此眼初患之时。在母腹中忽受惊邪之气。今生后五七岁以来。便多患眼。其初患夜卧多惊。呕吐痰涎黄汁。渐渐失
明。还从一眼先患。后乃相牵俱损。初觉便宜将息急疗。服牛胆丸、犀角饮子立效。
诗曰∶
胎中受得风邪气 五脏相遭各有名 天吊只因心领得 目盲肝纳是前程
痰涎呕吐皆黄汁 神彩时时只欲惊 两眼若能求见物 服药良医始见明
牛胆丸
牛胆 钩藤(各五钱) 人参 羚羊角 藿香 广香(各一两) 琥珀(少许)
上为末。炼蜜为丸如桐子大。空心薄荷汤下三丸。七岁以上五丸。
犀角饮子
犀角 防风 芍药 黄芩(各一两) 羚羊角 知母(各二两) 人参(五两)
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
(凡五家)
凡眼内 头忽结成 。三五日间。便生脓汁。世呼为偷针。此由热气客在 间。热搏津液所成。但其势轻者。故止
小小结聚。汁溃热歇乃瘥。
(十三方)
千金神曲丸 主明目。百岁可读细书。常服大益眼目。
神曲(四两) 磁石(二两火 醋淬七次) 光明朱砂(一两)
上为末。炼蜜为丸如梧桐子。大米汤服五丸。食前日三服。
羌活散 治风毒上攻。眼目昏涩。翳膜生疮。及偏正头疼。目小。黑花累累者。
羌活 川芎 天麻 青皮 本 旋复花 天南星(炮各一两)
上为末。每服二钱。水一盏。姜三片。薄荷七叶。煎至七分。食后服。一法入牵牛末二两。以生姜汁煮糊,丸如桐
子大。酒任下二三十丸
白蒺藜散 治肾脏风毒上攻。眼目赤肿。热泪昏涩。 肉攀睛。
白蒺藜(炒去刺) 甘草(生) 僵蚕(去丝嘴直者炒) 防风(各一两) 天南星(一两半黑豆二合青盐半两水
煮透取出焙称不用盐豆) 甘菊花(三两生)
上为末。每服二钱。煎甘草汤调下。食后服。忌炙 物。
洗肝散 治肝热,赤脉贯睛。涩痛。冲风泪下。兼治热血攻心。
白蒺藜(一两半) 防风 羌活(各半两) 马牙硝(二两) 甘草(一分)
上为末。每服二钱。食后白汤调下。
椒红丸 明目。暖水脏补虚。久服驻颜,缩小便。
川椒(取红四两) 巴戟(去心) 金铃子(锉炒) 附子(炮去皮脐) 茴香(炒各一两)
上为末。别用山药三两为末。酒煮糊,为丸如桐子大。空心盐汤下三五十丸。
煮肝散 治眼赤。有耳痒证。用四生散。入羊子肝煮甚妙。
白附子 白蒺藜 黄 羌活(各等分)
上为末。每服四钱匕。盐酒入羊子肝煮。空心温服。子肝即羊肝上有小片者是。
驱风散 治风毒上攻眼。肿痒涩痛不可忍。或上下睑 赤烂。或翳肉侵睛。
五倍子(一两去尘土) 蔓荆子(一两半洗)
上锉散。每服三钱。水二盏。铜石器内煎取一盏。澄清热洗。留滓二服再煎。
立胜散 治风毒攻眼。及时眼隐涩。羞明肿痛。
黄连 黄柏 秦皮(去粗皮) 甘草(各等分)
上锉散。每服四钱。水一盏。枣一个。灯心七茎。煎数沸去滓。以新羊毛笔蘸刷眼。候温。即以手沃之。一法不用
黄柏、甘草。有防风、黄芩。
神仙照水膏 治障翳。
蜡(一两) 黄丹(一两水飞) 蛇蜕(一分) 水银(一钱) 初生乌鸡壳(一个)
上为柳木棰研细。滴蜡为饼。临卧用之。候天明。将水点眼。药坠水中。翳膜尽去。
柏竹沥膏 治一切赤眼障翳。
慈竹(截作段去两头) 黄柏(刮去粗皮刮细者蒲填竹内)
上用新砖对立。置竹砖上。两头各安净碗。以干竹火烧令沥出。尽收之。以铜箸点眼。
通和膏 治眼赤涩。翳膜遮障。时多热泪。
轻粉(一字) 乳香(皂荚子大) 杏仁(二十个去皮尖嚼细)
上旋入口中都嚼。候津液满口,吐出瓷器中。置火上。令四边沸。以绵滤别盏中。入生脑子皂子大。研匀。再滤过。
以铜箸点之。
通神膏 治眼生翳膜。赤脉 肉。涩痒痛有泪。
沙蜜(四两) 青盐 麝香(各一字) 乳香 砂(滴过) 枯矾(各半字) 当归(五分) 黄连(一钱)
上件乳钵内研碎。同蜜入竹筒内密封定。煮半日。浓绵滤过点眼。
蛤粉丸 治雀目。不拘久近,但日落便不见物。
黄蜡 上色蛤粉(细研各等分)
上 蜡搜粉为丸如枣大。每用猪肝一片。二两许。批开。裹药一丸。麻绵缠定。瓷器内用水一碗煮熟。取出。乘热
熏眼。至温吃肝。以瘥为度。
此眼病在初发之时,是由于胎儿在母腹中突然受到惊邪之气的影响。出生后到五七岁之间,便容易患眼疾。起初发病时夜间睡眠多惊悸,呕吐痰涎和黄汁,逐渐导致失明。通常先从一只眼睛开始患病,随后牵连另一只眼睛也受损。初觉症状时应当立即调养并紧急治疗,服用牛胆丸、犀角饮子可立见疗效。
