风牵 斜者,虽与风牵出睑同, 斜者脾胃虚,房事不节,脾胃有毒,夜卧多痰,或醉
饱坐卧当风贪凉,左右忽受风牵 斜,眼内赤痒时时颤动,其眼血丝四起,瞳仁不开大,视
物蒙蒙,甚至半身不遂。治法∶急用摩风膏擦摩面部,更以砂弓刮所患风一边,手
臂通刮,或通身亦可刮,一日一遍。用大瓷青碗捣碎入磁石多寡搜面糊为饼,烘热贴面对鼻
一边,右 贴左,左 贴右,贴至扯口眼正其药取起,又可灸颊车、耳门穴,开口取
之,太阳、人中、承浆, 左灸右, 右灸左,近患者易治,若年久难治。
\r风牵 斜图\p05-c20a24.bmp\r
问曰∶目睛斜视倒目者何也?答曰∶肝经受风邪所牵,使其筋缓缩不利。治法∶宜灸火
发散风邪,以加全蝎、白附子、南星、半夏、夜光柳红丸,外用摩风膏,导引发散,目睛必
转。
灸火穴 太阳 颊车 耳门 听会 耳尖 风池各一穴
夜光柳红丸 方在前篇针症内。
摩风膏 方亦在前症内。
被物撞破者,并无所患而所因者三,此外因也。全然无事,误被物撞破,或打扑或跌着
或撞破伤胞睑也,积血紫青,撞破白仁,外控硬壳,此不能为害,惟撞破三风轮,血灌瞳仁
,五并轮混杂,最为利害之症也。
\r被物撞破图\p05-c20a25.bmp\r
痛恶瞳忍涩难开,治法服以酒调散,熨以葱艾。或专以生地黄捣烂作饼烘热贴,一日一
换,以散其血,如无生地黄用芙蓉叶,无叶用根,去泥粗皮,用白皮捣烂烘热贴亦可,若眼
眶青黑,捣生萝卜护贴。切宜将息避风忌口,动风动血之物,诸般母肉莫吃。新撞者易治,
若撞久血凝不散,无痛者难治也。
问曰∶并无所患,误被物撞破,或生翳者何也?答曰∶外伤也,与内无损。治法∶初起
者宜散血为主,痛甚者没药散止之,若至血散变生白翳,为不治之症也。
没药散 方在前胞肉生疮内。
风牵斜视:虽然与风牵出睑(风邪侵袭导致眼睑异常)相似,但斜视是由于脾胃虚弱、房事不节制,导致脾胃积毒,夜间睡眠时痰多。或者因醉酒后饱食,坐卧时贪凉并直接吹受风邪,致使左右面部突然受到风邪牵引而出现口眼歪斜。眼部表现为内部赤红瘙痒,时时颤动,血丝四起,瞳孔不能正常开大,视物模糊朦胧,甚至出现半身不遂。治疗方法:紧急使用摩风膏擦拭按摩面部,再用砂弓刮拭患病一侧的风邪部位,手臂可全面刮拭,或全身皆可刮拭,每日一次。用大瓷青碗将磁石捣碎,根据情况加入适量面粉糊制成饼状,加热后贴于对侧鼻旁,右歪贴左,左歪贴右,贴至口眼被拉正后取下药物。还可以灸治颊车穴、耳门穴,需张口取穴;以及太阳穴、人中穴、承浆穴,左侧病变灸右侧,右侧病变灸左侧,病程短靠近患者易治,若病程长久则难治。
问:眼睛斜视、倒目的原因是什么?答:这是肝经受到风邪牵引,导致筋脉松弛收缩不利所致。治疗方法:宜采用灸法发散风邪,配合全蝎、白附子、南星、半夏等药材,内服夜光柳红丸,外用摩风膏导引发散,眼球必能回转。
灸火穴位:太阳、颊车、耳门、听会、耳尖、风池,各一穴。
夜光柳红丸:方剂见前篇针症章节。
摩风膏:方剂亦见前症章节。
被物撞破:并没有内在疾病,病因有三,属于外因。完全健康的人,误被物体撞破,或是被打扑、跌倒撞击,或是撞伤胞睑(眼睑)。积血呈紫青色,撞破白仁(巩膜),外部控制硬壳(角膜/眼球壁),这尚不构成严重危害,唯有撞破三风轮(黑睛/角膜及其周围组织),血液灌入瞳仁,五轮混杂,是最为利害的病症。
疼痛恶涩,瞳孔忍耐困难难以睁开,治疗方法:服用酒调散,用葱艾熨烫。或者专门用生地黄捣烂做成饼状,加热后贴敷,一日更换一次,以消散瘀血。如果没有生地黄可用芙蓉叶,没有叶子就用根,去除泥土粗皮,只用白皮捣烂加热贴敷也可以。如果眼眶青黑,捣碎生萝卜护贴。务必注意休养,避风忌口,不吃动风动血的食物,各种母肉都不要吃。新近撞伤者易治,若撞击日久血液凝结不散,且无痛感者难治。
问:并没有内在疾病,误被物体撞破,或者产生翳障的原因是什么?答:这是外伤所致,与内脏无损。治疗方法:初起时以散血为主,疼痛剧烈者用没药散止痛,若到血液消散后变生白翳,则为不治之症。
没药散:方剂见前胞肉生疮章节。
Wind-Induced Strabismus: Although similar to wind-induced eyelid deviation (a syndrome caused by wind pathogen invading the eyelids), strabismus arises from deficiency of the Spleen and Stomach, excessive sexual activity leading to accumulation of toxic heat in the Spleen and Stomach, and excessive phlegm during sleep. Alternatively, it may result from sitting or lying down in the wind after overeating or drinking alcohol, causing sudden wind invasion on either side of the face, leading to facial paralysis with mouth and eye deviation. The eyes present with internal redness and itching, frequent trembling, proliferation of blood vessels, inability of the pupil to dilate normally, blurred vision, and even hemiplegia. Treatment method: Immediately apply Mofeng Gao (Wind-Moving Ointment) to massage the face. Then, use a sand bow to scrape the affected side where the wind pathogen resides; scraping can be extended to the arms or the entire body, once daily. Crush magnetite (Ci Shi, Magnetitum) in a large blue porcelain bowl, mix with an appropriate amount of flour paste to form a cake, heat it, and apply it to the opposite side of the nose—apply left for right deviation, right for left deviation. Remove the medication once the mouth and eye are pulled back to normal alignment. Acupuncture moxibustion can also be applied to Jiache (ST6, Jawbone) and Ermen (TE21, Ear Gate) acupoints; these should be located with the mouth open. Additionally, treat Taiyang (EX-HN5, Temple), Renzhong (GV26, Philtrum), and Chengjiang (CV24, Chin Groove); treat the contralateral side for ipsilateral lesions (left lesion treated on right, right lesion on left). Recent onset is easier to cure; long-standing cases are difficult to treat.
