治妇人胎风眼。
防风(一钱) 荆芥穗(五分) 家白菊(五分) 蝉蜕(五分) 连翘(六分) 枯黄芩(七分
,炒) 川黄连(酒炒,三分) 栀仁(炒黑,六分) 牛蒡子(炒研,五分) 大当归(酒洗,八分)
真川芎(五分) 白芍(酒炒,八分) 怀地黄(生用,一钱)
上咀片,生姜一片,灯心一丸为引,热服。
一乳妇因悸而病,既愈,目张不得瞑,医曰∶煮郁李酒饮之,使醉即愈。所以然者,目
丝内连肝胆,恐则气结,胆冲不下,郁李能去结,随酒入胆,结去胆下,目能明矣。以一醉饮主
郁李仁(泡去皮,三钱)
酒一瓶煮熟,饮之果验。
一妇人年四十余,两目昏昧,咳嗽头痛,粗工罔效。一医诊脉皆细弱,脾部尤近弦弱,曰脾
虚也。东垣云∶五脏六腑,皆禀受脾土,上贯于目,脾虚则五脏精气,皆失所司,不能归明
于目矣。邪逢其身之虚,随眼丝入于脑,则脑鸣而痛心者,君火也,宜静。相火代行其令,
劳役运动,则妄行,侮其所胜,故咳嗽也。不理脾养血,而以苦寒治眼,是谓治标不治本也
。症脉既详,方从意立,医者意也,因取曰如意饮。
人参(一钱五分) 黄 (一钱五分) 麦冬(去心,一钱) 贝母(一钱) 归身(八分) 陈
皮(五分) 川芎(五分) 黄芩(四分) 家菊(五分) 麦芽(四分) 甘草(三分)
上煎服二剂,前症悉除。
一妇人患烂弦风眼,用覆盆子叶,旋采以手揉碎,入口中咀嚼,而留汁滓于小竹筒内
听用,取皂纱蒙眼,用笔画双眸于纱上,然后滴药汁渍眼下弦,转盼间虫出纱外,以数十计,其
状如丝,色赤而长。复用前法滴上弦,又得虫数十,兼服消风清热活血之剂,遂获全愈矣。
覆盆叶(能去眼弦烂虫) 覆盆子(能治目暗不见物,冷泪浸淫及青盲等症) 覆盆子草(
多取晒干,用时捣令极烂,薄绵裹之,以人乳浸之,如人行八里九里,用以点目中,即仰面而卧
,不过三四日,视物如童,但忌酒面油,盖治目妙品也)
一人患赤目肿痛,脾胃虚弱,饮食难进,诊其脉,肝盛脾弱,如服凉药以治肝,则损脾
。饮食愈难进,服暖药以益脾,则肝愈盛而加病。何以治之?乃于温平药中,倍加肉桂,不得
用茶常啜,恐伤脾也。盖肉桂杀肝而益脾,故一治两得之,传曰∶木得桂而槁也。
一人久患目盲,有白翳遮睛,服药罔效,盖此眼缘热药过多,乃生外障,视物不明,彼
皆以为肝损肾虚,补其肝肾,则眼愈盲,治以救苦丹,一月目明。
治疗妇人胎风眼。
防风(一钱) 荆芥穗(五分) 家白菊(五分) 蝉蜕(五分) 连翘(六分) 枯黄芩(七分,炒制) 川黄连(酒炒,三分) 栀仁(炒黑,六分) 牛蒡子(炒后研碎,五分) 大当归(酒洗,八分) 真川芎(五分) 白芍(酒炒,八分) 怀地黄(生用,一钱)
以上药材切碎成片,加生姜一片、灯心草一丸作为药引,热服。
一位乳母因心悸而患病,病愈后出现眼睛张开无法闭合的症状。医生说:“煮郁李仁酒给她喝,让她醉倒即可痊愈。”之所以这样,是因为目系内部连接肝胆,恐惧导致气机郁结,胆气上冲而不能下行。郁李仁能解除郁结,随着酒力进入胆经,郁结去除,胆气下行,眼睛就能恢复正常了。此方以“一醉饮”为主治。
郁李仁(浸泡去皮,三钱)
用一瓶酒煮熟,饮用果然有效。
一位四十多岁的妇人,双眼昏花模糊,伴有咳嗽头痛,庸医无效。一位医生诊脉发现脉象皆细弱,脾部脉象尤其接近弦弱,说这是脾虚。李东垣曾说:“五脏六腑都禀受于脾土,精气上贯于目,脾虚则五脏精气失去统摄,不能使目光清明。”邪气乘人体虚弱之际,顺着目系进入脑部,导致脑鸣和心痛,这是君火的问题,宜静养。相火代行君火之令,若劳役运动,则相火妄行,克制其所胜之脏(肺),所以出现咳嗽。如果不调理脾胃、养血,反而用苦寒药物治疗眼疾,这叫治标不治本。既然症状和脉象都已详察,处方便依此立意,医者需有悟性,因此取名为“如意饮”。
人参(一钱五分) 黄芪(一钱五分) 麦冬(去心,一钱) 贝母(一钱) 当归身(八分) 陈皮(五分) 川芎(五分) 黄芩(四分) 家菊(五分) 麦芽(四分) 甘草(三分)
以上煎服两剂,之前的症状全部消除。
一位妇人患有烂弦风眼(眼睑边缘溃烂的风证),使用覆盆子叶,现采现用手揉碎,放入口中咀嚼,将汁液和渣滓保留在小竹筒内备用。用皂纱蒙住眼睛,在纱上用笔画出双眼轮廓,然后将药汁滴在眼下眼睑边缘。眨眼之间,虫子爬出纱外,数量达数十只,形状如丝,色红且长。再用同样的方法滴在上眼睑边缘,又得到数十只虫子。同时服用消风清热活血的药剂,最终完全治愈。
