麦门冬汤 泻肝散 龙胆饮(俱见目赤。)
金丝膏 治风热上攻,目赤肿痛。
黄连(去须,二两) 大黄 黄柏(去粗皮) 龙胆草 山栀仁 当归(各一两) 青竹叶(一百片,
切) 大枣(二十枚,去核) 灯芯(切) 硼砂(明者) 乳香(研。各二钱五分)
上用水五升,不拘冬夏,浸一时辰取出,于银石器内慢火熬,不令大沸,候泣尽汁,辍
下火放冷,用绢绞取汁,于无风尘处澄一时辰,去滓,于银器内用慢火熬令减半,入白
蜜半斤同搅,候有蜜者,以手挑起,有丝则止,放冷,再以夹绢袋滤过,用瓷盒盛之。每
取一茶脚许,研龙脑一字极细,入膏同研一二千遍令匀,取少许点之。
琥珀煎 治风毒冲目,肿赤痒痛。
乳香(另研,二钱) 蕤仁(另研,半两) 滑石(另研) 铅丹(另研。各二两) 黄连(另研) 青皮(各一两)
黄芩(去黑心) 白蜜(各四两) 木鳖子(十枚,去壳) 槐枝 柳枝(并用新青者各一十枝,每枝长一寸半)
上将槐、柳枝、青皮、黄芩、滑石以水三碗,同煎至两碗,去滓,下乳香、蕤仁、铅
丹、木鳖子与蜜,同熬如琥珀色,却下黄连末,再煎至一碗半,用熟绢滤去渣,入瓷器
内密封,绳系,坠井底一宿,出火毒。每用铜箸点,以目涩为度。熬点俱忌铁器。
涤风散(见目赤) 大黄丸 桑白皮散 青皮汤 玄参丸 泻肺汤 朱砂煎(俱见前目痛条。)
〔肿胀如杯〕
洗肝散(见前。) 泻青丸(见头痛。)
神芎丸 治湿热内甚,目赤肿,或白睛黄色。
大黄 黄芩(各二两) 牵牛 滑石(各四两) 黄连 薄荷 川芎(各半两)
上为末,水丸如小豆大。温水下十丸,至十五、二十丸。
〔形如虾座〕
宣明丸 分珠散(俱见前。)
〔状若鱼胞〕
桑白皮散 玄参丸 泻肺汤(见目痛。)
〔鹘眼凝睛〕
四物汤加醉将军 连翘散(见目赤。)
〔旋 泛起〕
泻肝散
升麻 大黄 赤芍药 黄芩 薄荷 栀子 木贼 陈皮 黄连 朴硝 菊花 甘草
防风 五灵脂 葶苈 细辛(各等分)
上为细末,每服二钱,为散亦可,水煎服,食后。老人加枳壳、浓朴。
救睛丸 治睛肿,旋螺突出,青盲有翳。
苍术 枳实 甘草 川芎 荆芥 蝉蜕 薄荷 当归 木贼 草决明 谷精草(各等分)
上为末,炼蜜丸,弹子大。每服一丸,食后茶清磨下。
〔旋螺尖起〕
搜风散 治旋螺尖起外障。
防风 大黄 天门冬 五味子 桔梗 细辛 赤芍药 茺蔚子(等分)
上水煎,食后服。
法制黑豆
大黄 黄连 黄芩(各半两) 甘草 密蒙花 朴硝(各一两)
上为末,用黑豆一升,水三碗,入药煮干,将豆每服二十粒,细嚼,清米泔送下。
还睛丸
川芎 白蒺藜 白术 木贼 羌活 菟丝子 熟地黄 甘草(各等分)
上为细末,炼蜜丸,如弹子大。空心熟汤嚼下。
〔神珠自胀〕
查前去风热剂中加破血收敛之药。
〔珠突出眶〕
分珠散(见目赤。)
糖煎散 治风毒攻眼,赤肿昏花,隐涩难开。
龙胆草 防己 大黄 荆芥穗 赤芍药 土当归 甘草 防风(各一两) 川芎(半两)
上 咀,为散,每服四钱,水一盏,砂糖一小块,同煎服。
水淋法 治眼睛肿胀突出,新汲水沃眼中,频数换水,眼睛自入。更以麦门冬、桑
白皮、栀子仁煎汤,通口服。
田螺膏 治眼睛肿胀突出,及赤眼生翳膜。
田螺(七枚,去壳) 撮地金钱(多) 生地黄根 田茶菊叶
上同捣烂,贴太阳穴及眼泡。
洗障散(附) 治障眼及眼泡赤肿,翳膜遮睛。
田茶菊 七层楼 铁梗子 鸡屎子
上水煎,碗盛,入盐少许泡,去渣洗眼。
洗翳散 治同上。
赤梗酸枇草,捣烂,沸汤泡,滤清洗眼,神效。
土朱膏 治患眼赤肿闭合。
土朱(三分) 石膏( ,一分) 片脑(少许)
上为末,新汲水入蜜调,敷眼 头尾及太阳处。更以栀子煎汤,调治眼流气饮末服之。
清凉膏 治暴赤火眼,肿痛难开,及瘴眼,并打扑伤损眼。
大黄 朴硝 黄连 黄柏 赤芍药 当归 细辛 薄荷 芙蓉叶(各等分)
上为末,用生地黄汁、鸡子清、蜜同调匀,贴太阳穴及眼泡上。
地黄膏 治赤肿疼痛,外障等眼。
大黄 黄柏 黄连 黄芩 赤芍药 当归 绿豆粉 芙蓉叶 薄荷(各等分)
上制贴法俱同上。
金丝膏:治疗风热上攻引起的目赤肿痛。
处方组成:黄连(去须,二两)、大黄、黄柏(去粗皮)、龙胆草、山栀仁、当归(各一两)、青竹叶(一百片,切碎)、大枣(二十枚,去核)、灯芯(切碎)、硼砂(选用透明的)、乳香(研细,各二钱五分)。
