上为末,每服二钱,入盐少许,百沸汤点服。
保命羚羊角散 治水翳久不去。
羚羊角 升麻 细辛(各等分) 甘草(减半)
上为末,一半蜜丸,桐子大。每服五七十丸。一半泔水煎,吞送丸子。 发陷翳,亦羚羊角
散之类用之,在人消息。若阴虚有热者,兼服神仙退云丸。
东垣补阳汤 治阳不胜其阴,乃阴盛阳虚,则九窍不通,令青白翳,见于大 ,乃足太阳少
阴经中,郁遏厥阴肝经之阳气,不得上通于目,故青翳内阻也。当归太阳少阴经中,是九泉
之下,以益肝中阳气,冲天上行,此乃先补其阳,后于足太阴标中,泻足厥阴之火,下伏于
阳中。《内经》曰∶阴盛阳虚,则当先补其阳,后泻其阴。每日空心服升阳汤,临卧服泻阴
丸。须预期调养,体气和平,天气晴明服之,补其阳,使上升通于肝经之末,利空窍于目矣
。
羌活 独活 当归身(酒洗,焙干) 甘草稍 熟地黄 人参 黄 白术(各一两) 泽泻 橘红
(各半两) 生地黄(炒) 白茯苓 知母(炒黄色。各三钱) 柴胡(二两) 防风 白芍药(各五钱) 肉桂
(一钱)
上每服五钱,水煎空心服,候药力行尽,方可饮食。
东垣羌活退翳汤
柴胡 甘草 黄 (各三钱) 羌活 黄连 五味子 升麻 当归身(各二钱) 防风(一钱五分) 黄
芩黄柏(酒浸) 芍药 草龙胆(酒洗。各五钱) 石膏(二钱五分)
上分二服,水煎入酒少许,临卧热服,忌言语。
谦甫五秀重明丸 治眼翳膜遮睛,隐涩昏花,常服清利头目。
甘菊花(五百个) 荆芥(五百穗) 木贼(去节,五百根) 楮实(五百枚)
上为末,蜜丸桐子大。每服五十丸,白汤化下。
冲和养胃汤 治内障初起,视觉微昏,空中有黑花,神水变淡绿色,次则视岐,睹则成二,
神水变淡白色,久则不睹,神水变纯白。
柴胡(七钱) 人参 当归 炙甘草 干生姜 升麻 葛根 白术 羌活(各一两) 防风(五钱) 黄
(一两五钱) 白茯苓(三钱) 白芍药(六钱) 五味子(二钱)
上每服二钱,水煎。
滋阴肾气丸 治神水宽大渐散,昏如雾露中行,渐睹空中有黑花,视物二体,久则光不收,
及内障神水淡白色者。
熟地黄(三两) 当归尾 牡丹皮 五味子 干山药 柴胡(各五钱) 茯苓 泽泻(各二钱半) 生地
黄(酒炒,四两)
上为末,蜜丸桐子大,辰砂为衣。每服十丸,空心滚汤化下。
泻热黄连汤 治内障有眵泪 。
黄芩 黄连 生地黄(并酒洗) 柴胡
(各一两) 升麻(五钱) 龙胆草(三钱)
上每服一钱,水煎,午前服。
柴胡复生汤 治红赤羞明,泪多眵少,脑顶沉重,睛珠痛应太阳,眼睫无力,常欲垂闭,久
视则酸疼,翳陷下者。
本 蔓荆子 川芎 羌活 独活 白芷(各二分半) 白芍药(炒) 炙甘草 薄荷 桔梗(各四分)
苍术 茯苓 黄芩(炒。各五分) 柴胡(六分) 五味子(十二粒,杵)
上每服二钱,水煎食后服。
黄连羊肝丸 治目中赤,脉洪,甚眵泪。
黄连(为末) 白羯羊肝(一具)
先以羊肝竹刀刮下如糊,除去筋膜,再擂细入黄连,丸桐子大。每服十丸,茶清化下。
茯苓燥湿汤 治小儿易饥而渴,腹胀生疮,目痛生翳不开,眵泪如脓,俗谓疳毒眼。
白术 人参 甘草(炒) 枳壳(麸炒) 茯苓 蔓荆子 薄荷(各二分) 苍术 前胡 独活(各三分)
川芎 羌活(各三分半) 柴胡(四分) 泽泻(一分半)
上每服二钱,水煎。
局方菊睛丸 治脾肾不足,眼花昏暗。
枸杞子 苁蓉(酒浸炒) 巴戟(去心。各一两) 甘菊花(四两)
上为末,蜜丸桐子大。每服十丸,空心白汤化下。
抑青丸(方见惊啼)
加味逍遥散(方见内钓)
大芜荑汤(方见疳症)
九味芦荟丸(方见诸症)
异功散(方见内钓)
