四物汤加羌活、防风、白芷、荆芥穗。
血为邪胜,睛珠痛甚,及吐失过多,此方主之。
血,所以养睛者也。今劳役饥饱,重伤脾胃,则血蹇不能宣发,乖气乘之,是为邪胜。又复吐失过多,遂虚
生风,风生火,睛愈痛不可忍。得芎、归、芍、地补而行之,荆、芷、羌、防升而散之,风自疏而荣自养,因为
名汤。服后痛止,眼睫无力,常欲垂闭者,中其病矣。然由吐失多而睛痛,须艾人理血汤,此恐不合。
诗曰∶疏风养荣汤,荆防羌白芷,再增四物煎,血邪无复起。
当归 地黄 血竭(各一两) 磁石(二两) 朱砂 芎 没药 乳香 丹参(各五钱) 木香 独活 防风(各
三钱)
打撞损睛,此方主之。
室坚而固,八风莫贯其隙。器藏而密,投鼠不忌其伤。夫人卑以自牧,重而致威,一切凶狂恶少,不敢以非
礼相犯,乃所谓真睛者,安所损也。今不幸误触于物,受伤同于拳棒,故即用以拳棒之药,脱化处方。或询其义,
曰∶当归、地黄养阴卫青睛也,磁石、朱砂镇火清神水也。且伤则
血瘀,或妄行,须芎 、血竭、没药、丹参之苦辛,和而行之。血病气亦病,再生风,必乳香、青木香、独活、
防风之温凉,平而散之。进此不退,另增别病,当因症议治,慎毋固窒。
诗曰∶头目遭扑跌,虽活防血竭,丹参采鲜肥,朱砂取明彻,媒合芎归地,石杵成木屑,乳没酒载调,烦痛
有如揭。
四物汤(由当归、川芎、白芍、熟地黄组成的补血基础方)加入羌活、防风、白芷、荆芥穗。
若血液被邪气所胜,导致睛珠(眼球)剧烈疼痛,以及因呕吐或失血过多引起的病症,此方主治。
血,是用来滋养眼睛的。如今因过度劳累或饥饱失常,严重损伤脾胃,导致血液运行不畅不能宣发,乖戾之气乘虚而入,这就是所谓的“邪胜”。再加上呕吐或失血过多,导致虚弱而生内风,风生火,使眼睛疼痛难以忍受。得到川芎、当归、白芍、地黄来补益并推动血液运行,荆芥、白芷、羌活、防风来升散邪气,风邪自然疏散,营血自然得到滋养,因此命名为此汤。服用后疼痛停止,但眼睑无力,经常想要下垂闭合,这是病已中治了。然而如果是由于呕吐失血过多导致的眼睛疼痛,应当使用艾人理血汤,此方恐怕不适用。
诗曰:疏风养荣汤,荆芥防风与羌活白芷,再加四物煎煮,血分之邪不再复发。
当归、地黄、血竭(各一两)、磁石(二两)、朱砂、川芎、没药、乳香、丹参(各五钱)、木香、独活、防风(各三钱)。
头部或眼部遭受撞击损伤,此方主治。
眼眶坚固而牢固,八风(指八方之风,泛指外感风邪)无法穿透其缝隙。眼器藏纳而紧密,投鼠不忌其伤(比喻保护眼睛如同保护珍贵器物,即使有顾虑也要小心呵护)。人应当谦卑以自我修养,庄重以致威严,一切凶狂恶少不敢以非礼相犯,这就是所谓的真睛(健康的眼球),怎么会受损呢?如今不幸误触物体,受伤程度等同于拳棒击打,所以即刻采用治疗拳棒外伤的药物,脱化而成此处方。有人询问其义,回答说:当归、地黄滋养阴血以护卫青睛(黑眼球/角膜等结构);磁石、朱砂镇降心火以清神水(房水/泪液等体液)。而且受伤则血瘀,或者血妄行(出血),需要川芎、血竭、没药、丹参的苦辛之性,调和而行之。血病则气亦病,再生风,必须用乳香、青木香、独活、防风的温凉之性,平和而散之。服用此方病情不退,另增其他病症,应当根据症状商议治疗,切勿固执不通。
诗曰:头目遭受扑打跌撞,虽然活血但要防血竭(此处双关,既指药材也指防止血液枯竭/瘀滞),丹参要采鲜肥者,朱砂要取明亮透彻者,媒合川芎、当归、地黄,石杵捣成木屑状(形容药粉细度或炮制过程),乳香没药用酒调服,烦痛如揭去覆盖物般消除。
Si Wu Tang (a foundational blood-nourishing decoction composed of Dang Gui, Chuan Xiong, Bai Shao, and Shu Di Huang) added with Qiang Huo, Fang Feng, Bai Zhi, and Jing Jie Sui.
