〔海〕 疮余毒,或肝虚入眼目,或肺虚为癣疥,或为痈疖。发在骨节,肾之虚也,发在肌肉,脾之虚也。
或在筋,或在头,或在面,或牙齿疳蚀,或咽喉肿痛,各随经而见,皆毒不散,蕴积而成。或病患始不早治,
或医者失治,遗于经络,其所由来,盖有自矣。宜服解毒等剂。
〔世〕痘毒,攻脾则泄泻身浮,攻肝则眼生翳膜,攻心则烦躁啼哭,攻肾则耳疼脓聚,攻肺则咳嗽痰涎。
〔丹〕治小儿痘疮余毒未散,食谷太早,补住毒瓦斯。
鼠粘子(六钱) 甘草(五分) 犀角(三钱) 荆芥 防风(各一钱) 白术(三钱) 枳壳(一钱) 水煎温
服。
〔丹〕如痘伤眼,必用山栀、赤芍、决明、归须、连翘、防风、桔梗、升麻,小剂末之调服。如眼无光,
过百日后,血气完复,则自明矣。
〔张炳〕治疮疹后毒瓦斯攻眼,或生翳膜赤黑之类。宜用四物汤加荆芥、防风煎服,兼用黑豆皮、谷精草、
海蛤、甘草等分为末,用熟猪肝切片蘸服,神妙。(一方,治痘毒目翳,用江西蛤粉、黑豆皮、甘草、密蒙花
等分为末,调服。)
〔丹〕痘后生翳数服效,用威灵仙、仙灵脾等分,洗净,不见火与日,为细末。每服随时,宜第三次米泔下。
钱氏黄柏膏痘初出涂面护眼。(方见痘大法。)调肝散治疮疹大盛,服之不入眼。(方见痘密。)
羊肝散(即下密蒙散,方见《活人》条。)
蝉蜕散 治 疮入眼,半年已里者,一月取效。
猪羊蹄甲(二两,入罐子内,盐泥固封,烧存性) 蝉壳(去土,取末,一两)
上二味,研入羚羊角细末二分,拌匀。每服一字,百日外儿一二分,三岁三四分,浆水或新水调下,
日三四,夜一二,食后。一年以上者,不治。
治疮疹入眼。
马屁勃(半两) 皂荚子(十四粒) 蛇皮(半两)
上入小罐子内,盐泥封固,烧存性,研细,温酒调下三钱,食后。
治疮疹入眼或翳。
栝蒌根(半两) 蛇皮(二钱)
上为细末,用羊肝一个,批开,入药末二钱,麻线缠定,米泔煮熟,频与食之。儿未能食肝,乳母多食之。
又方 用蝉蜕末,以水煮羊肝汤调服二三钱。
〔海〕地黄散 治小儿心肝壅热,目赤肿痛,生赤翳,或白膜遮睛。四边散漫者,尤易治。若暴遮黑睛
者多致失明,宜速用此方。亦治疮疹入眼。
熟地 当归(各一分) 黄连 大黄(煨。各一钱) 生地(去心) 木通(各一钱半) 防风 羌活
生犀(末) 蝉蜕(去土) 木贼 谷精草 白蒺藜(各一钱) 甘草(一钱半) 玄参(五分)
沙苑蒺藜(一钱)
上为细末,每服一字或五分,量儿大小加减,煎羊肝汤,食后调下,日三夜一。忌口将息。大人亦治。
〔垣〕治痘疮风热毒翳,膜晕遮睛,以泻青丸治之,大效。初觉易治。
〔云〕用竹叶汤和砂糖水,化下泻青丸二丸,渐至微利,神效。
〔《活》〕 入眼。用决明、拨云、密蒙花、通圣、蛤粉散之类,然无出此书。(海藏云∶莫若病时随经而取,
不使毒瓦斯转入眼中为尤妙,然眼有五轮亦当求责,此言为失治者说也。)
决明散 治疮痘疹入眼。海藏云∶此少阳太阴之剂。
决明子 栝蒌仁(各半两) 赤芍药 甘草(炙。各一分)
上为细末,入麝香少许,令匀,每服二钱,生米泔调下,临卧服。
拨云散 治疮痘入眼及生翳。
用桑螵蛸真者一两,炙令焦,细研,捣为末,入麝香少许,每服二钱,米泔调下。
密蒙花散 治小儿痘疮入眼,及无辜疳气入眼。
密蒙花(三两) 青葙子 决明子 车前子(各一两)
上末拌匀,用羊肝一大片,薄批糁上,湿纸裹煨熟,量多少,空心服之。(钱氏、海藏云∶即羊肝散。)
通圣散 治疹痘疮入眼及生翳。
白菊花(如无,甘菊代之,然不如白菊好) 绿豆 谷精草(去根,一两)
上为细末,每服一大钱,柿干一个,米泔水一盏,同煎,候米泔尽,只将柿干去核食之,不拘时,日三枚。
日近者五七日,远者半月取效。
蛤粉散 治小儿疮子入眼。
谷精草 蛤粉(各等分)
上为细末,每一钱匕,猪肝一两许批开,掺药卷了,用竹箬裹,麻线缚定。水一碗,煮令熟,入收口瓷瓶
熏眼。候温,取食之。日作,不过十日退。
〔《明》〕 疮入眼∶大杼(一壮。)
【海藏】疮疹余毒,若肝虚则侵入眼目,若肺虚则表现为癣疥,或形成痈疖。毒素发于骨节,是肾气虚弱所致;发于肌肉,是脾气虚弱所致。毒素或在筋脉,或在头部,或在面部,或导致牙齿疳蚀,或引起咽喉肿痛,均随经络循行部位显现,这都是因为毒邪未能消散,蕴积而成。或者患者起初未及时救治,或者医生治疗失误,致使毒邪遗留于经络之中,其致病原因,自有其根源。适宜服用解毒等方剂。
