凡眉棱骨痛甚,此肝虚而痛也。宜服生地黄丸。
有目不能开,昼静夜剧,此痰胜而痛也。宜服导
痰丸、二陈汤、青州白丸子。
(治目珠、眉棱骨及头半边痛。)
夏枯草(三两) 香附(二两) 甘草(四钱)
共为末,每钱半,清茶调服下。咽下则疼减半,
五服全止。
(治眉骨风热痛)
黄芩(酒洗二钱) 白芷(一钱)
共为末,卧时清茶调服。
(治眉骨冷风入疼)
川乌 草乌(二味俱童便浸炒去毒) 细辛 甘草 羌活
黄芩(各等分)
共为末 每二钱,茶下。用除风汤熏头法,方在
后。
医眼要诀,全在临症审病,因浅深、病形、大小、
病势轻重,遂机更变,用药不可执一。
如两大眼角生 肉,赤丝贯白珠,是心之病形
也。其因在小肠,用八正散利小便,而心火退矣。以
心与小肠为表里也。
如白睛赤色,红丝渐入黑睛,是肺之病形也。其
因在心,用导赤散泻心火,而肺火退矣。以心火克
肺金也。
如黑睛生白翳,时隐时显,是肝之病形也,其因
在肺,用泄肺汤泄肺火,而肝火退矣。以肺金克肝木
也。余脏用药皆然。
若病在心经,误用泄肺之药,徒损肺气,而心火
益甚;病在肺经,误用泻肝之药,徒伤肝气,而肺火
益炽。以致脏腑不平,郁而生涎,浊气上升,渐生翳
膜,缠绵日久,病势成矣。非汤剂、点药所能治疗,
须用真人吹冲之法,方可痊愈。
凡是眉棱骨疼痛剧烈的,这是肝虚导致的疼痛。适宜服用生地黄丸。
如果眼睛无法睁开,白天安静而夜间疼痛加剧,这是痰湿盛导致的疼痛。适宜服用导痰丸、二陈汤、青州白丸子。
(治疗眼珠、眉棱骨及头部半边疼痛。)
夏枯草(三两) 香附(二两) 甘草(四钱)
共同研磨成粉末,每次取一钱半,用清茶调服。咽下后疼痛减半,服用五次即可完全停止。
(治疗眉骨因风热引起的疼痛)
黄芩(酒洗二钱) 白芷(一钱)
共同研磨成粉末,睡前用清茶调服。
(治疗眉骨因冷风侵入引起的疼痛)
川乌 草乌(这两味药都要用童子便浸泡并炒制以去除毒性) 细辛 甘草 羌活 黄芩(各等分)
共同研磨成粉末,每次二钱,用茶水送服。配合使用除风汤熏头的方法,方剂在后面。
诊治眼病的关键要领,全在于临证时仔细审察病情,根据病位的深浅、病症的形态、范围的大小、病势的轻重,灵活变通,用药不可拘泥于一种固定方法。
比如两个大眼角长出息肉,赤红的血丝贯穿白眼球,这是心脏病变的征象。其病因与小肠有关,使用八正散通利小便,心火就会消退。因为心与小肠互为表里。
如果白眼球发红,红丝逐渐侵入黑眼球,这是肺脏病变的征象。其病因在心,使用导赤散泻除心火,肺火就会消退。因为心火克制肺金。
如果黑眼球上生出白色翳膜,时隐时现,这是肝脏病变的征象,其病因在肺,使用泄肺汤泻除肺火,肝火就会消退。因为肺金克制肝木。其他脏腑的用药道理都是如此。
如果病在心经,误用了泻肺的药物,只会损伤肺气,而使心火更加旺盛;病在肺经,误用了泻肝的药物,只会损伤肝气,而使肺火更加炽盛。从而导致脏腑功能失衡,郁结而生出痰涎,浊气上升,逐渐生成翳膜,拖延日久,病势就形成了。这时就不是汤剂和点眼药所能治疗的,必须使用真人吹冲的方法,才可以痊愈。
Whenever the pain in the supraorbital ridge (eyebrow bone) is severe, this is pain caused by Liver deficiency. It is appropriate to take Shengdi Huang Wan (Rehmannia Pill).
