条文:妊娠目病有余证,须辨气分血分医,气分旋螺瞳散大,天冬饮用茯苓知,
羌活防风参五味,血分瘀血并凝脂,保胎芩芥归芍草,连翘芎地缩陈皮。
方剂:天门冬饮
天门冬一钱五分 茯苓一钱 知母一钱五分 羌活五分 人参五分 五味
子五分
右为粗末,以水二盏,煎至一盏,食后,去渣温服。
保胎清火汤方
黄芩一钱二分 荆芥穗 当归身 白芍药各一钱 甘草(炙)三钱 连翘
一钱 川芎八分 生地黄 缩砂仁 陈皮各一钱
右为粗末,以水二盏,煎至一盏,食远,去渣温服。
【注】[1]妊娠目病者,为有余之证,有气分、血分之别。
[2]属气分者,多见旋瞳人散大,乃气分之热,宜天门冬饮;属血分者,
多生瘀血,凝脂翳障,乃血分之热,宜用保胎清火汤以治之。
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条文:
方剂:焮肿膏方
腻粉少许 黄蜡 代赭石(研)各五钱 细磁末 黄柏(细末) 麻油各
一两
上为极细末,入铜杓内,入油蜡同煎为膏,涂患处。
紫金膏方
炉甘石(炉甘石入大银罐内,盐泥封固,用炭火□一炷香,以罐通红为度
,取起为来,用黄连水飞过,再入黄芩黄连黄柏汤内,将汤煮干,以甘石
松花色)四两 黄丹(入锅内,炒黑色,用草试之,草灼提起,如此三次
,研极细末水飞)四两 硼砂(研细飞过)三钱 朱砂(研细飞过)三钱
轻粉五分 青盐(水洗水泥)五分 珍珠三钱 白丁香(乳汁化开,去渣
)五分 没药五分 乳香五分 海螵蛸(去皮研细)二钱 桔矾五分 □
砂五分 当归(研细)五分 川芎(研细)五分 黄连(研细)五分 甘
草(研细)五分 麝香五分 冰片五分
如法炮制,各研极细无声,用好白蜜十五两,入锅内,熬去沫,只用白蜜
十两,先下炉甘石搅匀,次下黄丹搅匀,再下诸药,不住手搅匀,如紫金
色,不粘手为度。
石燕丹方
炉甘石(炉甘石入大银罐内,盐泥封固,用炭火□一炷香,以罐通红为度
,取起为末,用黄连水飞过,再入黄芩黄连黄柏汤内,将汤煮干,以甘石
如松花色)四两 硼砂(铜杓内同水煮干) 石燕 琥珀 朱砂(水飞)
各取净末一钱五分 鹰屎白(如无、白丁香代之)一钱 冰片麝香各分半
右为极细末,研至无声,每用少许 ,水蘸点眼大眦。
枯涩无泪,加熊胆、白蛋。血翳,加真阿魏。黄翳,加鸡内金,风热翳,
加蕤仁。热翳,加珍珠、牛黄。冷翳,加附子尖雄黄。老翳,倍硼砂,加
猪胰子。
摩风膏方
黄连 细辛 当归 杏仁(去皮、尖,为霜) 防风 松脂各五钱 白芷
黄蜡各一两 麻油四两
先将蜡油溶化,前药共研为细末,慢火熬膏,贴太阳穴。
摩障灵光膏方
黄连(锉如豆大,童便浸一宿,晒干为末)一两 黄丹(水飞)三两 当
归(酒洗)二钱 麝香五分 乳香五分 轻粉一钱 矿砂一钱 白丁香一
钱 龙脑一钱 海螵蛸(俱另研细末)一钱 炉甘石(以黄连一两,煎水
淬七次,研细)六两
先用好白蜜十两,熬五七沸,以净纸搭去蜡面,除黄丹外,下余药,用柳
搅匀;次下黄丹再搅,慢火徐徐搅至紫色,却将乳香、麝香、轻粉、□砂
和匀,入上药内,以不粘手为度。
广大重明汤方
防风 菊花 龙 胆草 甘草 细辛各等分
右为 粗末,水一盏,煎半盏,去渣带热熏洗。
五胆膏方
猪胆汁 黄牛胆汁 羊胆汁 鲤鱼胆汁各二钱五分 白蜜二两 胡黄连(
研末) 青皮(研末) 川黄连(研末) 熊胆各二钱五分
右将诸药末与蜜并胆汁和匀,入磁瓶内,以细纸封头牢系,坐饭甑中蒸,
待饭熟为度。
【注】
%
【原文】妊娠期间出现眼部疾病且表现为实证,必须辨别是气分病变还是血分病变进行治疗。若属气分病,可见瞳孔散大如旋螺状,宜用天门冬饮;方中包含茯苓、知母、羌活、防风、人参和五味子。若属血分病,多见瘀血停滞并伴有凝脂翳障,宜用保胎清火汤;方中包含黄芩、荆芥、当归、白芍、甘草、连翘、川芎、生地黄、缩砂仁和陈皮。
【方剂】天门冬饮
天门冬一钱五分,茯苓一钱,知母一钱五分,羌活五分,人参五分,五味子五分。
以上药物捣成粗末,加水两盏,煎煮至一盏,饭后去渣温服。
保胎清火汤方
