人参 当归 黄 甘草 柴胡 白芷 防风 蔓荆子
治眼之药,多半苦寒,服之太过,则真元不能通达九窍,生脉收缩耳。故用黄 、甘草、当归补气活血。过
寒又伤阴,重阴则虚阳下陷,清机沉寂耳。故用白芷、防风、柴胡、蔓荆疗风助阳。因名助阳活血。眼睫无力,
常欲垂闭,及隐涩难开,此方主之。久病不瘥,眵泪长流者,倍参、 ,或加五味子、白术。
诗曰∶助阳活血数归 ,甘草防风次第施,白芷柴胡蔓荆子,人参倍入更相宜。
合补中、逍遥二方,加黄连、葛根、防风、石斛。
上方为肝木不平,内挟心火,致贼邪潜乘土部,因而睑胀睛疼。乃用升麻、柴胡、橘皮、防风、葛根解肌而
正卫,人参、当归、黄 、甘草、白术,补虚而调荣,荣调卫正,自然风定火息,传、合之邪无有矣。但土既受
克,余孽未必尽去,再以黄连、芍药靖其热,茯苓、石斛利其湿,则脾胃冲和,生生不已,胀痛如失。总名其汤
曰冲和养正。
诗曰∶冲和养正归 葛,橘草升麻连芍药,苓术柴胡石斛增,北风虽厉人咸若。
人参 黄 蔓荆 柴胡 葛根 白芍 甘草 地黄
目疼耳鸣,欲发不瘥,此方主之。
目从司视,既疼弗明。耳以司听,既鸣弗聪。欲发不发,久久不瘥,脏气衰而肌表为客邪所凭尔。爰用柴胡、
蔓荆、葛根侵肌而解表,人参、黄 、甘草补气以起衰。其地黄、芍药,耳目正治,载滋且敛,视听如初。药固
可启迪,人因病而获益者。或以疾小而怠忽,则不聪不明,未免贻笑于九思之君子。
诗曰∶草参益气蔓荆行,敛养全凭芍地能,怪底葛天柴氏子,耆年眼耳迥聪明。
治疗眼病的药物,大多性质苦寒,服用过多,会导致真元(人体根本元气)不能通达九窍,使生脉(维持生命活动的脉搏/气血运行)收缩。因此使用黄芪、甘草、当归来补气活血。过于寒凉又会损伤阴液,阴气过重则导致虚阳下陷,清阳之气沉寂。因此使用白芷、防风、柴胡、蔓荆子来祛风助阳。所以将此方命名为“助阳活血汤”。眼睑无力,经常想要下垂闭合,以及感觉隐涩难以睁开,此方主治。久病不愈,眼屎眼泪长期流淌的,加倍人参、黄芪用量,或者加入五味子、白术。
诗曰:助阳活血数归芪,甘草防风次第施,白芷柴胡蔓荆子,人参倍入更相宜。
将补中益气汤、逍遥散两个方剂合并,加入黄连、葛根、防风、石斛。
上方针对肝木不调,内部夹杂心火,导致贼邪(致病邪气)暗中侵犯脾土部位,因而出现眼睑肿胀、眼睛疼痛。于是用升麻、柴胡、橘皮、防风、葛根来解除肌表之邪而纠正卫气,用人参、当归、黄芪、甘草、白术来补虚并调和营血,营血调和、卫气端正,自然风息火灭,传入和合并在体内的邪气就没有了。但是脾土既然受到克制,残余的病邪未必能完全去除,再用黄连、芍药来平息热邪,茯苓、石斛来利湿,那么脾胃冲和(平和协调),生机不息,胀痛感就像消失了一样。总称这个汤剂为“冲和养正汤”。
诗曰:冲和养正归葛,橘草升麻连芍药,苓术柴胡石斛增,北风虽厉人咸若。
眼睛主管视觉,既已疼痛则视力不明。耳朵主管听觉,既已鸣响则听力不聪。想要发作却未发作,久久不能痊愈,这是脏气衰弱而肌表被客邪(外来邪气)所依附所致。于是用柴胡、蔓荆子、葛根侵入肌表以解表,用人参、黄芪、甘草补气以提振衰弱的正气。其中地黄、芍药,是治疗耳目疾病的正药,具有滋养且收敛的作用,使视听功能恢复如初。药物固然可以启迪智慧,但人因病痛而获益的道理也是相通的。有人因为疾病轻微而懈怠忽视,就会导致听力下降、视力模糊,未免会被深思熟虑的君子所嘲笑。
诗曰:草参益气蔓荆行,敛养全凭芍地能,怪底葛天柴氏子,耆年眼耳迥聪明。
Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Gan Cao (Licorice Radix), Chai Hu (Bupleuri Radix), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Man Jing Zi (Viticis Fructus).
