黄柏(酒炒) 知母(酒炒,等分)
共末为丸。空心盐汤下百丸。
此亦治肾虚目暗之方也。
眼者,肝之窍。肝,木脏也,得水则荣,失水则枯,故用黄柏、知母之味浓者以滋肾水,
所谓虚则补其母也。是方也,虽曰补肾,亦泻之之类也,脾强目暗者宜主之。脾胃坏者,非
所宜也。
人参(一钱) 当归身 酒黄芩(各五钱) 干熟地黄(一两) 柴胡(八钱) 生地
黄(酒洗,一钱半) 炙甘草 天门冬(去心) 地骨皮 枳壳(麸炒) 黄连(酒炒) 五
味子(各三钱)血弱不能养心,心火旺盛,肝木自实,瞳子散大,视物不清者,此方主之。
肝者,心之母,心火旺盛,故令肝木自实;肝主风,心主火,瞳子散大,风火动摇之象
也。瞳子者,主照物,今而散大,宜其视物不清矣。越人云∶实则泻其子,虚则补其母。火
是肝之子,故用芩、连、骨皮、生地以泻火。水是肝之母,故用熟地、门冬、五味以滋水。
《内经》曰∶阳气者,精则养神。故又以人参、甘草益其阳气。而枳壳者,所以破其滞泥。
柴胡者,所以升其清阳也,清升而目自明矣。经曰∶目得血而能视,故又以当归佐之。
肉桂(一钱,去皮) 知母(炒) 当归(酒洗) 生地黄(酒洗) 白茯苓 泽泻 陈
皮(各三钱) 白芍药(酒炒) 白术(炒) 人参 黄 (炙) 防风 羌活 独活 熟
地黄 甘草(各一两) 柴胡(二两)
青白目翳者,此方主之。
阳不胜其阴,则生目翳。所谓阴盛阳虚,则九窍不通,乃阴埃障日之象也。是方也,人
参、黄 、白术、茯苓、甘草、陈皮,甘温益气之品也,固所以补阳。柴胡、羌活、独活、
防风,辛温散翳之品也,亦所以补阳;知母、当归、生熟地黄、芍药、泽泻,虽曰养阴,亦
所以济夫羌、防、柴、独,使不散其真阳耳,是亦所以补阳也。用肉桂者,取其辛热,热者
火之象,可以散阴翳,辛者金之味,可以平肝木,盖眼者,肝木之窍,以故用之。
黄柏(用酒炒制) 知母(用酒炒制,与黄柏等量)
将两药研成细末,制成丸剂。空腹时用盐开水送服一百丸。
这也是治疗肾虚导致视力模糊的方剂。
眼睛是肝的外窍。肝属木脏,得到肾水的滋养则荣润,失去肾水的滋润则干枯,所以使用味道浓郁的黄柏、知母来滋补肾水,这就是所谓的“虚则补其母”的原则。这个方子,虽然说是补肾,但也属于泻法的一类,适合脾胃功能强健但视力模糊的患者服用。如果脾胃虚弱败坏,就不适宜使用了。
人参(一钱) 当归身 酒黄芩(各五钱) 干熟地黄(一两) 柴胡(八钱) 生地黄(用酒清洗,一钱半) 炙甘草 天门冬(去心) 地骨皮 枳壳(用麸皮炒) 黄连(用酒炒) 五味子(各三钱)
血虚不能滋养心脏,导致心火旺盛,肝木随之实证,出现瞳孔散大、视物不清的症状,此方主治。
肝是心的母亲,心火旺盛,导致肝木自实;肝主风,心主火,瞳孔散大是风火动摇的表现。瞳孔的作用是映照物体,现在瞳孔散大,自然会导致视物不清。扁鹊(越人)说:“实则泻其子,虚则补其母。”火是肝的儿子,所以使用黄芩、黄连、地骨皮、生地黄来泻火。水是肝的母亲,所以使用熟地黄、天门冬、五味子来滋水。《黄帝内经》说:“阳气,精微部分能养神。”所以又用人参、甘草来益助阳气。而枳壳的作用,是用来破除气机的停滞阻滞。柴胡的作用,是用来升发清阳之气,清阳上升,眼睛自然明亮。经书说:“眼睛得到血液的滋养才能看见”,所以又用当归辅助它。
肉桂(一钱,去皮) 知母(炒制) 当归(用酒洗) 生地黄(用酒洗) 白茯苓 泽泻 陈皮(各三钱) 白芍药(用酒炒) 白术(炒制) 人参 黄芪(炙制) 防风 羌活 独活 熟地黄 甘草(各一两) 柴胡(二两)
眼睛出现青色或白色的翳障,此方主治。
阳气不能胜过阴气,就会产生目翳。所谓阴盛阳虚,就会导致九窍不通,这是阴邪像尘埃一样遮蔽太阳的景象。这个方子中,人参、黄芪、白术、茯苓、甘草、陈皮,都是甘温益气药物,固然是用来补阳的。柴胡、羌活、独活、防风,是辛温发散翳障的药物,也是用来补阳的;知母、当归、生熟地黄、芍药、泽泻,虽然说是养阴,也是为了帮助羌活、防风、柴胡、独活,使它们不耗散人体的真阳罢了,这同样也是补阳的方法。使用肉桂的原因,是取其辛热之性,热是火的象征,可以消散阴翳;辛是金的味道,可以平抑肝木,因为眼睛是肝木的外窍,所以使用它。
Huangbai (Phellodendri Cortex, processed with wine) Zhimu (Anemarrhenae Rhizoma, processed with wine, equal parts)
Grind both herbs into fine powder and make pills. Take one hundred pills on an empty stomach with salted water.
