消毒饮 治睑生风粒。
大黄 荆芥 牛蒡子 甘草
上水煎,食后温服。
防风散结汤 治目上下睫隐起肉疣,用手法除病后服之。
防风 羌活 白芍药 当归尾 茯苓
苍术 独活 前胡 黄芩(各五分) 炙甘草 防己(各六分) 红花 苏木(各少许)
上作一服,水二盏,煎至一盏,热服,渣再煎。
上方以防风、羌活升发阳气为君。白芍药、当归尾、红花、苏木破凝行血为臣。茯
苓泻邪气,苍术去上湿,前胡利五脏,独活除风邪,黄芩疗热滋化为佐。甘草和诸药,防
己行十二经为使。病在上睫者,加黄连、柴胡,以其手少阴足厥阴受邪也。病在下睫者,
加本、蔓荆子,以其手太阳受邪也。
五花丸 治漏睛脓出,目停风热在胞中,结聚脓汁,和泪相杂,常流涎水,久而不治,
至乌珠坠落。
金沸草(四两) 巴戟(三两) 川椒皮 枸杞子 白菊子(各二两)
上末,炼蜜丸,梧桐子大,每服二十丸。空心盐酒下。
白薇丸 治漏睛脓出。
白薇(五钱) 防风 蒺藜 石榴皮 羌活(各三钱)
上末,米粉糊丸,桐子大。每服二十丸,白汤下。
糖煎散(见外障。)
治眼脓漏不止
黄 防风 大黄 黄芩(各三两) 人参 远志(去心) 地骨皮 赤茯苓 漏芦(各二两)
上每服五钱,水煎,食后服。
竹叶泻经汤 治眼目隐涩,稍觉 ,视物微昏,内 开窍如针,目痛,按之浸浸脓出。
柴胡 栀子 羌活 升麻 炙甘草 黄连 大黄(各五分) 赤芍药 草决明 茯苓
车前子 泽泻(各四分) 黄芩(六分) 青竹叶(十片)
作一服,水二盏,煎至一盏,食后稍热服。
上方逆攻者也。先以行足厥阴肝、足太阳膀胱之药为君,柴胡、羌活是也。二经生
意,皆总于脾胃,以调足太阴、足阳明之药为臣,升麻、甘草是也。肝经多血,以通顺
血脉,除肝邪之药;膀胱经多湿,以利小便,除膀胱湿之药为佐,赤芍药、草决明、泽泻、
茯苓车前子是也。总破其积热者,必攻必开,必利必除之药为使,栀子、黄芩、黄连、大
黄、竹叶是也。
蜜剂解毒丸 治证同上。
石蜜(炼,一斤) 山栀(十两末) 大黄(五两末) 杏仁(去皮尖,二两,另研)
蜜丸,梧子大。每服三十丸,加至百丸,茶汤下。
上方以杏仁甘润治燥为君,为燥为热之原也。山栀微苦寒治烦为臣,为烦为热所产
也。石蜜甘平温,安五脏为佐,为其解毒除邪也。大黄苦寒,性走不守,泻诸实热为使,
为攻其积,不令其重叠不解也。
东垣龙胆饮子 治疳眼流脓,生疳翳,湿热为病。
黄芩(炒) 青蛤粉 草龙胆(酒拌炒焦) 羌活(各三钱) 升麻(二钱) 麻黄(一钱半) 蛇蜕 谷
精草 川郁金 炙甘草(各半钱)
上为细末,食后茶调服二钱。
消毒饮:治疗眼睑长出风邪所致的颗粒状突起。
大黄、荆芥、牛蒡子、甘草。
以上药材用水煎煮,饭后温服。
防风散结汤:治疗上下眼睑睫毛根部隐现肉赘(疣),先用手法去除病灶后服用此药。
防风、羌活、白芍药、当归尾、茯苓。
苍术、独活、前胡、黄芩(各五分)、炙甘草、防己(各六分)、红花、苏木(各少许)。
以上为一剂用量,加水两盏,煎至一盏,趁热服用,药渣再次煎煮。
上方以防风、羌活升发阳气作为君药(主药)。白芍药、当归尾、红花、苏木破除瘀凝、运行血液作为臣药(辅药)。茯苓泻除邪气,苍术去除上部湿气,前胡通利五脏,独活祛除风邪,黄芩治疗热毒滋生作为佐药(佐助或佐制)。甘草调和诸药,防己通行十二经脉作为使药(引经或调和)。病位在上方眼睑的,加黄连、柴胡,因为手少阴心经和足厥阴肝经受邪。病位在下方眼睑的,加本(藁本)、蔓荆子,因为手太阳小肠经受邪。
