(四物汤调服)
槐花 蒲黄 丹皮 丹参 红花 苏木 紫草(各一两) 乳香 没药 血竭 朱砂 灵砂(各五钱)
瘀血赤脉贯睛,血障。肉包睛,此方主之。
血生于心,藏于肝,上腾于目系,故肉胀脉粗而色赤。痛则热实,痒则风虚,脉弦而数,则热盛生风。倘多
眵与气轮红紫,此心火乘金。两睑赤胜烂,奇痒,此风木侮土,法当一体。血分之药,且散且逐,载镇载和,自
尔血势少沮,而障脉潜销。或加刀烙外治,日久睛光熠耀,黑白分明,故曰分珠。
诗曰∶从来血脉贯睛珠,没药朱灵竭力除,紫草蒲槐花木乳,丹参皮用亦相如。
柴胡 黄芩 白术 荆芥 枳壳 芎 桔梗 白芷 甘草 羌活 前胡 独活 薄荷 防风
风热不制,此方主之。
风,虚象也。久风不散,势必变热,病则实矣。益以外邪,热复转风,乃头痛鼻塞,目肿泪多,暨脑巅沉重,
眉骨疼紧。不服药或误服,又伤脾胃,风固不止,而热愈莫能制,则眵障,睑痒烂等症生焉。是故以术、枳、芩、
草、桔梗疏其土,俾肺金有权,乃足以平木。羌独活、柴前胡等散其风,使心火弗炽,乃不上蒸溽。曰胜风者,
风刚劲,以此汤投之,胜于风矣。
诗曰∶柴前胡复羌独活,芎 白芷荆防薄,要知术草枳
桔芩,亦是胜风汤里药。
(用四物汤调服)
槐花、蒲黄、丹皮、丹参、红花、苏木、紫草(各一两),乳香、没药、血竭、朱砂、灵砂(各五钱)。
瘀血阻滞,赤色血脉贯穿眼球,形成血障;眼睑肌肉包裹瞳孔,此方主治。
血液由心生成,贮藏于肝,上行至目系,因此眼睑肿胀、血脉粗大且颜色发红。疼痛属于热实证,瘙痒属于风虚证,脉象弦而数,说明热盛生风。如果眼部分泌物多且白睛红紫,这是心火克制肺金。上下眼睑红肿溃烂,奇痒难忍,这是风木克制脾土,治疗应当整体兼顾。使用调理血分的药物,既消散又驱逐瘀血,同时起到镇静和调和的作用,这样血势自然会稍减,而遮蔽视线的脉络也会逐渐消退。或者配合刀烙等外治法,日久之后眼睛光彩明亮,黑白分明,所以称为“分珠”。
诗曰:从来血脉贯睛珠,没药朱灵竭力除,紫草蒲槐花木乳,丹参皮用亦相如。
邪气侵犯肌表,应当立即驱除,不可迟疑,如果拖延日久,病邪势必深入体内。汇散方:
柴胡、黄芩、白术、荆芥、枳壳、川芎、桔梗、白芷、甘草、羌活、前胡、独活、薄荷、防风。
风热之邪无法制约,此方主治。
风邪,初期表现为虚象。久风不散,势必转化为热,疾病则转为实证。加之感受外邪,热邪再次引发风邪,于是出现头痛、鼻塞、眼睛肿胀、流泪多,以及头顶沉重、眉骨疼痛紧绷等症状。如果不服药或误服药,又会损伤脾胃,风邪固然不止,而热邪更加无法控制,从而产生眼部分泌物增多、眼翳、眼睑瘙痒溃烂等症状。因此,使用白术、枳壳、黄芩、甘草、桔梗来疏理脾土,使肺金功能有权衡之力,才足以平抑肝木。使用羌活、独活、柴胡、前胡等药物疏散风邪,使心火不致炽盛,才不会上蒸熏灼眼部。名为“胜风”,是因为风性刚劲,以此汤剂投治,胜过风邪。
诗曰:柴前胡复羌独活,川芎白芷荆防薄,要知术草枳桔芩,亦是胜风汤里药。
(Administered with Siwu Tang [Four Substances Decoction])
Huaihua (Blossom of Sophora japonica), Puhuang (Pollen Typhae), Danpi (Cortex Moutan), Danshen (Radix Salviae miltiorrhizae), Honghua (Flos Carthami tinctorii), Sumu (Lignum Sappan), Zicao (Radix Arnebiae seu Lithospermi) (each 1 liang), Ruxiang (Resin Olibanum), Moyao (Resin Myrrha), Xuexie (Sanguis Draconis), Zhusha (Cinnabaris), Lingsha (Calx Cinnabaris) (each 5 qian).