制法:以上药物用五升水浸泡,不分冬夏,浸泡一个时辰后取出,放入银器或石器中用慢火熬煮,不要使其剧烈沸腾,待药汁几乎熬干时,停止加热并放冷,用绢布绞取药汁,在无风尘的地方澄清一个时辰,去除药渣,再放入银器中用慢火熬至减半,加入半斤白蜜一同搅拌,待挑起时有拉丝现象即停止加热,放冷后,再用夹绢袋过滤,用瓷盒盛装。每次取一茶脚量,将龙脑(冰片)一字量研成极细末,与药膏一同研磨一二千遍使其均匀,取少量点入眼中。
琥珀煎:治疗风毒冲犯眼部,导致红肿痒痛。
处方组成:乳香(另研,二钱)、蕤仁(另研,半两)、滑石(另研)、铅丹(另研,各二两)、黄连(另研)、青皮(各一两)、黄芩(去黑心)、白蜜(各四两)、木鳖子(十枚,去壳)、槐枝、柳枝(均选用新鲜青色的各十枝,每枝长一寸半)。
制法:先将槐枝、柳枝、青皮、黄芩、滑石用水三碗,同煎至两碗,去渣,加入乳香、蕤仁、铅丹、木鳖子和蜜,同熬至呈琥珀色,再加入黄连末,继续煎至一碗半,用熟绢滤去药渣,装入瓷器内密封,用绳子系好沉入井底一夜,以去除火毒。每次用铜箸蘸取点眼,以眼睛感到涩感为度。熬制和点眼均忌用铁器。
涤风散(见目赤章节)、大黄丸、桑白皮散、青皮汤、玄参丸、泻肺汤、朱砂煎(均见前文目痛条)。
神芎丸:治疗湿热内盛,导致目赤肿,或白睛发黄。
处方组成:大黄、黄芩(各二两)、牵牛子、滑石(各四两)、黄连、薄荷、川芎(各半两)。
制法:以上药物研为细末,用水泛丸如小豆大。温水送服十丸,逐渐增至十五、二十丸。
【鹘眼凝睛】
四物汤加醉将军(何首乌)、连翘散(见目赤章节)。
【旋螺泛起】
泻肝散
处方组成:升麻、大黄、赤芍药、黄芩、薄荷、栀子、木贼、陈皮、黄连、朴硝、菊花、甘草、防风、五灵脂、葶苈子、细辛(各等分)。
用法:以上药物研为细末,每次服用二钱,也可作散剂,水煎服,饭后服用。老人可加枳壳、厚朴。
救睛丸:治疗眼睛肿胀,旋螺突出,青盲伴有翳膜。
处方组成:苍术、枳实、甘草、川芎、荆芥、蝉蜕、薄荷、当归、木贼、草决明、谷精草(各等分)。
制法:以上药物研为细末,炼蜜为丸,如弹子大。每次服用一丸,饭后用茶水磨服。
【旋螺尖起】
搜风散:治疗旋螺尖起之外障。
处方组成:防风、大黄、天门冬、五味子、桔梗、细辛、赤芍药、茺蔚子(等分)。
用法:以上药物水煎,饭后服用。
法制黑豆
处方组成:大黄、黄连、黄芩(各半两)、甘草、密蒙花、朴硝(各一两)。
制法:以上药物研为细末,用黑豆一升,水三碗,加入药物煮至药液干,每次服用二十粒豆子,细嚼,用清米泔水送下。
还睛丸
处方组成:川芎、白蒺藜、白术、木贼、羌活、菟丝子、熟地黄、甘草(各等分)。
制法:以上药物研为细末,炼蜜为丸,如弹子大。空腹时用熟汤送服咀嚼。
糖煎散:治疗风毒攻眼,导致赤肿昏花,隐涩难开。
处方组成:龙胆草、防己、大黄、荆芥穗、赤芍药、土当归、甘草、防风(各一两)、川芎(半两)。
制法:以上药物捣碎为散,每次服用四钱,用水一盏,加一小块砂糖,同煎服。
水淋法:治疗眼睛肿胀突出,用新汲水浇灌眼中,频繁换水,眼睛可自行回纳。再以麦门冬、桑白皮、栀子仁煎汤,通口服。
田螺膏:治疗眼睛肿胀突出,及赤眼生翳膜。
处方组成:田螺(七枚,去壳)、撮地金钱(多用)、生地黄根、田茶菊叶。
制法:以上药物同捣烂,贴敷于太阳穴及眼泡处。
洗障散(附方):治疗障眼及眼泡赤肿,翳膜遮睛。
处方组成:田茶菊、七层楼、铁梗子、鸡屎子。
制法:以上药物水煎,用碗盛装,加入少许盐浸泡,去渣洗眼。
洗翳散:主治同上。
处方组成:赤梗酸枇草,捣烂,用沸汤浸泡,过滤清洗眼,神效。
土朱膏:治疗患眼赤肿闭合。
处方组成:土朱(三分)、石膏(煅,一分)、片脑(少许)。
制法:以上药物研为细末,用新汲水加蜂蜜调匀,敷于眼睑头尾及太阳处。再以栀子煎汤,调治眼流气饮末内服。
清凉膏:治疗暴赤火眼,肿痛难开,及瘴眼,以及打扑伤损眼。
处方组成:大黄、朴硝、黄连、黄柏、赤芍药、当归、细辛、薄荷、芙蓉叶(各等分)。
制法:以上药物研为细末,用生地黄汁、鸡蛋清、蜂蜜同调匀,贴敷于太阳穴及眼泡上。
地黄膏:治疗赤肿疼痛,外障等眼病。
处方组成:大黄、黄柏、黄连、黄芩、赤芍药、当归、绿豆粉、芙蓉叶、薄荷(各等分)。