小柴胡汤(方见痉症)
柴胡栀子散(方见发热)
蟾蜍丸(方见诸疳)
将药物研成细末,每次服用二钱,加入少许食盐,用滚开水冲服。
保命羚羊角散:用于治疗水翳长久不消退。
配方:羚羊角、升麻、细辛(各等分),甘草(用量减半)。
制法与用法:将上述药物研成细末,取一半用蜂蜜制成丸剂,大小如梧桐子。每次服用五七十丸;另一半用水煎煮,用药汤送服丸剂。如果是发陷翳,也使用类似羚羊角散的方剂,具体用量需根据患者情况斟酌调整。若是阴虚有热的患者,兼服神仙退云丸。
东垣补阳汤:治疗阳气不能胜过阴气,即阴盛阳虚,导致九窍不通畅,出现青白色的翳障,位于大眦(内眼角/外眼角,此处指眼周),这是由于足太阳膀胱经和足少阴肾经中,郁遏了足厥阴肝经的阳气,使其无法上行通达于目,从而导致青翳在内阻滞。当归入足太阳、足少阴经,如同在九泉之下,以补益肝中的阳气,使其冲向上行。这是先补其阳,随后在足太阴脾经的标部,泻足厥阴肝经之火,使下伏于阳中的火邪得以清泄。《内经》说:“阴盛阳虚,则应当先补其阳,后泻其阴。”每日空腹服用升阳汤,临睡前服用泻阴丸。必须预先调养,使体质平和,在天气晴朗时服用,以补益阳气,使其上升通达于肝经之末,疏通眼目的空窍。
配方:羌活、独活、当归身(酒洗,焙干)、甘草稍、熟地黄、人参、黄芪、白术(各一两),泽泻、橘红(各半两),生地黄(炒)、白茯苓、知母(炒至黄色,各三钱),柴胡(二两),防风、白芍药(各五钱),肉桂(一钱)。
用法:每次服用五钱,加水煎煮,空腹服用,待药力运行完毕后方可进食。
东垣羌活退翳汤
配方:柴胡、甘草、黄芪(各三钱),羌活、黄连、五味子、升麻、当归身(各二钱),防风(一钱五分),黄芩、黄柏(酒浸)、芍药、草龙胆(酒洗,各五钱),石膏(二钱五分)。
用法:分为两次服用,加水煎煮,加入少许酒,临睡前热服,服药期间忌说话。
谦甫五秀重明丸:治疗眼翳膜遮蔽瞳孔,眼睛隐涩昏花,常服可清利头目。
配方:甘菊花(五百个),荆芥(五百穗),木贼(去节,五百根),楮实(五百枚)。
制法与用法:将上述药物研成细末,用蜂蜜制成丸剂,大小如梧桐子。每次服用五十丸,用白开水化开送服。
冲和养胃汤:治疗内障初起,视力轻微昏暗,眼前有黑花飞舞,神水(房水)变为淡绿色,随后视物成双,看东西变成两个影像,神水变为淡白色,时间久了则完全看不见,神水变为纯白色。
配方:柴胡(七钱),人参、当归、炙甘草、干生姜、升麻、葛根、白术、羌活(各一两),防风(五钱),黄芪(一两五钱),白茯苓(三钱),白芍药(六钱),五味子(二钱)。
用法:每次服用二钱,加水煎煮。
滋阴肾气丸:治疗神水宽大逐渐散开,视物模糊如雾露中行走,渐渐看到空中有黑花,视物成双,时间久了光线无法收敛,以及内障神水呈淡白色的情况。
配方:熟地黄(三两),当归尾、牡丹皮、五味子、干山药、柴胡(各五钱),茯苓、泽泻(各二钱半),生地黄(酒炒,四两)。
制法与用法:将上述药物研成细末,用蜂蜜制成丸剂,大小如梧桐子,用朱砂为衣。每次服用十丸,空腹用滚开水化开送服。
泻热黄连汤:治疗内障伴有眼屎和眼泪。
配方:黄芩、黄连、生地黄(均用酒洗)、柴胡(各一两),升麻(五钱),龙胆草(三钱)。
用法:每次服用一钱,加水煎煮,午前服用。
柴胡复生汤:治疗眼睛红赤畏光,泪多眼屎少,头顶沉重,眼球疼痛牵连太阳穴,眼睑无力,经常想要垂闭,久视则酸痛,翳障凹陷下垂的情况。
配方:藁本、蔓荆子、川芎、羌活、独活、白芷(各二分半),白芍药(炒)、炙甘草、薄荷、桔梗(各四分),苍术、茯苓、黄芩(炒,各五分),柴胡(六分),五味子(十二粒,捣碎)。