黄芩一钱二分,荆芥穗、当归身、白芍药各一钱,炙甘草三钱,连翘一钱,川芎八分,生地黄、缩砂仁、陈皮各一钱。
以上药物捣成粗末,加水两盏,煎煮至一盏,饭后较长时间去渣温服。
【注】[1] 妊娠期间的眼部疾病属于实证,分为气分和血分两种类型。
[2] 属于气分的,多见瞳孔散大,这是气分有热,适宜使用天门冬饮;属于血分的,多产生瘀血和凝脂翳障,这是血分有热,适宜使用保胎清火汤来治疗。
【原文】
【方剂】焮肿膏方
腻粉少许,黄蜡、代赭石(研细)各五钱,细磁末、黄柏(研细末)、麻油各一两。
以上药物制成极细粉末,放入铜勺中,加入油和蜡共同煎制成膏,涂抹于患处。
紫金膏方
炉甘石(将炉甘石放入大银罐内,用盐泥密封固定,用炭火煅烧一炷香的时间,直到罐体通红为止,取出后作为原料,用黄连水飞制,再放入黄芩、黄连、黄柏的汤液中,将汤液煮干,使炉甘石呈现松花色)四两,黄丹(放入锅内,炒至黑色,用草测试,草被灼烧提起,如此重复三次,研磨成极细粉末并用水飞制)四两,硼砂(研细并水飞)三钱,朱砂(研细并水飞)三钱,轻粉五分,青盐(水洗并用泥土处理)五分,珍珠三钱,白丁香(用乳汁化开,去渣)五分,没药五分,乳香五分,海螵蛸(去皮研细)二钱,桔矾五分,硇砂五分,当归(研细)五分,川芎(研细)五分,黄连(研细)五分,甘草(研细)五分,麝香五分,冰片五分。
按照上述方法炮制,分别研磨至极细无声的状态,取优质白蜜十五两,放入锅内,熬去浮沫,仅保留十两白蜜。先加入炉甘石搅拌均匀,其次加入黄丹搅拌均匀,再加入其他药物,不停手地搅拌均匀,直至呈现紫色且不粘手为止。
石燕丹方
炉甘石(将炉甘石放入大银罐内,用盐泥密封固定,用炭火煅烧一炷香的时间,直到罐体通红为止,取出研成粉末,用黄连水飞制,再放入黄芩、黄连、黄柏的汤液中,将汤液煮干,使炉甘石呈现松花色)四两,硼砂(在铜勺内同水煮干),石燕、琥珀、朱砂(水飞)各取纯净粉末一钱五分,鹰屎白(如果没有,可用白丁香代替)一钱,冰片和麝香各半分。
以上药物研磨成极细粉末,研至无声,每次取少量,用水蘸取点入眼的大眼角。
若眼睛枯涩无泪,加熊胆和白蛋清。若有血翳,加真阿魏。若有黄翳,加鸡内金。若有风热翳,加蕤仁。若有热翳,加珍珠和牛黄。若有冷翳,加附子尖和雄黄。若有老翳,加倍使用硼砂,并加猪胰子。
摩风膏方
黄连、细辛、当归、杏仁(去皮、尖,研成霜)、防风、松脂各五钱,白芷、黄蜡各一两,麻油四两。
先将蜡和油熔化,将上述药物共研为细末,用慢火熬制成膏,贴敷于太阳穴。
摩障灵光膏方
黄连(锉成豆大小,用童便浸泡一夜,晒干后研成末)一两,黄丹(水飞)三两,当归(酒洗)二钱,麝香五分,乳香五分,轻粉一钱,矿砂一钱,白丁香一钱,龙脑一钱,海螵蛸(均另研细末)一钱,炉甘石(用一两黄连煎水淬炼七次,研细)六两。
先用优质白蜜十两,熬煮五到七沸,用净纸搭住去除蜡面杂质。除黄丹外,加入其余药物,用柳枝搅拌均匀;其次加入黄丹再次搅拌,用慢火徐徐搅拌至紫色,然后将乳香、麝香、轻粉、硇砂混合均匀,加入上述药物中,以不粘手为止。
广大重明汤方
防风、菊花、龙胆草、甘草、细辛各等分。
以上药物捣成粗末,加水一盏,煎煮至半盏,去渣后趁热熏洗。
五胆膏方
猪胆汁、黄牛胆汁、羊胆汁、鲤鱼胆汁各二钱五分,白蜜二两,胡黄连(研末)、青皮(研末)、川黄连(研末)、熊胆各二钱五分。
将上述药物粉末与蜂蜜及胆汁混合均匀,放入瓷瓶中,用细纸封住瓶口牢固系紧,坐在饭甑中蒸,等到饭熟即可。
【注】
