局方汤泡散 治肝经风热上壅,眼目赤涩,睛疼多泪。
赤芍 当归 黄连(各等分)
上为末。每二钱,汤炖调热洗,日三五次。《御药院方》加荆芥。
三因立胜散 治风热攻眼,隐涩羞明肿痛。
黄连 秦皮 防风 黄芩(等分)
上 咀。水煎热,用新羊毫笔蘸刷洗眼。
金露膏 除昏退翳,截赤定疼。
蕤仁(槌碎) 黄丹(各一两) 黄连(半两) 蜜(六两)
上先将黄丹炒令紫色,入蜜搅匀,下长流水四升,以嫩柳枝五七茎,一把定搅之,次下
蕤仁,候滚十数沸,又下黄连,用柳枝不住手搅,熬至升七八合,罩篱内倾药在纸上,慢慢
滴之,勿令尘污。如有瘀肉,加 砂末一钱,上火上慢开,入前膏子内用。
《龙木论》云∶患伤寒热病后,切不可点,恐损眼也。斯言可以为药禁云。
宝鉴春雪膏 治风热上攻,眼目昏暗,痒痛隐涩难开,多眵泪,羞明疼痛,或生翳
膜。
黄连(四两,锉,用童便二升浸一宿,去连,用淬甘石) 好黄丹(六两,水飞) 砂(一钱,
细研,水调在盏内,炖干为度) 白丁香(五分) 乳香 乌贼骨(烧存性) 当归(各三钱) 麝香
轻粉(各少许) 南炉甘石(十二两,淬,便汁浸)
上各研另贮,先用好蜜一斤四两,炼去蜡,却下甘石末,不住手搅,次下丹,次下诸药
末,不住手搅至紫金色,不粘手为度,搓作挺子。每用一粒,新水磨化,时时点之。忌酒、
湿面、荞麦。
拔萃方 药 治偏头疼眼疾。
苍耳头 薄荷叶 盆硝 石膏(各一钱,乱文者) 乳香 华细辛 川芎(各五分)
上为极细末。早午夕三时 鼻。
《宝鉴方》无苍耳、乳香、细辛,有荆芥、桔梗。
蟾光膏 治远年病目,不通道路,退去云膜,须用十二月开成日合。
白砂蜜(四两,用隔年葱根去须皮,切短,与蜜一同熬,去白膜,候葱熟为度,以绵滤净
,纸取蜡面) 黄丹 密陀僧(各水飞,三钱,生用) 炉甘石(火 ,五钱,水飞)
以上三味,研极细,倾入前蜜中,桃柳无节者各一枝,搅匀。
川芎 当归 赤芍 杏仁(汤泡,去皮尖,各半两) 黄连(去芦净,二两) 秦皮 诃子皮
防风 石膏 玄精石 井泉石 无名异 玄参 代赭石 石决明(以上十味各三钱)
咀。用雪水或长流水五升,于银器内熬至二升,滤去滓净,再熬至一升,倾入前
药蜜内,银器内慢火熬紫金色时,再下后药,勿令过火。
乳香 没药 琥珀 朱砂 蕤仁(各三钱)
以上五味先干研极细,入蕤仁研细,水飞澄清极细,方倾入前药,一同复熬,以箸点药
于水中不散为度,勿令过与不及,取下,于土中埋七日,取出,置于银器或瓷器中,如法收
贮,便再添入后细药,以桃柳枝搅匀。
南硼砂 珍珠 龙脑 珊瑚枝(各一钱) 麝香(五分)
上五味,研极细,入药中封定,如有取不尽药,用净水斟酌洗渲熬过,另于洗眼或膏子
稠了,倾些小调解。
局方汤泡散:治疗肝经风热上壅,导致眼目红赤干涩、眼球疼痛且多泪。
处方组成:赤芍、当归、黄连(各取等量)。
制法与用法:将上述药材研为细末。每次取二钱,用热水炖化调匀后趁热清洗眼部,每日三至五次。《御药院方》中在此方基础上加入荆芥。
三因立胜散:治疗风热攻冲眼部,引起眼睑隐涩、畏光、肿胀疼痛。
处方组成:黄连、秦皮、防风、黄芩(等量)。
制法与用法:将药材切碎。加水煎煮至热,用新制的羊毫笔蘸取药液刷洗眼部。
金露膏:消除视物昏花、退去翳膜、消退红赤、定痛。
