乌金膏 治诸般外障风痒,血缕 疮, 肉攀睛,鸡冠蚬肉,漏睛疮。
晋矾(即明矾,一两) 米醋(自造红香者佳,一碗半)
共入铜锅内,文武火熬干。如湿,翻调焙干,取出去火气,研细末,用时不拘
多少,再研至无声,入生蜜调匀,盛瓷罐内,涂点患处,久闭,或五日七日,上下
胞俱肿,方可歇药数日,其红肿尽消,观轻重再点。
如漏睛脓出,用糕和匀,作条晒干,量穴深浅,插入化去瘀肉白管,则新肉自生,
而脓自止矣。
岐天师曰∶有人眼内长肉二条,长一
寸,如线香之粗,触出于眼外,此乃祟证也。虽是肝胆之火,无祟则不能长此异肉。
法当外用去刺全目丹点之,内服舒郁全睛汤主之。此方妙在舒肝胆之气,而又泻其
火与痰,则本源已探其骊珠,又何愁怪肉之重长耶!(《石室秘录》)
去刺全目丹《石室秘录》) 治祟证。
黄连 冰片 甘草(各一分) 硼砂(五厘)
共研无声为度,用人乳调少许点肉尖上,觉眼珠火炮出,一时收入而愈。
舒郁全睛汤
柴胡 陈皮 甘草(各一钱) 黑山栀 白术 白芥子 白茯苓(各三钱) 白芍(五钱)
申斗垣曰∶此心胆小肠之火壅盛也,眼 角上起窠作肿,久则溃脓。凡有此疮,其
人胸背上必有小疮窠累,但以针挑出血,则眼角疮不治自愈矣。故名曰偷针,俗名偷针窠。(《启玄》)
章氏曰∶偷针眼,初起令患人自用针尖对患上,轻轻戳四十九下,自消。(《经验》)
王氏曰∶偷针眼,初起翻过眼胞, 内有一细眼,用头发一根,刺入泪出自愈。(《集效》)
《秘录》曰∶偷针眼,其人背上膏肓穴有红点,但以针挑破,即愈。
东垣曰∶偷针眼又名挑针毒,乃肝脾积热所致。初起用冷水以手拍脑后、背膊
百遍,看有红筋白泡起,用小针刺破其泡,其肿自消。
又曰∶偷针眼,用糯稻七粒,每粒在泡上轻轻撞之,七粒七下,自消。
《心法》曰∶偷针眼生于眼皮毛睫间,由脾经风热而成,形如豆粒有尖。初起轻
者,宜金黄散盐汤冲洗,脓未成即消矣。如洗之不消,候脓熟针之。如破后冒风浮肿,
用芎皮散,外用枯矾末,鸡蛋清调敷肿处。
乌金膏:治疗各种外障引起的风痒、血缕疮、肉攀睛、鸡冠蚬肉以及漏睛疮。
配方:晋矾(即明矾,一两)、米醋(自制红香者为佳,一碗半)。
制法与用法:将上述药物放入铜锅中,用文火和武火交替熬煮至干燥。如果药液仍湿,翻动并焙干,取出以散去火气,研磨成细末。使用时不限用量,再次研磨至无声响,加入生蜂蜜调匀,盛放在瓷罐中。点涂于患处,若眼睑紧闭,或五至七天后上下眼睑均肿胀,可暂停用药数日,待红肿完全消退后,根据病情轻重再行点涂。
若漏睛疮有脓液流出,可将药粉与糕饼混合均匀,制成条状晒干,根据穴位深浅插入,以化去瘀滞的肉芽和白管(瘘管),则新肉自然生长,脓液自止。
岐天师说:有人眼内长出两条肉赘,长达一寸,粗细如线香,突出于眼外,这是祟证(邪气侵扰之证)。这虽然是肝胆之火所致,但若无祟邪作怪,也不能长出这种异常肉赘。治疗方法应当外用“去刺全目丹”点涂,内服“舒郁全睛汤”为主方。此方的妙处在于疏解肝胆之气,同时泻除火邪与痰浊,既然已探求到病源的根本,又何必担忧怪异肉赘的严重生长呢!(出自《石室秘录》)
去刺全目丹(出自《石室秘录》):治疗祟证。
配方:黄连、冰片、甘草(各一分)、硼砂(五厘)。
制法与用法:共同研磨至无声响为度,用人乳调和少许,点涂在肉赘尖端,感觉眼球如火烧般炮痛,片刻后缩回而痊愈。
舒郁全睛汤:
配方:柴胡、陈皮、甘草(各一钱)、黑山栀、白术、白芥子、白茯苓(各三钱)、白芍(五钱)。
申斗垣说:这是心、胆、小肠之火壅盛所致,眼角起窝肿胀,久则溃烂流脓。凡是有这种疮的人,其胸背部必然有小疮窠相连,只要用针挑破出血,则眼角疮不治自愈。因此名为“偷针”,俗称“偷针窠”。(出自《启玄》)
章氏说:偷针眼初起时,让患者自己用针尖对着患处,轻轻戳四十九下,即可自行消除。(出自《经验》)
王氏说:偷针眼初起时,翻开眼睑,内部有一个小孔,用一根头发刺入,流泪后即可自愈。(出自《集效》)
《秘录》说:偷针眼患者,其背部膏肓穴处有红点,只要用针挑破,即可痊愈。
东垣说:偷针眼又名“挑针毒”,是由肝脾积热所致。初起时用冷水用手拍打脑后、背部一百遍,看是否有红筋白泡出现,用小针刺破水泡,肿胀自然消除。
又说:偷针眼,可用七粒糯稻米,每粒在水泡上轻轻撞击一下,共七粒七下,肿胀自消。
《心法》说:偷针眼生于眼皮睫毛之间,由脾经风热引起,形状像豆粒且有尖端。初起轻症者,宜用金黄散加盐汤冲洗,脓未形成时即可消除。如果冲洗后不消,等待脓液成熟后用针挑破。如果破溃后受风导致浮肿,使用芎皮散,外用枯矾末,用鸡蛋清调和敷于肿处。
Wujin Ointment: Treats various external obstructions causing wind-itch, blood-thread sores, flesh climbing over the cornea (Ropy Pterygium), chicken-comb and clam-meat growths, and leaking-eye sores.