覆盆叶(能去除眼弦腐烂处的虫子) 覆盆子(能治疗目暗视物不清、冷泪浸淫及青盲等症) 覆盆子草(多采集晒干,用时捣烂至极软,用薄绵包裹,用人乳浸泡,行走八至九里的路程时间后,用来点入眼中,随即仰面躺卧,不过三四天,视力恢复如儿童般清晰,但忌食酒、面食和油腻食物,这是治疗眼疾的妙品)
一人患赤目肿痛,脾胃虚弱,饮食难进。诊其脉象,肝盛脾弱。如果服用凉药治疗肝火,则会损伤脾胃;饮食更加难进。如果服用暖药补益脾胃,则肝火更盛而加重病情。如何治疗呢?于是在温平的药物中,加倍加入肉桂,并嘱咐不要常喝茶,以免伤脾。因为肉桂能抑制肝木而补益脾土,故一举两得。古传说道:“木得桂而槁也。”
一人长期患目盲,有白色翳膜遮蔽瞳孔,服药无效。这是因为此眼病缘于过多服用热药,导致产生外障,视物不明。旁人皆认为是肝肾亏损,若补益肝肾,则眼睛会更加失明。改用“救苦丹”治疗,一个月后眼睛复明。
Treatment for maternal wind eye disease in women.
Fangfeng (Saposhnikoviae Radix, 1 qian) Jingjiesui (Schizonepetae Spica, 0.5 qian) Ji Baiju (Chrysanthemi Flos, 0.5 qian) Chantui (Cicadae Periostracum, 0.5 qian) Lianqiao (Forsythiae Fructum, 0.6 qian) Ku Huangqin (Scutellariae Radix, stir-fried, 0.7 qian) Chuan Huanglian (Coptidis Rhizoma, wine-fried, 0.3 qian) Zhiren (Gardeniae Semen, stir-fried until black, 0.6 qian) Niubangzi (Arctii Fructus, stir-fried and crushed, 0.5 qian) Da Danggui (Angelicae Sinensis Radix, wine-washed, 0.8 qian) Zhen Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.5 qian) Baishao (Paeoniae Radix Alba, wine-fried, 0.8 qian) Huai Dihuang (Rehmanniae Radix Preparata, raw use, 1 qian)
Crush the above herbs into slices, add one slice of Shengjiang (Zingiberis Rhizoma Recens) and one pellet of Dengxincao (Junci Medulla) as a guiding agent, and take hot.
A nursing woman fell ill due to palpitations. After recovery, she suffered from inability to close her eyes. The physician said: "Boil Yuliren (Prunus armeniaca seed) in wine and have her drink it until drunk, then she will recover." The reason is that the ocular meridians are internally connected to the Liver and Gallbladder. Fear causes Qi stagnation, and Gallbladder Qi rushes upward instead of descending. Yuliren can resolve stagnation; entering the Gallbladder channel with the aid of wine, it removes the stagnation, allows Gallbladder Qi to descend, and restores vision. This formula is primarily known as "Yi Zui Yin" (One Drunken Drink).
