文合(五钱重者六钱,即五倍子) 苦参(四钱重者五钱) 升麻(二钱重者三钱半) 草决明(二钱重者
三钱) 薄荷(一钱半重者二钱) 防风(一钱半重者二钱) 荆芥(一钱半重者二钱) 白芷 小川芎 羌活
(各八分重者一钱)
上十味作一剂,要足分两,根据法加减,用三次。熏法则在口授,其疾极重者冲四十剂,中者三十剂,
轻者二十剂,或十五剂,或六、七剂,则有效矣。内服揭障丹,外点开疆扫雾丹。
黄荆子(一斤,晒干,去壳,净温水洗三、四次,又用童便浸三日夜,早晚须换童便,浸完又用温水洗三、四次,
炒,研细听用,号揭障磨翳丹头。)
每用丹头一两,加当归(酒洗)、川芎、生地各(为末)二钱半,白芍(酒洗为末)一钱半,谷精草、羌活、白芷、
升麻、柴胡、草决明、木贼各(为末)一钱,龙胆草一钱半,荆芥、薄荷各(为末)一钱半
各如等分发丹头。如欲多配,照上法添之。如内外翳障重者,加雌雄石末三钱。制用银锅内 红,
入醋内淬七次。每用淡竹煎汤,食后服二、三钱,日二次,有奇效。
一两目中红如血,此三焦余热攻之,号曰珠玲。加栀仁、玄参、麦冬各三钱。
一两珠蛮大,突起如怒像者,号曰古睛,有风热。加防风、白蒺藜、车前子各二钱。
一含浆眼,上下眼包合,不能自开,将手分开,泪倾如米汁之状,此风热太甚,攻于肝肺二经。加龙
胆草三钱,防风、羌活各二钱,桑白皮二钱,白芍、柴胡各一钱。
一烂弦红皮者,加桑白皮三钱,草决明、防风各一钱五分。
一眼内红丝多者,加山栀仁(炒)三钱。
一红气上侵黑珠,加桑白皮(蜜制)三钱。
一眼中泪多者,加柴胡、升麻各三钱。
一血灌瞳人,加白石膏( )三钱,炒黑栀仁二钱,大黄(炒)二钱,归尾三钱。
一瞳人侧身,加柴胡、升麻各五钱。
一瞳人端正,我把手招他,他不把手招,谓之水火未济之像,左右轮中气不贯。加蜣螂(瓦上略焙为末)二钱。
一上眼皮盖下眼皮,作睡人眼,乃脾之倦也。加白术(陈壁上土炒)各三钱。
一双目黑睛红侵,白珠不红,号曰血热侵肝。加当归尾、白芍、茜草各三钱,栀仁(炒)二钱。
一白珠血红,黑珠不红,号曰余热伤肺。加百合、宣连、栀仁(炒)各二钱。
一眼内青翳突起,乃水胜火衰,号曰乌睛,乃肝不纳水之故。加木贼、花椒各三钱,柴胡、白芍各二钱。
一蟹眼、虾眼、老膜突起者,加千里光三钱,磁石一钱五分。
一黑白不分,混浊污秽,触冲瞳人者,加黄柏、知母各二钱。
一上下四角作痒,加白蒺藜(去刺)三钱。
一视人长大,一人似二人者,号曰轮不分白。加青葙子三钱。
一两目并太阳穴作胀,加蔓荆子三钱。
一青光者,一双好眼,视物不见,号曰青光瞎子,此三轮有浓病也。加赤茯苓、玄参、黄芩各一钱
五分。
一鸡 黑,鸡上宿则目不明,双目黑暗,乃肝不纳余血,血倒转攻心之症。加上好藏浪大黄三
钱,黄柏、知母各二钱。
一眼内如针刺,谓之血热。加好大黄二钱,栀仁(炒)二钱。
一双目细小者,号曰夹视。加白茯苓、白术、枸杞子各一钱。
文蛤(若分量重则用六钱,即五倍子)苦参(若分量重则用五钱)升麻(若分量重则用三钱半)草决明(若分量重则用三钱)薄荷(若分量重则用二钱)防风(若分量重则用二钱)荆芥(若分量重则用二钱)白芷 小川芎 羌活(各八分,若分量重则用一钱)
以上十味药作为一剂,必须足量,根据病情依法加减,共使用三次。熏蒸法则由口授传授,病情极重的服用四十剂,中等的服用三十剂,轻症的服用二十剂,或十五剂,或六、七剂,即可见效。内服揭障丹,外用点开疆扫雾丹。
黄荆子(一斤,晒干,去壳,用温水洗净三、四次,再用童子尿浸泡三昼夜,早晚需更换童子尿,浸完后再用温水洗净三、四次,炒制,研成细粉备用,称为揭障磨翳丹的丹头。)
每次取丹头一两,加入当归(酒洗)、川芎、生地(均研为末)各二钱半,白芍(酒洗研为末)一钱半,谷精草、羌活、白芷、升麻、柴胡、草决明、木贼(均研为末)各一钱,龙胆草一钱半,荆芥、薄荷(均研为末)各一钱半。各药等分发入丹头中。如果想要多配制,照上述方法增加剂量即可。如果内外翳障严重,加入经炮制的雌雄石末三钱。(制法:在银锅中炒红,放入醋中淬炼七次。)每次用淡竹煎汤,饭后服用二、三钱,每日两次,有奇效。
若两眼目赤如血,这是三焦余热攻冲所致,称为珠玲。加栀子仁、玄参、麦冬各三钱。
若双眼黑睛肿大,突起如怒视状,称为古睛,属风热。加防风、白蒺藜、车前子各二钱。
若患含浆眼,上下眼睑闭合,无法自行睁开,用手分开时,泪水倾泻如米汁状,这是风热太盛,攻犯肝肺二经。加龙胆草三钱,防风、羌活各二钱,桑白皮二钱,白芍、柴胡各一钱。
若血灌瞳人,加白石膏三钱,炒黑栀子仁二钱,炒大黄二钱,归尾三钱。
若瞳人端正,我招手示意,它却不回应招手,这称为水火未济之象,左右轮中气不贯通。加蜣螂(在瓦上略焙后研为末)二钱。
若上眼皮覆盖下眼皮,呈睡眠状,这是脾虚疲倦所致。加陈壁土炒白术各三钱。
若双目黑睛被红色侵入,而白珠不红,称为血热侵肝。加当归尾、白芍、茜草各三钱,炒栀子仁二钱。
若白珠血红,黑珠不红,称为余热伤肺。加百合、宣连、炒栀子仁各二钱。
若眼内青翳突起,乃水胜火衰,称为乌睛,是肝不能纳水的缘故。加木贼、花椒各三钱,柴胡、白芍各二钱。
若患青光者,一双好眼却视物不见,称为青光瞎子,这是三轮有脓病所致。加赤茯苓、玄参、黄芩各一钱五分。
