治目赤肿痛（风热伤血则赤，风热作实则肿，风热攻注则痛。目外向面者为外 ，在内
近鼻者为内 ，上为外 ，下为内 。目痛赤脉从上下者，为太阳证，宜温之散之；从上下
者，为
荆芥 蔓荆子 菊花 白芷 麻黄 防风 桃仁（去皮尖） 红花（酒炒） 川芎（五
分）
此足太阳、厥阴药也。荆芥、防风、麻黄、白芷、甘菊、蔓荆轻浮上升，并能消风散热
；桃
瘀去
肝而止痛也（《保命集》云∶目病在腑则为表，当除风散热；在脏则为里，当养血安神。暴
发者为
（《局方》）
治风毒上攻，暴作赤肿，目痛难开，隐涩眵泪（凡目赤肿，或六腑秘，脉实有力者，为
有
薄荷 羌活 防风 当归 川芎 栀子 大黄 炙甘草，等分。为末。每服二钱（无
里
此足厥阴、阳明药也。肝属木而主目，木喜条达，风热郁于内，故用薄荷、羌防以升之
散之；肝藏血，故用当归、川芎以和之养之；大黄泻胃火而通燥结；；栀子降心火而利小便
（二便利则热毒下降而赤肿消）；甘草缓肝气而和中州。
（《局方》）
治肝虚目痛，筋脉疼痛，冷泪不止，羞明怕日，及夜则痛甚，点苦寒之药反剧（目白珠
属
夏枯草（五钱） 香附（一两。）每服五钱，腊茶下。丹溪方∶夏枯草、香附各二两，
加甘
此足厥阴药也。夏枯草遇夏至阴生则枯，盖禀纯阳之气，有补养厥阴血脉之功，夜痛及
用苦寒药反甚者，夜与寒皆阴也，夏枯草能治之者，阳胜阴也；香附行气散肝，和中解郁，
推陈
【背景信息】
书名：医方集解 作者：汪昂 朝代：清 章节：消风养血汤 / 洗肝散 / 补肝散 类别：方剂
【待处理原文翻译】
（消风养血汤）治疗眼睛红赤肿痛。风热损伤血分则导致红赤，风热蕴结实证则导致肿胀，风热攻冲注滞则导致疼痛。眼球向外侧偏向面部的一侧称为外眦，在内侧靠近鼻子的一侧称为内眦，上眼睑称为外，下眼睑称为内。眼痛且红脉从上方开始蔓延的，属于太阳病证（足太阳膀胱经受邪），适宜用温散的方法治疗；若红脉从下方开始蔓延的……（此处原文有缺漏或排版错误，仅翻译可见部分）。
药材：荆芥、蔓荆子、菊花、白芷、麻黄、防风、桃仁（去皮尖）、红花（酒炒）、川芎（五分）。
这是足太阳经和足厥阴肝经的药物。荆芥、防风、麻黄、白芷、甘菊、蔓荆子药性轻浮上升，能够消除风邪、疏散热邪；桃仁……瘀血去除……肝脏而止痛。（《保命集》记载：眼病在腑属于表证，应当祛除风邪、疏散热邪；在脏属于里证，应当滋养血液、安定神志。突然发作的是……）
（洗肝散）（出自《太平惠民和剂局方》）
治疗风毒向上攻冲，突然发生眼睛红赤肿胀，眼痛难以睁开，感觉隐蔽涩痛且有分泌物和流泪。（凡是眼睛红赤肿胀，或者六腑便秘，脉象实而有力的，属于……）
药材：薄荷、羌活、防风、当归、川芎、栀子、大黄、炙甘草，各等分。研为细末。每次服用二钱（无……里……）。
这是足厥阴肝经和足阳明胃经的药物。肝属木而主司眼睛，木气喜欢条达舒畅，风热郁结于内，所以用薄荷、羌活、防风来升发、疏散；肝藏血，所以用当归、川芎来调和、滋养；大黄泻除胃火并通导燥结；栀子降泄心火并利小便（大小便通畅则热毒下降，红赤肿胀消退）；甘草缓和肝气并调和脾胃。
（补肝散）（出自《太平惠民和剂局方》）
治疗肝虚引起的眼痛，筋脉疼痛，冷泪不止，畏光怕日，以及夜间疼痛加剧，使用苦寒性质的药物反而加重病情。（眼白珠属……）
药材：夏枯草（五钱）、香附（一两）。每次服用五钱，用腊茶送服。丹溪方：夏枯草、香附各二两，加甘……
这是足厥阴肝经的药物。夏枯草遇到夏至阴气初生时就会枯萎，因为它禀受了纯阳之气，具有补养厥阴血脉的功效。夜间疼痛及使用苦寒药物反而加重的情况，因为夜晚和寒冷都属于阴，夏枯草能治疗这些病症，是因为以阳胜阴；香附行气散肝，调和中焦、解除郁结，推陈……
[Background Information]
Book: *Yi Fang Ji Jie* (Collection of Medical Formulas)
Author: Wang Ang
Dynasty: Qing Dynasty
Chapter: Xiaofeng Yangxue Tang / Xigan San / Bugan San
Category: Formulas
[English Translation]
(Xiaofeng Yangxue Tang) Treats redness, swelling, and pain of the eyes. Wind-heat damaging the blood level causes redness; wind-heat accumulating in excess levels causes swelling; wind-heat attacking and stagnating causes pain. The side of the eye facing outward toward the temple is called the outer canthus; the side inward near the nose is called the inner canthus; the upper eyelid is considered "outer," and the lower eyelid is considered "inner." Eye pain with red vessels spreading from above indicates a Taiyang syndrome (disease of the Foot-Taiyang Bladder channel), which should be treated with warming and dispersing methods; if the red vessels spread from below... [text missing or garbled].