For blood stasis obstructing the eye, where red meridians traverse the eyeball causing a blood obstruction (blood cataract), and eyelid flesh enveloping the pupil, this formula is indicated.
Blood is generated by the Heart, stored in the Liver, and ascends to the visual system; thus, eyelid swelling and coarse, red vessels occur. Pain indicates excess heat, while itching indicates wind deficiency. A wiry and rapid pulse suggests excessive heat generating wind. If there is abundant ocular discharge and the white of the eye (sclera/white wheel) is red or purple, this indicates Heart Fire overcoming Lung Metal. Redness and ulceration of both eyelids with intense itching indicate Wind Wood insulting Spleen Earth; treatment should address the condition holistically. Medicines regulating the Blood aspect should both disperse and expel stasis, while simultaneously calming and harmonizing. Consequently, the pathogenic blood influence will subside, and the obstructive vessels will gradually disappear. Alternatively, combined with external treatments such as cauterization, over time the eye's luster will shine brightly, with clear distinction between black and white, hence the name "Fenzhu" [Dividing Pearls].
Poem: Since ancient times, blood vessels have traversed the pearl of the eye,
Myrrh, Cinnabar, and Calx strive diligently to remove them.
Arnezia, Typha pollen, Sophora blossom, Sappan wood, and Olibanum,
Salvia root and Moutan bark are used similarly.
When evil pathogens invade the muscle layer, they must be urgently expelled without delay; if neglected for a long time, the pathogens will inevitably penetrate deeply. Huisan Fang [Gathering-Scattering Formula]:
Chaihu (Radix Bupleuri), Huangqin (Radix Scutellariae baicalensis), Baizhu (Rhizoma Atractylodis macrocephalae), Jingjie (Herba Schizonepetae), Zhike (Fructus Aurantii immaturus), Xiong [Chuanxiong] (Rhizoma Chuanxiong), Jiegeng (Radix Platycodonis), Baizhi (Radix Angelicae dahuricae), Gancao (Radix Glycyrrhizae uralensis), Qianghuo (Rhizoma Notopterygii), Qianhu (Radix Peucedani), Duhuo (Radix Angelicae pubescentis), Bohe (Herba Menthae haplocalycis), Fangfeng (Radix Saposhnikoviae).
This formula is indicated when Wind-Heat cannot be controlled.
Wind represents a deficiency manifestation initially. If wind persists for a long time without dispersing, it will inevitably transform into heat, making the disease an excess pattern. Compounded by external pathogens, heat reverts to generate wind, resulting in headache, nasal congestion, swollen eyes, excessive tearing, heaviness at the vertex of the head, and tight pain in the brow bones. Failure to take medicine or taking incorrect medicines further damages the Spleen and Stomach. The wind will not cease, and the heat will become uncontrollable, leading to symptoms such as increased discharge, eye obstructions (cataracts/pseudocorneal opacities), and eyelid itching and ulceration. Therefore, Baizhu, Zhike, Huangqin, Gancao, and Jiegeng are used to regulate the Earth (Spleen), enabling Lung Metal to function properly, thereby sufficing to pacify Wood (Liver). Qianghuo, Duhuo, Chaihu, and Qianhu are used to scatter wind, preventing Heart Fire from becoming blazing and steaming upwards. It is named "Shengfeng" [Overcoming Wind] because the wind nature is vigorous and tough; administering this decoction overcomes the wind.
Poem: Bupleurum and Peucedanum combined with Notopterygium and Angelica pubescens,
Chuanxiong, Angelica dahurica, Schizonepeta, Saposhnikovia, and Mint,
Know well that Atractylodes, Licorice, Aurantium, Platycodon, and Scutellaria,
Are also the medicinal ingredients within Shengfeng Tang.