【世贤】痘毒,侵犯脾脏则导致泄泻、身体浮肿;侵犯肝脏则眼睛生出翳膜;侵犯心脏则烦躁不安、啼哭不止;侵犯肾脏则耳朵疼痛、脓液积聚;侵犯肺脏则咳嗽、痰涎增多。
【丹溪】治疗小儿痘疮余毒未散,因进食谷物过早,导致补益药物滞留了毒邪。
鼠粘子(六钱) 甘草(五分) 犀角(三钱) 荆芥 防风(各一钱) 白术(三钱) 枳壳(一钱) 加水煎煮,温服。
【丹溪】如痘毒损伤眼睛,必须使用山栀、赤芍、决明、当归须、连翘、防风、桔梗、升麻,制成小剂量药末调服。如果眼睛失明,经过一百天后,气血完全恢复,视力自然就会明亮。
【张炳】治疗疮疹后毒邪攻冲眼睛,或生出翳膜、红黑等症状。适宜使用四物汤加入荆芥、防风煎服,同时配合黑豆皮、谷精草、海蛤、甘草等分研为细末,用熟猪肝切片蘸取药末服用,效果神妙。(另一方法,治疗痘毒引起的目翳,使用江西蛤粉、黑豆皮、甘草、密蒙花等分研为细末,调服。)
【丹溪】痘后生翳,服用数剂即见效,使用威灵仙、仙灵脾等分,洗净,避免见火和日晒,研为细末。每次服用量根据时间调整,宜在第三次米泔水送服。钱乙的黄柏膏用于痘疮初出时涂抹面部以保护眼睛。(方剂见《痘大法》)。调肝散治疗疮疹大盛,服用后可防止毒邪入眼。(方剂见《痘密》)。羊肝散(即下文的密蒙散,方剂见《活人书》条)。蝉蜕散治疗疮毒入眼,病程在半年以内的,一个月可取效。
猪羊蹄甲(二两,放入罐内,用盐泥密封固封,烧至存性) 蝉壳(去土,取粉末,一两)
以上两味药,研磨加入羚羊角细末二分,拌匀。每次服用一字量,百日内的婴儿服用一二分,三岁幼儿服用三四分,用浆水或新汲水调下,每日三四次,夜间一二次,饭后服用。一年以上者,难以治愈。
治疗疮疹入眼。
马屁勃(半两) 皂荚子(十四粒) 蛇皮(半两)
以上放入小罐内,用盐泥封固,烧至存性,研细,温酒调下三钱,饭后服用。
治疗疮疹入眼或生翳。
栝蒌根(半两) 蛇皮(二钱)
以上研为细末,用一个羊肝切开,纳入药末二钱,用麻线缠紧,用米泔水煮熟,频繁让患儿食用。幼儿不能食肝的,乳母多食之。
又一方:用蝉蜕末,用水煮羊肝汤调服二三钱。
【海藏】地黄散治疗小儿心肝壅热,眼睛红肿疼痛,生出赤翳,或有白膜遮蔽瞳孔。四周散漫的,容易治疗。若是突然遮蔽黑睛的,多会导致失明,应迅速使用此方。也治疗疮疹入眼。
熟地黄 当归(各一分) 黄连 大黄(煨。各一钱) 生地黄(去心) 木通(各一钱半) 防风 羌活 生犀角(粉末) 蝉蜕(去土) 木贼 谷精草 白蒺藜(各一钱) 甘草(一钱半) 玄参(五分) 沙苑蒺藜(一钱)
以上研为细末,每次服用一字或五分,根据幼儿大小加减,煎羊肝汤,饭后调服,每日三次,夜间一次。注意忌口和调养。成人也可治疗。
【垣】治疗痘疮风热毒邪引起的翳膜晕遮瞳孔,用泻青丸治疗,效果显著。初期感觉症状时容易治疗。
【云】用竹叶汤加砂糖水,化开泻青丸二丸服用,逐渐达到轻微腹泻的效果,神效。
【《活人书》】痘毒入眼。使用决明散、拨云散、密蒙花散、通圣散、蛤粉散之类,但没有超出这些方剂的范围。(海藏说:不如在病时随经络选取药物,不让毒邪转入眼中更为巧妙,然而眼睛有五轮理论,也应当追究责任,这话是针对误治者说的。)
决明散治疗疮痘疹入眼。海藏说:这是少阳经和太阴经的方剂。
决明子 栝蒌仁(各半两) 赤芍药 甘草(炙。各一分)
以上研为细末,加入少许麝香,令均匀,每次服用二钱,用生米泔水调下,临睡前服用。
拨云散治疗疮痘入眼及生翳。
使用真桑螵蛸一两,炙烤至焦,细研,捣为末,加入少许麝香,每次服用二钱,米泔水调下。
密蒙花散治疗小儿痘疮入眼,以及无辜疳气入眼。
密蒙花(三两) 青葙子 决明子 车前子(各一两)
以上粉末拌匀,用一大片羊肝,薄切撒上药粉,湿纸包裹煨熟,根据情况多少,空腹服用。(钱乙、海藏说:即羊肝散。)
通圣散治疗疹痘疮入眼及生翳。
白菊花(如果没有,可用甘菊代替,但不如白菊好) 绿豆 谷精草(去根,一两)
以上研为细末,每次服用一大钱,配柿干一个,米泔水一盏,同煎,待米泔水煎尽,只将柿干去核食用,不拘时间,每日三枚。病程近者五七日,远者半月可取效。