Wenli (if heavier dosage, use 6 qian; i.e., Wupeizi / Gallnut) Kushen (if heavier dosage, use 5 qian) Shengma (if heavier dosage, use 3.5 qian) Caojueming (if heavier dosage, use 3 qian) Bohe (if heavier dosage, use 2 qian) Fangfeng (if heavier dosage, use 2 qian) Jingjie (if heavier dosage, use 2 qian) Baizhi Xiao Chuanxiong Qianghuo (each 8 fen; if heavier dosage, use 1 qian)
The above ten herbs constitute one dose. Ensure accurate weights, modify according to the method based on symptoms, and administer three times. The fumigation method is taught orally. For extremely severe cases, take forty doses; for moderate cases, thirty doses; for mild cases, twenty doses, or fifteen doses, or even six to seven doses, will be effective. Internally take Jiezhang Dan, externally apply Dianjiang Saowu Dan to open the eyes.
Huangjingzi (one jin, sun-dried, shell removed, washed clean with warm water three to four times, then soaked in tongbian [child's urine] for three days and nights; change the tongbian morning and evening; after soaking, wash again with warm water three to four times, stir-fry, grind into fine powder for use, known as the 'Dan head' of Jiezhang Moyi Dan.)
For each use, take one liang of the Dan head, add Danggui (wine-washed), Chuanxiong, and Shengdi (all ground into powder) each 2.5 qian, Baishao (wine-washed and ground into powder) 1.5 qian, Gujingcao, Qianghuo, Baizhi, Shengma, Chaihu, Caojueming, and Muzei (all ground into powder) each 1 qian, Longdancao 1.5 qian, Jingjie and Bohe (both ground into powder) each 1.5 qian. Mix these equal parts into the Dan head. If preparing a larger quantity, increase proportionally according to the above method. For severe internal and external yizhang (corneal opacity/obstruction), add Sanqian [Copper carbonate hydroxide] powder treated with ci [vinegar], 3 qian. (Preparation: Stir-fry until red in a silver pot, quench in vinegar seven times.) Take with Danzhu decoction [Light bamboo decoction] after meals, 2-3 qian per dose, twice daily, yielding remarkable effects.
If both eyes are red like blood, this is caused by residual heat attacking from the Sanjiao [Triple Burner], termed Zhuling. Add Zhiren [Gardenia seed], Xuanshen, and Maidong each 3 qian.
