条文：混睛初起白睛混，渐生赤脉遮瞳睛，或混白膜漫珠上，白忌苔光赤散红，
先痒后疼隐涩泪，肝藏毒风□洗通，后服地黄生熟生，蒺藜当归甘草通，
黄连木贼乌犀角，羌活元参军谷精。
方剂：地黄散方
生地黄七钱 熟地黄（焙干）七钱 白蒺藜（炒）四钱 当归七钱 甘草
（灸）五钱 木通五钱 黄连（酒炒）五钱 木贼五钱 乌犀角（镑）五
钱 羌活五钱 元参五钱 大黄七钱 谷精草五钱
右为细末，令匀，每服三钱，煮羊肝汁食远调服。
摩障灵光膏方见卷末
【注】[1]混睛之证，初起白睛湿赤，渐生赤脉，遮漫乌睛，或白或赤漫珠一色
，白忌光滑如苔，赤忌赤脉外散，其证初起则先痒后痛，渐致碜涩泪
出，羞明隐痛，视物昏蒙，此乃肝藏毒风与瘀血上凝所致。
[2]先宜□洗去瘀，后服地黄散，外点摩障灵光膏。
%
分类：补遗
条文：产后患目血不足，病有三因治可通，思哭劳瞻多内障，嗜辛厚味外障成。
外因头风风烂湿，四物补香附芎，夏枯熟地归芍草，随人加减可收功。
方剂：四物补肝汤方
香附（酒制）一钱五分 川芎一钱 夏枯草二钱 熟地黄（焙干）四钱
当归身（酒洗）二钱 白芍药（酒洗）一钱五分 甘草（炙）五分
右为粗末，以水二盏，煎至一盏，食远，去渣温服。
【注】[1]产后患目，乃去血过多不足之证，病虽有三因之别，而治法可以加减
变通。
[2]内因者，多缘思虑哭泣，或竭视势瞻，致成内障，须四物补肝汤，倍
熟地芎归；外因者，因嗜辛辣厚味，或因头风，致成风赤湿烂。
[3]宜本方倍香附、川芎、夏枯草，随证加减以治之。
%
【混睛歌】
混睛证初起时，白睛（巩膜）出现浑浊，逐渐生出赤色血脉遮蔽瞳孔。或者浑浊的白膜蔓延覆盖整个眼球，白色者忌讳表面光滑如苔藓，红色者忌讳赤脉向外散开。症状表现为先痒后痛，伴有隐涩感和流泪。治疗应先使用熏洗法疏通肝经毒风，随后服用由生地黄和熟地黄组成的方剂，配合蒺藜、当归、甘草等药物以通利经络，再加入黄连、木贼、乌犀角、羌活、元参、大黄、谷精草等药材。
方剂：地黄散方
生地黄七钱，熟地黄（焙干）七钱，白蒺藜（炒）四钱，当归七钱，甘草（灸）五钱，木通五钱，黄连（酒炒）五钱，木贼五钱，乌犀角（镑）五钱，羌活五钱，元参五钱，大黄七钱，谷精草五钱。
以上药物研为细末，混合均匀，每次服用三钱，用煮羊肝的汁液在饭后调服。
摩障灵光膏方见本书卷末。
【注】[1] 混睛证初起时，白睛湿润发红，逐渐生出赤色血脉，遮蔽并蔓延至黑睛（角膜），使黑白珠呈现一片白色或红色。白色者忌讳表面光滑如苔藓，红色者忌讳赤脉向外散开。该证初起时先痒后痛，逐渐导致异物感、涩痛和流泪，畏光且隐痛，视物昏蒙，这是由于肝藏毒风与瘀血上凝所致。
[2] 治疗应先采用熏洗法去除瘀滞，随后服用地黄散，外用摩障灵光膏点眼。
【产后病目病】
条文：产后患眼疾因血不足引起，病因有三类，治疗方法可通晓。思虑哭泣、劳累用眼过多会导致内障；嗜好辛辣厚味会导致外障。
外因包括头风、风邪、烂湿，可用四物汤补血，加入香附、川芎；夏季枯草、熟地黄、当归、白芍、甘草，根据患者情况加减即可见效。
方剂：四物补肝汤方
香附（酒制）一钱五分，川芎一钱，夏枯草二钱，熟地黄（焙干）四钱，当归身（酒洗）二钱，白芍药（酒洗）一钱五分，甘草（炙）五分。
以上药物捣成粗末，用水两盏，煎至一盏，饭后去渣温服。
【注】[1] 产后患眼疾，是由于失血过多导致的血虚证。虽然病因分为三类，但治疗方法可以通过加减变通来实施。
[2] 内因者，多因思虑过度、哭泣，或过度用眼，导致形成内障，需使用四物补肝汤，加倍使用熟地黄、川芎、当归；外因者，因嗜好辛辣厚味，或因头风，导致形成风赤湿烂。
[3] 宜在本方基础上加倍使用香附、川芎、夏枯草，并根据证候加减以治疗。
<translation>
[Mixing-Pupil Song]
In the early stage of the Mixing-Pupil syndrome, the Baijing (sclera) becomes turbid, and gradually red meridians grow to cover the pupil. Alternatively, a turbid white membrane spreads over the entire eyeball. For the white type, smoothness like moss is contraindicated; for the red type, the dispersion of red meridians outward is contraindicated. The symptoms manifest as itching followed by pain, accompanied by a dull, gritty sensation and tearing. Treatment should first employ fumigation and washing to unblock the toxic wind in the Liver channel, followed by administering a decoction containing Sheng Dihuang (Raw Rehmanniae Radix) and Shu Dihuang (Prepared Rehmanniae Radix), combined with Jili (Tribuli Fructus), Danggui (Angelicae Sinensis Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) to unblock the collaterals. Additional herbs such as Huanglian (Coptidis Rhizoma), Muzei (Equiseti Herba), Wu Xijiao (Rhinocerotis Cornu), Qianghuo (Notopterygii Rhizoma et Radix), Yuanshen (Scrophulariae Radix), Dahuang (Rhei Radix et Rhizoma), and Gujingcao (Glehniae Fructus) are added.