制法:以上药物制贴方法俱同上。
Maizhongdong Decoction (Ophiopogonis Decoction), Xiegan San (Liver-Draining Powder), Longdan Yin (Gentian Drink) (all see Chapter on Red Eyes).
Sijin Gao (Golden Thread Ointment): Treats redness and swelling pain of the eyes caused by wind-heat attacking upwards.
Ingredients: Huanglian (Coptidis Rhizoma, remove stamens, 2 liang), Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex, remove coarse bark), Longdancao (Gentianae Radix), Shanzhiren (Gardeniae Semen, 1 liang each), Danggui (Angelicae Sinensis Radix, 1 liang), Qingzhuye (Green Bamboo Leaf, 100 pieces, cut), Dazao (Ziziphi Jujubae Fructus, 20 pieces, remove pits), Dengxin (Junci Medulla, cut), Pengsha (Borax, select transparent ones), Ruxiang (Frankincense, ground, 2 qian 5 fen each).
Preparation: Soak the above herbs in 5 sheng of water for one shichen (two hours), regardless of season. Remove and simmer slowly in a silver or earthenware vessel without allowing it to boil vigorously. When the liquid is nearly evaporated, remove from heat and let cool. Squeeze out the juice using silk gauze. Clarify in a dust-free place for one shichen, remove dregs, and simmer again in a silver vessel until reduced by half. Add 8 liang of white honey and stir. Stop heating when lifting with a hand produces threads. Let cool, filter through a double-layered silk bag, and store in a porcelain box. For use, take approximately one tea-foot amount, grind 1 zi (approx. 0.3g) of Longnao (Borneolum Syntheticum) into an extremely fine powder, mix thoroughly with the ointment by grinding for 1,000–2,000 times until uniform, and apply a small amount to the eye.
Hupo Jian (Amber Decoction): Treats redness, swelling, itching, and pain of the eyes caused by wind-toxicity rushing to the eyes.