Medicines for treating eye diseases are mostly bitter and cold in nature. Excessive consumption causes the True Yuan (fundamental vital energy of the human body) to fail to penetrate the nine orifices, leading to the contraction of Sheng Mai (pulse/blood circulation maintaining life). Therefore, Huang Qi, Gan Cao, and Dang Gui are used to tonify Qi and invigorate Blood. Overly cold properties further damage Yin; excessive Yin leads to the sinking of deficient Yang and the stagnation of clear Qi. Thus, Bai Zhi, Fang Feng, Chai Hu, and Man Jing Zi are employed to dispel wind and assist Yang. Hence, it is named Zhu Yang Huo Xue Tang (Assist Yang and Invigorate Blood Decoction). It is indicated for ptosis (drooping eyelids) with weakness, frequent desire to close the eyes, and a sensation of hidden dryness making opening difficult. For chronic cases not resolving with persistent discharge of mucus and tears, double the dosage of Ren Shen and Huang Qi, or add Wu Wei Zi (Schisandrae Fructus) and Bai Zhu (Atractylodis Macrocephalae Rhizoma).
Poem states: For assisting Yang and invigorating blood, Angelica and Astragalus are key; Apply Licorice and Saposhnikovia in sequence; Add Angelica Dahurica, Bupleurum, and Vitex fruit; Doubling Ginseng intake is even more suitable.
Combine Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Xiao Yao San (Free Wanderer Powder), adding Huang Lian (Coptidis Rhizoma), Ge Gen (Puerariae Lobatae Radix), Fang Feng, and Shi Hu (Dendrobii Caulis).
The above formula addresses Liver Wood imbalance internaly accompanied by Heart Fire, causing pathogenic factors to secretly invade the Spleen Earth region, resulting in eyelid swelling and eye pain. Therefore, Sheng Ma (Cimicifugae Rhizoma), Chai Hu, Ju Pi (Citri Reticulatae Pericarpium), Fang Feng, and Ge Gen are used to release the muscle layer and rectify Wei Qi (Defensive Qi); Ren Shen, Dang Gui, Huang Qi, Gan Cao, and Bai Zhu are used to tonify deficiency and harmonize Ying Blood (Nutritive Blood). When Ying Blood is harmonized and Wei Qi is rectified, wind naturally settles and fire extinguishes, eliminating pathogens that have transmitted or combined within. However, since Earth has been overcontrolled, residual pathogens may not be entirely eliminated. Further use of Huang Lian and Shao Yao (Paeoniae Radix Alba) to calm heat, and Fu Ling (Poria) and Shi Hu to promote diuresis and drain dampness, will restore harmony to the Spleen and Stomach, ensuring continuous vitality, and the distending pain will vanish as if lost. The decoction is collectively named Chong He Yang Zheng Tang (Harmonize and Nourish Righteousness Decoction).
Poem states: Harmonize and nourish righteousness with Angelica and Pueraria; Tangerine peel, Licorice, Cimicifuga, Coptis, and Peony; Increase Poria, Atractylodes, Bupleurum, and Dendrobium; Though the north wind is fierce, people remain healthy.
Ren Shen, Huang Qi, Man Jing Zi, Chai Hu, Ge Gen, Bai Shao (White Peony Root), Gan Cao, Di Huang (Rehmanniae Radix).
Eye pain and tinnitus, where symptoms want to manifest but do not fully resolve, this formula is indicated.
The eyes govern vision; once painful, clarity is lost. The ears govern hearing; once ringing, acuity is impaired. Symptoms wanting to emerge but failing to do so, persisting without resolution, indicate declining organ Qi and external pathogens attaching to the muscle-surface. Thus, Chai Hu, Man Jing Zi, and Ge Gen are used to penetrate the muscle layer and release the exterior; Ren Shen, Huang Qi, and Gan Cao are used to tonify Qi and revive decline. Di Huang and Shao Yao serve as direct treatments for ear and eye disorders, providing nourishment and astringency, restoring vision and hearing to their original state. Medicines can indeed enlighten, just as people benefit from illness. Some neglect minor ailments due to complacency, leading to deafness and blindness, which would inevitably invite ridicule from the thoughtful gentleman who reflects deeply on nine aspects of conduct.
Poem states: Licorice and Ginseng boost Qi while Vitex circulates; Astringency and nourishment rely entirely on Peony and Rehmannia; How strange are the sons of Ge and Tian and Chai; In old age, their eyes and ears are remarkably sharp.