内有积热,外感风寒,寒邪闭塞了热邪,热气上行走窜窍道,无法向外宣泄,所以疼痛。初起之时,立即使用荆防散,风寒散去则火热泻出,疼痛自然停止。如果骤然使用凉药,轻则热邪内伏,重则损伤脾胃,都会导致眼睛坏损。也不宜放血,因为眼睛靠血液才能视物,血少就会昏花,切记切记。
洗眼药方:用桑白皮一撮,清水一碗,煎至八分,按照以下日期清洗,一年后,眼睛明亮如同童子一般,越洗越亮,但无确切疗效验证。
正月初一,二月初七,三月初五,四月初一,五月初五,六月初七,七月初十,八月初二,九月初一,十月初十,十一月初一,十二月初十。
又一方
黄连一钱,生姜一块,切成两段,用刀挖一个孔,将黄连放入其中,仍合为一处,用纸包裹并浸湿,在火上烤取黄连,用人乳半杯,熟水调好,擦拭数次,永不复发。
眼皮烂:用红枣一枚,去核,放入明矾二分,包入枣肉中,用面包裹,慢火煨熟,涂抹眼皮,两日痊愈。
偷针眼(麦粒肿):初起时,看患者背上有红疤如蚊子叮咬状,用手指擦破出血,即消退。
治疗时行害眼(传染性眼病),风眼流泪者:用皮硝六钱,水一瓯,煎至七分,待冷却后洗眼,每日洗数次,眼睛如童子般明亮,每日煎一遍清洗。
又一方
即用朴硝。
治眼昏、肉及肿痛神效方:黄丹(飞过)一两,官粉、砂、乳香各五钱,铜绿、硼砂、没药...(原文此处似有缺漏或排版错误,“没”字后接“治偷针眼”,推测“没”指没药,且方名可能对应前文未完全列出的症状或为另一独立方头,根据上下文整理如下)
*注:原文“肉,及肿痛神效方”表述略显突兀,结合后文“铜绿 硼砂 没”,推测此为治疗眼部赘生物(肉)及肿痛的有效方剂成分。*
一洗时眼(一种眼疾):用明矾(研末)二钱,皂矾(研末)二钱,甘草二钱,生姜二钱,黑枣五枚,古铜钱...(原文此处“古铜钱”后无内容,可能为辅助工具或原文缺失,按原意保留实体)代之。
Diagnosis and Differentiation
The left Cun pulse is surging, rapid, and forceful, indicating Heart Fire blazing. The Guan pulse is wiry and surging, indicating Liver Fire excess. Both the right Cun and Guan pulses are wiry and surging, signifying that Liver Wood overacts on Xiang Huo (Ministerial Fire) and insults the Metal that should restrain it (Lung Metal).
Family Heirloom Formula for Sudden Red Eye:
Chuanxiong Rhizome (Chuanxiong) 1 qian, White Peony Root (Baishao) 1 qian, Rehmannia Root Preparata (Shengdi) 1 qian, Angelica Sinensis Radix (Danggui) 1 qian, Saposhnikovia Root (Fangfeng) 8 fen, Schizonepeta Spike (Jingjie Sui), Ligusticum Chuanxiong Rhizome (Ben) 8 fen, Chrysanthemum Morifolium Flower (Ganju) 1 qian, Alisma Rhizome (Zexie) 8 fen, Licorice Root (Gancao) 5 fen, Juncus Effusus Stem (Dengxin) 20 segments.
Decoct with two bowls of water until one bowl remains. Take before going to sleep.
Mingmu Liqi Yin (Brighten Eyes and Circulate Qi Decoction):
Composed of Jingjie (Schizonepeta), Fangfeng (Saposhnikovia), Chuanxiong (Chuanxiong Rhizome), Xixin (Asarum), Huangqin (Scutellaria Root), Xuan Shen (Scrophularia Root), Zhizi (Gardenia Fruit), Manjingzi (Vitalis Seed), Bilibai (Tribulus Fruit), Juhua (Chrysanthemum Flower), Niubangzi (Arctium Fruit), Bohe (Mint Herb), Shijunzi (Bignonia Seed), or add Dahuang (Rhubarb Root) and Juemingzi (Cassia Seed).
Su Xiao San (Rapid Effect Powder):
Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark) stir-fried with wine, Zhizi (Gardenia Fruit), Chaihu (Bupleurum Root), Jingjie Sui (Schizonepeta Spike), Lianqiao (Forsythia Fruit), Bohe (Mint Herb), Manjingzi (Vitalis Seed), Niubangzi (Arctium Fruit), Baijili (Tribulus Fruit), Guiwei (Angelica Sinensis Tail), Shengdi (Rehmannia Root Preparata), Caojuemingzi (Cassia Seed), Shijueming (Abalone Shell), Zhike (Aurantii Fructus), Huafen (Trichosanthes Root), Digupi (Lycium Bark), Gancao (Licorice Root). Decoct in water, take after meals.
If flesh piles up on the white of the eye, it is Excess Heat in the Heart Meridian; double Huanglian and Shengdi, reduce Juhua and Niubangzi.
If small red blood vessels swell, it is Deficiency Heat in the Heart Meridian; add Fuling (Poria), Lianrou (Lotus Seed Cotyledon), Jingjie (Schizonepeta), Manjingzi (Vitalis Seed).
If there is nebula on the black pupil, it is a disease of the Liver Meridian; double Chaihu and Lianqiao.
If there is stagnant blood on the sclera, double Digupi and Huafen, reduce Bohe.
If there are red filaments on the sclera, it is Lung Heat; use Lingyangjiao (Antelope Horn) as the sovereign herb.
