气滞血瘀,将归何处,沁入干宫,青空纯白倏成红。防风驱邪金井中,井中得得应殊色,如落日。与月当全
食。且回头,光顿收,罢休,还愁年不留。
此症始得,眼胞一环半 青碧隐隐,次后紫黑,或满腔微肿,白睛亦赤元胀起,俨若老拳打伤,左右相传,
远
近怕看。幸能视无痛,不甚苦楚。盖热物食多,胸膈气海为邪所蔽,血盛滞塞不通,逼而上走,故作此状。甚而
咳紧,口鼻出血。急用清毒逐滞汤,大剂数进。不退即开导,或抵当汤、通幽丸以攻之。不然火金乘木,必变凝
脂、黄液、鱼睛等证。其金井不见黑神,显然鲜血满灌。此定先病风热,既散不随滋养,一味苦寒到底,致肾精
胆汁耗损殆尽,一点元阳直犯水德,岂火入血分,有形之急者比乎。人如患此,险恶极矣,得生脉散、十补丸、
龟鹿二仙膏递服三两,昼夜尚可救。若再不珍重,与药饵差错,非惟目病难治,而命亦恐不久。医必先立病繇,
或以此书示渠家人,于事无济,庶免悔尤后话。
又,白睛不论上下左右,现一片几点,绝似红炭朱霞。过一夕,色浊转青紫,片点亦加大。此血热妄行,客
寄肺膜间。有因咳起者,皆气不宁谧之故。治宜冶金煎、导赤散。火既退,而血随通,病不难制。若泥解表泄肺,
处散方投之,恐天元憔悴,风木不胜削弱,内外重症,有不意而得者。
气机阻滞,血液瘀结,最终流向何处?它们渗入眼内(干宫),原本青黑的眼珠与纯白的眼白瞬间变为红色。防风将邪气驱除至黑睛(金井)之中,黑睛中出现的色泽反应异常特殊,如同落日余晖或月食时的景象。此时光芒骤然收敛,病情似乎暂时平息,但令人担忧的是岁月不居,病根未除。
此症初起时,眼睑边缘有一圈半呈现隐隐的青碧色,随后转为紫黑色,或者整个眼眶微肿,白睛也充血肿胀,看起来就像被老拳打伤一样,左右眼睛互相传染,远近的人都害怕观看。幸运的是视力尚存且无痛感,患者并不觉得非常痛苦。这是因为食用过多热性食物,导致胸膈间的气海被邪气闭塞,血液旺盛且瘀滞不通,被迫向上冲逆,从而形成这种症状。严重时甚至会出现剧烈咳嗽、口鼻出血。此时急需使用清毒逐滞汤,大剂量服用数次。如果症状不退,就采用开导之法,或者使用抵当汤、通幽丸来攻逐瘀血。如果不这样做,火邪克伐肺金,肺金又乘袭肝木,必然转变为凝脂翳、黄液上冲、鱼睛不夜等严重眼病。此时黑睛(金井)不见正常的黑色神光,显然鲜血已经充满灌注。这必定是先患有风热之证,发散后没有及时滋养阴液,一味地苦寒清热到底,导致肾精和胆汁耗损殆尽,一点元阳直接侵犯水德(肾脏/膀胱)。这难道是火热入于血分,有形之邪急迫相比的吗?人如果患上此病,险恶至极,若能连续服用生脉散、十补丸、龟鹿二仙膏各三两,昼夜调理,尚可挽救。若再不珍重身体,用药出现差错,不仅眼病难以治愈,性命恐怕也难保长久。医生必须先确立病因,或者将此书展示给患者的家人看,这样对治疗才有帮助,以免日后后悔。
另外,白睛不论上下左右,出现一片几点,绝像红炭和朱红色的晚霞。过了一晚,颜色变得浑浊并转为青紫色,片点也会加大。这是血热妄行,客居于肺膜之间。有的因为咳嗽引发,都是气机不安宁的缘故。治疗适宜使用冶金煎、导赤散。火邪退去后,血液随之通畅,病就容易控制了。如果拘泥于解表泄肺的方法,给予疏散的方剂投用,恐怕会损伤先天元气,使风木(肝)不胜削弱,内外重症可能意外发生。
Qi stagnation and blood stasis, where will they eventually go? They seep into the eye interior (Gan Gong), and the originally black pupil and pure white sclera suddenly turn red. Fangfeng expels the pathogenic factor into the cornea (Jing Jing); the color response in the cornea is unusually special, resembling the afterglow of a sunset or the appearance during a lunar eclipse. At this moment, the light abruptly recedes, and the condition seems to temporarily subside, but one worries that time does not wait, and the root cause remains.