If the eyes cannot be opened, and the condition is quiet during the day but worsens at night, this is pain caused by excessive Phlegm. It is appropriate to take Daotan Wan (Phlegm-Resolving Pill), Erchen Tang (Two-Aged Decoction), or Qingzhou Baiwanzi (Qingzhou White Pill).
(Treats pain in the eyeball, supraorbital ridge, and one side of the head.)
Prunellae Spica (Xiakucao, 夏枯草) [3 liang]
Cyperi Rhizoma (Xiangfu, 香附) [2 liang]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [4 qian]
Grind all into powder. Take 1.5 qian each time, mixed with clear tea for oral administration. Pain will be halved after swallowing; after five doses, it will completely cease.
(Treats pain in the supraorbital ridge due to Wind-Heat.)
Scutellariae Radix (Huangqin, 黄芩) [2 qian, washed with wine]
Angelicae Dahuricae Radix (Baizhi, 白芷) [1 qian]
Grind all into powder. Mix with clear tea for oral administration before sleep.
(Treats pain in the supraorbital ridge due to Cold-Wind invasion.)
Aconiti Lateralis Radix Praeparata (Chuanwu, 川乌)
Aconiti Kusnezoffii Radix (Caowu, 草乌)
(Note: These two herbs must be soaked in urine from a prepubescent boy and stir-fried to remove toxicity.)
Asari Radix et Rhizoma (Xixin, 细辛)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Notopterygii Rhizoma et Radix (Qianghuo, 羌活)
Scutellariae Radix (Huangqin, 黄芩)
(All in equal proportions.)
Grind all into powder. Take 2 qian each time, with tea. Combine with the method of fumigating the head using Chufeng Tang (Wind-Expelling Decoction); the formula is provided later.
The essential key to treating eye diseases lies entirely in carefully examining the condition during clinical practice. One must adapt flexibly based on the depth of the disease, its morphological characteristics, the size of the affected area, and the severity of the pathological trend. Medication should not be rigidly fixed to a single approach.
For instance, if fleshy growths appear at the canthi of both eyes, with red blood vessels traversing the sclera (white part of the eye), this is the morphological sign of Heart pathology. The cause relates to the Small Intestine. Using Bazheng San (Eight-Herb Powder for Unblocking) to promote urination will subside the Heart Fire, because the Heart and Small Intestine are exterior-interior paired organs.
If the sclera appears red, with red filaments gradually invading the cornea (black part of the eye), this is the morphological sign of Lung pathology. The cause lies in the Heart. Using Daochi San (Guide Out Redness Powder) to drain Heart Fire will subside the Lung Fire, because Heart Fire controls Lung Metal.
If white nebulae (opacities) appear on the cornea, manifesting intermittently, this is the morphological sign of Liver pathology. The cause lies in the Lung. Using Xiefei Tang (Lung-Draining Decoction) to drain Lung Fire will subside the Liver Fire, because Lung Metal controls Liver Wood. The principles for treating other Zang organs are similar.
If the disease is in the Heart Meridian, but lung-draining herbs are mistakenly used, it will merely damage Lung Qi while exacerbating Heart Fire. If the disease is in the Lung Meridian, but liver-draining herbs are mistakenly used, it will merely damage Liver Qi while intensifying Lung Fire. This leads to disharmony among the Zang-Fu organs, stagnation generating Phlegm-fluids, turbid Qi ascending, and gradually forming nebulae. After prolonged duration, the pathological trend solidifies. At this stage, decoctions and eye drops are ineffective; only the "Zhenren Chuichong" (True Person Blowing/Insufflation) method can achieve a cure.