上药内,以不粘手为度,急丸如皂角刺大,以纸裹之。每用一丸,新汲水化开,旋入龙脑少
许,时时点翳上。
上方,以黄连去邪热,主明目为君;以黄丹除热除毒,炉甘石疗湿收散为臣;以当归和
血脉,麝香、乳香诸香通气,轻粉杀疮为佐;以 砂之能消,海螵蛸之磨翳,白丁香之主病
不移,龙脑之除赤脉去外障为使也。
消翳复明膏 治症上同。
黄丹(水飞,四两) 青盐(一两,另研) 白沙蜜(一斤) 诃子(八个,去核,取末) 海螵蛸(三钱
,取末)
先将蜜熬数沸,净纸搭去蜡面,却下黄丹,用棍搅匀,旋下余药,将至紫色取出。
黄连(十两) 蕤仁(半两) 木贼草(一两) 龙胆草(二两) 杏仁(七十五个去皮尖)
通入瓷器内,水一斗浸之,春秋五日,夏三日,冬十日,入锅内,文武火熬至小半升,
滤去渣,重汤炖成膏子,却入前药熬之,搅成紫色,入龙脑一钱。每用少许,点上,药干,
净水化开用。
上方,以黄连为君,为疗邪热也;蕤仁、杏仁、龙胆草为臣,为除赤痛,润烦燥,解热
毒也;黄丹、青盐、龙脑、白沙蜜为佐,为收湿烂,益肾气,疗赤肿,和百药也;诃子、海
螵蛸、木贼草为使,为涩则不移,消障磨翳也。
除风益损汤 治目为物伤者。
熟地黄 当归 白芍药 川芎(各一钱) 本 前胡 防风(各七分)
作一服,水二盏,煎至一盏,去滓,大热服。
上方,以熟地黄补肾水为君,黑睛为肾之子,此虚则补其母也;以当归补血,为目为血
所养,今伤则血病,白芍药补血又补气,为血病气亦病也,为臣;川芎治血虚头痛, 本通
血去头风为佐;前胡、防风,通疗风邪,俾不凝留为使。兼治亡血过多之病。伤于眉骨者,
病自目系而下,以其手少阴有隙也,加黄连疗之。伤于 者,病自抵过而上;伤于耳者
,病自锐 而入,以其手太阳有隙也,加柴胡疗之。伤于额交颠耳上角及脑者,病自内 而
出,以其足太阳有隙也,加苍术疗之。伤于耳后、耳角、耳前者,病自客主人斜下;伤于颊
者,病自锐 而入,以其足少阳有隙也,加龙胆草疗之。伤于额角及巅者,病自目系而下,
以其足厥阴有隙也,加五味子疗之。凡伤甚者,从权倍加大黄,泻其败血。眵多泪多,羞涩
赤肿者,加黄芩疗之。
加减地黄丸 治症上同。
生地黄 熟地黄(各半斤) 牛膝 当归(各三两) 枳壳(二两) 杏仁 羌活 防风(各一两)
为细末,炼蜜为丸,如桐子大。每服三十丸,空心食前,温酒送下,淡盐汤亦可。
上方,以地黄补肾水真阴为君,夫肾水不足者,相火必盛,故生熟地黄退相火也;牛膝
逐败血,当归益新血为臣;麸炒枳壳和胃气,谓胃为多血生血之所,是补其原,杏仁润燥,
谓血少生燥为佐;羌活、防风,俱升发清利,大除风邪,为七情五贼、饥饱劳役之病。睛痛
者,与当归养荣汤兼服;伤寒愈后之病,及血少血虚血亡之病,俱宜服也。
人参补阳汤 治伤寒余邪不散,上走空窍,其病隐涩赤胀,生翳羞明,头痛骨痛。
羌活 独活(各六分) 白芍药 生地黄 泽泻(各三分) 人参 白术 茯苓 黄 炙草
当归(各四分) 柴胡 防风(各五分) 熟地黄(酒洗,炒,四分)
作一服,水二盏,煎至一盏,去渣热服。
上方,分利阴阳、升降上下之药也。羌活、独活为君者,导阳之升也;茯苓、泽泻为臣
者,导阴之降也;人参、白术,大补脾胃,内盛则邪自不容,黄 、防风,大实皮毛,外密
则邪自不入,为之佐也;当归、熟地黄俱生血,谓目得血而能视,生地黄补肾水,谓神水属
肾,白芍药理气,柴胡行经,甘草和百药,为之使也。
抑阳酒连散 治神水紧小,渐如菜子许,及神水外围,相类虫蚀者,然皆能睹物不昏,
微有 羞涩之证。
生地黄 独活 黄柏 防风 知母(各三分) 蔓荆子 前胡 羌活 白芷 生草(各四分)
黄芩(酒制) 寒水石 栀子 黄连(酒制,各五分) 防己(三分)
作一服,水二盏,煎至一盏,去滓,大热服。
上方,抑阳缓阴之药也。以生地黄补肾水真阴为君;独活、黄柏、知母,俱益肾水为臣
;蔓荆子、羌活、防风、白芷,群队升阳之药为佐者,谓既抑之,令其分而更不相犯也;生
甘草、黄芩、栀子、寒水石、防己、黄连,不走之药为使者,惟欲抑之,不欲祛除也。诸用
酒制者,为引导也。
当归补血汤 治男子衄血便血,妇人产后崩漏,亡血过多,致睛珠疼痛,不能视物,羞
明酸涩,眼睫无力,眉骨太阳,俱各酸痛。
熟地黄 当归(各六分) 川芎 牛膝 白芍药 炙草 白术 防风(各五分) 生地黄 天门
冬(各四分)
作一服,水二盏,煎至一盏,去滓,稍热服。恶心不进食者,加生姜煎。
上方专补血,故以当归、熟地黄为君;川芎、牛膝、白芍药为臣,以其祛风续绝定痛而