For pain day and night, add Fangji (Stephania Root) and Xuanshen (Scrophularia Root).
For blurred vision after fiery eye, add Chaihu (Bupleurum Root) and Lingyoucao (Herba Siegesbeckiae).
Xixin San (Wash Heart Powder):
Uses Mahuang (Ephedra Herb), Dahuang (Rhubarb Root), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Radix), Shaoyao (Peony Root) to cool, Jingjie Sui (Schizonepeta Spike), Gancao (Licorice Root) in equal amounts, plus Shengjiang (Fresh Ginger) and Bohe (Mint Herb). Decoct in water.
Xigan San (Wash Liver Powder):
Uses Bohe Ye (Mint Leaf), Danggui (Angelica Sinensis Radix), Qianghuo (Notopterygium Rhizome), Zhiren (Gardenia Fruit), Dahuang (Rhubarb Root), Fangfeng (Saposhnikovia Root), Gancao (Licorice Root). Chuanxiong (Chuanxiong Rhizome) treats eye diseases with miraculous effect.
Yanggan Wan (Sheep Liver Pill):
Take fifty pills at an empty stomach with salt water.
Single Prescriptions
Xiangfu (Cyperi Rhizoma) and Xiakucao (Prunella Vulgaris Herba) each 1 liang, Fencao (Licorice Root) 5 qian. Grind into powder. Take before bed with Pine Tea. For severe fiery eye pain, three doses show effect.
Another Prescription
Wrap salt in yellow mud, bake until red hot, let cool, take the salt, grind finely, wash eyes early in the morning. This permanently cures all eye diseases.
Another Prescription
Mingfan (Alumen), Songming (Pine Resin/Moss?) each 7 fen, Huangdou (Soybean) 7 grains (crushed).
Boil in double boiler and wash. Can dissipate swelling and redness, open nebula.
Another Prescription
Guiwei (Angelica Sinensis Tail), Huanglian (Coptis Rhizome) each 4 fen, Mingfan (Alumen), Tonglv (Verdigris), Pinxiao (Mirabilite) each 2 fen.
Boil and wash, same as above.
Another Prescription
When a nursing infant vomits roundworms, split the worm into two pieces, dry it, mix with 2 qian of finely ground Pengsha (Borax), bake on new tile until dry, grind to powder, apply to eyes to remove nebula.
Another Prescription
Treating Que Mu (Night Blindness). Yeming Sha (Bat Guano), Gafen (Clam Shell Powder) each 1 qian. Insert into a slice of male ox liver (size of three fingers), tie with hemp thread, cook together with one he of aged rice. Eat the liver on an empty stomach.
Remaining Discourse
Sudden onset of eye diseases is due to internal accumulated heat combined with external contraction of wind-cold. Cold closes the heat, forcing it upward to the orifices where it cannot vent outward, causing pain. At the initial stage, immediately use Jingfang San (Schizonepeta and Saposhnikovia Powder); when wind-cold disperses, fire-heat drains, and pain stops naturally. If cold medicines are used abruptly, mild cases lead to internal retention of heat pathogens, severe cases damage the Spleen and Stomach, both leading to ruined eyes. Bloodletting is also not advisable, as eyes rely on blood for vision; less blood leads to blurriness. Remember this, remember this.
Eye Washing Prescription: Use Sangbaipi (Mulberry Root Bark) one handful, clear water one bowl, decoct to 8/10ths. Wash according to the following dates. After one year, eyes will be bright like those of a child, getting brighter with each wash, though efficacy is unverified.
January 1st, February 7th, March 5th, April 1st, May 5th, June 7th, July 10th, August 2nd, September 1st, October 10th, November 1st, December 10th.
Another Prescription
Huanglian (Coptis Rhizome) 1 qian, Shengjiang (Fresh Ginger) one piece, cut into two sections. Dig a hole with a knife, insert Huanglian inside, rejoin, wrap in paper, wet with water, roast on fire to extract Huanglian. Mix with half cup of human milk and warm water, wipe several times. Will never recur.
Eyelid Ulceration: Use one red date, remove pit, insert 2 fen of Mingfan (Alumen), wrap in date flesh, encase in bread, slow-roast until cooked. Apply to eyelids. Cured in two days.
Night Blindness: Grind Xiakucao (Prunella Vulgaris Herba) finely. Cut open male pig liver, insert medicine inside, roast and eat.
Stye (Mai Li Zhong): At onset, look for red spots on the patient's back resembling mosquito bites. Rub them until they bleed with a finger; they will subside immediately.
Treating Epidemic Eye Disease (Infectious Conjunctivitis) with Wind-Eye and Tearing: Use Pixiao (Mirabilite) 6 qian, water one bowl, decoct to 7/10ths. Wait for it to cool, then wash eyes. Wash several times daily. Eyes will become bright like a child's. Decoct once daily for washing.
Another Prescription
Use Puxiao (Mirabilite).
Divine Effective Formula for Blurred Vision, Flesh Growths, Swelling and Pain: Huangdan (Lead Oxide) refined 1 liang, Guanfen (White Lead Powder), Sha (Realgar?), Ruxiang (Frankincense) each 5 qian, Tonglv (Verdigris), Pengsha (Borax), Moya (Myrrh)... [Text implies ingredients for treating growths/pain].
Treating Stye: At onset, if red spots like mosquito bites appear on the back, rub until bleeding.
Yi Shi Yan (One-Wash Eye Disease): Mingfan (Alumen) powdered 2 qian, Zaofan (Green Vitriol) powdered 2 qian, Gancao (Licorice Root) 2 qian, Shengjiang (Fresh Ginger) 2 qian, Heizao (Black Date) 5 pieces, Ancient Copper Coin [used as tool or ingredient placeholder].