Ingredients: Ruxiang (Frankincense, separately ground, 2 qian), Ruiren (Prunus Persica Seed, separately ground, 0.5 liang), Huashi (Talcum, separately ground), Qiandan (Lithargyrum, separately ground, 2 liang each), Huanglian (Coptidis Rhizoma, separately ground), Qingpi (Citri Reticulatae Pericarpium, 1 liang each), Huangqin (Scutellariae Radix, remove black heart), Baimi (White Honey, 4 liang each), Muguezi (Momordicae Semen, 10 pieces, remove shell), Huaizhi (Scholaris Branch), Liuzhi (Willow Branch, both fresh green branches, 10 each, 1.5 cun long each).
Preparation: Decoct Huaizhi, Liuzhi, Qingpi, Huangqin, and Huashi in 3 bowls of water until reduced to 2 bowls. Strain. Add Ruxiang, Ruiren, Qiandan, Muguezi, and honey. Simmer until the mixture turns amber-colored. Then add Huanglian powder and continue decocting until reduced to 1.5 bowls. Filter through cooked silk gauze to remove residues. Seal tightly in a porcelain container, tie with rope, and submerge in a well overnight to remove "fire toxicity." Use copper chopsticks to apply to the eye; stop when the eye feels dry/astringent. Avoid iron vessels during preparation and application.
Difeng San (Wind-Washing Powder) (see Red Eyes), Dahuang Wan (Rhubarb Pill), Sangbaipi San (Mulberry Bark Powder), Qingpi Tang (Citrus Peel Decoction), Xuanshen Wan (Scrophulariae Pill), Xiefei Tang (Lung-Draining Decoction), Zhusha Jian (Cinnabar Decoction) (all see previous section on Eye Pain).
[Swelling like a Cup]
Xigan San (Liver-Washing Powder) (see previous), Xieqing Wan (Liver-Draining Pill) (see Headache).
Shenxiong Wan: Treats severe internal damp-heat causing red, swollen eyes or yellow sclera.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix) (2 liang each), Qianniu (Pharbitidis Semen), Huashi (Talcum) (4 liang each), Huanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (0.5 liang each).
Preparation: Grind into fine powder. Form pills the size of small beans using water. Take 10 pills with warm water, gradually increasing to 15–20 pills.
[Shape like a Sitting Shrimp]
Xuanming Wan, Fen Zhu San (Pearl-Separating Powder) (both see previous).
[Resembling a Fish Bladder]
Sangbaipi San (Mulberry Bark Powder), Xuanshen Wan (Scrophulariae Pill), Xiefei Tang (Lung-Draining Decoction) (see Eye Pain).
[Huge Eye Fixed Gaze]
Siwu Tang (Four Substances Decoction) plus Zuijingren (Polygoni Multiflori Caulis/He Shou Wu), Lianqiao San (Forsythiae Powder) (see Red Eyes).
[Spiral Screw Rising]
Xiegan San (Liver-Draining Powder)
Ingredients: Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Zhizi (Gardeniae Fructus), Muzei (Equiseti Herba), Chenpi (Citri Reticulatae Pericarpium), Huanglian (Coptidis Rhizoma), Poxiao (Natrii Sulfas), Juhua (Chrysanthemi Flos), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Wulingzhi (Trogopterori Faeces), Tingli (Descurainiae Semen seu Lepidii Semen), Xixin (Asari Radix et Rhizoma) (equal parts).
Usage: Grind into fine powder. Take 2 qian per dose. Can also be taken as a powder. Decoct in water and take after meals. For elderly patients, add Zhike (Aurantii Fructus Immaturus) and Houpo (Magnoliae Officinalis Cortex).
Jiu Jing Wan: Treats eye swelling, protrusion of the spiral screw (ptosis/corneal opacity), blindness with nebula.
Ingredients: Cangzhu (Atractylodis Rhizoma), Zhishi (Aurantii Fructus Immaturus), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Jingjie (Schizonepetae Herba), Chantui (Cicadae Periostracum), Bohe (Menthae Haplocalycis Herba), Danggui (Angelicae Sinensis Radix), Muzei (Equiseti Herba), Caojueming (Cassiae Semen), Gujingcao (Centipedae Herba) (equal parts).
Preparation: Grind into powder. Mix with refined honey to form pills the size of a bullet. Take one pill after meals, grinding it down with tea water.
[Spiral Screw Tip Rising]
Sou Feng San (Wind-Searching Powder): Treats external obstruction with rising spiral screw tip.
Ingredients: Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Tianmendong (Asparagi Radix), Wuweizi (Schisandrae Chinensis Fructus), Jiegeng (Platycodonis Radix), Xixin (Asari Radix et Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra), Chongweizi (Leonuri Fructus) (equal parts).
Usage: Decoct in water and take after meals.