通补血也;甘草、白术,大和胃气,用以为佐;防风升发,生地黄补肾,天门冬治血热,谓
血亡生风燥,故以为使。
羚羊角散 治小儿斑疹后,余毒不解,上攻眼目,生翳羞明,眵泪俱多,红赤肿闭。
羚羊角(镑) 黄芩 黄 草决明 车前子 升麻 防风 大黄 芒硝(各等分)
作一服,水一盏,煎半盏,去滓,稍热服。
上方,以羚羊角主明目为君;升麻补足太阴以实内,逐其毒也,黄 补手太阴以实外,
御其邪也,为臣;防风升清阳,车前子泻浊阴为佐;草决明疗赤痛泪出,黄芩、大黄、芒硝
,用以攻其固热为使。然大黄、芒硝乃大苦寒之药,智者当量其虚实,以为加减。未满二十
一日而目疾作者。消毒化斑汤主之。
消毒化斑汤 治小儿斑疹,未满二十一日而目疾作者。余症上同。
羌活(五分) 本(二分) 细辛(一分) 黄连(三分) 黄芩(一分) 酒芩(二分) 酒黄柏(三分)
生地黄(二分) 麻黄(五分) 升麻(五分) 白术(一分) 苍术(二分) 生甘草(一分) 吴茱萸(半分) 陈
皮(二分) 红花(半分) 苏木(一分) 当归(三分) 连翘(三分) 防风(五分) 川芎(二分) 葛根
(一分) 柴胡(二分)
上方,功非独能于目,盖专于斑者而置也。今以治斑之剂治目者,以其毒尚炽盛,又傍
害于目也。夫斑疹之发,初则膀胱壬水克小肠丙火,羌活、 本,乃治足太阳之药,次则肾
经癸水又克心火,细辛主少阴之药,故为君;终则二火炽盛,反制寒水,故用黄连、黄芩、
黄柏以疗二火,酒制者,反治也,生地黄益肾水,故为臣;麻黄、防风、川芎。升发阳气、祛
诸风邪,葛根、柴胡。解利邪毒,升麻散诸郁结,白术、苍术。除湿和胃,生甘草大退诸热,故
为佐;气不得上下,吴茱萸、陈皮通之,血不得流行,苏木、红花顺之,当归愈恶疮,连翘
除客热,故为使。此方君臣佐使,逆从反正,用药治法俱备,通造化明药性者能知也。如未
见斑疹之前,小儿耳尖冷,呵欠,睡中惊,嚏喷,眼涩,知其必出斑者,急以此药投之。甚
者则稀,稀者立已,已后无二出之患。
茯苓燥湿汤 治小儿易饥而渴,瘦瘠,腹胀下利,作HT HT 声,目病生翳,睫闭不
开,眵泪如糊,久而脓流,俗谓之疳毒眼。
甘草(炙,二分) 人参(一分) 柴胡(四分) 白术(二分) 枳壳(麸炒,二分) 苍术(三分) 茯苓(二
分) 泽泻(一分半) 前胡(三分) 川芎(三分半) 薄荷叶(二分) 羌活(三分半) 独活(三分) 蔓荆子
(二分)
作一服,水一盏半,煎至七分,去渣,稍热服。
上方,为小儿寒暑饮食不调而酿成此症。夫寒暑饮食不节,皆能伤动脾胃,脾胃阴阳之
会元也。故清阳下而不升,浊阴上而不降。今以白术、人参,先补脾胃为君;柴胡、甘草、
枳壳,辅上药补脾胃为臣;苍术燥湿,茯苓、泽泻导浊阴下降为佐;然后以羌活、独活、防
风、蔓荆子、前胡、川芎、薄荷诸主风药以胜湿,引清阳上升为使。此正治神效之法也。
升麻龙胆草饮子 治小儿疳眼,流脓生翳,湿热为病。
升麻(二钱) 羌活(三钱) 麻黄(一钱半) 炙草 谷精草 蛇蜕(各半钱) 龙胆草(三钱) 川郁金
半钱) 黄芩(炒,一钱) 青蛤粉(三钱)
为细末。每服二钱,热茶清浓调服。
上方君以升麻,足阳明胃足太阴脾也;臣以羌活、麻黄,风能胜湿也;佐以甘草,承和
上下,谷精草明目退翳,蛇蜕主小儿惊疳等疾;使以青蛤粉,治疳止利,川郁金破血,龙胆
草疗眼中诸疾,黄芩除上热,目内赤肿,火炒者妙,龙胆草性已苦寒,恐重之,则又过于寒
也。
将上述药物混合,以不粘手为标准,迅速制成如皂角刺大小的药丸,用纸包裹。每次使用一丸,用新汲取的凉水化开,随即加入少许龙脑(冰片),不时地点涂在眼翳上。
上方中,以黄连去除邪热、主治明目作为君药;以黄丹清热除毒、炉甘石治疗湿症并收敛散结作为臣药;以当归调和血脉、麝香和乳香等香料通行气机、轻粉杀灭疮毒作为佐药;以硼砂的消融能力、海螵蛸磨除眼翳、白丁香主治病位固定不移、龙脑去除赤脉和外障作为使药。
消翳复明膏:治疗的病症与上方相同。
黄丹(水飞法处理,四两) 青盐(一两,单独研磨) 白沙蜜(一斤) 诃子(八个,去核,取粉末) 海螵蛸(三钱,取粉末)
先将蜂蜜熬煮数沸,用净纸滤去蜡质层,然后放入黄丹,用棍棒搅拌均匀,随即加入其余药物,熬至呈紫色时取出。
黄连(十两) 蕤仁(半两) 木贼草(一两) 龙胆草(二两) 杏仁(七十五个,去皮尖)
