熟地(八两) 山药(六两饭上蒸过) 山萸(六两去核净蒸)
泽泻(三两面煨) 茯苓(三两去皮) 全当归(六两酒洗) 菊花
(二两用白的) 丹皮(三两) 枸杞(六两去蒂净酒洗炒)
蜜丸桐子大。空心盐汤下五、七钱,自二钱起,
渐加至四钱,恐动火也。如不能收全功,晚用十全大
补汤(或丸)亦可。用此者,恐气不能行血,或血虚脾
虚,一概补之。
几时行病目,少年宜服寒凉等药。若中年后气血
不盛,用寒凉过多,眼疾愈后,神光渐减,视物昏花。
以其寒凉伤胃,精气不能上升也。惟醉仙汤补泻相
兼,老少可服,终身无昏花之患。
醉仙汤(治时行害眼,并暴发赤肿,疼痛凶狠,如触睛者。)
羌活 防风 柴胡 苍术 白芷 川芎 当归
生地 黄柏(盐水炒) 牛膝 杜仲(盐水炒) 香附(醋炒) 白茯
苓各一钱,如小儿各七分。有云翳加白蒺藜、木贼。
羞明加天麻。
上用醇黄酒一碗,水一碗,煎至一碗,加食盐七
厘,搅匀温服。如能饮者,再饮酒两、三杯,使血行
可速愈也。
按时症有热胜、风胜、风热俱胜之不同,不可不辨。
热胜者,火壅壮热,头目昏眩、疼痛,热气上冲,
口舌唇焦,咽喉肿痛,心神烦躁,多渴,小便赤涩,
大便秘滞。热胜之病如是也。
风胜者,头痛鼻塞,肿胀涕泪,脑巅沉重,眉骨
酸痛,外翁如云雾、丝缕、秤星、螺盖。风胜之病如
是也。
风热俱胜者,风毒上攻,暴作目赤,肿疼难开,
瘾涩,眵泪交流。风热俱胜之病如是也。
三症大同小异,用药易混,须要分晰明白,然后
用药。若是热胜,先清火;风胜,先除风;风热俱
胜,除风散热兼之。庶几浊阴之气尽降,而清阳之气
尽复,如无病之初矣。
世之目疾,久而不愈,或愈而复犯者,皆由初时
用药之误,以致脏腑郁结,浊气上升,清阳失位。
至一年则目昏暗,二年则生红丝,三年则长翳障,延
及五、七载,则失光明,亦知皆由初时用药之差也哉!
热胜者,先服洗心散,次服泻热黄连汤。
熟地黄(八两) 山药(六两,在饭上蒸过) 山茱萸(六两,去核后洗净蒸制)
泽泻(三两,面裹煨制) 茯苓(三两,去皮) 全当归(六两,酒洗) 菊花
(二两,选用白色的) 牡丹皮(三两) 枸杞子(六两,去蒂洗净后用酒洗并炒制)
制成蜜丸,大小如梧桐子。空腹时用盐汤送服五、七钱,从二钱开始,
逐渐增加至四钱,以防助火。如果此方不能取得完全疗效,晚上服用十全大补汤(或丸剂)也可以。使用此方的原因,是担心气虚不能推动血液运行,或者是血虚兼脾虚,因此进行全面的补益。
如果是时行病引起的眼疾,年轻人适宜服用寒凉性质的药物。如果中年以后气血不旺盛,过多使用寒凉药物,眼疾痊愈后,神光会逐渐减弱,视物昏花。
这是因为寒凉药物损伤了胃气,导致精气不能上升。只有醉仙汤补泻兼施,老少皆宜,终身不会有视物昏花的隐患。
醉仙汤(治疗时行害眼,以及突发性的红肿胀痛,疼痛剧烈,甚至像瞳仁受累的情况。)
羌活 防风 柴胡 苍术 白芷 川芎 当归
生地黄 黄柏(盐水炒) 牛膝 杜仲(盐水炒) 香附(醋炒) 白茯苓 各一钱,如果是小儿则每味各七分。如果有云翳,加白蒺藜、木贼。
畏光羞明,加天麻。
以上药材用纯黄酒一碗,水一碗,煎煮至剩下一碗药液,加入食盐七厘,搅拌均匀后温服。如果能喝酒的人,再喝两、三杯酒,使血液运行加快,可以迅速痊愈。
按时令病症的不同,有热邪偏胜、风邪偏胜、风热俱盛的区别,不可不加以辨别。
热邪偏胜的,表现为火热壅盛、壮热,头目昏眩、疼痛,热气上冲,
口舌嘴唇焦枯,咽喉肿痛,心神烦躁,口渴多饮,小便赤涩,大便秘结不通。热邪偏胜的病证就是这样的。
风邪偏胜的,表现为头痛鼻塞,肿胀流涕流泪,头顶沉重,眉骨酸痛,眼睑开合困难如云雾遮挡、丝缕状、秤星状、螺盖状遮蔽视线。风邪偏胜的病证就是这样的。
风热俱盛的,表现为风毒上攻,突然发作眼睛红赤,肿胀疼痛难以睁开,眼睑涩滞,眼屎泪水交流。风热俱盛的病证就是这样的。
这三种症状大同小异,用药容易混淆,必须分析清楚明白,然后才用药。如果是热邪偏胜,先清泻火邪;风邪偏胜,先祛除风邪;风热俱盛,则祛风散热同时进行。这样浊阴之气就能全部下降,而清阳之气就能全部恢复,就像没有生病时的状态一样。
世间的目疾,久治不愈,或者好了又复发的,都是因为起初用药错误,导致脏腑郁结,浊气上升,清阳失位。
到一年就会眼睛昏暗,两年会长出红血丝,三年会长出翳障,拖延到五、七年,就会失明,难道不知道这都是因为起初用药有误吗!