Formula: Dihuang San (Rehmannia Powder)
Sheng Dihuang (Raw Rehmanniae Radix) 7 qian, Shu Dihuang (Prepared Rehmanniae Radix, baked dry) 7 qian, Baijili (Tribuli Fructus, stir-fried) 4 qian, Danggui (Angelicae Sinensis Radix) 7 qian, Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 5 qian, Mutong (Akebiae Caulis) 5 qian, Huanglian (Coptidis Rhizoma, fried with wine) 5 qian, Muzei (Equiseti Herba) 5 qian, Wu Xijiao (Rhinocerotis Cornu, sliced into shavings) 5 qian, Qianghuo (Notopterygii Rhizoma et Radix) 5 qian, Yuanshen (Scrophulariae Radix) 5 qian, Dahuang (Rhei Radix et Rhizoma) 7 qian, Gujingcao (Glehniae Fructus) 5 qian.
Grind all ingredients into a fine powder and mix evenly. Take 3 qian per dose, mixed with the juice of boiled sheep liver, administered after meals.
The formula for Mozhang Lingguang Gao (Ointment for Rubbing Away Cataracts and Spiritual Light) is found at the end of this volume.
Annotation [1]: In the early stage of the Mixing-Pupil syndrome, the sclera is moist and reddish, with gradual growth of red meridians covering and spreading over the Heijing (cornea/pupil area), making the black and white parts appear uniformly white or red. For the white presentation, smoothness resembling moss is contraindicated; for the red presentation, the outward dispersion of red meridians is contraindicated. Initially, the condition presents with itching followed by pain, gradually leading to a foreign body sensation, grittiness, tearing, photophobia, dull pain, and blurred vision. This is caused by the accumulation of toxic wind and blood stasis in the Liver organ ascending upwards.
Annotation [2]: Treatment should initially utilize fumigation and washing to remove blood stasis, followed by the administration of Dihuang San, and the external application of Mozhang Lingguang Gao.
[Postpartum Eye Diseases]
Text: Postpartum eye diseases arise from blood deficiency. There are three etiologies, and their treatments can be understood. Excessive thinking, crying, and visual fatigue lead to internal cataracts (Neizhang); a preference for spicy and rich foods leads to external cataracts (Waizhang).
External causes include headache due to wind, wind-induced erosion, and dampness. These can be treated with Siwu Tang (Four Substances Decoction) to nourish blood, supplemented with Xiangfu (Cyperi Rhizoma) and Chuanxiong (Ligustici Chuanxiong Rhizoma). Add Xiakucao (Prunellae Spica), Shu Dihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), and Gancao (Glycyrrhizae Radix et Rhizoma), adjusting according to the patient's condition for effective results.
Formula: Siwu Bugan Tang (Four Substances Liver-Nourishing Decoction)
Xiangfu (Cyperi Rhizoma, processed with wine) 1.5 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian, Xiakucao (Prunellae Spica) 2 qian, Shu Dihuang (Prepared Rehmanniae Radix, baked dry) 4 qian, Danggui Shen (Angelicae Sinensis Radix, washed with wine) 2 qian, Baishao (Paeoniae Radix Alba, washed with wine) 1.5 qian, Gancao (Glycyrrhizae Radix et Rhizoma, roasted) 0.5 qian.
Grind the ingredients into coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Annotation [1]: Postpartum eye diseases are conditions of blood deficiency caused by excessive blood loss. Although the etiologies differ into three categories, the treatment methods can be modified and adjusted accordingly.
Annotation [2]: Internal causes often stem from excessive mental worry, crying, or overuse of vision, leading to the formation of internal cataracts (Neizhang). This requires the Siwu Bugan Tang, with increased dosages of Shu Dihuang (Prepared Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Danggui (Angelicae Sinensis Radix). External causes result from a preference for spicy and rich foods or from headaches due to wind, leading to wind-redness and damp erosion (Waizhang).
Annotation [3]: It is advisable to increase the dosages of Xiangfu (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Xiakucao (Prunellae Spica) in this formula and adjust based on the specific syndrome for treatment.
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