条文:圆翳青白一点圆,宛如油点水中间,肝风冲脑脂下注,明视翳小暗看宽。
虚热羚羊饮车细,参苓防如一同煎,实用防风芩桔梗,硝黄茺黑细知前。
方剂:圆翳羚羊饮
羚羊角一钱 车前子一钱 细辛五分 人参一钱 黄芩一钱 防风二钱
知母一钱
右为粗末,以水二盏,煎至一盏,夜食后去滓温服。
圆翳防风散方
防风二钱 黄芩一钱 桔梗二钱 芒硝一钱 大黄一钱 茺蔚子一钱 黑
参一钱 细辛五分 知母二钱 车前子一钱
右为粗末,以水二盏,煎至一盏,食后去渣温服。
【注】[1]圆翳内障初起之时,黑睛上一点青白,宛如油点浮于水面,暗处视之
,其翳青白而大;明处看之,其形差小。
[2]缘肝风上冲,脑脂下注所致,宜审其虚实而调之。
[3]虚者用羚羊角饮子,清其虚热,实者宜防风散,泄其热邪也。
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条文:滑翳水银珠子样,微含黄色熟瞳神,肝风冲脑脂下注,不痒不疼渐渐昏,
须用补肝苓桔蔚,芩防芎母黑归参,有余决明车味细,军苓知蔚黑防芩。
方剂:滑翳补肝汤方
茯苓一钱 桔梗一钱 茺蔚子二钱 黄芩一钱 防风二钱 川芎一钱 知
母一钱 黑参一钱 当归身二钱 人参一钱
右为粗末,以水二盏,煎至一盏,食后去渣温服。
滑翳决明丸方
石决明一两 车前子一两 五味子半两 细辛半两 大黄一两 茯苓一两
知母一两 茺蔚子一两 黑参一两 防风一两 黄芩一两
右为细末 ,炼蜜为丸,如桐子大,食前茶清送下三钱。
【注】[1]滑翳内障,瞳心内一点如水银珠子之状,微含黄色,不痒不疼,无泪
而遮蔽瞳神,渐渐失明,后则左右相牵俱损,此乃肝风冲上,脑脂流
下所致。
[2]宜用补肝汤清散虚热,若有余用决明丸下行实热也。
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条文:圆翳内障初起时,黑睛上出现一点青白色圆形翳障,宛如油滴浮在水面中间。这是由于肝风上冲、脑脂下注所致,在明亮处视之,翳障显得较小;在昏暗处视之,则显得宽大。
虚热证宜用羚羊角饮,药物包括羚羊角、车前子、细辛、人参、茯苓、防风等一同煎煮;实证宜用防风散,药物包括防风、黄芩、桔梗、芒硝、大黄、茺蔚子、黑参、细辛、知母等煎服。
方剂:圆翳羚羊饮
羚羊角一钱,车前子一钱,细辛五分,人参一钱,黄芩一钱,防风二钱,知母一钱。
以上药材捣成粗末,用水两盏,煎至一盏,夜间饭后去渣温服。
圆翳防风散方
防风二钱,黄芩一钱,桔梗二钱,芒硝一钱,大黄一钱,茺蔚子一钱,黑参一钱,细辛五分,知母二钱,车前子一钱。
以上药材捣成粗末,用水两盏,煎至一盏,饭后去渣温服。
【注】[1] 圆翳内障初起之时,黑睛上有一点青白色,宛如油点浮于水面,在暗处视之,其翳障青白而大;在明处看之,其形状较差小。
[2] 此病缘由肝风上冲,脑脂下注所致,应当审察其虚实性质而进行调理。
[3] 虚证者使用羚羊角饮,以清其虚热;实证者宜用防风散,以泄其热邪。
条文:滑翳内障表现为瞳神内如一颗水银珠子样的翳障,微微含有黄色,这是肝风上冲、脑脂下注所致。患者不痒不疼,视力渐渐昏花。
须用补肝汤,药物包括茯苓、桔梗、茺蔚子、黄芩、防风、川芎、知母、黑参、当归、人参;若有余热(实证),则用决明丸,药物包括石决明、车前子、五味子、细辛、大黄、茯苓、知母、茺蔚子、黑参、防风、黄芩。
方剂:滑翳补肝汤方
茯苓一钱,桔梗一钱,茺蔚子二钱,黄芩一钱,防风二钱,川芎一钱,知母一钱,黑参一钱,当归身二钱,人参一钱。
以上药材捣成粗末,用水两盏,煎至一盏,饭后去渣温服。
滑翳决明丸方
石决明一两,车前子一两,五味子半两,细辛半两,大黄一两,茯苓一两,知母一两,茺蔚子一两,黑参一两,防风一两,黄芩一两。
以上药材研为细末,炼蜜为丸,大小如梧桐子,饭前用茶汁送服三钱。
【注】[1] 滑翳内障,瞳神中心内有一点如水银珠子状的翳障,微微含有黄色,不痒不疼,无泪液流出而遮蔽瞳神,致使视力渐渐失明,后来左右眼相互牵连均受损,这是肝风上冲,脑脂流下所致。
[2] 适宜使用补肝汤来清散虚热,若有实热余邪,则用决明丸使热邪下行。
Translation:
The text states: In the early stage of Yuan Yi (Round Opacity) cataract, a small, round, bluish-white opacity appears on the cornea (black pupil), resembling an oil drop floating in water. This condition is caused by Liver Wind rushing upward and Brain Marrow fluid flowing downward. When viewed in bright light, the opacity appears smaller; when viewed in dim light, it appears larger.
For deficiency-heat patterns, Lingyang Jiao Yin (Antelope Horn Decoction) should be used, which includes Antelope Horn, Qian Niu Zi (Plantago Seed), Xi Xin (Asarum), Ren Shen (Ginseng), Fu Ling (Poria), Fang Feng (Saposhnikovia Root), etc., decocted together. For excess patterns, Fang Feng San (Saposhnikovia Powder) should be used, which includes Fang Feng, Huang Qin (Scutellaria Root), Jie Geng (Platycodon Root), Mang Xiao (Mirabilite), Da Huang (Rhubarb), Chong Wei Zi (Leonurus Fruit), Hei Shen (Black Ginseng), Xi Xin, Zhi Mu (Anemarrhena Rhizome), etc., decocted for administration.
Formula: Yuan Yi Lingyang Yin (Round Opacity Antelope Horn Decoction)
Antelope Horn (Lingyang Jiao) 1 qian, Plantago Seed (Che Qian Zi) 1 qian, Asarum (Xi Xin) 5 fen, Ginseng (Ren Shen) 1 qian, Scutellaria Root (Huang Qin) 1 qian, Saposhnikovia Root (Fang Feng) 2 qian, Anemarrhena Rhizome (Zhi Mu) 1 qian.
Grind the above herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after evening meal.
Yuan Yi Fang Feng San Formula (Round Opacity Saposhnikovia Powder)
Saposhnikovia Root (Fang Feng) 2 qian, Scutellaria Root (Huang Qin) 1 qian, Platycodon Root (Jie Geng) 2 qian, Mirabilite (Mang Xiao) 1 qian, Rhubarb (Da Huang) 1 qian, Leonurus Fruit (Chong Wei Zi) 1 qian, Black Ginseng (Hei Shen) 1 qian, Asarum (Xi Xin) 5 fen, Anemarrhena Rhizome (Zhi Mu) 2 qian, Plantago Seed (Che Qian Zi) 1 qian.
Grind the above herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
[Note] [1] At the onset of Yuan Yi (Round Opacity) cataract, a bluish-white spot appears on the cornea, resembling an oil drop floating on water. Viewed in the dark, the opacity appears large and bluish-white; viewed in bright light, its shape appears smaller.
