条文:玉翳浮满时或疼,风热冲脑盖瞳睛,洗刀通圣羌独细,蒺元贼决蜕蔓青。
方剂:洗刀散方
即防风通圣散加羌活、独活、细辛、蒺藜、元参、木贼、草决明、蝉蜕、
蔓荆子、青葙子各一钱
【注】[1]玉翳浮满之证,初起时,或疼痛,黑睛上翳如玉色,遮盖瞳人,皆缘
肝经热极,风热冲脑所致。
[2]宜用洗刀散,除风热而消翳膜也。
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分类:补遗
条文:白眼痛病不红肿,红丝赤脉沙涩疼,肺脾湿热兼伏火,须辨赤脉三阳经。
桑皮泽元芩桔,菊草旋苓桑麦冬。
方剂:桑白皮汤方
泽泻八分 元参八分 黄芩一钱 桔梗七分 菊花五分 甘草二分半 旋
覆花一钱 茯芩七分 桑白皮七分 麦门冬(去心)一钱
右为粗末,以水二盏,煎至一盏,去渣温服。
【注】[1]白眼痛者,俗呼为害白眼。
[2]其证不红、不肿,沙涩疼痛,多生红丝赤
脉。
[3]乃脾肺络伤湿热,兼气分俟火上冲所致。
[4]须看赤脉红丝,以辨三阳:从上而下者太阳也,羌活为使;从下而上
者阳明也,升麻为使;从外至内者少阳也,柴胡为使。
[5]宜桑白皮汤主之。
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【玉翳浮满歌】
条文:玉翳浮满时或疼痛,风热之邪上冲脑部并波及瞳神。治疗宜用洗刀散合防风通圣散,并加入羌活、独活、细辛、蒺藜、玄参、木贼、草决明、蝉蜕、蔓荆子、青葙子各一钱。
方剂:洗刀散方
即防风通圣散(Fangfeng Tongsheng San, Wind-Protective Universal Rescue Powder)加羌活(Notopterygii Rhizoma et Radix)、独活(Angelicae Pubescentis Radix)、细辛(Asari Radix et Rhizoma)、蒺藜(Tribuli Fructus)、玄参(Scrophulariae Radix)、木贼(Equiseti Herba)、草决明(Cassiae Semen)、蝉蜕(Cicadae Periostracum)、蔓荆子(Viticis Fructus)、青葙子(Celosiae Semen)各一钱。
【注释】
[1] 玉翳浮满这一病证,初起时,有时会出现疼痛症状。黑睛(角膜)上出现如玉色般的翳膜,遮盖瞳孔,这都是因为肝经热毒极盛,风热之邪上冲头部所致。
[2] 适宜使用洗刀散,以祛除风热并消除翳膜。
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【白眼痛歌】
条文:白眼痛病表现为不红不肿,伴有红丝赤脉及沙涩感与疼痛。此乃肺脾湿热兼有伏火所致,必须辨别赤脉所在的三阳经脉。治疗宜用桑白皮汤,药物包括桑白皮、泽泻、玄参、黄芩、桔梗、菊花、甘草、旋覆花、茯苓、桑白皮、麦门冬。
方剂:桑白皮汤方
泽泻(Alismatis Rhizoma)八分,玄参(Scrophulariae Radix)八分,黄芩(Scutellariae Radix)一钱,桔梗(Platycodonis Radix)七分,菊花(Chrysanthemi Flos)五分,甘草(Glycyrrhizae Radix et Rhizoma)二分半,旋覆花(Inulae Flos)一钱,茯苓(Poria)七分,桑白皮(Mori Cortex)七分,麦门冬(Ophiopogonis Radix,去心)一钱。
以上药材研为粗末,用水两盏,煎煮至一盏,去渣滓后温服。
【注释】
[1] 白眼痛,俗称“害白眼”。
[2] 其症状表现为眼睛不红、不肿,但有沙涩感和疼痛,且多伴有红丝赤脉。
[3] 这是由于脾肺络脉受损,湿热内蕴,兼之气分伏火上冲所致。
[4] 必须观察赤脉红丝的走向,以辨别所属的三阳经:从上往下的属于太阳经(Taiyang Meridian),以羌活为使药;从下往上的属于阳明经(Yangming Meridian),以升麻为使药;从外向内的属于少阳经(Shaoyang Meridian),以柴胡为使药。
[5] 适宜用桑白皮汤为主进行治疗。
[Song of Jade Opacity Floating Fullness]
Text: Jade opacity floating fullness may occasionally cause pain; wind-heat pathogenic factors rush to the brain and affect the pupil. Treatment should utilize Xidao San (Knife-Washing Powder) combined with Fangfeng Tongsheng San (Wind-Protective Universal Rescue Powder), adding Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Jili (Tribuli Fructus), Yuan Shen (Scrophulariae Radix), Mu Zei (Equiseti Herba), Cao Jueming (Cassiae Semen), Chan Tui (Cicadae Periostracum), Man Jing Zi (Viticis Fructus), and Qing Xiang Zi (Celosiae Semen), each one qian (approx. 3-5 grams).