热邪偏胜的,先服用洗心散,接着服用泻热黄连汤。
Prepared Rehmanniae Radix (Shu Di Huang, 8 liang) [Prepared Rehmannia Root]
Dioscoreae Rhizoma (Shan Yao, 6 liang, steamed over rice) [Chinese Yam Rhizome]
Corni Fructus (Shan Yu, 6 liang, pitted, cleaned, and steamed) [Cornelian Cherry Fruit]
Alismatis Rhizoma (Ze Xie, 3 liang, roasted in flour paste) [Water Plantain Rhizome]
Poria (Fu Ling, 3 liang, peeled) [Poria Sclerotium]
Angelicae Sinensis Radix Quan Dang Gui (Quan Dang Gui, 6 liang, washed with wine) [Dong Quai Root]
Chrysanthemi Flos (Ju Hua, 2 liang, white variety selected) [Chrysanthemum Flower]
Moutan Cortex (Dan Pi, 3 liang) [Tree Peony Bark]
Lycii Fructus (Gou Qi, 6 liang, pedicels removed, cleaned, washed with wine, and stir-fried) [Goji Berry]
Form honey pills the size of Torreya seeds. Take 5 to 7 qian on an empty stomach with salted water, starting from 2 qian, gradually increasing to 4 qian, to avoid aggravating fire. If this prescription does not achieve complete efficacy, taking Shiquan Dabu Tang (or Wan) at night is also acceptable. This formula is used under the concern that Qi fails to move Blood, or due to Blood deficiency combined with Spleen deficiency, thus employing comprehensive tonification.
For epidemic eye diseases (Shixing Bing Mu), young people are suitable for taking cold-natured medicines. However, after middle age, when Qi and Blood are not robust, excessive use of cold medicines will cause the Shen Guang (Spiritual Light/Vision) to gradually diminish and vision to become blurred after the eye disease subsides.
This is because cold medicines damage the Stomach, preventing Jing Qi (Essence Qi) from ascending. Only Zuixian Tang, which combines tonification and purgation, is suitable for both the old and young, ensuring no lifelong risk of blurred vision.
Zuixian Tang (Treats epidemic eye diseases, as well as sudden onset of redness, swelling, and severe pain, even involving the cornea.)
Notopterygii Rhizoma et Radix (Qiang Huo)
Saposhnikoviae Radix (Fang Feng)
Bupleuri Radix (Chai Hu)
Atractylodis Rhizoma (Cang Zhu)
Angelicae Dahuricae Radix (Bai Zhi)
Chuanxiong Rhizoma (Chuan Xiong)
Angelicae Sinensis Radix (Dang Gui)
Rehmanniae Radix (Sheng Di)
Phellodendri Cortex (Huang Bo, stir-fried with salt water)
Achyranthis Bidentatae Radix (Niu Xi)
Eucommiae Cortex (Du Zhong, stir-fried with salt water)
Cyperi Rhizoma (Xiang Fu, stir-fried with vinegar)
Poria (Bai Fu Ling)
Each herb 1 qian; for children, each herb 0.7 qian. If nebula (cloudy film) is present, add Tribuli Fructus (Bai Ji Li) and Equiseti Herba (Mu Zei).
If photophobia (shyness to light) is present, add Gastrodiae Rhizoma (Tian Ma).
Take one bowl of pure yellow wine and one bowl of water, decoct until one bowl remains, add 0.07 li of salt, mix well, and take warm. For those who can drink alcohol, consuming two or three more cups of wine can accelerate blood circulation and lead to rapid recovery.
According to seasonal patterns, there are differences between Heat excess, Wind excess, and combined Wind-Heat excess, which must be distinguished.
In cases of Heat excess, symptoms include fiery congestion, high fever, dizziness and pain of the head and eyes, rising heat sensation, scorched mouth/tongue/lips, sore throat, mental restlessness, excessive thirst, dark and scanty urine, and constipation. Such is the presentation of Heat excess.
In cases of Wind excess, symptoms include headache, nasal congestion, swelling, runny nose, tearing, heaviness of the vertex, soreness and pain of the brow bones, and eyelids opening difficulties resembling clouds, silk threads, star scales, or snail covers obscuring vision. Such is the presentation of Wind excess.
In cases of combined Wind-Heat excess, symptoms include wind-toxin attacking upwards, sudden redness of the eyes, swelling and pain making it difficult to open the eyes, gritty sensation, and profuse discharge of pus and tears. Such is the presentation of combined Wind-Heat excess.
These three syndromes are largely similar but have minor differences, and their medication can easily be confused. One must analyze them clearly before prescribing. If Heat excess, first clear Fire; if Wind excess, first dispel Wind; if combined Wind-Heat excess, dispel Wind and clear Heat simultaneously. In this way, turbid Yin Qi will descend completely, and clear Yang Qi will recover completely, restoring the state as if one were healthy.
Ocular diseases in the world that persist without healing, or recur after healing, are all due to initial medication errors, leading to organ stagnation, rising turbid Qi, and displacement of clear Yang.
After one year, vision becomes dim; after two years, red filaments appear; after three years, nebulae and cataracts grow; extending to five or seven years, blindness occurs. Is it not known that all this stems from initial medication errors!
For Heat excess, first administer Xixin San, followed by Xiere Huanglian Tang.