诗曰:
胎中受得风邪气,五脏相遭各有名。天吊(小儿惊风的一种)只因心领得,目盲肝纳是前程。
痰涎呕吐皆黄汁,神彩时时只欲惊。两眼若能求见物,服药良医始见明。
牛胆丸
牛胆、钩藤(各五钱),人参、羚羊角、藿香、广香(各一两),琥珀(少许)。
以上药物研为细末,用炼蜜制成如梧桐子大小的丸剂。空腹时用薄荷汤送服三丸,七岁以上儿童服五丸。
犀角饮子
犀角、防风、芍药、黄芩(各一两),羚羊角、知母(各二两),人参(五两)。
以上药物研为细末。每次取一钱药散,加水一盏,煎至五分,饭后去渣温服。
(凡五家)
凡是眼睑内忽然结成颗粒,三五日间便生出脓汁,世人称为偷针(麦粒肿)。这是由于热气客居在睑眦之间,热邪搏结津液所形成。但病情较轻的,所以只是小小结聚,脓汁溃破、热势消退后痊愈。
(十三方)
千金神曲丸 主治明目。百岁老人仍可阅读细小文字。常服对眼目大有益处。
神曲(四两),磁石(二两,火煅醋淬七次),光明朱砂(一两)。
以上药物研为细末,用炼蜜制成如梧桐子大小的丸剂。用大米汤送服五丸,饭前每日三次服用。
羌活散 治疗风毒上攻。眼目昏涩,翳膜生疮,以及偏正头痛,眼睛变小,黑花累累者。
羌活、川芎、天麻、青皮、白芷、旋复花、天南星(炮制,各一两)。
以上药物研为细末。每次服用二钱,加水一盏,生姜三片,薄荷七叶,煎至七分,饭后服用。另一种方法加入牵牛子末二两,用生姜汁煮糊,制成如梧桐子大小的丸剂,酒送服二三十丸。
白蒺藜散 治疗肾脏风毒上攻。眼目赤肿,热泪昏涩,胬肉攀睛。
白蒺藜(炒去刺)、甘草(生用)、僵蚕(去丝嘴直者炒制)、防风(各一两),天南星(一两半,黑豆二合,青盐半两,水煮透取出焙干称重,不用盐和豆),甘菊花(三两,生用)。
以上药物研为细末。每次服用二钱,用煎好的甘草汤调下,饭后服用。忌食炙烤食物。
洗肝散 治疗肝热,赤脉贯睛,涩痛,迎风流泪。兼治热血攻心。
白蒺藜(一两半),防风、羌活(各半两),马牙硝(二两),甘草(一分)。
以上药物研为细末。每次服用二钱,饭后用白开水调下。
椒红丸 明目,暖水脏补虚。久服驻颜,缩小便。
川椒(取红色部分四两),巴戟天(去心),金铃子(锉碎炒制),附子(炮制去皮脐),茴香(炒制,各一两)。
以上药物研为细末,另外用山药三两研为细末,用酒煮糊,制成如梧桐子大小的丸剂。空腹时用盐汤送服三五十丸。
煮肝散 治疗眼赤。有耳痒证,用四生散,加入羊子肝煮制甚妙。
白附子、白蒺藜、黄芪、羌活(各等分)。
以上药物研为细末。每次服用四钱匕,加盐和酒,放入羊子肝中煮制。空腹温服。羊子肝即羊肝上有小片状结构的部分。
驱风散 治疗风毒上攻眼部。肿胀瘙痒涩痛不可忍受,或上下眼睑红肿糜烂,或翳肉侵睛。
五倍子(一两,去尘土),蔓荆子(一两半,洗净)。
以上药物切碎成散剂。每次服用三钱,加水二盏,在铜石器内煎取一盏,澄清后趁热清洗眼睛。留下的药渣再煎一次,分两次服用。
立胜散 治疗风毒攻眼,以及时行眼隐涩,羞明肿痛。
黄连、黄柏、秦皮(去粗皮)、甘草(各等分)。
以上药物切碎成散剂。每次服用四钱,加水一盏,大枣一个,灯心草七茎,煎数沸后去渣。用新羊毛笔蘸药液刷眼,待温热时,用手泼水冲洗。另一种方法不用黄柏、甘草,改用防风、黄芩。
神仙照水膏 治疗障翳。
蜡(一两),黄丹(一两,水飞),蛇蜕(一分),水银(一钱),初生乌鸡壳(一个)。
以上药物用柳木杵研细。滴入蜡液制成饼状。临睡前使用,等到天亮,用水点眼,药坠落入水中,翳膜尽去。
柏竹沥膏 治疗一切赤眼障翳。
慈竹(截成段,去两头),黄柏(刮去粗皮,刮下的细屑填入竹内)。
以上药物用新砖对立放置,将竹子放在砖上,两头各放净碗,用干竹火烧灼使汁液流出,收集全部汁液。用铜箸蘸药液点眼。
通和膏 治疗眼赤涩,翳膜遮障,时常热泪多。
轻粉(一字),乳香(皂荚子大小),杏仁(二十个,去皮尖嚼细)。
以上药物旋转入口中都嚼烂,待津液满口,吐出瓷器中。置于火上,令四周沸腾,用绵布过滤到别盏中。加入生脑子(冰片)皂子大小,研匀,再次过滤。用铜箸蘸药液点眼。
通神膏 治疗眼生翳膜,赤脉胬肉,涩痒痛有泪。