通入瓷器内,用水一斗浸泡,春秋季五日,夏季三日,冬季十日,放入锅内,用文武火熬至约小半升,滤去药渣,隔水炖炼成膏状,再放入前述药物继续熬制,搅拌至紫色,加入一钱龙脑。每次取少量点入眼中,药干后,用净水化开使用。
上方中,以黄连为君药,用于治疗邪热;蕤仁、杏仁、龙胆草为臣药,用于消除红痛、润燥解烦、解除热毒;黄丹、青盐、龙脑、白沙蜜为佐药,用于收敛湿烂、补益肾气、治疗红肿、调和诸药;诃子、海螵蛸、木贼草为使药,用于固涩使药力不移、消除障膜磨除眼翳。
除风益损汤:治疗眼睛被物体损伤的病症。
熟地黄 当归 白芍药 川芎(各一钱) 藁本 前胡 防风(各七分)
作一剂服用,加水两盏,煎至一盏,去渣,大热服用。
上方中,以熟地黄补肾水作为君药,黑睛属肾之子,此虚证则补其母脏;以当归补血,因为眼睛由血滋养,现在受伤则血病,白芍药既补血又补气,因为血病则气亦病,作为臣药;川芎治疗血虚头痛,藁本通血脉去头风作为佐药;前胡、防风,通达治疗风邪,使其不凝滞停留作为使药。兼治失血过多的病症。伤于眉骨者,病势从目系向下,因为手少阴心经有间隙,加黄连治疗。伤于颧骨者,病势从下向上;伤于耳部者,病势从锐处进入,因为手太阳小肠经有间隙,加柴胡治疗。伤于额部、头顶交会处、耳上角及脑部者,病势从内部向外出,因为足太阳膀胱经有间隙,加苍术治疗。伤于耳后、耳角、耳前者,病势从客主人穴斜向下;伤于颊部者,病势从锐处进入,因为足少阳胆经有间隙,加龙胆草治疗。伤于额角及头顶者,病势从目系向下,因为足厥阴肝经有间隙,加五味子治疗。凡是伤势严重的,权宜之计加倍加大黄用量,泻下败血。眼屎多、泪水多、羞涩红肿者,加黄芩治疗。
加减地黄丸:治疗的病症与上方相同。
生地黄 熟地黄(各半斤) 牛膝 当归(各三两) 枳壳(二两) 杏仁 羌活 防风(各一两)
研为细末,炼蜜为丸,如梧桐子大小。每次服用三十丸,空腹食前,温酒送下,淡盐汤也可以。
上方中,以地黄补肾水真阴作为君药,肾水不足者,相火必然旺盛,所以生地黄和熟地黄退相火;牛膝逐除败血,当归补益新血作为臣药;麸炒枳壳调和胃气,因为胃是多血生血之源,这是补其根本,杏仁润燥,因为血少生燥作为佐药;羌活、防风,均能升发清利,大除风邪,治疗因七情五贼、饥饱劳役引起的疾病。眼睛疼痛者,与当归养荣汤兼服;伤寒愈后的疾病,以及血少、血虚、血亡的疾病,都适宜服用。
人参补阳汤:治疗伤寒余邪不散,上行走窜空窍,病症表现为隐涩、红胀、生翳、羞明、头痛、骨痛。
羌活 独活(各六分) 白芍药 生地黄 泽泻(各三分) 人参 白术 茯苓 黄芪 炙甘草 当归(各四分) 柴胡 防风(各五分) 熟地黄(酒洗,炒,四分)
作一剂服用,加水两盏,煎至一盏,去渣热服。
上方,是分清阴阳、升降上下的药物。羌活、独活为君药,引导阳气上升;茯苓、泽泻为臣药,引导阴气下降;人参、白术,大补脾胃,内部充实则邪气自然不容留,黄芪、防风,大实皮毛,外部严密则邪气自然不入,作为佐药;当归、熟地黄均能生血,因为眼睛得血才能视物,生地黄补肾水,因为神水属肾,白芍药理气,柴胡行经,甘草调和诸药,作为使药。
抑阳酒连散:治疗神水紧缩变小,逐渐如菜籽大小,以及神水外围,类似虫蚀的情况,然而都能看见物体而不昏花,仅有轻微的羞涩症状。
生地黄 独活 黄柏 防风 知母(各三分) 蔓荆子 前胡 羌活 白芷 生甘草(各四分) 黄芩(酒制) 寒水石 栀子 黄连(酒制,各五分) 防己(三分)
作一剂服用,加水两盏,煎至一盏,去渣,大热服用。
上方,是抑制阳热、缓和阴气的药物。以生地黄补肾水真阴作为君药;独活、黄柏、知母,均能益肾水作为臣药;蔓荆子、羌活、防风、白芷,群队升阳的药物作为佐药,意思是既然抑制了,让它们分开而不再互相侵犯;生甘草、黄芩、栀子、寒水石、防己、黄连,不走窜的药物作为使药,只想要抑制它,不想要祛除它。所有用酒制的药物,是为了引导药力。
当归补血汤:治疗男子鼻衄便血,妇人产后崩漏,失血过多,导致眼球疼痛,不能视物,羞明酸涩,眼睑无力,眉骨太阳穴处,均酸痛。
熟地黄 当归(各六分) 川芎 牛膝 白芍药 炙甘草 白术 防风(各五分) 生地黄 天门冬(各四分)
作一剂服用,加水两盏,煎至一盏,去渣,稍热服用。恶心不进食者,加生姜煎煮。
上方专门补血,所以以当归、熟地黄为君药;川芎、牛膝、白芍药为臣药,因为它们祛风续绝定痛并能通补血液;甘草、白术,大和胃气,用作佐药;防风升发,生地黄补肾,天门冬治疗血热,因为血亡生风燥,所以用作使药。
羚羊角散:治疗小儿斑疹后,余毒不解,上攻眼目,生翳羞明,眼屎泪水俱多,红赤肿闭。