Ingredients: Jingjie (Schizonepetae Spica), Manjingzi (Vittatae Fructus), Juhua (Chrysanthemi Flos), Baizhi (Angelicae Dahuricae Radix), Mahuang (Ephedrae Herba), Fangfeng (Saposhnikoviae Radix), Taoren (Persicae Semen, skin and tips removed), Honghua (Carthami Flos, stir-fried with wine), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 fen).
These are herbs for the Foot-Taiyang and Foot-Jueyin Liver channels. Jingjie, Fangfeng, Mahuang, Baizhi, Ganju (Chrysanthemi Flos), and Manjingzi have light and floating properties that ascend, capable of eliminating wind and dissipating heat; Taoren... removes blood stasis... benefits the Liver to stop pain. (*Baoming Ji* states: Eye diseases in the Fu organs are exterior patterns, requiring removal of wind and dissipation of heat; in the Zang organs are interior patterns, requiring nourishment of blood and calming of the spirit. Sudden onset is...)
(Xigan San) (From *Tai Ping Hui Min He Ji Ju Fang*)
Treats wind-toxin attacking upward, causing sudden redness and swelling of the eyes, severe eye pain making it difficult to open, a sensation of hidden astringency with discharge and tearing. (Whenever there is eye redness and swelling, or constipation of the six Fu organs, with a forceful and excess pulse, it indicates...)
Ingredients: Bohe (Menthae Haplocalycis Herba), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhizi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Zhi Gancao (Glycyrrhizae Radix et Rhizoma preparata), equal parts. Powdered. Take 2 qian per dose (without... interior...).
These are herbs for the Foot-Jueyin Liver and Foot-Yangming Stomach channels. The Liver belongs to Wood and governs the eyes; Wood Qi likes to be free-flowing. Since wind-heat is constrained internally, Bohe, Qianghuo, and Fangfeng are used to ascend and disperse; the Liver stores Blood, so Danggui and Chuanxiong are used to harmonize and nourish; Dahuang purges Stomach fire and unblocks dry accumulation; Zhizi descends Heart fire and promotes urination (when bowel and bladder movements are smooth, heat-toxin descends, and redness/swelling subsides); Gancao moderates Liver Qi and harmonizes the Middle Jiao.
(Bugan San) (From *Tai Ping Hui Min He Ji Ju Fang*)
Treats eye pain due to Liver deficiency, pain in tendons and vessels, incessant cold tears, photophobia, worsening pain at night, and aggravation when using bitter-cold medicines. (The white part of the eye belongs to...)
Ingredients: Xiakucao (Prunellae Spica, 5 qian), Xiangfu (Cyperi Rhizoma, 1 liang). Take 5 qian per dose, washed down with aged tea. Danxi Formula: Xiakucao and Xiangfu, each 2 liang, add Gan...
These are herbs for the Foot-Jueyin Liver channel. Xiakucao withers when Yin Qi begins to generate at the Summer Solstice, as it inherits pure Yang Qi, possessing the merit of nourishing the blood vessels of the Jueyin channel. Night pain and aggravation by bitter-cold medicines occur because night and cold both belong to Yin; Xiakucao treats these conditions by overcoming Yin with Yang; Xiangfu moves Qi, scatters Liver constraint, harmonizes the Middle, and resolves depression, pushing out the old...