沙蜜(四两),青盐、麝香(各一字),乳香、砂(滴过)、枯矾(各半字),当归(五分),黄连(一钱)。
以上药物在乳钵内研碎,同蜂蜜放入竹筒内密封好,煮半天。用浓绵过滤后点眼。
蛤粉丸 治疗雀目(夜盲症)。不拘病程长短,只要日落便看不见东西。
黄蜡、上色蛤粉(细研,各等分)。
以上药物熔化黄蜡搜索蛤粉,制成如枣大小的丸剂。每次用猪肝一片,约二两重,剖开,包裹药丸一枚,用麻棉缠定。瓷器内用水一碗煮熟,取出,趁热熏眼,至温热时吃下猪肝,以痊愈为度。
At the initial onset of this eye disease, it is caused by the fetus suddenly being affected by the qi of shock and pathogenic factors while in the womb. After birth, from the age of five to seven years old, one becomes prone to eye diseases. Initially, the patient suffers from frequent nightmares during sleep, vomiting of phlegm-saliva and yellow fluid, gradually leading to blindness. It usually starts in one eye and then spreads to affect both. When symptoms are first noticed, immediate rest and urgent treatment are required; taking Niudan Wan (Ox Gall Pill) or Xijiao Yinzi (Rhinoceros Horn Decoction) yields immediate results.
The poem states:
Wind-pathogen received in the womb affects the five zang organs, each with its own name.
Tian Diao (a type of pediatric convulsion) arises from the heart's involvement,
While blindness progresses through the liver's pathology.
Vomiting of phlegm-saliva and yellow fluid occurs frequently,
Spirit and color are constantly disturbed by fear.
If both eyes can regain vision,
Only then will a skilled physician see clarity through medication.
Niudan Wan (Ox Gall Pill)
Niu Dan (Bovis Gallus), Gouteng (Uncariae Ramulus cum Uncis) (each 5 qian); Renshen (Ginseng Radix et Rhizoma), Lingyangjiao (Saigae Tataricae Cornu), Huoxiang (Agastaches Herba), Guangxiang (Costi Rhizoma) (each 1 liang); Hupo (Succinum) (a small amount).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take three pills on an empty stomach with Bohe Tang (Mentha Decoction). For children over seven years old, take five pills.