用法:每次服用二钱,加水煎煮,饭后服用。
黄连羊肝丸:治疗眼中发红,脉象洪大,甚至眼屎眼泪多。
配方:黄连(研成末),白羯羊肝(一副)。
制法与用法:先用竹刀刮下羊肝如糊状,去除筋膜,再研磨细腻加入黄连,制成梧桐子大小的丸剂。每次服用十丸,用茶汁化开送服。
茯苓燥湿汤:治疗小儿容易饥饿且口渴,腹胀生疮,眼睛疼痛生翳不开,眼屎眼泪如脓状,俗称疳毒眼。
配方:白术、人参、甘草(炒)、枳壳(麸炒)、茯苓、蔓荆子、薄荷(各二分),苍术、前胡、独活(各三分),川芎、羌活(各三分半),柴胡(四分),泽泻(一分半)。
用法:每次服用二钱,加水煎煮。
局方菊睛丸:治疗脾肾不足,眼花昏暗。
配方:枸杞子、肉苁蓉(酒浸炒)、巴戟天(去心,各一两),甘菊花(四两)。
制法与用法:将上述药物研成细末,用蜂蜜制成丸剂,大小如梧桐子。每次服用十丸,空腹用白开水化开送服。
抑青丸(方见惊啼)
加味逍遥散(方见内钓)
大芜荑汤(方见疳症)
九味芦荟丸(方见诸症)
异功散(方见内钓)
小柴胡汤(方见痉症)
柴胡栀子散(方见发热)
蟾蜍丸(方见诸疳)
The herbs are ground into fine powder. Each dose is two qian, with a small amount of salt added, taken by mixing with boiling water.
Baoming Lingyangjiao San (Preservation of Life Antelope Horn Powder): Used for treating corneal opacity (shuiyi) that persists for a long time.
Ingredients: Lingyangjiao (Antelope Horn), Shengma (Cimicifugae Rhizoma), Xixin (Asari Radix et Rhizoma) in equal parts; Gancao (Glycyrrhizae Radix et Rhizoma) in half the amount.
Preparation and Administration: The above herbs are ground into powder. Half is made into honey pills, sized like paulownia seeds. Each dose consists of 50-70 pills. The other half is decocted in water, and the pills are swallowed with the decoction. For fa xian yi (depressed corneal opacity), similar formulas to Lingyangjiao San are used, with dosage adjusted according to the patient's condition. If the patient has yin deficiency with heat, Shenxian Tuiyun Wan (Immortal Cloud-Dispelling Pill) should be taken concurrently.