处方组成:蕤仁(捣碎)、黄丹(各一两)、黄连(半两)、蜂蜜(六两)。
制法与用法:先将黄丹炒至紫色,加入蜂蜜搅拌均匀,再倒入长流水四升,用嫩柳枝五七根固定搅拌,接着放入蕤仁,待煮沸十余次后,再放入黄连,用柳枝不停搅拌,熬制约七八合时,通过竹罩过滤到纸上,慢慢滴注,注意不要沾染灰尘。如果有瘀肉增生,加入硇砂末一钱,在火上慢火熔化,混入前述膏剂中使用。
《龙木论》记载:患伤寒热病后,切不可使用此药点眼,恐怕损伤眼睛。这句话可以作为用药禁忌。
宝鉴春雪膏:治疗风热上攻,导致眼目昏暗、痒痛隐涩难以睁开、分泌物多且流泪、畏光疼痛,或生成翳膜。
处方组成:黄连(四两,锉碎,用童子小便二升浸泡一夜,取出黄连渣,用剩下的药汁淬炼炉甘石)、优质黄丹(六两,水飞法制粉)、硇砂(一钱,细研,用水调在盏内,炖干为止)、白丁香(五分)、乳香、乌贼骨(烧至存性)、当归(各三钱)、麝香、轻粉(各少许)、南炉甘石(十二两,用童便淬炼并浸泡)。
制法与用法:将各药材分别研磨并单独储存。先用一斤四两优质蜂蜜,炼制去除蜡质,然后加入炉甘石粉末,不停搅拌,接着加入黄丹,再加入其他药末,不停搅拌直至呈现紫金色且不粘手为止,搓成条状。每次取一粒,用新水磨化,时时点眼。忌食酒、湿面、荞麦。
拔萃方药:治疗偏头痛及眼疾。
处方组成:苍耳头、薄荷叶、盆硝、石膏(各一钱,纹理杂乱者佳)、乳香、华细辛、川芎(各五分)。
制法与用法:研为极细末。在早、午、晚三个时辰嗅闻鼻吸。
《宝鉴方》中没有苍耳、乳香、细辛,而是有荆芥、桔梗。
蟾光膏:治疗多年眼病,经络不通,退去云翳膜,必须在十二月“开成”日配制。
处方组成:白砂蜜(四两,用隔年葱根去须去皮,切短,与蜜一同熬制,去掉白色浮膜,待葱熟为止,用绵布滤净,纸吸附蜡面)、黄丹、密陀僧(各水飞法制粉,三钱,生用)、炉甘石(火煅,五钱,水飞法制粉)。
制法与用法:以上三味药研至极细,倾入前面的蜂蜜中,用无节的桃枝和柳枝各一枝,搅拌均匀。
川芎、当归、赤芍、杏仁(热水泡,去皮尖,各半两)、黄连(去芦头洗净,二两)、秦皮、诃子皮、防风、石膏、玄精石、井泉石、无名异、玄参、代赭石、石决明(以上十味各三钱)。
切碎。用雪水或长流水五升,在银器内熬至二升,滤去药渣,再熬至一升,倾入前面的药蜜中,在银器内用慢火熬至紫金色时,再加入以下药物,不要让火候过头。
乳香、没药、琥珀、朱砂、蕤仁(各三钱)。
以上五味先干研至极细,加入蕤仁一起研细,水飞法制成极细粉,然后倾入前面的药液中,一同复熬,用筷子蘸药水滴入水中不散开为止,注意火候不要过猛也不足,取下后,埋在土中七天,取出,置于银器或瓷器中,按规定收贮,然后再添入以下细药,用桃柳枝搅拌均匀。
南硼砂、珍珠、龙脑、珊瑚枝(各一钱)、麝香(五分)。
以上五味研至极细,混入药中密封。如果有取不尽的药,用净水斟酌洗涤、熬煮后,另用于洗眼或当膏剂太稠时,加少量调解。
Ju Fang Tang Pao San: Treats liver meridian wind-heat obstructing upwards, causing redness and dryness of the eyes, ocular pain, and excessive tearing.