蛤粉散治疗小儿疮子入眼。
谷精草 蛤粉(各等分)
以上研为细末,每一钱匕,猪肝一两许切开,掺药卷好,用竹箬包裹,麻线缚紧。水一碗,煮至熟,倒入收口瓷瓶中熏眼。待温度适宜,取出食用。每日一次,不超过十日即可消退。
[Haizang] Residual toxins from sores and rashes, if the Liver is deficient, invade the eyes; if the Lungs are deficient, manifest as tinea and scabies, or form carbuncles and furuncles. Toxems erupting in the bone joints indicate Kidney deficiency; those erupting in the muscles indicate Spleen deficiency. The toxin may reside in the sinews, head, or face, or cause dental caries and decay, or induce soreness and swelling of the throat. These manifestations follow the meridians, all resulting from toxins that fail to dissipate and accumulate. This may be due to the patient not seeking treatment early, or the physician failing to treat correctly, leaving the toxin lingering in the meridians. The origin of these conditions has its own causes. It is appropriate to administer detoxifying formulas.
[Shixian] Dacne (smallpox/rubella) toxins attacking the Spleen cause diarrhea and bodily edema; attacking the Liver cause ocular nebulae (corneal opacities); attacking the Heart cause restlessness and crying; attacking the Kidneys cause earache and pus accumulation; attacking the Lungs cause coughing and excessive phlegm.
[Danxi] To treat residual toxins from pediatric smallpox/rubella that have not dissipated, caused by eating grain too early which trapped the toxic qi:
Arctii Fructus (Niu Bang Zi, 6 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 5 fen), Rhinocerotis Cornu (Xi Jiao, 3 qian), Schizonepetae Herba (Jing Jie) and Saposhnikoviae Radix (Fang Feng, 1 qian each), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 3 qian), Aurantii Fructus (Zhi Ke, 1 qian). Decoct in water and take warm.
