龙木论还睛丸 治眼内赤涩有花,或黑,或白,或红,皆因肝脏积热,肺受风邪。
初患之时,宜令针治诸穴;内服此。
人参 桔梗 黄芩 熟地黄 防风 茺蔚子 车前子 知母(各二两) 玄参(半两) 细辛
五味子(各二两半)
上为末,炼蜜为丸,如梧子大。空心茶下十丸。
按∶本论治内障诸方,与此相类者数多,姑存此法。
局方蝉花无比散 治大人小儿风毒伤肝,或为气攻,一切眼目昏暗,渐生翳膜,或
久患头风,牵搐两眼,渐渐细小,连眶赤烂。
茯苓 甘草(炙) 防风(各四两) 川芎 石决明(盐水煮熟,研如粉) 羌活 当归(各三两
赤芍(十两,炒) 蒺藜(炒,半斤) 蝉蜕(一两) 苍术(十二两) 蛇蜕(一两)
上为末。每三钱,食后米泔调服,茶清亦得。
按∶此足三阳、太阴、厥阴药也。
蝉花散 治肝经蕴热,毒瓦斯上攻,眼目赤肿,多泪羞明,一切风热昏翳。
谷精草 菊花 蝉蜕 羌活 甘草(炙) 白蒺藜(炒) 草决明 防风 山栀 川芎 密
蒙花 木贼 荆芥穗 黄芩 蔓荆子(各等分)
上为末。每二钱,食后茶清调下。
按∶此足太阳、少阴、厥阴、手太阴药也。
本事方羊肝丸
菟丝子 车前子 麦门冬 决明子 茯苓 五味子 枸杞子 茺蔚子 苦葶苈 蕤仁
地肤子 泽泻 防风 黄芩 杏仁(炒) 细辛 桂心 青葙子(各一两) 熟地黄(一两半) 白羯
羊肝(只用子肝,一片,薄切,新瓦上炒干)
上为细末,炼蜜为丸,如梧子大。每服三四十丸,温水下,日三次。
按∶此足太阳、少阴、手太阴、少阴药也。
秘方拨云退翳丸 皇统年间,医官刘昌祖传于世。
栝蒌根 枳实 甘草(炙) 蔓荆子(焙) 薄荷(各半两) 川芎 木贼(浸一宿焙) 密蒙花
荆芥穗 地骨皮 羌活 白蒺藜 甘菊花(各一两) 蛇蜕 黄连(各三钱) 川椒(七钱半,炒去
目) 当归(一两半,酒浸,焙干) 蝉蜕(三钱)
上为细末,炼蜜为丸。每两作十丸,每服一丸,食后临卧,日进三服。翳者,米泔水下
;睛暗,当归汤下;内障,木香汤下。
按∶此足太阳、厥阴、手少阴药也。然翳膜之疾,有气血虚实,或夹痰热七情六淫,或
阴火动湿热致者。种种不同,皆宜求责。但以上法,不能以尽病情之变,学人宜扩充焉。
《龙木论》还睛丸:治疗眼内红涩且有花翳,颜色或黑、或白、或红,这都是因为肝脏积热,肺受风邪所致。
初发病时,应当先针刺治疗相关穴位;然后内服此药。
人参、桔梗、黄芩、熟地黄、防风、茺蔚子、车前子、知母(各二两)、玄参(半两)、细辛、五味子(各二两半)。
以上药物研为细末,用炼蜜制成梧桐子大小的丸剂。空腹时用茶送服十丸。
按语:本论中治疗内障的方剂,与此相似的有很多,暂且保留此法。
《局方》蝉花无比散:治疗大人小儿因风毒伤肝,或因气机攻冲,导致一切眼目昏暗,逐渐生出翳膜,或者长期患有头风,牵引抽搐两眼,眼睛渐渐变小,眼眶红烂。
茯苓、甘草(炙)、防风(各四两)、川芎、石决明(用盐水煮熟,研成粉)、羌活、当归(各三两)、赤芍(十两,炒)、蒺藜(炒,半斤)、蝉蜕(一两)、苍术(十二两)、蛇蜕(一两)。
以上药物研为细末。每次取三钱,饭后用米泔水调服,用茶清也可以。
按语:这是足三阳经、足太阴经、足厥阴经的药物组合。
蝉花散:治疗肝经蕴藏热毒,毒气上攻,导致眼目红肿,多泪畏光,以及一切风热引起的昏翳。
谷精草、菊花、蝉蜕、羌活、甘草(炙)、白蒺藜(炒)、草决明、防风、山栀、川芎、密蒙花、木贼、荆芥穗、黄芩、蔓荆子(各等分)。
以上药物研为细末。每次取二钱,饭后用茶清调服。
按语:这是足太阳经、足少阴经、足厥阴经、手太阴经的药物组合。
《本事方》羊肝丸:
菟丝子、车前子、麦门冬、决明子、茯苓、五味子、枸杞子、茺蔚子、苦葶苈、蕤仁、地肤子、泽泻、防风、黄芩、杏仁(炒)、细辛、桂心、青葙子(各一两)、熟地黄(一两半)、白羊肝(只用子肝,一片,薄切,在新瓦上炒干)。
以上药物研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用三四十丸,温水送下,每日三次。
按语:这是足太阳经、足少阴经、手太阴经、足少阴经的药物组合。(注:原文此处“少阴”重复,通常指涉及多条经脉)
秘方拨云退翳丸:金皇统年间,医官刘昌祖传授于世。
栝蒌根、枳实、甘草(炙)、蔓荆子(焙)、薄荷(各半两)、川芎、木贼(浸泡一夜后焙干)、密蒙花、荆芥穗、地骨皮、羌活、白蒺藜、甘菊花(各一两)、蛇蜕、黄连(各三钱)、川椒(七钱半,炒去目)、当归(一两半,酒浸,焙干)、蝉蜕(三钱)。
以上药物研为细末,用炼蜜制成丸剂。每两药粉做成十丸,每次服用一丸,饭后临睡前服用,每日进服三次。有翳膜的,用米泔水送下;眼睛昏暗的,用当归汤送下;内障的,用木香汤送下。
按语:这是足太阳经、足厥阴经、手少阴经的药物组合。然而,翳膜类的疾病,有气血虚实之分,有的夹杂痰热、七情六淫,有的是因阴火动湿热所致。情况种种不同,都应当仔细推求病因。但上述方法,不能完全穷尽病情的变化,学习的人应当加以扩充发挥。