If both pupils appear swollen and protruding like an angry gaze, termed Gujing, indicating wind-heat. Add Fangfeng, Baijili, and Cheqianzi each 2 qian.
If suffering from Hanjangyan [Eye with pus-filled discharge], where upper and lower eyelids are closed and cannot open spontaneously, and tears flow like rice water when separated by hand, this indicates excessive wind-heat attacking the Liver and Lung meridians. Add Longdancao 3 qian, Fangfeng and Qianghuo each 2 qian, Sangbaipi 2 qian, Baishao and Chaihu each 1 qian.
If suffering from Lianxian Hongpi [Ulcerative blepharitis with red skin], add Sangbaipi 3 qian, Caojueming and Fangfeng each 1.5 qian.
If there are many red filaments inside the eye, add stir-fried Shanzhiren [Gardenia seed] 3 qian.
If red qi invades the black pupil, add honey-processed Sangbaipi 3 qian.
If there is excessive tearing in the eye, add Chaihu and Shengma each 3 qian.
If blood floods the pupil, add Baishigao [Gypsum Fibrosum] 3 qian, stir-fried black Zhiren [Gardenia seed] 2 qian, stir-fried Dahuang [Rhubarb Root] 2 qian, Guiwei [Angelica sinensis tail] 3 qian.
If the pupil deviates laterally, add Chaihu and Shengma each 5 qian.
If the pupil is upright, but does not respond to waving hands, this is termed the image of Water and Fire not interacting, indicating that Qi in the left and right wheels [limbus] is not connected. Add Pianchuanlang [Dung beetle] (lightly roasted on tile and ground into powder) 2 qian.
If the upper eyelid covers the lower eyelid, resembling a sleeping person, this is due to Spleen fatigue. Add Baizhu [Atractylodes macrocephala Rhizome] fried with aged wall earth each 3 qian.
If both black pupils are invaded by redness while the white sclera is not red, termed Xuer Qin Gan [Blood heat invading the Liver]. Add Guiwei [Angelica sinensis tail], Baishao, and Qiancao [Rubia cordifolia Root] each 3 qian, stir-fried Zhiren [Gardenia seed] 2 qian.
If the white sclera is blood-red while the black pupil is not red, termed Yure Shang Fei [Residual heat injuring the Lung]. Add Baihe [Lily Bulb], Xuanlian [Scutellaria baicalensis Root], and stir-fried Zhiren [Gardenia seed] each 2 qian.
If green yiqi [opacity] protrudes inside the eye, it is due to Water excess and Fire deficiency, termed Wuqing [Black pupil disorder], caused by the Liver failing to store Water. Add Muzei [Equisetum Hiemale Herb] and Huajiao [Zanthoxylum Bungeanum Fruit] each 3 qian, Chaihu and Baishao each 2 qian.
If Crab Eye, Shrimp Eye, or old membranes protrude, add Qianliguang [Senecio scandens Herb] 3 qian, Cishi [Magnetite] 1.5 qian.
If black and white are indistinguishable, turbid and filthy, touching and obstructing the pupil, add Huangbai [Phellodendron Bark] and Zhimu [Anemarrhena Rhizome] each 2 qian.
If itching occurs at the four corners of the upper and lower eyelids, add Baijili [Tribulus Terrestris Fruit] de-spined 3 qian.
If objects appear enlarged, or one person appears as two, termed Lun Bu Fen Bai [Indistinct Limbus]. Add Qingxiangzi [Celosia Seed] 3 qian.
If both eyes and the Taiyang acupoint area feel distended, add Manjingzi [Vitex Trifolia Fruit] 3 qian.
If suffering from Qingguang [Glaucoma], where good eyes fail to see objects, termed Qingguang Xiazi [Glaucomatous Blindness], this is due to Nongbing [Pus disease] in the three wheels. Add Chifuling [Red Poria], Xuanshen, and Huangqin [Scutellaria Root] each 1.5 qian.
If experiencing Jimanghei [Night blindness], where vision is unclear after chickens roost overnight, and both eyes are dark, this is a symptom of the Liver failing to store residual blood, causing blood to reverse and attack the Heart. Add high-quality Canglang Dahuang [Rhubarb Root] 3 qian, Huangbai and Zhimu each 2 qian.
If the eye feels like being pricked by needles, termed Xuer Re [Blood Heat]. Add high-quality Dahuang [Rhubarb Root] 2 qian, stir-fried Zhiren [Gardenia seed] 2 qian.
If both eyes are small, termed Jiashi [Pinocularia/Adduction defect]. Add Baifuling [White Poria], Baizhu, and Gouqizi [Lycium Fruit] each 1 qian.