[Danxi] If dacne toxins damage the eyes, one must use Gardeniae Fructus (Zhi Zi), Paeoniae Radix Rubra (Chi Shao), Cassiae Semen (Jue Ming), Paeoniae Radix Rubra caulis (Gui Xu), Forsythiae Fructus (Lian Qiao), Saposhnikoviae Radix (Fang Feng), Platycodonis Radix (Jie Geng), and Cimicifugae Rhizoma (Sheng Ma), prepared as a fine powder in a small dose for oral administration with water. If vision is lost, after more than one hundred days, when Qi and Blood have fully recovered, vision will naturally clear.
[Zhang Bing] To treat post-rash toxins attacking the eyes, causing nebulae, redness, or blackening: Use Si Wu Tang (Four Substances Decoction) added with Jing Jie and Fang Feng, decocted and taken. Concurrently, grind equal parts of Black Bean Skin (Hei Dou Pi), Centipediniae Herba (Gu Jing Cao), Concha Meretricis et Cyclinae (Hai Ge), and Glycyrrhizae Radix et Rhizoma (Gan Cao) into a fine powder. Dip slices of cooked pork liver into the powder and consume. This is miraculous. (Another prescription for dacne-induced ocular nebula uses Jiangxi Concha Meretricis et Cyclinae, Black Bean Skin, Gan Cao, and Buddlejae Flos (Mi Meng Hua) in equal parts, ground and taken orally.)
[Danxi] For nebulae appearing after dacne, effective after several doses: Use Equal parts of Clematidis Radix et Caulis (Wei Ling Xian) and Epimedii Folium (Xian Ling Pi). Wash clean, avoid fire and sun, grind into a fine powder. Take an appropriate amount at any time, preferably administered with rice wash water during the third meal. Qian's Huang Bo Gao (Phellodendron Ointment) is applied to the face to protect the eyes when dacne first appears. (Formula see "Da Fa of Dacne"). Tiao Gan San (Regulate Liver Powder) treats severe rash eruptions, preventing toxins from entering the eyes. (Formula see "Mi of Dacne"). Yang Gan San (Sheep Liver Powder, i.e., Mi Meng San below, see "Huo Ren" section). Chan Tui San (Cicada Slough Powder) treats toxins entering the eyes; for cases within half a year, effectiveness is seen within one month.
Pig/Sheep Hoof Horns (2 liang, sealed in a jar with salt mud, calcined to retain nature), Cicada Slough (Chan Ke, cleaned of dirt, powdered, 1 liang).
Grind these two ingredients together with 2 fen of finely powdered Antilopis Cornu (Ling Yang Jiao). Mix well. Take 1 zi per dose. For infants under 100 days, take 1-2 fen; for 3-year-olds, take 3-4 fen. Administer with Jiang Shui (fermented rice water) or fresh water, 3-4 times daily, 1-2 times at night, after meals. Cases lasting over one year are incurable.
To treat rash toxins entering the eyes.
Polyporus Umbellatus (Ma Pi Bo, 0.5 liang), Gleditsiae Sinensis Spina (Zao Jia Zi, 14 grains), Serpent Skin (She Pi, 0.5 liang).
Place in a small jar, seal with salt mud, calcine to retain nature, grind fine. Take 3 qian mixed with warm wine, after meals.
To treat rash toxins entering the eyes or forming nebulae.
Trichosanthis Radix (Gua Lou Gen, 0.5 liang), Serpent Skin (She Pi, 2 qian).
Grind into a fine powder. Slice one sheep liver, insert 2 qian of powder, tie securely with hemp thread, and cook thoroughly in rice wash water. Feed frequently to the child. If the child cannot eat liver, the nursing mother should consume it abundantly.
Alternative method: Use Cicada Slough powder, mixed with boiled sheep liver soup, 2-3 qian per dose.
[Haizang] Di Huang San (Rehmannia Powder) treats pediatric excess heat in the Heart and Liver, causing red, swollen, painful eyes, red nebulae, or white membranes obscuring the pupil. Diffuse peripheral cases are easier to treat. Sudden obscuration of the cornea often leads to blindness; use this formula immediately. It also treats rash toxins entering the eyes.