五花丸:治疗漏睛症(泪囊炎)流脓,眼内风热滞留于胞睑中,凝聚成脓汁,与泪水混杂,常流出涎水,若久治不愈,会导致黑眼球(乌珠)坠落失明。
金沸草(四两)、巴戟天(三两)、川椒皮、枸杞子、白菊子(各二两)。
以上研为细末,用炼蜜制成丸药,大小如梧桐子,每次服用二十丸。空腹时用盐酒送服。
白薇丸:治疗漏睛症流脓。
白薇(五钱)、防风、蒺藜、石榴皮、羌活(各三钱)。
以上研为细末,用米粉糊制成丸药,大小如梧桐子。每次服用二十丸,用白开水送服。
糖煎散(见外障章节)。
治疗眼目脓性分泌物淋漓不止。
黄芪、防风、大黄、黄芩(各三两)、人参、远志(去心)、地骨皮、赤茯苓、漏芦(各二两)。
以上每次取五钱,用水煎煮,饭后服用。
竹叶泻经汤:治疗眼目隐隐涩痛,稍感视物模糊,内部开窍处刺痛如针扎,眼睛疼痛,按压时浸出脓液。
柴胡、栀子、羌活、升麻、炙甘草、黄连、大黄(各五分)、赤芍药、草决明、茯苓、车前子、泽泻(各四分)、黄芩(六分)、青竹叶(十片)。
以上为一剂用量,加水两盏,煎至一盏,饭后稍温热时服用。
上方属于逆其病势而攻伐的治法。先以调理足厥阴肝经、足太阳膀胱经的药物作为君药,即柴胡、羌活。这两条经脉的生发之意,都统摄于脾胃,因此以调理足太阴脾经、足阳明胃经的药物作为臣药,即升麻、甘草。肝经多血,所以用疏通血脉、祛除肝经邪气的药物;膀胱经多湿,所以用通利小便、祛除膀胱湿气的药物作为佐药,即赤芍药、草决明、泽泻、茯苓、车前子。总括起来破除积热的,必须是攻逐、开通、通利、清除的药物作为使药,即栀子、黄芩、黄连、大黄、竹叶。
蜜剂解毒丸:治疗的证候同上。
石蜜(炼制,一斤)、山栀(十两研末)、大黄(五两研末)、杏仁(去皮尖,二两,单独研磨)。
用蜜制成丸药,大小如梧桐子。每次服用三十丸,可加至一百丸,用茶汤送服。
上方以杏仁甘润治疗燥邪作为君药,因为燥是热的根源。山栀微苦寒治疗烦热作为臣药,因为烦热是由热产生的。石蜜甘平温,安养五脏作为佐药,因为它能解毒祛邪。大黄苦寒,药性走而不守,泻除各种实热作为使药,为了攻逐积滞,不让其重叠难解。
东垣龙胆饮子:治疗疳积眼流脓,生疳翳,由湿热引起的疾病。
黄芩(炒)、青蛤粉、草龙胆(酒拌炒焦)、羌活(各三钱)、升麻(二钱)、麻黄(一钱半)、蛇蜕、谷精草、川郁金、炙甘草(各半钱)。
以上研为细末,饭后用茶调服二钱。
Decoction for Disinfection: Treats wind-induced granular protrusions on the eyelids.
Rhubarb (Radix et Rhizoma Rhei), Schizonepeta (Herba Schizonepetae), Burdock Fruit (Fructus Arctii), Licorice (Radix Glycyrrhizae).
Boil the above ingredients in water and take warm after meals.
Saposhnikovia Decoction for Dissipating Nodules: Treats flesh warts (verrucae) appearing hiddenly at the roots of the upper and lower eyelashes; use manual methods to remove the lesion first, then administer this decoction.