Processed Black Beans
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (0.5 liang each), Gancao (Glycyrrhizae Radix et Rhizoma), Mimenghua (Glochidion Flower), Poxiao (Natrii Sulfas) (1 liang each).
Preparation: Grind herbs into powder. Take 1 sheng of black beans and 3 bowls of water. Add herbs and boil until liquid is dry. Chew 20 beans finely per dose, swallowing with clear rice wash water.
Huan Jing Wan (Eye-Restoring Pill)
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baijili (Tribuli Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Muzei (Equiseti Herba), Qianghuo (Notopterygii Rhizoma et Radix), Tusizi (Cuscutae Semen), Shudihuang (Rehmanniae Radix Preparata), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
Preparation: Grind into fine powder. Mix with refined honey to form pills the size of a bullet. Chew on an empty stomach with warm water.
[Divine Pearl Self-Swelling]
Consult previous wind-heat dispelling formulas and add blood-breaking and astringent herbs.
[Pearl Protruding from Orbit]
Fen Zhu San (Pearl-Separating Powder) (see Red Eyes).
Tangjian San (Sugar-Decoction Powder): Treats wind-toxicity attacking the eyes, causing redness, swelling, blurred vision, and difficulty opening due to astringency.
Ingredients: Longdancao (Gentianae Radix), Fangji (Stephaniae Tetrandrae Radix), Dahuang (Rhei Radix et Rhizoma), Jingjiesui (Schizonepetae Spica), Chi Shaoyao (Paeoniae Radix Rubra), Tudanggui (Angelicae Dahuricae Radix/Gastrodiae Rhizoma variant?), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix) (1 liang each), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (0.5 liang).
Preparation: Coarsely crush into powder. Take 4 qian per dose. Decoct with 1 bowl of water and a small piece of brown sugar.
Water Shower Method: Treats protruding and swollen eyes. Pour freshly drawn cold water into the eyes, changing frequently. The eyes will naturally retract. Additionally, decoct Maizhongdong (Ophiopogonis Radix), Sangbaipi (Mori Cortex), and Zhizi (Gardeniae Fructus) and drink orally.
Tianluo Gao (River Snail Ointment): Treats protruding and swollen eyes, and red eyes with nebula formation.
Ingredients: Tianluo (Freshwater Snail, 7 pieces, remove shell), Cuodijinqian (Lysimachiae Herba, use generously), Shengdihuang (Rehmanniae Radix), Tianchaju Ye (Chrysanthemi Indici Folium).
Preparation: Pound all ingredients together until paste-like. Apply to Taiyang acupoint and eyelids.
Xizhang San (Attached Formula): Treats ocular nebula and red, swollen eyelids with nebula covering the pupil.
Ingredients: Tianchaju (Chrysanthemi Indici Flos/Qinghao variant?), Qicenglou (Disporopsis Herba/Trollius variant?), Tiegengzi (Smilacis Glabrae Rhizoma variant?), Jishizi (Galli Cropium/Stomach lining?).
Preparation: Decoct in water. Hold in a bowl, add a little salt, soak, strain, and wash the eyes.
Xi Yi San: Same indications as above.
Ingredients: Chigeng Suapi Cao (Unknown herb, likely local name), pound until paste, steep in boiling water, filter, and wash eyes. Highly effective.
Tuzhu Gao (Earth Cinnabar Ointment): Treats red, swollen, closed eyes.
Ingredients: Tuzhu (Haematitum, 3 fen), Shigao (Gypsum Fibrosum, calcined, 1 fen), Piannao (Borneolum Syntheticum, a little).
Preparation: Grind into powder. Mix with freshly drawn cold water and honey. Apply to eyelid margins and Taiyang area. Additionally, decoct Zhizi (Gardeniae Fructus) and mix with Yan Liuqi Yin powder for oral administration.
Qingliang Gao (Cooling Ointment): Treats sudden fiery red eyes with severe swelling and pain making opening difficult, miasma eyes, and traumatic eye injuries.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Poxiao (Natrii Sulfas), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Chi Shaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Xixin (Asari Radix et Rhizoma), Bohe (Menthae Haplocalycis Herba), Furongye (Hibisci Mutabilis Folium) (equal parts).
Preparation: Grind into powder. Mix with juice of Shengdihuang (Rehmanniae Radix), egg white, and honey. Apply to Taiyang acupoint and eyelids.
Dihuang Gao (Rehmannia Ointment): Treats redness, swelling, pain, and external obstructions.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chi Shaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Lvdoufen (Vigna Radiata Starch), Furongye (Hibisci Mutabilis Folium), Bohe (Menthae Haplocalycis Herba) (equal parts).
Preparation: Preparation and application methods are the same as above.