羚羊角(镑) 黄芩 黄芪 草决明 车前子 升麻 防风 大黄 芒硝(各等分)
作一剂服用,加水一盏,煎至半盏,去渣,稍热服用。
上方中,以羚羊角主治明目作为君药;升麻补足太阴以实内,驱逐毒邪,黄芪补手太阴以实外,抵御邪气,作为臣药;防风升发清阳,车前子泻浊阴作为佐药;草决明治疗红痛流泪,黄芩、大黄、芒硝,用以攻逐固结之热作为使药。但是大黄、芒硝是大苦寒的药物,智者应当衡量虚实,进行加减。未满二十一日而眼疾发作的,用消毒化斑汤主治。
消毒化斑汤:治疗小儿斑疹,未满二十一日而眼疾发作的。其他症状与上方相同。
羌活(五分) 藁本(二分) 细辛(一分) 黄连(三分) 黄芩(一分) 酒黄芩(二分) 酒黄柏(三分) 生地黄(二分) 麻黄(五分) 升麻(五分) 白术(一分) 苍术(二分) 生甘草(一分) 吴茱萸(半分) 陈皮(二分) 红花(半分) 苏木(一分) 当归(三分) 连翘(三分) 防风(五分) 川芎(二分) 葛根(一分) 柴胡(二分)
上方,功效不仅仅在于眼部,而是专门针对斑疹设立的。现在用治斑的药剂来治眼,是因为毒邪仍然炽盛,又旁及伤害眼部。斑疹的发生,起初是膀胱壬水克小肠丙火,羌活、藁本是治疗足太阳膀胱经的药物,其次肾经癸水又克心火,细辛是主入少阴心的药物,所以作为君药;最终则是二火炽盛,反制寒水,所以用黄连、黄芩、黄柏来治疗二火,酒制的是反治法,生地黄益肾水,所以作为臣药;麻黄、防风、川芎,升发阳气、祛除各种风邪,葛根、柴胡,解利邪毒,升麻疏散各种郁结,白术、苍术,除湿和胃,生甘草大退各种热邪,所以作为佐药;气不得上下通畅,吴茱萸、陈皮通导之,血不得流行顺畅,苏木、红花顺行之,当归治愈恶疮,连翘除去客热,所以作为使药。此方君臣佐使,逆从反正,用药治法俱备,通晓造化明悉药性的人才能知晓。如果在未见斑疹之前,小儿耳尖冷,呵欠,睡中惊悸,喷嚏,眼涩,知道必定出斑疹的,急忙以此药投服。病情重的则减轻,轻的立即痊愈,此后无再次发作的祸患。
茯苓燥湿汤:治疗小儿容易饥饿且口渴,消瘦,腹胀腹泻,发出漉漉声,眼部疾病生翳,眼睑闭合不开,眼屎泪水如糊状,久而流脓,俗称为疳毒眼。
甘草(炙,二分) 人参(一分) 柴胡(四分) 白术(二分) 枳壳(麸炒,二分) 苍术(三分) 茯苓(二分) 泽泻(一分半) 前胡(三分) 川芎(三分半) 薄荷叶(二分) 羌活(三分半) 独活(三分) 蔓荆子(二分)
作一剂服用,加水一盏半,煎至七分,去渣,稍热服用。
上方,是因为小儿寒暑饮食不调而酿成此症。寒暑饮食不节,都能伤动脾胃,脾胃是阴阳之会元。所以清阳下陷而不升,浊阴上逆而不降。现在以白术、人参,先补脾胃作为君药;柴胡、甘草、枳壳,辅助上述药物补脾胃作为臣药;苍术燥湿,茯苓、泽泻引导浊阴下降作为佐药;然后用羌活、独活、防风、蔓荆子、前胡、川芎、薄荷等主风药来胜湿,引导清阳上升作为使药。这是正治神效的方法。
升麻龙胆草饮子:治疗小儿疳眼,流脓生翳,湿热致病。
升麻(二钱) 羌活(三钱) 麻黄(一钱半) 炙甘草 谷精草 蛇蜕(各半钱) 龙胆草(三钱) 川郁金(半钱) 黄芩(炒,一钱) 青蛤粉(三钱)
研为细末。每次服用二钱,用浓热的茶汁调服。
上方君药以升麻,入足阳明胃经和足太阴脾经;臣药以羌活、麻黄,风能胜湿;佐药以甘草,承和上下,谷精草明目退翳,蛇蜕主治小儿惊疳等疾病;使药以青蛤粉,治疗疳疾止泻,川郁金破血,龙胆草治疗眼中各种疾病,黄芩清除上部热邪,治疗目内赤肿,火炒者妙,龙胆草性已苦寒,恐怕加重之后,又会过于寒凉。
Mix the above-mentioned herbs until the consistency is such that it does not stick to the hands. Quickly form pills the size of a Gleditsia sinensis thorn (Zaojiaoci), and wrap them in paper. For each use, take one pill, dissolve it in freshly drawn cool water, add a small amount of Borneol (Longnao, 龙脑), and apply it to the corneal opacity (Yi, 翳) from time to time.