Saposhnikovia Root (Radix Saposhnikoviae), Notopterygium Rhizome et Radix (Rhizoma et Radix Notopterygii), White Peony Root (Radix Paeoniae Alba), Tail of Angelica Sinensis (Radix Angelicae Sinensis), Poria (Sclerotium Poriae), Atractylodes Rhizome (Rhizoma Atractylodis), Angelica Pubescens Root (Radix Angelicae Pubescentis), Peucedanum Root (Radix Peucedani), Scutellaria Root (Radix Scutellariae) [each 5 fen], Honey-fried Licorice (Radix Glycyrrhizae Preparata), Stephania Tetrandra Root (Radix Stephaniae Tetrandrae) [each 6 fen], Safflower (Flos Carthami), Calamus Wood (Lignum Dalbergiae Odoriferae) [a small amount].
Take as one dose, add two cups of water, boil down to one cup, and take hot. Boil the dregs again.
In the above formula, Saposhnikovia Root and Notopterygium Rhizome are used as the Sovereign drug (Jun) to raise and diffuse Yang Qi. White Peony Root, Tail of Angelica Sinensis, Safflower, and Calamus Wood are used as the Minister drug (Chen) to break stagnation and promote blood circulation. Poria is used to drain pathogenic factors, Atractylodes Rhizome to remove dampness from the upper body, Peucedanum Root to benefit the five Zang organs, Angelica Pubescens Root to dispel wind pathogens, and Scutellaria Root to treat heat toxicity proliferation; these serve as the Assistant drug (Zuo). Licorice harmonizes the various herbs, and Stephania Tetrandra Root acts as the Envoy drug (Shi) to circulate through the twelve meridians. For lesions on the upper eyelid, add Coptis Rhizome (Rhizoma Coptidis) and Bupleurum Root (Radix Bupleuri), because the Hand Shaoyin Heart Meridian and Foot Jueyin Liver Meridian are affected. For lesions on the lower eyelid, add Ligusticum Wallichii Rhizome (Rhizoma Ligustici Chuanxiong) and Vitex Fruit (Fructus Viticis Negundo), because the Hand Taiyang Small Intestine Meridian is affected.
Five-Flower Pill: Treats dacryocystitis (Lou Jing syndrome) with pus discharge, where wind-heat lingers in the palpebral conjunctiva, condensing into pus mixed with tears, often flowing like saliva. If untreated for a long time, it may lead to the prolapse or loss of the cornea (Wu Zhu).
Golden Fern Herb (Herba Filicis Japonicae) (4 liang), Morinda Officinalis Root (Radix Morindae Officinalis) (3 liang), Sichuan Pepper Peel (Pericarpium Zanthoxyli), Goji Berry (Fructus Lycii), White Chrysanthemum Flower (Flos Chrysanthemi Indici) [each 2 liang].
Grind into fine powder, make pills with refined honey, size of Loropetalum chinense seeds. Take 20 pills per dose. Administer on an empty stomach with salted wine.
Bletilla Pill: Treats dacryocystitis (Lou Jing syndrome) with pus discharge.
Bletilla Tuber (Tuber Bletillae Striatae) (5 qian), Saposhnikovia Root (Radix Saposhnikoviae), Tribulus Fruit (Fructus Tribuli), Pomegranate Rind (Cortex Granati), Notopterygium Rhizome et Radix (Rhizoma et Radix Notopterygii) [each 3 qian].
Grind into fine powder, make pills with rice flour paste, size of Loropetalum chinense seeds. Take 20 pills per dose, administered with plain boiled water.
Sugar-Fried Powder (See External Obstruction chapter).
Treats continuous purulent discharge from the eyes.
Astragalus Root (Radix Astragali), Saposhnikovia Root (Radix Saposhnikoviae), Rhubarb (Radix et Rhizoma Rhei), Scutellaria Root (Radix Scutellariae) [each 3 liang], Ginseng (Radix Ginseng), Polygala Root (Radix Polygalae) (decored), Bark of Moutan (Cortex Moutan), Red Poria (Sclerotium Poriae cum Rubo), Rhizoma Euphorbiae Humifusae (Rhizoma Euphorbiae Humifusae) [each 2 liang].
Take 5 qian per dose, boil in water, and take after meals.