This is also a formula for treating blurred vision caused by Kidney deficiency.
The eyes are the orifice of the Liver. The Liver belongs to the Wood element; it thrives when nourished by Water but withers when deprived of Water. Therefore, Huangbai and Zhimu, which have strong flavors, are used to nourish Kidney Water. This follows the principle of "tonifying the mother when there is deficiency." Although this formula is said to tonify the Kidney, it also belongs to the category of purging methods. It is suitable for patients with strong Spleen and Stomach function but blurred vision. It is not suitable for those with damaged Spleen and Stomach.
Renshen (Ginseng Radix et Rhizoma, 1 qian) Dangguishen (Angelicae Sinensis Radix, body part) Jiuhuangqin (Scutellariae Radix, processed with wine, 5 qian each) Gan Shudihuang (Rehmanniae Radix Praeparata, 1 liang) Chaihu (Bupleuri Radix, 8 qian) Shengdihuang (Rehmanniae Radix, washed with wine, 1.5 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Tianmendong (Asparagi Radix, heart removed) Digupi (Lycii Cortex) Zhike (Aurantii Fructus, stir-baked with bran) Huanglian (Coptidis Rhizoma, processed with wine) Wuweizi (Schisandrae Fructus, 3 qian each)
When blood deficiency fails to nourish the Heart, causing excessive Heart Fire, the Liver Wood becomes excess. Symptoms include dilated pupils and unclear vision. This formula is indicated for such conditions.
The Liver is the mother of the Heart. Excessive Heart Fire causes Liver Wood to become excess. The Liver governs Wind, and the Heart governs Fire. Dilated pupils are a sign of wind and fire agitation. The pupil's function is to reflect objects; now that it is dilated, vision naturally becomes unclear. Yue Ren (Bian Que) stated: "Purge the child when in excess, tonify the mother when deficient." Fire is the child of Liver Wood; therefore, Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Digupi (Lycii Cortex), and Shengdihuang (Rehmanniae Radix) are used to purge fire. Water is the mother of Liver Wood; therefore, Shudihuang (Rehmanniae Radix Praeparata), Tianmendong (Asparagi Radix), and Wuweizi (Schisandrae Fructus) are used to nourish water. The *Neijing* states: "Yang qi, in its refined aspect, nourishes the spirit." Therefore, Renshen (Ginseng Radix et Rhizoma) and Gancao (Glycyrrhizae Radix et Rhizoma) are used to benefit Yang qi. Zhike (Aurantii Fructus) is used to break stagnation. Chaihu (Bupleuri Radix) is used to ascend clear Yang. When clear Yang ascends, the eyes become bright. The classics state: "The eyes can see only when they receive blood." Therefore, Danggui (Angelicae Sinensis Radix) is added as an assistant.
Rougui (Cinnamomi Cortex, 1 qian, bark removed) Zhi mu (Anemarrhenae Rhizoma, stir-fried) Danggui (Angelicae Sinensis Radix, washed with wine) Shengdihuang (Rehmanniae Radix, washed with wine) Baifuling (Poria, white) Zexie (Alismatis Rhizoma) Chenpi (Citri Reticulatae Pericarpium, 3 qian each) Baishaoyao (Paeoniae Radix Alba, processed with wine) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Renshen (Ginseng Radix et Rhizoma) Huangqi (Astragali Radix, honey-fried) Fangfeng (Saposhnikoviae Radix) Qianghuo (Notopterygii Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Shudihuang (Rehmanniae Radix Praeparata) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang each) Chaihu (Bupleuri Radix, 2 liang)
This formula is indicated for green or white nebulae (opacities) in the eyes.
When Yang cannot overcome Yin, eye nebulae arise. This is described as Yin excess and Yang deficiency, leading to blockage of the nine orifices, resembling dark clouds obscuring the sun. In this formula, Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria, white), Gancao (Glycyrrhizae Radix et Rhizoma), and Chenpi (Citri Reticulatae Pericarpium) are sweet-warm Qi-tonifying agents, thus serving to tonify Yang. Chaihu (Bupleuri Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), and Fangfeng (Saposhnikoviae Radix) are pungent-warm agents that disperse nebulae, also serving to tonify Yang. Zhi mu (Anemarrhenae Rhizoma), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Praeparata), Shaoyao (Paeoniae Radix), and Zexie (Alismatis Rhizoma) are said to nourish Yin, but their purpose is to assist Qianghuo, Fangfeng, Chaihu, and Duhuo, preventing them from dispersing true Yang. Thus, this also serves to tonify Yang. Rougui (Cinnamomi Cortex) is used for its pungent-hot nature. Heat is the image of Fire, which can disperse Yin nebulae. Pungency is the flavor of Metal, which can pacify Liver Wood. Since the eyes are the orifice of Liver Wood, Rougui is employed.