Formula: Xidao San Formula
It is Fangfeng Tongsheng San (Wind-Protective Universal Rescue Powder) plus Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Jili (Tribuli Fructus), Yuan Shen (Scrophulariae Radix), Mu Zei (Equiseti Herba), Cao Jueming (Cassiae Semen), Chan Tui (Cicadae Periostracum), Man Jing Zi (Viticis Fructus), and Qing Xiang Zi (Celosiae Semen), each one qian.
Annotations:
[1] The syndrome of jade opacity floating fullness, at its onset, may present with occasional pain. An opacity resembling jade color appears on the black cornea (Cornea), covering the pupil. This is entirely due to extreme heat toxicity in the Liver Meridian (Liver Channel), where wind-heat pathogenic factors rush upward to the head.
[2] It is appropriate to use Xidao San (Knife-Washing Powder) to dispel wind-heat and eliminate the opacity membrane.
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[Song of White Eye Pain]
Text: White eye pain disease presents without redness or swelling, but with red filaments, blood vessels, a gritty sensation, and pain. This condition is caused by damp-heat in the Lung and Spleen combined with latent fire. One must distinguish which of the Three Yang Meridians the red vessels belong to. Treatment should utilize Sangbaipi Tang (Mulberry Bark Decoction), comprising Sang Bai Pi (Mori Cortex), Ze Xie (Alismatis Rhizoma), Yuan Shen (Scrophulariae Radix), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Ju Hua (Chrysanthemi Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xuan Fu Hua (Inulae Flos), Fu Ling (Poria), Sang Bai Pi (Mori Cortex), and Mai Men Dong (Ophiopogonis Radix).
Formula: Sangbaipi Tang Formula
Ze Xie (Alismatis Rhizoma) 8 fen, Yuan Shen (Scrophulariae Radix) 8 fen, Huang Qin (Scutellariae Radix) 1 qian, Jie Geng (Platycodonis Radix) 7 fen, Ju Hua (Chrysanthemi Flos) 5 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2.5 fen, Xuan Fu Hua (Inulae Flos) 1 qian, Fu Ling (Poria) 7 fen, Sang Bai Pi (Mori Cortex) 7 fen, Mai Men Dong (Ophiopogonis Radix, heart removed) 1 qian.
Grind the above herbs into a coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm.
Annotations:
[1] White eye pain is commonly known as "Harmful White Eye."
[2] Its symptoms include no redness and no swelling, but rather a gritty sensation and pain, often accompanied by red filaments and blood vessels.
[3] This is caused by damage to the collaterals of the Spleen and Lung, with internal accumulation of damp-heat, combined with latent fire in the Qi level rushing upward.
[4] One must observe the direction of the red filaments and blood vessels to distinguish the Three Yang Meridians: Those running from top to bottom belong to the Taiyang Meridian (Taiyang Channel), using Qianghuo (Notopterygii Rhizoma et Radix) as the guiding herb; those running from bottom to top belong to the Yangming Meridian (Yangming Channel), using Sheng Ma (Cimicifugae Rhizoma) as the guiding herb; those running from outside to inside belong to the Shaoyang Meridian (Shaoyang Channel), using Chai Hu (Bupleuri Radix) as the guiding herb.
[5] It is appropriate to treat primarily with Sangbaipi Tang (Mulberry Bark Decoction).