When blood is overcome by pathogenic factors, causing severe pain in the eyeball (Jing Zhu), or when excessive vomiting or blood loss has occurred, this formula is indicated.
Blood is what nourishes the eyes. Now, due to overexertion or irregular eating habits, the Spleen and Stomach are severely damaged, leading to sluggish blood circulation that cannot be disseminated properly. Malicious Qi takes advantage of this weakness, which is referred to as "pathogen excess." Furthermore, excessive vomiting or blood loss leads to deficiency generating internal Wind; Wind generates Fire, making eye pain unbearable. By using Chuan Xiong, Dang Gui, Bai Shao, and Di Huang to tonify and promote blood flow, and Jing Jie, Bai Zhi, Qiang Huo, and Fang Feng to ascend and disperse pathogens, the Wind is naturally dispersed and the Ying (Nutritive) Blood is naturally nourished. Hence it is named this Decoction. After taking it, if the pain stops but the eyelids become weak and constantly desire to droop and close, the disease has been treated. However, if the eye pain is caused by excessive vomiting and blood loss, Ai Ren Li Xue Tang should be used instead; this formula is likely unsuitable.
The poem states: Shu Feng Yang Rong Tang, containing Jing Jie, Fang Feng, Qiang Huo, and Bai Zhi, combined with Si Wu Tang decoction, ensures that blood-pathogens do not recur.
Dang Gui, Di Huang, Xue Jie (each 1 liang), Ci Shi (2 liang), Zhu Sha, Chuan Xiong, Mo Yao, Ru Xiang, Dan Shen (each 5 qian), Mu Xiang, Du Huo, Fang Feng (each 3 qian).
For injuries to the head or eyes caused by blunt force trauma, this formula is indicated.
The orbital socket is firm and solid, preventing the Eight Winds (pathogenic winds from eight directions) from penetrating its gaps. The ocular organ is stored and dense, protecting it carefully even at the risk of disturbing nearby objects (metaphor for careful protection of the precious eyes). A person should cultivate humility and maintain dignity, so that violent and unruly individuals dare not offend with improper behavior. Thus, the true eye (healthy eyeball) remains undamaged. Unfortunately, if one accidentally touches an object, the injury is comparable to being struck by fists or clubs. Therefore, medicines used for treating blunt force trauma are adapted to create this prescription. When asked about its rationale, it was explained: Dang Gui and Di Huang nourish Yin and protect the Qing Jing (cornea/anterior segment); Ci Shi and Zhu Sha calm Fire and clear the Shen Shui (aqueous humor/tears). Moreover, trauma causes blood stasis or erratic bleeding, requiring the bitter and acrid properties of Chuan Xiong, Xue Jie, Mo Yao, and Dan Shen to harmonize and promote circulation. Since blood disorders affect Qi, potentially generating Wind again, the warm and cool properties of Ru Xiang, Qing Mu Xiang, Du Huo, and Fang Feng are needed to pacify and disperse. If the condition does not improve with this, or if other symptoms arise, treatment should be discussed based on specific signs; do not remain rigid or blocked.
The poem states: Head and eyes suffer from blows and falls; although promoting blood circulation is necessary, guard against blood depletion. Fresh and plump Dan Shen should be selected, and bright, transparent Zhu Sha should be chosen. Combine Chuan Xiong, Dang Gui, and Di Huang; pound them into fine powder resembling wood shavings. Mix Ru Xiang and Mo Yao with wine for administration, relieving vexation and pain as if lifting a heavy cover.