When this syndrome first appears, there is a faint greenish-blue hue along half a ring of the eyelid margin; subsequently, it turns purple-black, or the entire orbital area swells slightly, and the sclera becomes congested and swollen, looking as if beaten by an old fist. The condition may spread between the left and right eyes, causing people at a distance to fear looking at them. Fortunately, vision is preserved without pain, and the patient does not feel significant distress. This is because consuming too many heat-inducing foods causes the Qi Sea in the chest and diaphragm to be blocked by pathogens. Blood becomes abundant and stagnant, unable to flow freely, forcing its way upward, thus creating this manifestation. In severe cases, it may even lead to severe coughing and bleeding from the mouth and nose. At this point, Qingdu Zhuzhi Tang (Clear Toxins and Remove Stasis Decoction) should be used urgently in large doses for several administrations. If symptoms do not recede, open and guide methods should be employed, or Didang Tang (Marsupial Decoction) and Tongyou Wan (Unblock the Nether Pill) should be used to attack and remove the stasis. Otherwise, Fire overacting on Metal (Lung) will cause Metal to overact on Wood (Liver), inevitably transforming into severe eye conditions such as Ningzhi Yi (Corneal Ulcer with Lipid Deposits), Huangye Shangchong (Yellow Fluid Rising Upward), and Yu Jing Bu Ye (Fish Eye Without Night). At this stage, the normal black spirit-light of the cornea (Jing Jing) is no longer visible, indicating that fresh blood has completely filled and infused the area. This must stem from an initial Wind-Heat syndrome; after dispersal, nourishment was not followed, and bitter-cold clearing agents were used exclusively to the end, depleting Kidney Essence and Gallbladder Juice until nothing remained. A trace of Original Yang directly invades Shui De (Water Virtue/Kidney-Bladder system). Is this merely comparable to Heat entering the Blood level with tangible urgency? If a person suffers from this disease, it is extremely perilous. If Shengmai San (Generate Pulse Powder), Shibu Wan (Ten Tonics Pill), and Guilu Erxian Gao (Tortoise and Deer Two Immortals Paste) are administered sequentially in doses of 3 liang each, day and night, recovery is still possible. If one fails to cherish health again, or if medication errors occur, not only will the eye disease be difficult to treat, but life expectancy may also be short. Physicians must first establish the etiology of the disease, or show this book to the patient's family members, which would be beneficial to treatment, avoiding future regrets.
Furthermore, regardless of the upper, lower, left, or right areas of the sclera, patches and spots appear, resembling red charcoal and vermilion clouds. After one night, the color becomes turbid and turns cyan-purple, and the patches enlarge. This is due to reckless bleeding caused by Blood Heat, lodging between the lung membranes. Some cases arise due to coughing, all resulting from restless Qi. Treatment should preferably utilize Jinling Jian (Metal Refining Decoction) and Daochi San (Guide Red Powder). Once the Fire subsides, the Blood flows smoothly, and the disease is easy to control. If one sticks to exterior-releasing and Lung-draining methods, administering dispersing formulas, it is feared that Tian Yuan (Constitutional Vitality) will become emaciated, and Feng Mu (Wind-Wood/Liver) will fail to withstand weakening, leading to unexpected severe internal and external complications.