痛如神祟，旧无根基，只根据痛甚怪异，或日痛而夜愈，或夜痛而日愈，如艾之灸，针之
刺，忽来忽往，无踪无迹，号曰痛如神祟。岂有神祟为祸而害眼？孰知阴阳偏胜，动静气血
攻击使然，亦有信巫之地，因所祷厌痕作福而愈者有之，孰知病势将除，偶因而愈，曰神祟
眼非也。治法∶痛时只将艾葱熨之，服酒煎散一二贴住痛，点以时药，洗以归尾、白芷、防
风、芍药、川芎、生地黄止痛散血可也。
\r痛如神祟图\p05-c20a20.bmp\r
问曰∶眼内不红不赤不肿，乍痛如神祟者何也？答曰∶阴阳升降不和，气血偏胜，相攻
使然。或有血虚者下午痛，或有气旺太甚者上昼痛。下昼痛者宜服助阳和血汤，上昼痛者宜
服酒调洗肝散、明目流气饮，点清凉之药。又有一样眼，时时痛如针刺，此是新血与旧血相
攻击，治法亦同。
〔血气虚服〕
助阳和血汤 治血气不调，如神祟，痛如针刺，服之。
蔓荆子（三分） 香白芷（三分） 柴胡 黄 升麻（各四分） 炙甘草 当归身（酒浸） 防风
（各五分）
上作一帖，水一钟半，煎八分温服。临避风处睡可也。又并渣服。
〔热气攻痛〕
酒调洗肝散 治眼热气上攻无时，黑睛痛者服之。
黑参 大黄 桔梗 知母 朴硝 栀子 黄芩
热甚者，加生地、归尾之类。
上为末。每服二三钱，温酒调下，日服二次。
〔热气郁结〕
明目流气饮 治气郁眼目赤肿，服之。
菊花 细辛 大黄 牛蒡子 川芎 蒺藜 荆芥 玄参 甘草 蔓荆子 防风 栀子
黄芩 木贼 苍术 草决明
上各等分。水煎食后服。
疼痛如同鬼神作祟，以往没有固定的病理基础，只是根据疼痛极其怪异的特点来命名：有时白天疼痛而夜晚痊愈，有时夜晚疼痛而白天痊愈；疼痛忽而来去，没有踪迹，因此被称为“痛如神祟”。难道真的有鬼神降祸伤害眼睛吗？殊不知这是阴阳偏盛、动静失调以及气血相互攻击所致。也有在迷信巫术的地方，因为祈祷驱邪的符咒痕迹而痊愈的情况，但这其实是病势即将消除时的偶然痊愈，并非所谓的“神祟眼”，这种说法是错误的。治疗方法：疼痛发作时，只用艾草和葱进行熨烫，服用酒煎散一至两帖以止住疼痛，用当时的成药点眼，并用当归尾、白芷、防风、芍药、川芎、生地黄组成的止痛散血方剂清洗眼部即可。
问：眼睛内部不红不赤也不肿胀，突然疼痛如同鬼神作祟，这是什么原因？答：这是因为阴阳升降不和，气血偏盛，相互攻击所致。有的血虚患者下午疼痛，有的气旺太甚的患者上午疼痛。下午疼痛者适宜服用助阳和血汤，上午疼痛者适宜服用酒调洗肝散、明目流气饮，并点用清凉性质的药物。还有一种情况是眼睛时时疼痛如同针刺，这是新血与旧血相互攻击所致，治疗方法也相同。
【血气虚弱服用】
助阳和血汤：治疗血气不调，症状如鬼神作祟，疼痛如针刺，服用此方。
蔓荆子（三分） 香白芷（三分） 柴胡 黄芩 升麻（各四分） 炙甘草 当归身（酒浸） 防风（各五分）
以上药材为一帖的量，用水一钟半，煎至八分，温服。服药后应在避风处睡觉。也可以将药渣一起服用。
【热气攻痛】
酒调洗肝散：治疗眼部热气上攻无定时，黑睛疼痛者服用此方。
黑参 大黄 桔梗 知母 朴硝 栀子 黄芩
热势严重者，加入生地黄、当归尾等。
以上药材研为末。每次服用二三钱，用温酒调服，每日服用两次。
【热气郁结】
明目流气饮：治疗气机郁结导致的眼目赤肿，服用此方。
菊花 细辛 大黄 牛蒡子 川芎 蒺藜 荆芥 玄参 甘草 蔓荆子 防风 栀子 黄芩 木贼 苍术 草决明
以上药材各等分。用水煎煮，饭后服用。
Pain resembling the affliction of spirits (Tong Ru Shen Sui, pain mimicking spiritual haunting): Historically lacking a fixed pathological basis, this condition is named solely based on its extremely bizarre nature: sometimes pain occurs during the day and resolves at night, or vice versa; the pain comes and goes suddenly without trace. Hence it is called "pain resembling the affliction of spirits." Could there truly be spirits causing harm to the eyes? In fact, this is caused by the excess of Yin or Yang, imbalance between movement and stillness, and mutual attack of Qi and Blood. In regions where witchcraft is believed in, some may recover due to the efficacy of prayer talismans, but this is merely coincidental recovery as the disease pathogen is about to be expelled, not "spiritual eye disease," so such claims are incorrect. Treatment method: When pain occurs, apply moxa and scallion compresses (Ai Cong Yi). Take Jiu Jian San (Wine-Boiled Powder) one to two doses to alleviate pain. Apply contemporary eye drops. Wash the eyes with a decoction of Dang Gui Wei (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Shao Yao (Paeoniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Sheng Di Huang (Rehmanniae Radix) to stop pain and dispel blood stasis.