Ingredients: Jin Fan (Alum, 1 liang), Rice Vinegar (preferably self-made red aromatic vinegar, 1.5 bowls).
Preparation and Administration: Place the ingredients in a copper pot and boil with alternating mild and strong heat until dry. If moist, turn and bake until dry, remove to dissipate fire qi, grind into fine powder. Use as needed, re-grind until silent sound is heard, mix with raw honey, store in a porcelain jar. Apply to the affected area. If eyelids are tightly closed or both upper and lower eyelids swell after five to seven days, pause medication for a few days until redness and swelling completely subside, then apply again according to severity.
If pus discharges from the leaking-eye sore, mix the powder evenly with cake, form into strips, dry them, and insert according to acupoint depth to dissolve stagnant flesh and white tubes (fistulas), allowing new flesh to grow naturally and stop pus discharge.
Master Qi said: Some people have two fleshy growths growing inside the eye, one inch long, as thick as a incense stick, protruding outside the eye; this is a Sui syndrome (disease caused by evil spirits/pathogenic factors). Although it is due to Liver and Gallbladder fire, without the influence of Sui, such abnormal flesh would not grow. The treatment method should involve applying "Quci Quanmu Dan" externally and taking "Shuyu Quanjing Tang" internally. The efficacy of this formula lies in soothing Liver and Gallbladder Qi while draining Fire and Phlegm; once the root of the disease is addressed, why worry about the severe growth of abnormal flesh? (From *Shishi Milu*)
Quci Quanmu Dan (From *Shishi Milu*): Treats Sui syndrome.
Ingredients: Huanglian (Coptidis Rhizoma), Bingpian (Borneolum Syntheticum), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 fen), Pengsha (Borax) (5 li).
Preparation and Administration: Grind together until silent sound is heard. Mix a small amount with human milk and apply to the tip of the fleshy growth. The patient will feel a burning sensation in the eyeball, which will retract within a moment, leading to recovery.
Shuyu Quanjing Tang:
Ingredients: Chaihu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian), Heishanzhi (Gardeniae Fructus processed with bran), Baizhu (Atractylodis Macrocephalae Rhizoma), Baijiezi (Sinapis Semen), Baifuling (Poria) (each 3 qian), Baishao (Paeoniae Radix Alba) (5 qian).
Shen Douyuan said: This is caused by excessive accumulation of Fire in the Heart, Gallbladder, and Small Intestine. A pit forms and swells at the corner of the eye, eventually ulcerating and discharging pus. Anyone with this sore will necessarily have connected small sore pits on their chest and back. By pricking these with a needle to draw blood, the eye corner sore will heal spontaneously without specific treatment. Hence it is named "Touzhen" (Stealing Needle), commonly known as "Touzhen Ke". (From *Qixuan*)
Zhang Shi said: For early-stage Touzhen Yan (Stye), let the patient use the tip of a needle to gently prick the affected area forty-nine times, which will resolve spontaneously. (From *Jingyan*)
Wang Shi said: For early-stage Touzhen Yan, flip open the eyelid; there is a small pore inside. Insert a single hair into the pore; tearing up will lead to spontaneous healing. (From *Jixiao*)
*Milu* states: In patients with Touzhen Yan, there is a red spot at the Gohuang acupoint on the back. Pricking it with a needle leads to immediate cure.
Dong Yuan said: Touzhen Yan, also called "Tiaozhen Du", is caused by accumulated Heat in the Liver and Spleen. At the onset, splash cold water and slap the back of the head and back one hundred times with your hand. Look for red veins and white blisters; prick the blisters with a small needle, and the swelling will subside spontaneously.
He also said: For Touzhen Yan, take seven grains of glutinous rice. Gently tap each grain onto the blister once, totaling seven taps; the swelling will subside spontaneously.
*Xinfa* states: Touzhen Yan arises between the eyelashes due to Wind-Heat in the Spleen Meridian, resembling a bean with a pointed tip. In mild early cases, rinse with Jinhua San mixed with salt water; if pus has not formed, it will disappear. If rinsing does not resolve it, wait until pus matures and prick it with a needle. If swelling occurs after rupture due to exposure to wind, use Xiongpi San, and externally apply Gufan powder mixed with egg white to the swollen area.