Longmu Lun Huanjing Wan: Treats redness and dryness in the eyes with nebulae, which may be black, white, or red. These conditions are caused by accumulated heat in the Liver (Gan) and wind-pathogens affecting the Lung (Fei).
At the onset of the disease, acupuncture treatment at relevant acupoints should be performed first; subsequently, this formula is taken internally.
Renshen (Ginseng Radix), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix), Shudihuang (Rehmanniae Radix Preparata), Fangfeng (Saposhnikoviae Radix), Chongweizi (Leonuri Fructus), Cheqianzi (Plantaginis Semen), Zhimu (Anemarrhenae Rhizoma) [each 2 liang]; Xuanshen (Scrophulariae Radix) [0.5 liang]; Xixin (Asari Radix et Rhizoma); Wuweizi (Schisandrae Fructus) [each 2.5 liang].
Grind the above ingredients into fine powder, mix with refined honey to form pills the size of guaiacum seeds. Take ten pills on an empty stomach with tea water.
Note: There are many formulas in this treatise for treating internal cataracts that are similar to this one; this method is retained here for reference.
Jufang Chanhua Wubi San: Treats adults and children suffering from liver injury due to wind-toxins, or qi attack, resulting in dim vision of all kinds, gradual formation of corneal opacities (nebulae), or chronic cephalalgia (head wind) causing traction and twitching of both eyes, leading to progressively smaller palpebral fissures and red, ulcerated orbits.
Fuling (Poria), Gancao (Licorice Root, prepared with honey), Fangfeng (Saposhnikoviae Radix) [each 4 liang]; Chuanxiong (Ligustici Chuanxiong Rhizoma), Shijueming (Arconis Concha, cooked in salt water and ground to powder), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix) [each 3 liang]; Chishao (Paeoniae Radix Rubra, stir-fried) [10 liang]; Jili (Tribuli Fructus, stir-fried) [0.5 jin]; Chantui (Cicadae Periostracum) [1 liang]; Cangzhu (Atractylodis Rhizoma) [12 liang]; Shetui (Bovis Cornu Degradatum) [1 liang].
Grind the above ingredients into fine powder. Take 3 qian each time, mixed with rice wash water after meals; tea water is also acceptable.
