条文:鹘眼凝睛睛突起,目珠胀硬痛难当,积热上冲脑热注,外用摩风针血良,
内服泻肠汤桔蔚,柴防芩黑共硝黄。
方剂:摩风膏方见卷末
泻肝汤方
桔梗 茺蔚子 柴胡 防风 黄芩 黑参 芒硝 大黄各等分
右为粗末,以水二盏,煎至一盏,食后,去渣温服。
【注】[1]鹘眼凝睛之证,睛突于外,不能动转,坚硬高努如鹘眼,胀满疼痛难
忍。
[2]此积热上冲,脑中风热,壅注于目所致。
[3]宜先用金针出血泻毒,外敷摩风膏,内服泻肝汤。
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条文:惊振内障缘击振,脑脂恶血下伤睛,睛变渐昏成内障,左右相传具损明。
镇肝石决茺山药,车柏辛防参茯苓,还睛散用人参桔,防细车前茺尉芎。
方剂:惊振镇肝丸方
石决明一两 茺蔚子一两 山药一两 车前子一两 柏子仁一两 细辛五
钱 防风一两五钱 人参一两 茯苓一两
右为细末,炼为丸,如桐子大,食后,食后,茶清送下三钱。
惊振还睛散方
人参一钱 桔梗一钱 防风一钱半 细辛五分 车前子一钱 茺蔚子一钱
芎藭一钱
右为粗末,以水二盏,煎至一盏,食前,法渣温前。
【注】[1]惊振内障,或因击误着头脑,致脑中脑脂恶血流入睛内,日久变成内
障,左右相传,两目俱损,宜服镇肝丸还睛散。
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条文:鹘眼凝睛的症状表现为眼球突出,眼珠胀硬且疼痛难忍,这是由于积热上冲头部、热气灌注所致。治疗宜外用摩风膏并针刺放血以泄毒,内服泻肝汤(由桔梗、茺蔚子、柴胡、防风、黄芩、黑参、芒硝、大黄组成)。
方剂:摩风膏方见卷末
泻肝汤方
桔梗 茺蔚子 柴胡 防风 黄芩 黑参 芒硝 大黄各等分
以上药材研为粗末,用水两盏,煎煮至一盏,饭后去渣温服。
【注】[1] 鹘眼凝睛之证,眼球突出于外,不能转动,坚硬高耸如同鹘鸟之眼,胀满疼痛难以忍受。
[2] 此病因积热上冲,脑中风热,壅滞灌注于眼部所致。
[3] 适宜先用金针刺破出血以泻除毒邪,外敷摩风膏,内服泻肝汤。
条文:惊振内障是由于头部受到撞击震动引起,脑中脑脂和恶血下行损伤眼球,眼球逐渐变得昏花形成内障,左右眼相互传染导致视力受损。治疗宜用镇肝丸(由石决明、茺蔚子、山药、车前子、柏子仁、细辛、防风、人参、茯苓组成)或还睛散(由人参、桔梗、防风、细辛、车前子、茺蔚子、川芎组成)。
方剂:惊振镇肝丸方
石决明一两 茺蔚子一两 山药一两 车前子一两 柏子仁一两 细辛五钱 防风一两五钱 人参一两 茯苓一两
以上药材研为细末,炼蜜为丸,如梧桐子大小,饭后用茶清送服三钱。
惊振还睛散方
人参一钱 桔梗一钱 防风一钱半 细辛五分 车前子一钱 茺蔚子一钱 川芎一钱
以上药材研为粗末,用水两盏,煎煮至一盏,饭前去渣温服。
【注】[1] 惊振内障,或因误击头部,致使脑中脑脂和恶血流入眼球内部,日久变成内障,左右眼相互影响,双眼均受损,适宜服用镇肝丸和还睛散。
Translation: The syndrome of "Huge Eye Fixed Gaze" (Gu Yan Ning Jing) is characterized by protruding eyeballs, which are swollen, hard, and accompanied by unbearable pain. This condition arises from accumulated heat rushing upward to the head and pouring into the eyes. Treatment involves external application of Mofeng Gao (Wind-Rubbing Ointment) combined with bloodletting via acupuncture, and internal administration of Xiegan Tang (Liver-Draining Decoction), composed of Jiegeng (Platycodonis Radix), Chongweizi (Vernoniae Fructus), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Heishen (Polygonati Rhizoma Nigrum), Mangxiao (Natrii Sulfas), and Dahuang (Rhei Radix et Rhizoma).
Formula: See Mofeng Gao at the end of the volume.
Xiegan Tang Formula
Jiegeng (Platycodonis Radix), Chongweizi (Vernoniae Fructus), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Heishen (Polygonati Rhizoma Nigrum), Mangxiao (Natrii Sulfas), and Dahuang (Rhei Radix et Rhizoma) in equal parts.
Grind the above herbs into a coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Annotation: [1] In the syndrome of "Huge Eye Fixed Gaze," the eyeball protrudes outward and cannot move; it is hard and elevated like the eye of a falcon (Hu), with unbearable swelling and pain.
[2] This condition is caused by accumulated heat rushing upward, wind-heat invading the brain, and stagnation pouring into the eyes.
[3] It is appropriate to first use a gold needle to prick for bleeding to drain toxicity, apply Mofeng Gao externally, and take Xiegan Tang internally.
Translation: Internal cataract due to trauma (Jingzhen Neizhang) originates from blows or shocks to the head. Brain fat and evil blood descend to damage the eyeball. The eyeball gradually becomes cloudy, forming an internal cataract, affecting both eyes and impairing vision. Treatment should involve Zhen Gan Wan (Liver-Calming Pill), composed of Shijueming (Concha Arcae), Chongweizi (Vernoniae Fructus), Shanyao (Dioscoreae Rhizoma), Cheqianzi (Plantaginis Semen), Baiziren (Biota Seed), Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix), and Fuling (Poria); or Huanjing San (Eye-Recovery Powder), composed of Renshen (Ginseng Radix), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Cheqianzi (Plantaginis Semen), Chongweizi (Vernoniae Fructus), and Xiongqiong (Ligustici Chuanxiong Rhizoma).
Formula: Jingzhen Zhen Gan Wan Formula
Shijueming (Concha Arcae) 1 liang, Chongweizi (Vernoniae Fructus) 1 liang, Shanyao (Dioscoreae Rhizoma) 1 liang, Cheqianzi (Plantaginis Semen) 1 liang, Baiziren (Biota Seed) 1 liang, Xixin (Asari Radix et Rhizoma) 5 qian, Fangfeng (Saposhnikoviae Radix) 1.5 liang, Renshen (Ginseng Radix) 1 liang, Fuling (Poria) 1 liang.
Grind the above herbs into a fine powder, mix with honey to form pills the size of tung tree seeds. Take 3 qian after meals, washed down with clear tea.
Jingzhen Huanjing San Formula
Renshen (Ginseng Radix) 1 qian, Jiegeng (Platycodonis Radix) 1 qian, Fangfeng (Saposhnikoviae Radix) 1.5 qian, Xixin (Asari Radix et Rhizoma) 5 fen, Cheqianzi (Plantaginis Semen) 1 qian, Chongweizi (Vernoniae Fructus) 1 qian, Xiongqiong (Ligustici Chuanxiong Rhizoma) 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 before meals.
Annotation: [1] Internal cataract due to trauma may result from accidental blows to the head, causing brain fat and evil blood to flow into the eyeball. Over time, this transforms into an internal cataract, affecting both eyes mutually and damaging vision. It is appropriate to take Zhen Gan Wan and Huanjing San.