阅各家眼科所载,有蟹睛突出者,有旋螺高
起者,人人皆知为有余之症。至于全珠下陷,庇小有
凹痕者,不知其为有余,误用补药,以火助火,火气
太盛,耗却神膏,致眼珠全坏者有之。至于风轮上
有凹痕如豆大,或如瓜子大,俱有余之症,不可不知。
当用发散之剂。蟹睛、旋螺不敢点平下去,乃敢点下
陷有痕等症,用白玉锭、元灵丹点。
按疮毒上攻于目,结毒于眼,病不同。眼症生红
丝云翳,时长时消。疮毒结翳如胞,坚硬不退,轻
则昏花,重至如盲。急宜散除邪热,须看胞自何经而
来,当服羌活胜风汤加减治之。有伤寒出汗而愈者,
有解毒毒尽而愈者,种种不一,点元灵丹、扫雾丹。
此症眼有瘀血,堆于白睛上,四周比黑睛高起。
治若稍缓,血满睛珠,便成危症。宜服羌活胜风汤加
破瘀药治之,眼愈而瘰 亦愈。此症不肿不疼,只是
血丝一片,突兀惊人也。除赛宝丹、老膜散外,各点
药俱宜点。
按∶此症肝血少也。风轮属肝,如乌睛黑色,微带
淡黄,影影耀耀,光彩可观,是肝血足也,若枯黄绕
睛,内里澄清,看见黑毛或蜓蚰,如线圈在瞳人,是
肝血枯也。肝血既枯,胆汁亦亏,瞳人或散大,或焦
小,自然昏花。宜先用四物汤加肾之药;次用地黄丸
等剂。肝血足,胆、肾两经亦足,视物自明矣。若误
服寒凉,便成青盲之病,慎之慎之!不宜点。
阅读各家眼科著作中记载,有蟹睛突出者,有旋螺高起者,人们都知道这是有余(实证)的病证。至于整个眼珠下陷,表面有小凹陷痕迹的,不知道这也是有余(实证)的病证,误用补药,以火助火,火气太盛,耗损了神膏(眼球内的透明胶状物质),导致眼珠完全损坏的情况是有的。至于风轮(黑睛)上有如豆子大小或瓜子大小的凹陷痕迹,都属于有余(实证)的病证,不可不知。应当使用发散(解表散邪)的药剂。对于蟹睛、旋螺不敢点药使其平复下去,却敢对下陷有痕等症,使用白玉锭、元灵丹进行点治。
按:疮毒上攻于目,与结毒于眼,病情是不同的。眼症生出红丝云翳,时隐时现。疮毒结成的翳膜像胞一样,坚硬不退,轻则视物昏花,重则致盲。急宜散除邪热,必须看胞是从哪条经络而来,应当服用羌活胜风汤加减来治疗。有的通过伤寒出汗而痊愈,有的通过解毒毒尽而痊愈,情况种种不一,可点元灵丹、扫雾丹。
此症眼中有瘀血,堆积在白睛上,四周比黑睛高起。治疗如果稍微迟缓,血液充满睛珠,就会成为危重病症。适宜服用羌活胜风汤加入破瘀药物来治疗,眼睛痊愈后瘰疬也会随之痊愈。此症不肿不疼,只是一片血丝,突兀惊人。除了赛宝丹、老膜散外,其他点眼药都适宜点用。
按:此症属于肝血少。风轮属肝,如果乌睛(黑睛)黑色,微带淡黄,隐隐约约光彩可观,这是肝血充足的表现;如果枯黄环绕眼睛,内部澄清,看见黑毛或蜓蚰(一种昆虫),像线圈在瞳人中,这是肝血枯竭的表现。肝血既然枯竭,胆汁也亏损,瞳孔或散大,或焦小,自然视物昏花。适宜先用四物汤加入补肾的药物;接着用地黄丸等剂型。肝血充足,胆、肾两经也充足,视物自然明亮。如果误服寒凉药物,就会变成青盲之病,务必谨慎!不宜点眼药。
Reading the records in various ophthalmology works, there are cases of crab-eye protrusion (Xiejing) and spiral-screw elevation (Xuanluo), which everyone knows are syndromes of excess (Shi Zheng). As for the entire eyeball sinking with small concave marks on the surface, not knowing that this is also a syndrome of excess, and mistakenly using tonic medicines, thereby adding fire to fire, causing excessive fire qi to consume the Shen Gao (transparent gel-like substance inside the eyeball), leading to the complete destruction of the eyeball, such cases exist. As for concave marks on the Feng Lun (Cornea/Black Pupil) the size of beans or melon seeds, all belong to syndromes of excess, which must be known. One should use dispersing agents. For Crab-eye and Spiral-screw, one dares not apply drops to flatten them, yet for conditions like sinking with marks, one dares to use Baiyu Ding (White Jade Ingot) and Yuanling Dan (Primordial Spirit Pill) for application.
Note: When sores and toxins attack the eyes, it differs from toxic nodules forming in the eye. Eye symptoms producing red filaments and cloud-like nebulas appear and disappear intermittently. Sores and toxins forming nebulas like cysts remain hard and do not recede; mildly causing blurred vision, severely leading to blindness. It is urgent to dissipate pathogenic heat. One must observe which meridian the cyst originates from and should take Qianghuo Shengfeng Tang (Notopterygium Decoction for Overcoming Wind) with modifications to treat it. Some recover through sweating due to Shanghan (Cold Damage), others through detoxification until the toxin is exhausted; situations vary greatly. One may apply Yuanling Dan (Primordial Spirit Pill) and Saowu Dan (Fog-Sweeping Pill).
In this condition, blood stasis accumulates on the Bai Jing (Sclera/White Pupil), rising higher than the Hei Jing (Cornea/Black Pupil) around it. If treatment is slightly delayed, blood filling the eyeball will become a critical condition. It is suitable to take Qianghuo Shengfeng Tang (Notopterygium Decoction for Overcoming Wind) added with blood-breaking herbs to treat it; when the eye heals, the Luoli (scrofula) will also heal. This condition presents without swelling or pain, only a patch of red filaments, appearing abrupt and startling. Except for Saibao Dan (Treasure-Competing Pill) and Laomo San (Old Membrane Powder), other eye drops are suitable for application.
Note: This condition is due to insufficient Liver Blood. The Feng Lun (Cornea) belongs to the Liver. If the Wu Jing (Black Pupil) is black with a slight yellowish tint, shining faintly with observable luster, this indicates sufficient Liver Blood. If it appears withered and yellow surrounding the eye, clear inside, seeing black hairs or insects like dragonflies, resembling coils in the pupil, this indicates withered Liver Blood. Once Liver Blood is withered, Gallbladder juice is also deficient; the pupil may dilate or shrink tightly, naturally resulting in blurred vision. It is suitable to first use Siwu Tang (Four Substances Decoction) added with Kidney-tonifying drugs; subsequently use Dihuang Wan (Rehmannia Pill) and similar formulations. When Liver Blood is sufficient, the Gallbladder and Kidney meridians are also sufficient, and vision becomes clear. If cold-cooling medicines are mistakenly taken, it will become Qingmang disease (Green Blindness); be extremely cautious! Eye drops are not suitable.