Note: This formula comprises herbs belonging to the Foot-Taiyang, Foot-Yangming, Foot-Shaoyang, Foot-Taiyin, and Foot-Jueyin meridians.
Chanhua San: Treats heat accumulation in the Liver meridian where toxic vapors ascend to attack, causing red and swollen eyes, excessive tearing, photophobia, and all types of wind-heat induced visual obscurity and nebulae.
Gujingcao (Evodiae Flos), Juhua (Chrysanthemi Flos), Chantui (Cicadae Periostracum), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root, prepared with honey), Baijili (Tribuli Fructus, stir-fried), Caojueming (Apri Concha), Fangfeng (Saposhnikoviae Radix), Shanzhi (Gardeniae Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Mimenghua (Myricariae Flos), Muzei (Equiseti Herba), Jingjisui (Schizonepetae Spica), Huangqin (Scutellariae Radix), Manjingzi (Viticis Fructus) [equal parts].
Grind the above ingredients into fine powder. Take 2 qian each time, mixed with tea water after meals.
Note: This formula comprises herbs belonging to the Foot-Taiyang, Foot-Shaoyin, Foot-Jueyin, and Hand-Taiyin meridians.
Ben Shi Fang Yanggan Wan:
Tusizi (Cuscutae Semen), Cheqianzi (Plantaginis Semen), Maimendong (Ophiopogonis Radix), Juemingzi (Cassiae Semen), Fuling (Poria), Wuweizi (Schisandrae Fructus), Gouqizi (Lycii Fructus), Chongweizi (Leonuri Fructus), Kutinglei (Descurainiae Semen seu Fructus), Ruiren (Pruni Armeniacae Semen), Difuzi (Kochiae Scopariae Herba), Zexie (Alismatis Rhizoma), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Xingren (Armeniacae Semen Amarum, stir-fried), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Qingxiangzi (Celosiae Semen) [each 1 liang]; Shudihuang (Rehmanniae Radix Preparata) [1.5 liang]; Baijieyanggan (White Ram Liver, specifically the sub-hepatic lobe, one slice, thinly cut, dried on a new tile) [prepared separately].
Grind the herbal ingredients into fine powder, mix with refined honey to form pills the size of guaiacum seeds. Take 30-40 pills each time with warm water, three times daily.
Note: This formula comprises herbs belonging to the Foot-Taiyang, Foot-Shaoyin, Hand-Taiyin, and Foot-Shaoyin meridians.
Mifang Boyun Tuiyi Wan: Transmitted by Imperial Physician Liu Changzu during the Huangtong era of the Jin Dynasty.
Gualougen (Trichosanthis Radix), Zhishi (Aurantii Fructus Immaturus), Gancao (Licorice Root, prepared with honey), Manjingzi (Viticis Fructus, roasted), Bohe (Menthae Haplocalycis Herba) [each 0.5 liang]; Chuanxiong (Ligustici Chuanxiong Rhizoma), Muzei (Equiseti Herba, soaked overnight then roasted), Mimenghua (Myricariae Flos), Jingjisui (Schizonepetae Spica), Digupi (Phellodendri Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Baijili (Tribuli Fructus), Ganjuhua (Chrysanthemi Indici Flos) [each 1 liang]; Shetui (Bovis Cornu Degradatum), Huanglian (Coptidis Rhizoma) [each 3 qian]; Chuanjiao (Zanthoxyli Pericarpium, 7.5 qian, stir-fried to remove seeds), Danggui (Angelicae Sinensis Radix, 1.5 liang, soaked in wine then roasted dry), Chantui (Cicadae Periostracum) [3 qian].
Grind the above ingredients into fine powder, mix with refined honey to form pills. Each liang of powder makes ten pills. Take one pill each time, after meals and before retiring, three doses per day. For cases with nebulae, take with rice wash water; for dim vision, take with Danggui Decoction; for internal cataracts, take with Muxiang Decoction.
Note: This formula comprises herbs belonging to the Foot-Taiyang, Foot-Jueyin, and Hand-Shaoyin meridians. However, diseases of the corneal opacity involve distinctions of qi and blood deficiency or excess, and may be complicated by phlegm-heat, emotional disturbances, or external pathogens (wind, cold, heat, dampness, dryness, fire). The manifestations vary greatly, and the root cause must be investigated carefully. The aforementioned methods cannot exhaustively cover all variations of the disease; practitioners should expand their understanding accordingly.