Ingredients: Chi Shao (Radix Paeoniae Rubra), Dang Gui (Radix Angelicae Sinensis), Huang Lian (Rhizoma Coptidis) (equal parts).
Preparation and Administration: Grind the above herbs into fine powder. Take two qian each time, dissolve in hot water, stir well, and wash the eyes while warm. Use three to five times daily. The *Yu Yao Yuan Fang* adds Jing Jie (Herba Schizonepetae) to this formula.
San Yin Li Sheng San: Treats wind-heat attacking the eyes, causing a feeling of grittiness, photophobia, swelling, and pain.
Ingredients: Huang Lian (Rhizoma Coptidis), Qin Pi (Cortex Fraxini), Fang Feng (Radix Saposhnikoviae), Huang Qin (Radix Scutellariae) (equal parts).
Preparation and Administration: Cut the herbs into small pieces. Decoct with water until hot. Dip a new sheep-hair brush into the solution and brush/wash the eyes.
Jin Lu Gao: Eliminates visual obscurity, removes nebulae (corneal opacities), reduces redness, and alleviates pain.
Ingredients: Rui Ren (Semen Pruni Armeniacae) (crushed), Huang Dan (Lithargyrum) (each 1 liang), Huang Lian (Rhizoma Coptidis) (0.5 liang), Honey (6 liang).
Preparation and Administration: First, stir-fry Huang Dan until it turns purple. Add honey and stir evenly. Pour in four sheng of running water. Secure five to seven tender willow branches for stirring. Add Rui Ren. When boiling for about ten boils, add Huang Lian. Stir continuously with willow branches. Simmer until reduced to approximately seven or eight he. Filter the liquid through a bamboo sieve onto paper. Drip slowly, avoiding dust contamination. If pterygium (fleshy growth) is present, add one qian of Nuo Sha (Ammonium Chloride) powder. Melt slowly over fire and mix into the aforementioned ointment.
The *Long Mu Lun* states: After suffering from cold damage febrile diseases, do not use this eye drop, as it may damage the eyes. This statement serves as a medication contraindication.
Bao Jian Chun Xue Gao: Treats wind-heat attacking upwards, causing dim vision, itching, pain, difficulty opening the eyes due to stickiness, excessive discharge and tearing, photophobia, pain, or the formation of nebulae.
Ingredients: Huang Lian (Rhizoma Coptidis) (4 liang, cut, soaked overnight in two sheng of urine from an uncircumcised boy; remove the rhizome residue and use the liquid to quench Lu Gan Shi); High-quality Huang Dan (Lithargyrum) (6 liang, processed by levigation); Nuo Sha (Ammonium Chloride) (1 qian, finely ground, mixed with water in a cup, dried by simmering); Bai Ding Xiang (Guano) (0.5 fen); Ru Xiang (Resina Acaciae Cathartae); Ou Ze Gu (Cutis Sepiae) (calcined to retain its properties); Dang Gui (Radix Angelicae Sinensis) (each 3 qian); She Xiang (Moschus); Qing Fen (Calomel) (small amounts of each); Nan Lu Gan Shi (Calamine) (12 liang, quenched and soaked in urine).
Preparation and Administration: Grind each herb separately and store individually. First, refine one jin four liang of high-quality honey to remove wax. Add the Lu Gan Shi powder and stir constantly. Then add Huang Dan, followed by the other powdered herbs. Stir constantly until it reaches a purple-golden color and does not stick to the hands. Shape into sticks. Take one pill each time, grind it in fresh water until dissolved, and apply to the eyes frequently. Avoid alcohol, wet noodles, and buckwheat.