Question: Why does the interior of the eye appear neither red nor swollen, yet experience sudden pain resembling the affliction of spirits? Answer: This is due to the disharmony of Yin and Yang ascending and descending, and the excess of Qi and Blood leading to mutual attack. Patients with Blood deficiency may experience pain in the afternoon, while those with excessive Qi flourishing may experience pain in the morning. For afternoon pain, Zhu Yang He Xue Tang (Yang-Assisting and Blood-Nourishing Decoction) is appropriate. For morning pain, Jiu Tiao Xi Gan San (Liver-Washing Powder Adjusted with Wine) and Ming Mu Liu Qi Yin (Eye-Brightening and Qi-Circulating Drink) should be taken, along with cooling eye drops. Another type presents with constant needle-like pain, caused by the conflict between new and old blood; the treatment method is the same.
[For Qi and Blood Deficiency]
Zhu Yang He Xue Tang (Yang-Assisting and Blood-Nourishing Decoction): Treats disordered Qi and Blood, symptoms resembling spiritual affliction, and needle-like pain.
Man Jing Zi (Vitex Fruit), 3 fen; Xiang Bai Zhi (Dahurian Angelica Root), 3 fen; Chai Hu (Bupleurum Root), Huang Qin (Scutellaria Root), Sheng Ma (Cimicifuga Rhizome), each 4 fen; Zhi Gan Cao (Honey-fried Licorice Root), Dang Gui Shen (Body of Chinese Angelica Root, soaked in wine), Fang Feng (Saposhnikovia Root), each 5 fen.
Combine as one dose. Add 1.5 zhong of water, decoct until 0.8 zhong remains, and take warm. Rest in a wind-sheltered place afterward. The dregs may also be consumed.
[For Pain Caused by Heat Qi Attacking]
Jiu Tiao Xi Gan San (Liver-Washing Powder Adjusted with Wine): Treats unregulated upward attack of heat qi in the eyes, specifically for pain in the cornea (Hei Jing).
Hei Shen (Black Ginseng/Scrophularia), Da Huang (Rhubarb Root), Jie Geng (Platycodon Root), Zhi Mu (Anemarrhena Rhizome), Pu Xiao (Mirabilite), Zhi Zi (Gardenia Fruit), Huang Qin (Scutellaria Root).
If heat is severe, add Sheng Di Huang (Rehmannia Root) and Dang Gui Wei (Tail of Chinese Angelica Root).
Grind into powder. Take 2-3 qian per dose, mixed with warm wine. Take twice daily.
[For Heat Qi Stagnation and Knotting]
Ming Mu Liu Qi Yin (Eye-Brightening and Qi-Circulating Drink): Treats redness and swelling of the eyes due to Qi stagnation.
Ju Hua (Chrysanthemum Flower), Xi Xin (Asarum Root), Da Huang (Rhubarb Root), Niu Bang Zi (Arctium Fruit), Chuan Xiong (Ligusticum Rhizome), Ji Li (Tribulus Fruit), Jing Jie (Schizonepeta Spike), Xuan Shen (Scrophularia Root), Gan Cao (Licorice Root), Man Jing Zi (Vitex Fruit), Fang Feng (Saposhnikovia Root), Zhi Zi (Gardenia Fruit), Huang Qin (Scutellaria Root), Mu Zei (Equisetum Hiemale), Cang Zhu (Atractylodes Rhizome), Cao Jue Ming (Cassia Seed).
All ingredients in equal proportions. Decoct in water and take after meals.