Question: What causes the eyes to look obliquely or deviate? Answer: This is caused by the Liver Meridian being pulled by wind pathogen, resulting in flaccidity and restricted movement of the tendons. Treatment method: Moxibustion should be used to disperse the wind pathogen. Internally administer Yeguang Liuhong Wan (Night-Shining Willow Red Pill) containing Quanxie (Scorpio), Baifuzi (Aconiti Kusnezoffii Rhizoma), Nanxing (Arisaematis Rhizoma Praeparatum), and Banxia (Pinelliae Rhizoma). Externally apply Mofeng Gao to guide and disperse the pathogen; the eyeball will likely return to normal position.
Moxibustion Acupoints: Taiyang (EX-HN5), Jiache (ST6), Ermen (TE21), Tinghui (GB2), Erjian (EX-HN6), Fengchi (GB20). One session per acupoint.
Yeguang Liuhong Wan: Formula found in the previous chapter on needle syndromes.
Mofeng Gao: Formula also found in the previous section on syndromes.
Traumatic Rupture by Object: There is no internal disease; the etiology involves three external factors. A healthy individual accidentally suffers trauma from an object, such as being struck, falling, or colliding, injuring the eyelids. Accumulated blood appears purple and blue. If the sclera (Bai Ren, White Essence) is ruptured but the outer hard shell remains intact, this is not severely harmful. However, if the "Three Wind Wheels" (referring to the cornea and surrounding structures) are ruptured, with blood flooding the pupil and mixing with the Five Wheels, this is the most severe and dangerous condition.
Pain, aversion to light, dryness, and difficulty opening the eye. Treatment method: Administer Jiu Tiao San (Wine-Adjusted Powder) and apply hot compresses of scallion and mugwort. Alternatively, crush fresh Rehmanniae Radix (Sheng Dihuang, Fresh Rehmannia Root) into a paste, heat it, and apply as a compress, changing once daily to dissipate blood stasis. If fresh Rehmannia is unavailable, use Hibiscus mutabilis leaf (Furong Ye); if leaves are unavailable, use the root. Remove soil and coarse skin, use only the white inner bark, crush, heat, and apply. If the eye socket is bruised black, crush fresh radish and apply as a protective compress. Strictly observe rest, avoid wind, and adhere to dietary restrictions: avoid foods that stir wind or move blood, and do not consume meat from female animals. Recent trauma is easy to treat; if blood coagulates and does not dissipate after a long time, especially without pain, it is difficult to treat.
Question: Why does trauma without prior internal disease lead to opacity (Yi)? Answer: This is due to external injury, with no damage to the internal organs. Treatment method: In the initial stage, focus on dispersing blood stasis. For severe pain, use Moyao San (Myrrh Powder) to stop pain. If blood stasis dissipates but results in the formation of a white opacity, it becomes an incurable condition.
Moyao San: Formula found in the previous section on swelling of the caruncle/flesh.