Original Text: During pregnancy, if eye diseases present with excess syndromes, it is necessary to differentiate between Qi-level and Blood-level pathologies for treatment. If the pathology belongs to the Qi level, symptoms such as pupil dilation resembling a spiral shell may occur; Tianmendong Yin (Asparagus Root Decoction) should be used, containing Fuling (Poria), Zhimu (Anemarrhena Rhizome), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Renshen (Ginseng Radix), and Wuweizi (Schisandra Fruit). If the pathology belongs to the Blood level, blood stasis accompanied by lipid pannus (neovascularization of the cornea) may appear; Baotai Qinghuo Tang (Fetus-Protecting Fire-Clearing Decoction) should be used, containing Huangqin (Scutellaria Root), Jingjie (Schizonepeta Spike), Danggui (Angelica Sinensis Radix), Baishao (White Peony Root), Gancao (Licorice Root), Lianqiao (Forsythia Fruit), Chuanxiong (Ligusticum Rhizome), Shengdihuang (Rehmannia Root), Suozharen (Amomum Fruit), and Chenpi (Citrus Peel).
Formula: Tianmendong Yin (Asparagus Root Decoction)
Tianmendong (Asparagi Radix) 1.5 qian, Fuling (Poria) 1 qian, Zhimu (Anemarrhenae Rhizoma) 1.5 qian, Qianghuo (Notopterygii Rhizoma et Radix) 0.5 qian, Renshen (Ginseng Radix) 0.5 qian, Wuweizi (Schisandrae Fructus) 0.5 qian.
Grind the above herbs into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Baotai Qinghuo Tang Formula (Fetus-Protecting Fire-Clearing Decoction)
Huangqin (Scutellariae Radix) 1.2 qian, Jingjiesui (Schizonepetae Spica) 1 qian, Dangguishen (Angelicae Sinensis Radix) 1 qian, Baishaoyao (Paeoniae Radix Alba) 1 qian, Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) 3 qian, Lianqiao (Forsythiae Fructus) 1 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) 0.8 qian, Shengdihuang (Rehmanniae Radix) 1 qian, Suozharen (Amomi Fructus Rotundus) 1 qian, Chenpi (Citri Reticulatae Pericarpium) 1 qian.