In the above formula, Huanglian (Coptidis Rhizoma) is used as the Sovereign herb (Jun, 君) to eliminate pathogenic heat and primarily improve vision; Huangdan (Lithargyri Preparatum) is used as the Minister herb (Chen, 臣) to clear heat and remove toxicity, while Lvganshi (Calaminae Preparatum) treats dampness and has astringent and dispersing properties; Danggui (Angelicae Sinensis Radix) harmonizes the blood vessels, Shexiang (Moschus) and Ruxiang (Olibanum) and other aromatic herbs promote Qi circulation, and Qingfen (Calomelas) kills sores are used as the Assistant herbs (Zuo, 佐); Pengsha (Borax) for its dissolving ability, Haipiaoxiao (Sepiae Endoconcha) for grinding away opacities, Baodingxiang (Stercus Columbae) for treating fixed lesions, and Longnao (Borneolum Syntheticum) for removing red meridians and external obstructions are used as the Envoy herbs (Shi, 使).
Xiaoyi Fuming Gao (Opacity-Dissolving Vision-Restoring Ointment): Treats the same symptoms as above.
Huangdan (Water-flown Lithargyri Preparatum, 4 liang), Qingyan (Halitum, 1 liang, ground separately), Baishami (White Honey, 1 jin), Hezi (Terminalia Chebulae Fructus, 8 pieces, pitted, powdered), Haipiaoxiao (Sepiae Endoconcha, 3 qian, powdered).
First, boil the honey for several boils, filter off the wax layer with clean paper, then add Huangdan, stir evenly with a stick, and subsequently add the remaining herbs. Remove when it turns purple.
Huanglian (Coptidis Rhizoma, 10 liang), Ruiren (Pruni Semen, 0.5 liang), Muzeycao (Equiseti Herba, 1 liang), Longdancao (Gentianae Radix et Rhizoma, 2 liang), Xingren (Armeniacae Semen Amarum, 75 pieces, skin and tip removed).
Soak all together in a porcelain vessel with one dou of water: for five days in spring and autumn, three days in summer, and ten days in winter. Then place in a pot and decoct with mild fire until only slightly less than half a sheng remains. Filter out the dregs, stew over hot water to form a paste, then add the previously mentioned herbs and continue decocting, stirring until purple. Add one qian of Longnao (Borneolum Syntheticum). Use a small amount to apply to the eyes; when the medicine dries, dissolve it in clean water for use.
In the above formula, Huanglian (Coptidis Rhizoma) is the Sovereign herb for treating pathogenic heat; Ruiren (Pruni Semen), Xingren (Armeniacae Semen Amarum), and Longdancao (Gentianae Radix et Rhizoma) are the Minister herbs for eliminating redness and pain, moistening dryness and irritability, and resolving heat toxicity; Huangdan (Lithargyri Preparatum), Qingyan (Halitum), Longnao (Borneolum Syntheticum), and Baishami (White Honey) are the Assistant herbs for drying dampness and ulcers, benefiting Kidney Qi, treating redness and swelling, and harmonizing various herbs; Hezi (Terminalia Chebulae Fructus), Haipiaoxiao (Sepiae Endoconcha), and Muzeycao (Equiseti Herba) are the Envoy herbs for astringency to keep efficacy localized, and for eliminating obstructions and grinding away opacities.
Chufeng Yisun Tang (Wind-Expelling and Injury-Nourishing Decoction): Treats eye injuries caused by foreign objects.
Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Gaoben (Ligustici Wallichii Rhizoma et Radix), Qianhu (Peucedani Radix), Fangfeng (Saposhnikoviae Radix) (each 0.7 qian).
Prepare as one dose, add two zhan of water, decoct to one zhan, remove dregs, and take while very hot.
In the above formula, Shudihuang (Rehmanniae Radix Praeparata) is the Sovereign herb for tonifying Kidney Water. The black part of the eye belongs to the Kidney (son organ); deficiency here requires tonifying the mother organ. Danggui (Angelicae Sinensis Radix) nourishes Blood because the eyes are nourished by Blood; injury causes Blood pathology, and Baishaoyao (Paeoniae Radix Alba) both nourishes Blood and Qi because Blood pathology affects Qi, serving as the Minister herb. Chuanxiong (Ligustici Chuanxiong Rhizoma) treats headache due to Blood deficiency, and Gaoben (Ligustici Wallichii Rhizoma et Radix) promotes blood circulation and removes wind from the head, serving as the Assistant herb. Qianhu (Peucedani Radix) and Fangfeng (Saposhnikoviae Radix) treat wind pathogens, ensuring they do not stagnate, serving as the Envoy herb. It also treats conditions of excessive blood loss. If injured at the brow bone, the disease descends from the eye system due to gaps in the Hand-Shaoyin Heart Meridian; add Huanglian (Coptidis Rhizoma) to treat. If injured at the cheekbone, the disease ascends; if injured at the ear, the disease enters from the sharp angle due to gaps in the Hand-Taiyang Small Intestine Meridian; add Chaihu (Bupleuri Radix) to treat. If injured at the forehead, vertex intersection, upper corner of the ear, or brain, the disease exits from the interior due to gaps in the Foot-Taiyang Bladder Meridian; add Cangzhu (Atractylodis Rhizoma) to treat. If injured behind the ear, ear horn, or front of the ear, the disease descends obliquely from Kecheren (ST7); if injured at the cheek, the disease enters from the sharp angle due to gaps in the Foot-Shaoyang Gallbladder Meridian; add Longdancao (Gentianae Radix et Rhizoma) to treat. If injured at the frontal angle or vertex, the disease descends from the eye system due to gaps in the Foot-Jueyin Liver Meridian; add Wuweizi (Schisandrae Chinensis Fructus) to treat. For severe injuries, temporarily double the dosage of Dahuang (Rhei Radix et Rhizoma) to purge stagnant blood. For excessive discharge, tearing, sensitivity to light, redness, and swelling, add Huangqin (Scutellariae Radix) to treat.