Dongyuan Buyang Tang (Dongyuan Yang-Supplementing Decoction): Treats conditions where yang fails to overcome yin, i.e., excess yin and deficient yang, leading to obstruction of the nine orifices. It causes cyan-white corneal opacities appearing at the canthi. This occurs because the yang qi of the Foot Jueyin Liver Meridian is constrained within the Foot Taiyang Bladder Meridian and Foot Shaoyin Kidney Meridian, preventing it from ascending to the eyes, thus causing internal blockage by cyan opacity. Danggui (Angelicae Sinensis Radix) enters the Foot Taiyang and Foot Shaoyin meridians, akin to being at the "nine springs" (deep depths), thereby nourishing the liver's yang qi and promoting its upward surge. This method first tonifies yang, then clears fire from the Foot Jueyin Liver Meridian at the biao (superficial/distal) points of the Foot Taiyin Spleen Meridian, clearing fire hidden below in the yang. As stated in the *Neijing* (Classic of Internal Medicine): "When yin is excess and yang is deficient, one should first tonify yang, then drain yin." Take Shengyang Tang (Ascending-Yang Decoction) on an empty stomach daily, and Xiayin Wan (Yin-Draining Pill) before bed. Proper regimen and maintenance are required to achieve physical balance; take this formula when the weather is clear to tonify yang, allowing it to ascend to the extremities of the Liver Meridian, thereby clearing the orifices of the eyes.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Dangguishen (Radix Angelicae Sinensis - root body, wine-washed and dried), Gancaoshao (Radix Glycyrrhizae - tip), Shudihuang (Rehmanniae Radix Praeparata), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) each 1 liang; Zexie (Alismatis Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum) each 0.5 liang; Shengdihuang (Rehmanniae Radix, stir-fried), Bai Fuling (Poria), Zhimu (Anemarrhenae Rhizoma, stir-fried until yellow) each 3 qian; Chaihu (Bupleuri Radix) 2 liang; Fangfeng (Saposhnikoviae Radix), Baishao Yao (Paeoniae Radix Alba) each 5 qian; Rougui (Cinnamomi Cortex) 1 qian.
Administration: Each dose is five qian, decocted in water, taken on an empty stomach. Food should only be consumed after the medicinal effect has fully circulated.
Dongyuan Qianghuo Tuiyi Tang (Dongyuan Notopterygium Cornea-Dispelling Decoction)
Ingredients: Chaihu (6 qian total, split as per sub-doses? Text says "each 3 qian" for Chaihu/Gancao/Huangqi contextually implies standard dosing units, but text lists specific weights): Chaihu, Gancao, Huangqi (each 3 qian); Qianghuo, Huanglian (Coptidis Rhizoma), Wuweizi (Schisandrae Fructus), Shengma, Dangguishen (each 2 qian); Fangfeng (1.5 qian); Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex, wine-soaked), Shaoyao, Caolongdan (Gentianae Viridisl Caulis, wine-washed) (each 5 qian); Shigao (Gypsum Fibrosum) 2.5 qian.
Administration: Divide into two doses. Decoct in water with a small amount of wine. Take hot before bedtime. Avoid speaking during administration.
Qianfu Wuxiu Chongming Wan (Qianfu Five-Essence Brightening Pill): Treats corneal membranes obscuring the pupil, causing eye dryness, irritation, and blurred vision. Regular use clears and benefits the head and eyes.
Ingredients: Gan Juhua (Chrysanthemi Flos) 500 flowers; Jingjie (Schizonepetae Spica) 500 spikes; Muzei (Equiseti Herba, nodes removed) 500 stems; Chushi (Corni Fructus) 500 fruits.
Preparation and Administration: Ground into powder, made into honey pills sized like paulownia seeds. Each dose is 50 pills, dissolved and taken with plain warm water.
Chonghe Yangwei Tang (Harmonizing and Stomach-Nourishing Decoction): Treats early-stage internal cataracts, characterized by slight visual dimness, floaters (black flowers in the visual field), aqueous humor turning pale green, followed by diplopia (seeing double images), aqueous humor turning pale white, and eventually complete blindness with pure white aqueous humor.
Ingredients: Chaihu (7 qian); Renshen, Danggui, Zhigancao (Honey-fried Licorice), Ganshengjiang (Dried Ginger), Shengma, Gegen (Puerariae Radix), Baizhu, Qianghuo (each 1 liang); Fangfeng (5 qian); Huangqi (1.5 liang); Bai Fuling (3 qian); Baishao Yao (6 qian); Wuweizi (2 qian).
Administration: Each dose is two qian, decocted in water.
Ziyin Shenqi Wan (Nourishing Yin and Kidney Qi Pill): Treats conditions where the aqueous humor widens and scatters, vision is blurry as if walking in fog, gradual appearance of floaters, diplopia, eventual inability to focus light, and internal cataracts with pale white aqueous humor.
Ingredients: Shudihuang (3 liang); Dangguiwei (Angelicae Sinensis Radix - tail), Mudanpi (Moutan Cortex), Wuweizi, Ganshanyao (Dioscoreae Rhizoma), Chaihu (each 5 qian); Fuling, Zexie (each 2.5 qian); Shengdihuang (wine-stir-fried, 4 liang).