Ba Cui Fang Medicine: Treats hemianopia (one-sided headache) and eye diseases.
Ingredients: Cang Er Tou (Flos Xanthii), Bo He Ye (Folium Menthae Haplocalycis), Pen Xiao (Saltpeter), Shi Gao (Gypsum Fibrosum) (each 1 qian, those with chaotic grain are preferred); Ru Xiang (Resina Acaciae Cathartae); Hua Xi Xin (Radix Asari); Chuan Xiong (Rhizoma Chuanxiong) (each 0.5 fen).
Preparation and Administration: Grind into extremely fine powder. Sniff at morning, noon, and evening.
The *Bao Jian Fang* omits Cang Er, Ru Xiang, and Xi Xin, but includes Jing Jie (Herba Schizonepetae) and Jie Geng (Radix Platycodi).
Chan Guang Gao: Treats chronic eye diseases with blocked meridians, removing cloud-like membranes. Must be prepared on the "Kai Cheng" day in the twelfth lunar month.
Ingredients: Bai Sha Mi (White Sand Honey) (4 liang, boil with root ends of green onions from the previous year (trimmed and cut short) together with honey, remove white foam, wait until onions are cooked, filter through cotton cloth, absorb wax surface with paper); Huang Dan (Lithargyrum); Mi Tuo Seng (Lead Monoxide) (each processed by levigation, 3 qian, used raw); Lu Gan Shi (Calamine) (calcined, 5 qian, processed by levigation).
Preparation and Administration: Grind the above three ingredients to extreme fineness. Pour into the previously prepared honey. Stir evenly using one branch of jointless peach wood and one branch of jointless willow.
Chuan Xiong (Rhizoma Chuanxiong), Dang Gui (Radix Angelicae Sinensis), Chi Shao (Radix Paeoniae Rubra), Xing Ren (Semen Pruni Armeniacae) (soaked in hot water, skin and tip removed, each 0.5 liang), Huang Lian (Rhizoma Coptidis) (rhizome removed, cleaned, 2 liang), Qin Pi (Cortex Fraxini), He Zi Pi (Pericarpium Terminaliae Chebulae), Fang Feng (Radix Saposhnikoviae), Shi Gao (Gypsum Fibrosum), Xuan Jing Shi (Natron), Jing Quan Shi (Alumen), Wu Ming Yi (Haematitum), Xuan Shen (Radix Scrophulariae), Dai Zhe Shi (Haematitum), Shi Jue Ming (Concha Haliotidis) (the above ten herbs, each 3 qian).
Cut into pieces. Decoct with five sheng of snow water or running water in a silver vessel until reduced to two sheng. Filter to remove dregs. Decoct again until reduced to one sheng. Pour into the previous medicinal honey. Simmer slowly over low heat in the silver vessel until purple-golden. Then add the following herbs. Do not overcook.
Ru Xiang (Resina Acaciae Cathartae), Mo Yao (Resina Boswelliae), Hu Po (Electrum), Zhu Sha (Cinnabar), Rui Ren (Semen Pruni Armeniacae) (each 3 qian).
Grind the above five herbs to extreme fineness first. Mix with Rui Ren and grind finely. Process by levigation to achieve extreme fineness. Then pour into the previous medicinal liquid. Simmer together. Test by dipping a chopstick into the medicine and dropping it into water; it should not disperse. Control the heat carefully—not too strong, not too weak. Remove from heat. Bury in soil for seven days. Take out and place in a silver or porcelain vessel. Store according to regulations. Then add the following fine herbs and stir evenly with peach and willow branches.
Nan Peng Sha (Borax), Zhen Zhu (Margarita), Long Nao (Borneolum Syntheticum), Shan Hu Zhi (Corallium) (each 1 qian); She Xiang (Moschus) (0.5 fen).
Grind the above five herbs to extreme fineness. Incorporate into the medicine and seal tightly. If any medicine remains unused, wash and decoct it with clean water in appropriate amounts. It can be used separately for eye washing or added in small quantities to adjust the consistency if the ointment is too thick.