Jiajian Dihuang Wan (Modified Rehmannia Pill): Treats the same symptoms as above.
Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Praeparata) (each 0.5 jin), Niuxi (Achyranthis Bidentatae Radix), Danggui (Angelicae Sinensis Radix) (each 3 liang), Zhike (Aurantii Fructus, 2 liang), Xingren (Armeniacae Semen Amarum), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (each 1 liang).
Grind into fine powder, make pills with refined honey, sized like Torreya seeds. Take thirty pills per dose before meals on an empty stomach, washed down with warm wine or light salt water.
In the above formula, Dihuang (Rehmanniae Radix) tonifies the true Yin of Kidney Water as the Sovereign herb; insufficient Kidney Water leads to flourishing Minister Fire, so Shengdihuang (Rehmanniae Radix) and Shudihuang (Rehmanniae Radix Praeparata) subdue Minister Fire. Niuxi (Achyranthis Bidentatae Radix) expels stagnant blood, and Danggui (Angelicae Sinensis Radix) benefits new blood as the Minister herb. Bran-fried Zhike (Aurantii Frizctus) harmonizes Stomach Qi, as the Stomach is the source of generating Blood, thus replenishing the root; Xingren (Armeniacae Semen Amarum) moistens dryness, as Blood deficiency generates dryness, serving as the Assistant herb. Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix) both ascend and clear, greatly dispelling wind pathogens, treating diseases caused by seven emotions, five thieves, hunger/fullness, and labor/fatigue. For eye pain, take concurrently with Danggui Yangrong Tang (Angelica Nourishing Nutrient Decoction). This formula is suitable for post-typhoid recovery conditions, as well as conditions of Blood deficiency, Blood emptiness, and Blood loss.
Renshen Buyang Tang (Ginseng Tonifying Yang Decoction): Treats residual pathogenic factors from typhoid failing to dissipate, ascending to empty orifices, causing symptoms of hidden discomfort, redness, swelling, corneal opacity, photophobia, headache, and bone pain.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) (each 0.6 qian), Baishaoyao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix), Zexie (Alismatis Rhizoma) (each 0.3 qian), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Huangqi (Astragali Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 0.4 qian), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix) (each 0.5 qian), Shudihuang (Rehmanniae Radix Praeparata) (wine-washed, fried, 0.4 qian).
Prepare as one dose, add two zhan of water, decoct to one zhan, remove dregs, and take hot.
The above formula regulates Yin and Yang, and ascending and descending. Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix) are the Sovereign herbs, guiding the ascent of Yang; Fuling (Poria) and Zexie (Alismatis Rhizoma) are the Minister herbs, guiding the descent of Yin; Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) greatly tonify Spleen and Stomach; internal fullness prevents pathogenic retention, while Huangqi (Astragali Radix) and Fangfeng (Saposhnikoviae Radix) strengthen the skin and hair; external density prevents pathogenic entry, serving as the Assistant herbs. Danggui (Angelicae Sinensis Radix) and Shudihuang (Rehmanniae Radix Praeparata) both generate Blood, as the eyes see when nourished by Blood; Shengdihuang (Rehmanniae Radix) tonifies Kidney Water, as Shen Water (aqueous humor) belongs to the Kidney; Baishaoyao (Paeoniae Radix Alba) regulates Qi, Chaihu (Bupleuri Radix) unblocks meridians, and Gancao (Glycyrrhizae Radix et Rhizoma) harmonizes various herbs, serving as the Envoy herbs.
Yiyang Jiulian San (Suppressing Yang and Wine-Linked Powder): Treats tightening and shrinking of Shen Water (aqueous humor) to the size of a rapeseed, and peripheral changes resembling insect erosion, yet vision remains clear without dimness, presenting only slight sensitivity and discomfort.
Shengdihuang (Rehmanniae Radix), Duhuo (Angelicae Pubescentis Radix), Huangbai (Phellodendri Cortex), Fangfeng (Saposhnikoviae Radix), Zhimu (Anemarrhenae Rhizoma) (each 0.3 qian), Manjingzi (Vittaginis Fructus), Qianhu (Peucedani Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Shengcaogen (Raw Glycyrrhizae Radix et Rhizoma) (each 0.4 qian), Huangqin (Scutellariae Radix, wine-processed), Hanshuishi (Calcitum), Zhizi (Gardeniae Fructus), Lianlian (Coptidis Rhizoma, wine-processed) (each 0.5 qian), Fangji (Stephaniae Tetrandrae Radix) (0.3 qian).
Prepare as one dose, add two zhan of water, decoct to one zhan, remove dregs, and take very hot.
The above formula suppresses Yang and moderates Yin. Shengdihuang (Rehmanniae Radix) tonifies the true Yin of Kidney Water as the Sovereign herb; Duhuo (Angelicae Pubescentis Radix), Huangbai (Phellodendri Cortex), and Zhimu (Anemarrhenae Rhizoma) all benefit Kidney Water as the Minister herbs; Manjingzi (Vittaginis Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Baizhi (Angelicae Dahuricae Radix) are a group of Yang-ascending herbs serving as the Assistant herbs, meaning that after suppression, they separate to prevent mutual infringement; Shengcaogen (Raw Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Hanshuishi (Calcitum), Fangji (Stephaniae Tetrandrae Radix), and Lianlian (Coptidis Rhizoma) are non-migratory herbs serving as the Envoy herbs, aiming solely to suppress rather than expel. All wine-processed herbs serve as guides.