Preparation and Administration: Ground into powder, made into honey pills sized like paulownia seeds, coated with Zhusha (Cinnabar). Each dose is 10 pills, dissolved and taken on an empty stomach with rolling hot water.
Xiere Huanglian Tang (Heat-Draining Coptis Decoction): Treats internal cataracts accompanied by ocular discharge and tearing.
Ingredients: Huangqin, Huanglian, Shengdihuang (all wine-washed), Chaihu (each 1 liang); Shengma (5 qian); Longdancao (Gentianae Radix) 3 qian.
Administration: Each dose is one qian, decocted in water, taken in the forenoon.
Chaihu Fusheng Tang (Bupleurum Revitalization Decoction): Treats redness, photophobia, excessive tearing with little discharge, heaviness in the vertex, pain in the eyeballs radiating to the temporal region, weak eyelids often wanting to close, soreness after prolonged viewing, and depressed/collapsed corneal opacities.
Ingredients: Bencao (Ligustici Rhizoma et Radix), Manjingzi (Viticis Semen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo, Duhuo, Baizhi (Angelicae Dahuricae Radix) (each 2.5 fen); Baishao Yao (stir-fried), Zhigancao, Bohe (Menthae Haplocalycis Herba), Jiegeng (Platycodonis Radix) (each 4 fen); Cangzhu (Atractylodis Rhizoma), Fuling, Huangqin (stir-fried) (each 5 fen); Chaihu (6 fen); Wuweizi (12 berries, crushed).
Administration: Each dose is two qian, decocted in water, taken after meals.
Huanglian Yanggan Wan (Coptis Sheep Liver Pill): Treats redness in the eyes, surging pulse, and severe ocular discharge and tearing.
Ingredients: Huanglian (ground into powder), Bai Jie Yanggan (White Ram Liver, one whole).
Preparation and Administration: Scrape the sheep liver with a bamboo knife into a paste, remove fascia and sinews, grind finely with Huanglian, and form pills sized like paulownia seeds. Each dose is 10 pills, dissolved and taken with tea infusion.
Fuling Zaoshi Tang (Poria Drying-Dampness Decoction): Treats children who are easily hungry and thirsty, have abdominal distension and sores, painful eyes with non-opening corneal opacities, purulent discharge and tearing, commonly known as "Gan Du Yan" (Malnutrition Toxic Eye).
Ingredients: Baizhu, Renshen, Gancao (stir-fried), Zhike (Bitter Orange Fruit, bran-fried), Fuling, Manjingzi, Bohe (each 2 fen); Cangzhu, Qianhu (Peucedani Radix), Duhuo (each 3 fen); Chuanxiong, Qianghuo (each 3.5 fen); Chaihu (4 fen); Zexie (1.5 fen).
Administration: Each dose is two qian, decocted in water.
Jufang Juqing Wan (Bureau Formula Eye-Brightening Pill): Treats visual blurring and dimness due to Spleen and Kidney deficiency.
Ingredients: Gouqizi (Lycii Fructus), Congrong (Cynomorii Herba, wine-soaked and fried), Bajitian (Morindae Officinalis Radix, heart removed) (each 1 liang); Gan Juhua (4 liang).
Preparation and Administration: Ground into powder, made into honey pills sized like paulownia seeds. Each dose is 10 pills, dissolved and taken on an empty stomach with plain warm water.
Yiqing Wan (Suppress-Green Pill) (See formula under Jingti - Startling/Crying)
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (See formula under Neidiao - Internal Hooking)
Da Wuyi Tang (Major Wormseed Decoction) (See formula under Gan Zheng - Malnutrition Syndrome)
Jiuwei Lushui Wan (Nine-Ingredient Aloe Pill) (See formula under Zhu Zheng - Various Syndromes)
Yigong San (Extraordinary Merit Powder) (See formula under Neidiao - Internal Hooking)
Xiao Chaihu Tang (Minor Bupleurum Decoction) (See formula under Jingzheng - Spasm Syndrome)
Chaihu Zhizi San (Bupleurum and Gardenia Powder) (See formula under Fatre - Fever)
Chanchu Wan (Toad Pill) (See formula under Zhu Gan - Various Malnutrition Syndromes)