Prepared Rehmanniae Radix (Shu Di) and Angelicae Sinensis Radix (Dang Gui, 1 fen each), Coptidis Rhizoma (Huang Lian) and Rheum Palmatum Radix et Rhizoma (Da Huang, roasted, 1 qian each), Raw Rehmanniae Radix (Sheng Di, heart removed) and Akebiae Caulis (Mu Tong, 1.5 qian each), Saposhnikoviae Radix (Fang Feng) and Notopterygii Rhizoma et Radix (Qiang Huo), Raw Rhinocerotis Cornu (Xi Jiao, powdered), Cicada Slough (Chan Tui, cleaned), Equiseti Herba (Mu Zei), Centipediniae Herba (Gu Jing Cao), Tribuli Fructus (Bai Ji Li, 1 qian each), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1.5 qian), Scrophulariae Radix (Xuan Shen, 5 fen), Astragali Complanati Semen (Sha Yuan Ji Li, 1 qian).
Grind into a fine powder. Take 1 zi or 5 fen per dose, adjusted for age. Mix with sheep liver soup decoction, take after meals, 3 times daily, once at night. Observe dietary restrictions. Effective for adults as well.
[Yuan] To treat wind-heat toxins from dacne causing nebulae and membranes obscuring the pupil, use Xie Qing Wan (Drain Blue Pill) for great efficacy. It is easy to treat in the initial stages.
[Yun] Dissolve 2 pills of Xie Qing Wan in Bamboo Leaf Decoction (Zhu Ye Tang) mixed with sugar water. Induce mild diarrhea gradually for miraculous effects.
[Huo Ren Shu] For toxins entering the eyes. Use Jue Ming San, Bo Yun San, Mi Meng Hua San, Tong Sheng San, or Ha Fen San. However, no formulas exceed those in this book. [Haizang comments]: It is better to select herbs according to the meridian during the illness to prevent toxins from transferring to the eyes, which is superior. Nevertheless, since the eyes correspond to the Five Wheels, one must investigate accordingly. This statement addresses misdiagnosis/mistreatment.
Jue Ming San (Cassia Seed Powder) treats rash/dacne entering the eyes. Haizang states: This is a Shaoyang and Taiyin formula.
Cassiae Semen (Jue Ming Zi) and Trichosanthis Semen (Gua Lou Ren, 0.5 liang each), Paeoniae Radix Rubra (Chi Shao Yao) and Glycyrrhizae Radix et Rhizoma (Gan Cao, roasted, 1 fen each).
Grind into a fine powder, add a little Moschus (She Xiang), mix evenly. Take 2 qian per dose with raw rice wash water, before bed.
Bo Yun San (Cloud-Piercing Powder) treats rash/dacne entering the eyes and forming nebulae.
Use authentic Mantis Egg Case (Sang Piao Xiao, 1 liang), roast until scorched, grind fine, add a little Moschus (She Xiang). Take 2 qian per dose with rice wash water.
Mi Meng Hua San (Buddleja Flower Powder) treats pediatric dacne entering the eyes and innocent malnutrition (Gan Qi) entering the eyes.
Buddlejae Flos (Mi Meng Hua, 3 liang), Celosiae Semen (Qing Xiang Zi), Cassiae Semen (Jue Ming Zi), Plantaginis Semen (Che Qian Zi, 1 liang each).
Mix powders evenly. Slice a large piece of sheep liver thinly, sprinkle powder on it, wrap in wet paper, and bake/cook. Take on an empty stomach according to tolerance. [Qian Yi, Haizang note: This is the Sheep Liver Powder.]
Tong Sheng San (Supreme Unity Powder) treats rubella/dacne entering the eyes and forming nebulae.
White Chrysanthemi Flos (Bai Ju Hua; substitute with Sweet Chrysanthemum if unavailable, but White is preferred), Mung Bean (Lu Dou), Centipediniae Herba (Gu Jing Cao, root removed, 1 liang).
Grind into a fine powder. Take 1 Da Qian per dose with one dried persimmon and one cup of rice wash water. Decoct together until the rice water is exhausted. Eat only the deseeded persimmon. No fixed time, 3 pieces daily. Effect seen in 5-7 days for recent cases, or half a month for distant cases.
Ha Fen San (Clam Powder) treats pediatric rash entering the eyes.
Centipediniae Herba (Gu Jing Cao) and Concha Meretricis et Cyclinae (Ha Fen, equal parts).
Grind into a fine powder. Take 1 Qian Bi per dose. Slice approx. 1 liang of pork liver, sprinkle powder, roll up, wrap in bamboo leaf, tie with hemp thread. Boil in one bowl of water until cooked. Pour into a narrow-necked porcelain bottle to fumigate the eyes. When warm, remove and eat. Once daily, resolves within 10 days.
[Ming Yi Zhi Zhang] Rash toxins entering the eyes: Da Shu (BL11) - Moxibustion, 1 zhuang.