[2] The etiology is due to Liver Wind rushing upward and Brain Marrow fluid flowing downward. One must examine whether the pattern is deficiency or excess and regulate accordingly.
[3] For deficiency patterns, use Lingyang Jiao Yin (Antelope Horn Decoction) to clear deficiency heat; for excess patterns, use Fang Feng San (Saposhnikovia Powder) to drain excess heat pathogens.
The text states: Hua Yi (Slippery Opacity) cataract presents as an opacity within the pupil resembling a mercury bead, slightly containing a yellow hue. This is caused by Liver Wind rushing upward and Brain Marrow fluid flowing downward. The patient experiences no itching or pain, but vision gradually becomes dim.
One must use Bu Gan Tang (Liver-Nourishing Decoction), which includes Poria (Fu Ling), Platycodon Root (Jie Geng), Leonurus Fruit (Chong Wei Zi), Scutellaria Root (Huang Qin), Saposhnikovia Root (Fang Feng), Ligusticum Chuanxiong Rhizome (Chuan Xiong), Anemarrhena Rhizome (Zhi Mu), Black Ginseng (Hei Shen), Angelica Sinensis Radix (Dang Gui), and Ginseng (Ren Shen). If there is excess heat, use Jue Ming Wan (Concha Arcae Pill), which includes Concha Arcae (Shi Jue Ming), Plantago Seed (Che Qian Zi), Schisandra Berry (Wu Wei Zi), Asarum (Xi Xin), Rhubarb (Da Huang), Poria (Fu Ling), Anemarrhena Rhizome (Zhi Mu), Leonurus Fruit (Chong Wei Zi), Black Ginseng (Hei Shen), Saposhnikovia Root (Fang Feng), and Scutellaria Root (Huang Qin).
Formula: Hua Yi Bu Gan Tang Formula (Slippery Opacity Liver-Nourishing Decoction)
Poria (Fu Ling) 1 qian, Platycodon Root (Jie Geng) 1 qian, Leonurus Fruit (Chong Wei Zi) 2 qian, Scutellaria Root (Huang Qin) 1 qian, Saposhnikovia Root (Fang Feng) 2 qian, Ligusticum Chuanxiong Rhizome (Chuan Xiong) 1 qian, Anemarrhena Rhizome (Zhi Mu) 1 qian, Black Ginseng (Hei Shen) 1 qian, Angelica Sinensis Radix (Dang Gui) 2 qian, Ginseng (Ren Shen) 1 qian.
Grind the above herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Hua Yi Jue Ming Wan Formula (Slippery Opacity Concha Arcae Pill)
Concha Arcae (Shi Jue Ming) 1 liang, Plantago Seed (Che Qian Zi) 1 liang, Schisandra Berry (Wu Wei Zi) 0.5 liang, Asarum (Xi Xin) 0.5 liang, Rhubarb (Da Huang) 1 liang, Poria (Fu Ling) 1 liang, Anemarrhena Rhizome (Zhi Mu) 1 liang, Leonurus Fruit (Chong Wei Zi) 1 liang, Black Ginseng (Hei Shen) 1 liang, Saposhnikovia Root (Fang Feng) 1 liang, Scutellaria Root (Huang Qin) 1 liang.
Grind the above herbs into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 3 qian before meals, washed down with tea infusion.
[Note] [1] In Hua Yi (Slippery Opacity) cataract, there is an opacity within the center of the pupil resembling a mercury bead, slightly containing a yellow hue. There is no itching or pain, no tearing, and the opacity covers the pupil, causing gradual loss of vision. Later, both eyes may be affected sequentially. This is caused by Liver Wind rushing upward and Brain Marrow fluid flowing downward.
[2] It is appropriate to use Bu Gan Tang (Liver-Nourishing Decoction) to clear and disperse deficiency heat. If there is excess heat remaining, use Jue Ming Wan (Concha Arcae Pill) to guide the heat downward.