Yuliren (Soaked, skin removed, 3 qian)
Cooked in one bottle of wine, drinking it proved effective.
A woman over forty years old suffered from blurred vision in both eyes, accompanied by cough and headache. Quack doctors were ineffective. A physician diagnosed her pulse as fine and weak throughout, particularly string-like and weak at the Spleen position, diagnosing it as Spleen deficiency. Li Dongyuan stated: "The five Zang and six Fu organs all receive their qi from the Spleen Earth, which ascends to the eyes. If the Spleen is deficient, the essence and qi of the five Zang organs lose their control and cannot bring clarity to the eyes." Pathogenic factors, taking advantage of the body's deficiency, enter the brain via the ocular meridians, causing tinnitus and heart pain, which relates to the Ministerial Fire (Junhuo); this condition requires stillness. When the Ministerial Fire (Xianghuo) acts on behalf of the Sovereign Fire, physical exertion causes it to flare up recklessly, insulting its conquering element (Metal/Lungs), thus causing cough. If one does not regulate the Spleen and nourish blood, but instead treats the eye condition with bitter-cold herbs, it is treating the branch rather than the root. Since the symptoms and pulse are detailed, the prescription follows the intent. Physicians require insight; therefore, it was named "Ruyi Yin" (As-You-Wish Drink).
Renshen (Ginseng Radix et Rhizoma, 1.5 qian) Huangqi (Astragali Radix, 1.5 qian) Maidong (Ophiopogonis Radix, heart removed, 1 qian) Beimu (Fritillariae Thunbergii Bulbus, 1 qian) Guishen (Angelicae Sinensis Radix Cortex/Internal part, 0.8 qian) Chenpi (Citri Reticulatae Pericarpium, 0.5 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.5 qian) Huangqin (Scutellariae Radix, 0.4 qian) Jiaju (Chrysanthemi Flos, 0.5 qian) Maiya (Hordei Fructus Germinatus, 0.4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 qian)
Decoct and take two doses; previous symptoms were completely eliminated.
A woman suffered from "Lan Xian Feng Yan" (wind syndrome with ulcerated eyelid margins). She used leaves of Fupenzi (Rubus chingii), freshly picked and crushed by hand, chewed in the mouth, and the juice and dregs were kept in a small bamboo tube for use. A gauze mask covered the eyes, with outlines of the eyes drawn on the gauze. Then, the medicinal juice was dripped onto the lower eyelid margin. In the blink of an eye, worms emerged from under the gauze, numbering dozens, thread-like in shape, red and long. The same method was applied to the upper eyelid margin, yielding another dozen worms. Simultaneously, she took formulas for dispelling wind, clearing heat, and invigorating blood, achieving full recovery.
Fupenyè (Leaves of Rubus chingii - capable of removing worms from ulcerated eyelids) Fupenzi (Fructus Rubi - capable of treating dim vision, cold tears, and blindness) Fupenzicao (Herb of Rubus chingii - collect and dry thoroughly, crush extremely soft when using, wrap in thin cotton, soak in human milk. After walking the distance of eight to nine li, apply drops to the eyes, then lie supine. Within three or four days, vision returns to that of a child. Avoid alcohol, wheat products, and oily foods; this is a miraculous product for treating eye diseases.)
A man suffered from red, swollen, and painful eyes. His Spleen and Stomach were weak, making eating difficult. His pulse indicated Excess Liver and Deficient Spleen. If cool herbs were taken to treat the Liver, the Spleen would be damaged, making eating even harder. If warm herbs were taken to tonify the Spleen, the Liver fire would become more excessive, worsening the condition. How to treat this? Therefore, within a neutral-warm formula, the dosage of Rougui (Cinnamomi Cortex) was doubled. He was advised not to drink tea frequently to avoid damaging the Spleen. Rougui suppresses Liver Wood and benefits Spleen Earth, achieving two goals with one treatment. As the saying goes: "Wood withers when it meets Cinnamon."
A man suffered from long-term blindness with a white nebula obscuring the pupil. Medications were ineffective. This eye condition arose from excessive consumption of hot herbs, leading to an external obstruction and unclear vision. Others believed it was Liver and Kidney deficiency; if they tonified the Liver and Kidney, the blindness would worsen. He was treated with "Jiu Ku Dan" (Bitter-Suffering Pill), and his vision cleared after one month.