Danggui Buxue Tang (Angelica Tonifying Blood Decoction): Treats epistaxis and hematochezia in men, metrorrhagia and metrostaxis in women postpartum, excessive blood loss leading to eyeball pain, inability to see, photophobia, soreness and dryness, eyelid weakness, and soreness/aching in the brow bones and temporal regions.
Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix) (each 0.6 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Baishaoyao (Paeoniae Radix Alba), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 0.5 qian), Shengdihuang (Rehmanniae Radix), Tiandong (Asparagi Radix) (each 0.4 qian).
Prepare as one dose, add two zhan of water, decoct to one zhan, remove dregs, and take slightly hot. For nausea and loss of appetite, add Shengjiang (Zingiberis Rhizoma Recens) to decoct.
This formula specializes in tonifying Blood, so Danggui (Angelicae Sinensis Radix) and Shudihuang (Rehmanniae Radix Praeparata) are the Sovereign herbs; Chuanxiong (Ligustici Chuanxiong Rhizoma), Niuxi (Achyranthis Bidentatae Radix), and Baishaoyao (Paeoniae Radix Alba) are the Minister herbs, as they dispel wind, restore continuity, relieve pain, and facilitate blood tonification; Gancao (Glycyrrhizae Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) greatly harmonize Stomach Qi, serving as the Assistant herbs; Fangfeng (Saposhnikoviae Radix) ascends, Shengdihuang (Rehmanniae Radix) tonifies the Kidney, and Tiandong (Asparagi Radix) treats Blood heat, as Blood loss generates wind and dryness, serving as the Envoy herbs.
Lingyangjiao San (Antelope Horn Powder): Treats residual toxins after pediatric exanthematous fever failing to resolve, attacking the eyes upward, causing corneal opacity, photophobia, excessive discharge and tearing, redness, swelling, and closure.
Lingyangjiao (Saigae Tataricae Cornu, shaved), Huangqin (Scutellariae Radix), Huangqi (Astragali Radix), Caojueming (Semen Cassiae), Cheqianzi (Plantaginis Semen), Shengma ( Cimicifugae Rhizoma), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas) (equal parts).
Prepare as one dose, add one zhan of water, decoct to half a zhan, remove dregs, and take slightly hot.
In the above formula, Lingyangjiao (Saigae Tataricae Cornu) is the Sovereign herb for improving vision; Shengma (Cimicifugae Rhizoma) supplements Taiyin to solidify the interior and expel toxins, while Huangqi (Astragali Radix) supplements Hand-Taiyin to solidify the exterior and resist pathogens, serving as the Minister herbs; Fangfeng (Saposhnikoviae Radix) ascends clear Yang, and Cheqianzi (Plantaginis Semen) drains turbid Yin as the Assistant herb; Caojueming (Semen Cassiae) treats redness, pain, and tearing, while Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), and Mangxiao (Natrii Sulfas) attack consolidated heat as the Envoy herbs. However, Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas) are strongly bitter and cold; wise practitioners should assess deficiency and excess to adjust dosages. For eye diseases occurring within twenty-one days of exanthematous fever, Xiaodu Huaban Tang (Detoxifying and Macule-Resolving Decoction) is the primary treatment.
Xiaodu Huaban Tang (Detoxifying and Macule-Resolving Decoction): Treats pediatric exanthematous fever where eye diseases occur within twenty-one days. Other symptoms are the same as above.
Qianghuo (Notopterygii Rhizoma et Radix, 0.5 qian), Gaoben (Ligustici Wallichii Rhizoma et Radix, 0.2 qian), Xixin (Asari Radix et Rhizoma, 0.1 qian), Huanglian (Coptidis Rhizoma, 0.3 qian), Huangqin (Scutellariae Radix, 0.1 qian), Jiu Huangqin (Wine-processed Scutellariae Radix, 0.2 qian), Jiu Huangbai (Wine-processed Phellodendri Cortex, 0.3 qian), Shengdihuang (Rehmanniae Radix, 0.2 qian), Mahuang (Ephedrae Herba, 0.5 qian), Shengma (Cimicifugae Rhizoma, 0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.1 qian), Cangzhu (Atractylodis Rhizoma, 0.2 qian), Shengcaogen (Raw Glycyrrhizae Radix et Rhizoma, 0.1 qian), Wuzhuyu (Evodiae Fructus, 0.05 qian), Chenpi (Citri Reticulatae Pericarpium, 0.2 qian), Honghua (Carthami Flos, 0.05 qian), Sumu (Sappan Lignum, 0.1 qian), Danggui (Angelicae Sinensis Radix, 0.3 qian), Lianqiao (Forsythiae Fructus, 0.3 qian), Fangfeng (Saposhnikoviae Radix, 0.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.2 qian), Gegen (Puerariae Lobatae Radix, 0.1 qian), Chaihu (Bupleuri Radix, 0.2 qian).