Xijiao Yinzi (Rhinoceros Horn Decoction)
Xijiao (Rhinocerotis Cornu), Fangfeng (Saposhnikoviae Radix), Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix) (each 1 liang); Lingyangjiao (Saigae Tataricae Cornu), Zhimu (Anemarrhenae Rhizoma) (each 2 liang); Renshen (Ginseng Radix et Rhizoma) (5 liang).
Grind all ingredients into fine powder. Take 1 qian of the powder, add 1 sheng of water, and decoct until 0.5 sheng remains. Strain and take warm after meals.
(From Five Families)
Whenever a lump suddenly forms inside the eyelid and produces pus within three to five days, it is commonly known as Touzhen (Hordeolum/Stye). This is caused by heat pathogens lodging between the eyelids, where heat condenses body fluids. In mild cases, only minor nodules form, and recovery occurs once the pus drains and the heat subsides.
(Thirteen Formulas)
Qianjin Shenqu Wan (Million Gold Fermented Dough Pill) Mainly treats to improve vision. Even at a hundred years old, one can read fine print. Regular use greatly benefits the eyes.
Shenqu (Massa Medicata Fermentata) (4 liang); Cishi (Magnetitum) (2 liang, calcined and quenched in vinegar seven times); Guangming Zhusha (Cinnabaris) (1 liang).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take five pills with rice water before meals, three times daily.
Qianghuo San (Notopterygium Powder) Treats wind-toxin attacking upwards. Symptoms include blurry and dry eyes, pterygium-like growths with sores, lateral or frontal headaches, microphthalmia, and numerous floaters.
Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Tianma (Gastrodiae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Bencao (Ligustici Wallichii Rhizoma et Radix), Xuanjinhua (Inulae Flos), Tiannanxing (Arisaematis Rhizoma Praeparatum) (each 1 liang, prepared).
Grind all ingredients into fine powder. Take 2 qian per dose, add 1 sheng of water, 3 slices of fresh ginger, and 7 leaves of mint. Decoct until 0.7 sheng remains. Take after meals. Alternatively, add 2 liang of Qian Niu Zi (Pharbitidis Semen) powder, cook into a paste with fresh ginger juice, and form pills the size of tung tree seeds. Take 20-30 pills with wine.
Bajili San (Tribulus Powder) Treats kidney wind-toxin attacking upwards. Symptoms include red and swollen eyes, hot tearing, blurriness, and pterygium growing onto the cornea.
Bajili (Tribuli Fructus) (stir-fried to remove spines), Gancao (Glycyrrhizae Radix et Rhizoma) (raw), Jiangcan (Bombyx Batryticatus) (straight ones without silk heads, stir-fried), Fangfeng (Saposhnikoviae Radix) (each 1 liang); Tiannanxing (Arisaematis Rhizoma) (1.5 liang, boiled thoroughly with 2 he of black beans and 0.5 liang of green salt, then dried and weighed, excluding beans and salt), Ganjuhua (Chrysanthemi Flos) (3 liang, raw).
Grind all ingredients into fine powder. Take 2 qian per dose, mix with decocted licorice water, and take after meals. Avoid roasted foods.
Xiogan San (Liver-Washing Powder) Treats liver heat causing red vessels crossing the eyeball, astringency, pain, and tearing upon exposure to wind. Also treats blood-heat attacking the heart.
Bajili (Tribuli Fructus) (1.5 liang), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 0.5 liang); Mayaxiao (Natrii Sulfas) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen).
Grind all ingredients into fine powder. Take 2 qian per dose, mix with plain warm water, and take after meals.
Jiaohong Wan (Pepper Red Pill) Improves vision, warms the water organ (kidney/bladder), tonifies deficiency. Long-term use preserves youthfulness and reduces urination frequency.
Chuanjiao (Zanthoxyli Pericarpium) (take the red part, 4 liang), Bajitian (Morindae Officinalis Radix) (remove heart), Jinlingzi (Meliae Fructus) (crushed and stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata) (prepared, skin and umbilicus removed), Huixiang (Foeniculi Fructus) (stir-fried, each 1 liang).
Grind all ingredients into fine powder. Separately, grind 3 liang of Shanyao (Dioscoreae Rhizoma) into powder. Cook into a paste with wine to form pills the size of tung tree seeds. Take 30-50 pills on an empty stomach with salt water.
Zhugan San (Boiled Liver Powder) Treats red eyes. For ear itching, use Sixiang San added with lamb liver for excellent results.
Baifuzi (Aconiti Kusnezoffii Radix), Bajili (Tribuli Fructus), Huangqi (Astragali Radix), Qianghuo (Notopterygii Rhizoma et Radix) (equal parts).
Grind all ingredients into fine powder. Take four qian-bi (spoonfuls) per dose. Add salt and wine, and boil with lamb liver. Take warm on an empty stomach. "Lamb liver" refers to the small lobular sections on the sheep's liver.
Qufeng San (Wind-Expelling Powder) Treats wind-toxin attacking the eyes. Symptoms include unbearable swelling, itching, astringency, and pain; red and erosive upper and lower eyelids; or pterygium invading the cornea.
Wubeizi (Myrobalani Fructus) (1 liang, remove dust), Manjingzi (Viticis Fructus) (1.5 liang, wash clean).
Crush into coarse powder. Take 3 qian per dose, add 2 sheng of water, and decoct in a copper vessel until 1 sheng remains. Clarify and wash the eyes while warm. Retain the dregs, decoct again, and divide into two doses.
Lisheng San (Victory Powder) Treats wind-toxin attacking the eyes, epidemic eye astringency, photophobia, swelling, and pain.
Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Qinpi (Fraxini Cortex) (remove rough bark), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
Crush into coarse powder. Take 4 qian per dose, add 1 sheng of water, one jujube, and seven stems of Dengxincao (Junci Medullae). Boil briefly, strain, and brush the eyes with a new wool pen. Wait until warm, then rinse with hand-held water. Alternatively, omit Huangbai and Gancao, and use Fangfeng and Huangqin instead.
Shenxian Zhao Shui Gao (Immortal Water-Gazing Ointment) Treats cataracts/opacities.
La (Beeswax) (1 liang), Huangdan (Lithargyrum) (1 liang, water-ground), Shehui (Bombyx Batryticatus exuvies) (1 fen), Shuiyin (Hydrargyrum) (1 qian), Chusheng Wuji Ke (Shell of newly hatched black chicken) (1 piece).
Grind finely using a willow wood pestle. Melt wax to form cakes. Apply before sleep. At dawn, instill water into the eyes; the medicine falls into the water, removing opacities completely.
Bai Zhu Li Gao (Bamboo Juice Ointment) Treats all types of red eyes and opacities.
Cizhu (Bambusa Textilis Culmus) (cut into sections, remove ends), Huangbai (Phellodendri Cortex) (scrape off rough bark, fill fine scrapings into bamboo).
Place bricks upright against each other, set the bamboo on top, and place clean bowls at both ends. Burn dry bamboo to extract the juice. Collect all juice. Instill into eyes using a chopstick.
Tonghe Gao (Harmonizing Ointment) Treats red and dry eyes, opacity obstruction, and excessive hot tearing.
Qingfen (Calomelas) (1 zi), Ruxiang (Olibanum) (size of a soapberry seed), Xingren (Armeniacae Semen Amarum) (20 kernels, peel and crush finely).
Chew all ingredients thoroughly in the mouth until saliva fills the oral cavity. Spit into a porcelain container. Heat on fire until boiling around the edges. Filter through cotton cloth into another cup. Add Shengnaozi (Borneolum Syntheticum) the size of a soapberry seed, grind evenly, and filter again. Instill into eyes using a chopstick.
Tongshen Gao (Divine Spirit Ointment) Treats eye opacities, red vessels, pterygium, astringency, itching, pain, and tearing.
Shami (Apis Mellifica) (4 liang), Qingyan (Natrii Chloridum), Shexiang (Moschus) (each 1 zi), Ruxiang (Olibanum), Sha (Sand) (dripped), Kufan (Alumen Exsiccatum) (each 0.5 zi), Danggui (Angelicae Sinensis Radix) (5 fen), Huanglian (Coptidis Rhizoma) (1 qian).
Grind all ingredients in a mortar. Mix with honey, seal tightly in a bamboo tube, and simmer for half a day. Filter through thick cotton and instill into eyes.
Ge Fen Wan (Clam Powder Pill) Treats Nyctalopia (Night Blindness). Regardless of duration, if vision fails after sunset.
Huangla (Flavous Beeswax), Shangse Ge Fen (Clam Shell Powder, finely ground) (equal parts).
Melt wax and knead with powder to form pills the size of a date. Use one slice of pig liver (approx. 2 liang), split open, wrap one pill inside, and bind with hemp cotton. Boil in a porcelain pot with one bowl of water. Remove, steam the eyes while hot, and eat the liver when warm. Continue until cured.