Grind the above herbs into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm well after meals.
Note [1]: Eye diseases during pregnancy presenting as excess syndromes are differentiated into Qi-level and Blood-level categories.
Note [2]: Cases belonging to the Qi level often manifest with dilated pupils, indicating heat in the Qi level, suitable for Tianmendong Yin. Cases belonging to the Blood level often involve blood stasis and lipid pannus, indicating heat in the Blood level, suitable for treatment with Baotai Qinghuo Tang.
Original Text:
Formula: Xinzhang Gao Formula (Inflammation-Swelling Plaster)
Nifen (Calomelas) a small amount, Huangla (Yellow Beeswax) and Daizheshi (Haematitum) ground, each 5 qian, Cima (Magnetitum) fine powder, Huangbai (Phellodendri Cortex) fine powder, and Mayou (Sesame Oil) each 1 liang.
Grind all ingredients into an extremely fine powder. Place in a copper spoon, add oil and wax, and simmer into a plaster. Apply to the affected area.
Zijin Gao Formula (Purple Gold Plaster)
Luganshi (Calamina): Take Luganshi, place in a large silver jar, seal tightly with salt mud, calcine over charcoal fire for the duration of one incense stick until the jar glows red. Remove, grind, and process with Huanglian (Coptidis Rhizoma) water flotation. Then immerse in a decoction of Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Huangbai (Phellodendri Cortex), boil dry so that the Calamina takes on a pine-flower color. Quantity: 4 liang.
Huandan (Minium): Stir-fry in a pot until black, test with grass (grass chars when lifted), repeat three times, grind to extreme fineness and process with water flotation. Quantity: 4 liang.
Pengsha (Borax): Ground fine and processed with water flotation. Quantity: 3 qian.
Zhusha (Cinnabar): Ground fine and processed with water flotation. Quantity: 3 qian.
Qingfen (Calomelas): 0.5 qian.
Qingyan (Halitum): Washed with water and processed with clay. Quantity: 0.5 qian.
Zhenzhu (Margarita): 3 qian.
Baixiang (Streptopelia Turtur Guano): Dissolved in milk, strained. Quantity: 0.5 qian.
Moyao (Myrrha): 0.5 qian.
Ruxiang (Olibanum): 0.5 qian.
Haipiaoxiao (Sepiae Endoconcha): Skin removed, ground fine. Quantity: 2 qian.
Jufan (Alumen): 0.5 qian.
Naosha (Sal Ammoniac): 0.5 qian.
Danggui (Angelicae Sinensis Radix): Ground fine. Quantity: 0.5 qian.
Chuanxiong (Ligustici Chuanxiong Rhizoma): Ground fine. Quantity: 0.5 qian.
Huanglian (Coptidis Rhizoma): Ground fine. Quantity: 0.5 qian.
Gancao (Glycyrrhizae Radix et Rhizoma): Ground fine. Quantity: 0.5 qian.
Shexiang (Moschus): 0.5 qian.
Bingpian (Borneolum Syntheticum): 0.5 qian.
Process according to the above methods, grinding each ingredient to an extremely fine, silent state. Take 15 liang of high-quality white honey, boil in a pot to remove foam, retaining only 10 liang. First add Luganshi and stir evenly, then add Huandan and stir evenly, then add all other medicines, stirring continuously until the mixture turns purple and does not stick to the hands.
Shiyan Dan Formula (Stone Swallow Pill/Powder)
Luganshi (Calamina): Process as described in Zijin Gao (calcined, processed with Huanglian water, boiled in Huangqin/Huanglian/Huangbai decoction until dry, achieving pine-flower color). Quantity: 4 liang.
Pengsha (Borax): Boiled dry in a copper spoon.
Shiyan (Swallow Stone), Hupo (Electrum), Zhusha (Cinnabar) processed with water flotation: Each take pure powder 1.5 qian.
Yingshibai (Accipiter Hierax Excrement): 1 qian (if unavailable, substitute with Baixiang).