The efficacy of this formula is not limited to the eyes but is specifically established for macules. Using macule-treating agents for eye disease is because the toxin is still vigorous and affecting the eyes. The eruption of macules begins with Bladder Ren Water overcoming Small Intestine Bing Fire; Qianghuo (Notopterygii Rhizoma et Radix) and Gaoben (Ligustici Wallichii Rhizoma et Radix) treat the Foot-Taiyang Bladder Meridian. Next, Kidney Gui Water overcomes Heart Fire; Xixin (Asari Radix et Rhizoma) treats the Shaoyin Heart, so these are the Sovereign herbs. Finally, the two Fires become vigorous and counteract Cold Water; thus, Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), and Huangbai (Phellodendri Cortex) treat the two Fires. Wine-processing is a reverse treatment method. Shengdihuang (Rehmanniae Radix) benefits Kidney Water, so these are the Minister herbs. Mahuang (Ephedrae Herba), Fangfeng (Saposhnikoviae Radix), and Chuanxiong (Ligustici Chuanxiong Rhizoma) ascend Yang Qi and dispel wind pathogens; Gegen (Puerariae Lobatae Radix) and Chaihu (Bupleuri Radix) resolve toxic pathogens; Shengma (Cimicifugae Rhizoma) disperses stagnation; Baizhu (Atractylodis Macrocephalae Rhizoma) and Cangzhu (Atractylodis Rhizoma) remove dampness and harmonize the Stomach; Shengcaogen (Raw Glycyrrhizae Radix et Rhizoma) greatly reduces various heats, so these are the Assistant herbs. When Qi cannot move up and down, Wuzhuyu (Evodiae Fructus) and Chenpi (Citri Reticulatae Pericarpium) unblock it; when Blood cannot circulate smoothly, Sumu (Sappan Lignum) and Honghua (Carthami Flos) smooth it; Danggui (Angelicae Sinensis Radix) heals foul sores, and Lianqiao (Forsythiae Fructus) removes guest heat, so these are the Envoy herbs. This formula’s Sovereign, Minister, Assistant, and Envoy structure, along with its reverse and direct approaches, comprehensively covers medication and treatment methods, known only to those who understand transformation and drug properties. Before macules appear, if a child has cold ear tips, yawning, night terrors, sneezing, and dry eyes, indicating impending macules, administer this medicine urgently. Severe cases will be mitigated, mild cases will resolve immediately, and there will be no recurrence.
Fuling Zaoshi Tang (Poria Drying Dampness Decoction): Treats pediatric easy hunger and thirst, emaciation, abdominal distension, diarrhea, gurgling sounds, eye diseases with corneal opacity, closed eyelids, pasty discharge and tears, prolonged pus flow, commonly known as Gan Du Eye (Malnutrition Toxic Eye).
Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 0.2 qian), Renshen (Ginseng Radix, 0.1 qian), Chaihu (Bupleuri Radix, 0.4 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.2 qian), Zhike (Aurantii Fructus, bran-fried, 0.2 qian), Cangzhu (Atractylodis Rhizoma, 0.3 qian), Fuling (Poria, 0.2 qian), Zexie (Alismatis Rhizoma, 0.15 qian), Qianhu (Peucedani Radix, 0.3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.35 qian), Boheye (Menthae Haplocalycis Folium, 0.2 qian), Qianghuo (Notopterygii Rhizoma et Radix, 0.35 qian), Duhuo (Angelicae Pubescentis Radix, 0.3 qian), Manjingzi (Vittaginis Fructus, 0.2 qian).
Prepare as one dose, add one and a half zhan of water, decoct to seven tenths, remove dregs, and take slightly hot.
The above formula addresses symptoms caused by improper diet and temperature regulation in children. Improper diet and exposure to cold/heat damage the Spleen and Stomach, the origin of Yin and Yang. Thus, Clear Yang sinks and fails to ascend, while Turbid Yin rises and fails to descend. Baizhu (Atractylodis Macrocephalae Rhizoma) and Renshen (Ginseng Radix) first tonify Spleen and Stomach as the Sovereign herbs; Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Zhike (Aurantii Fructus) assist the above herbs in tonifying Spleen and Stomach as the Minister herbs; Cangzhu (Atractylodis Rhizoma) dries dampness, while Fuling (Poria) and Zexie (Alismatis Rhizoma) guide Turbid Yin downward as the Assistant herbs; finally, Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Manjingzi (Vittaginis Fructus), Qianhu (Peucedani Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Boheye (Menthae Haplocalycis Folium), as primary wind-dispelling herbs, overcome dampness and guide Clear Yang upward as the Envoy herbs. This is the orthodox and miraculous method of treatment.
Shengma Longdancao Yinzi (Cimicifuga and Gentian Drink): Treats pediatric Gan Eye (Malnutrition Eye) with pus flow and corneal opacity, caused by damp-heat.
Shengma (Cimicifugae Rhizoma, 2 qian), Qianghuo (Notopterygii Rhizoma et Radix, 3 qian), Mahuang (Ephedrae Herba, 1.5 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Gujingcao (Evodiopteridis Fructus), Shetui (Bombyx Batryticatus) (each 0.5 qian), Longdancao (Gentianae Radix et Rhizoma, 3 qian), Chuan Yujin (Curcumae Radix, 0.5 qian), Huangqin (Scutellariae Radix, fried, 1 qian), Qinggefen (Concha Meretricis et Cyclinae Preparata, 3 qian).
Grind into fine powder. Take two qian per dose, mixed with strong hot tea.
The Sovereign herb is Shengma (Cimicifugae Rhizoma), entering the Foot-Yangming Stomach and Foot-Taiyin Spleen meridians; the Minister herbs are Qianghuo (Notopterygii Rhizoma et Radix) and Mahuang (Ephedrae Herba), as Wind can overcome Dampness; the Assistant herb is Gancao (Glycyrrhizae Radix et Rhizoma), harmonizing upper and lower, Gujingcao (Evodiopteridis Fructus) brightens the eyes and resolves opacities, and Shetui (Bombyx Batryticatus) treats pediatric convulsions and malnutrition; the Envoy herb is Qinggefen (Concha Meretricis et Cyclinae Preparata), treating malnutrition and stopping diarrhea, Chuan Yujin (Curcumae Radix) breaks Blood stasis, Longdancao (Gentianae Radix et Rhizoma) treats various eye diseases, and Huangqin (Scutellariae Radix) clears upper heat and treats intraocular redness and swelling. Fire-frying is excellent. Longdancao (Gentianae Radix et Rhizoma) is already bitter and cold; fear that adding more would make it excessively cold.