Bamboo Leaf Decoction for Clearing the Meridians: Treats eyes feeling slightly astringent and blurry vision, internal opening sensation like needle pricks, eye pain, and oozing pus upon pressure.
Bupleurum Root (Radix Bupleuri), Gardenia Fruit (Fructus Gardeniae), Notopterygium Rhizome et Radix (Rhizoma et Radix Notopterygii), Cimicifuga Rhizome (Rhizoma Cimicifugae), Honey-fried Licorice (Radix Glycyrrhizae Preparata), Coptis Rhizome (Rhizoma Coptidis), Rhubarb (Radix et Rhizoma Rhei) [each 5 fen], Red Peony Root (Radix Paeoniae Rubra), Cassia Seed (Semen Cassiae), Poria (Sclerotium Poriae), Plantago Seed (Semen Plantaginis), Alisma Rhizome (Rhizoma Alismatis) [each 4 fen], Scutellaria Root (Radix Scutellariae) (6 fen), Fresh Bamboo Leaves (Folium Bambusae Viridis) (10 slices).
Take as one dose, add two cups of water, boil down to one cup, and take slightly warm after meals.
The above formula employs a counter-attacking method. First, herbs regulating the Foot Jueyin Liver Meridian and Foot Taiyang Bladder Meridian are used as the Sovereign drug (Jun), namely Bupleurum Root and Notopterygium Rhizome. The generative intent of these two meridians is governed by the Spleen and Stomach; therefore, herbs regulating the Foot Taiyin Spleen Meridian and Foot Yangming Stomach Meridian are used as the Minister drug (Chen), namely Cimicifuga Rhizome and Licorice. The Liver Meridian is rich in blood, so herbs that unblock blood vessels and eliminate Liver pathogens are used; the Bladder Meridian is prone to dampness, so herbs that promote urination and eliminate Bladder dampness are used as the Assistant drug (Zuo), namely Red Peony Root, Cassia Seed, Alisma Rhizome, Poria, and Plantago Seed. To generally break accumulated heat, herbs that attack, open, drain, and clear are used as the Envoy drug (Shi), namely Gardenia Fruit, Scutellaria Root, Coptis Rhizome, Rhubarb, and Bamboo Leaves.
Honey Agent Detoxification Pill: Treats the same syndrome as above.
Rock Sugar (refined, 1 jin), Gardenia Fruit (Fructus Gardeniae) (10 liang, powdered), Rhubarb (Radix et Rhizoma Rhei) (5 liang, powdered), Apricot Kernel (Semen Armeniacae Amarum) (skin and tip removed, 2 liang, ground separately).
Make pills with honey, size of Loropetalum chinense seeds. Take 30 pills per dose, increasing up to 100 pills, administered with tea soup.
In the above formula, Apricot Kernel is sweet and moistening to treat dryness, serving as the Sovereign drug (Jun), because dryness is the origin of heat. Gardenia Fruit is slightly bitter and cold to treat irritability, serving as the Minister drug (Chen), because irritability is produced by heat. Rock Sugar is sweet, neutral, and warm, calming the Five Zang organs, serving as the Assistant drug (Zuo), because it detoxifies and eliminates pathogens. Rhubarb is bitter and cold, its nature moving without staying, draining various excess heats, serving as the Envoy drug (Shi), to attack accumulation and prevent it from becoming stubborn and unresolved.
Dongyuan Dragon Gallbladder Decoction: Treats malnutrition eye disease (Gan Yan) with pus flow and Gan Yi (corneal opacity), caused by damp-heat.
Scutellaria Root (Radix Scutellariae) (stir-fried), Green Clam Powder (Concha Meretricis Cyprini Viridis), Gentian Root (Radix Gentianae) (stir-fried with wine until scorched), Notopterygium Rhizome et Radix (Rhizoma et Radix Notopterygii) [each 3 qian], Cimicifuga Rhizome (Rhizoma Cimicifugae) (2 qian), Ephedra Stem (Herba Ephedrae) (1.5 qian), Snake Slough (Cutis Serpentis), Eyebright Herba (Herba Euphrasiae), Curcuma Root (Rhizoma Curcumae), Honey-fried Licorice (Radix Glycyrrhizae Preparata) [each 0.5 qian].
Grind into fine powder, mix with tea and take 2 qian after meals.