Bingpian (Borneolum Syntheticum) and Shexiang (Moschus): Each 0.5 fen.
Grind all ingredients into an extremely fine, silent powder. Use a small amount moistened with water to dot the outer canthus of the eye.
Modifications: For dry eyes without tears, add Xiongdan (Ursi Fel) and Bai danqing (Albumen Ovi Galli). For blood pannus, add Zhenawei (Ferulae Resina). For yellow pannus, add Jinneijin (Galli Gigerii Endothelium). For wind-heat pannus, add Ruiren (Pruni Armeniacae Semen). For heat pannus, add Zhenzhu (Margarita) and Niuhuang (Bovis Calculus). For cold pannus, add Fuzijian (Aconiti Lateralis Radix Preparata tip) and Xionghuang (Realgar). For old/chronic pannus, double the amount of Pengsha and add Zhuyanzi (Pancreas Suis).
Mofeng Gao Formula (Wind-Massaging Plaster)
Huanglian (Coptidis Rhizoma), Xixin (Asari Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Xingren (Armeniacae Semen Amarum, skin and tip removed, ground into paste), Fangfeng (Saposhnikoviae Radix), Songzhi (Pinus Resin) each 5 qian; Baizhi (Angelicae Dahuricae Radix), Huangla (Yellow Beeswax) each 1 liang; Mayou (Sesame Oil) 4 liang.
First melt the wax and oil. Grind the herbs into fine powder. Simmer slowly into a plaster. Apply to the Taiyang acupoint.
Mozhang Lingguang Gao Formula (Obstacle-Eliminating Spiritual Light Plaster)
Huanglian (Coptidis Rhizoma): Cut into bean-sized pieces, soak in child's urine overnight, dry, and grind to powder. Quantity: 1 liang.
Huandan (Minium): Processed with water flotation. Quantity: 3 liang.
Danggui (Angelicae Sinensis Radix): Washed with wine. Quantity: 2 qian.
Shexiang (Moschus): 0.5 qian.
Ruxiang (Olibanum): 0.5 qian.
Qingfen (Calomelas): 1 qian.
Kuangsasha (Salt Ammoniac?): 1 qian.
Baixiang (Streptopelia Turtur Guano): 1 qian.
Longnao (Borneolum): 1 qian.
Haipiaoxiao (Sepiae Endoconcha): All separately ground to fine powder. Quantity: 1 qian.
Luganshi (Calamina): Quench seven times in decoction of 1 liang Huanglian, then grind fine. Quantity: 6 liang.
First, take 10 liang of high-quality white honey, boil five to seven times, skim off impurities with clean paper. Except for Huandan, add the remaining medicines and stir evenly with a willow branch. Then add Huandan and stir again. Simmer slowly, stirring until purple. Finally, mix Ruxiang, Shexiang, Qingfen, and Naosha evenly, and incorporate into the main mixture. The consistency is ready when it does not stick to the hands.
Guangda Chongming Tang Formula (Broad and Heavy Brightening Decoction)
Fangfeng (Saposhnikoviae Radix), Juhua (Chrysanthemi Flos), Longdancao (Gentianae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Xixin (Asari Radix et Rhizoma) in equal proportions.
Grind into coarse powder. Add one cup of water, decoct until half a cup remains. Strain and use hot vapor or wash.
Wudan Gao Formula (Five Galls Plaster)
Zhudanye (Porci Bile), Niuhuangdan (Bovis Bile), Yangdan (Ovis Bile), Liyudan (Cyprini Carpio Bile) each 2.5 qian; Baimi (Mel Album) 2 liang; Huhuanglian (Picrorhizae Rhizoma, ground), Qingpi (Citri Reticulatae Pericarpium Viride, ground), Chuanhuilian (Coptidis Rhizoma, ground), Xiongdan (Ursi Fel) each 2.5 qian.
Mix all herb powders with honey and gallbladder bile evenly. Place in a porcelain bottle, seal tightly with thin paper, and steam in a rice steamer until the rice is cooked.
Note: