论曰乳石发目昏赤痛者,由石势乘虚而上,亦膈内有痰热也,石性归肾。若将适失宜,
饮食失度,则其气腾涌,与痰热并蓄,熏蒸于肝,故令目昏赤痛也。
治乳石发,目昏赤痛,不睹物。大黄汤方
大黄(锉炒) 黄连(去须) 石膏(研各二两) 黄芩(去黑心) 甘草(炙锉) 细
辛(去苗
叶) 半夏(汤洗去滑尽各一两) 山栀子仁(七枚)
上八味,粗捣筛,每服五钱匕,水三盏,入生姜一分拍碎,煎至一盏半,去滓分温三服
,早晚服。
治乳石发目赤,闭目不开,烦闷热气,胸中澹澹,泻肝。前胡汤方
前胡(去芦头) 山栀子仁 干姜(炮) 车前叶 淡竹叶(各二两) 大青 秦皮(锉)
决
明子(碎) 细辛(去苗叶) 黄芩(去黑心各三两) 石膏
上一十一味,粗捣筛,每服五钱匕,水三盏,煎五六沸,下芒硝一钱匕,煎至一盏半,
去滓分温三服,得利即瘥。
治乳石发,目赤痛,小便赤,大便难,逆冲胸中口燥。黄芩汤方
黄芩(去黑心) 大黄(锉炒各二两) 山栀子仁(十四枚)
上三味,粗捣筛,每服三钱匕,水一盏,煎至七分,入豉一合,更煎三五沸,去滓温服
。取利三两行,以浆水粥止之。
治乳石发,腰痛欲折,两目欲脱者,为热上肝膈,腰肾冷极故也。黄连饮方
黄连(去须) 葳蕤(各一两) 甘草(炙锉半两)
上三味,粗捣筛,以水三盏,煎至一盏,去滓内朴硝一钱匕,更煎二三沸,分温二服,
取微利,瘥。
治乳石发,目痛如刺者,为热气冲肝上目。小便洗方
上数冷食,清朝温小便,洗,三日即瘥。
治乳石发,目生赤脉息肉,碜痛不开。枣肉黄连点方
枣(七枚去核) 黄连(去须碎一两绵裹) 淡竹叶(切一握)
上三味,先以水二盏,煎竹叶至一盏半,去竹叶澄清,内枣黄连,煎至三合,绵滤去滓
。每日临卧,点目大 ,即瘥。
治乳石发,目赤痒,丁香黄连点方
丁香(二七枚碎) 黄连(去须) 黄柏皮(切各半两) 蕤仁(研二七枚) 五铢钱
(一十文)
上五味,以水二盏,煎至六分,绵滤去滓,点目大 ,频点,取瘥。
治乳石发久风目赤。青盐点方
青盐(研一两) 杏仁(去皮尖二两微炒研烂以少汤同研匀帛裹压油出用半鸡子壳)
上二味,用铜盆一只,面阔一尺者,内油盐,取青柳枝如箸大者一握,紧束之。截头令
齐,用研之。候如稠墨,即先剜地作坑,置瓦于坑底上,取熟艾一鹅卵大,安瓦上烧之,即
安前药盆,合在坑口上,以烟熏之。火尽药成,收于不津器中,每夜点目大 ,即卧,频点
取瘥。
治乳石发目翳。雄黄散点方
雄黄(研) 干蓝(各半两)
上二味,捣研为散,每用一米大,翳上点之,三五度即瘥。
治乳石发,眼肿痛不开。猪肉贴方
上取精猪肉,薄切,贴眼上,热即易之,一方,用子肝,以井花水津贴之。
论述说:服用石药(指古代服食矿物类药物,如五石散等)引发的目昏、眼红疼痛,是由于石药的偏性趁人体虚弱而上逆,同时膈间内有痰热积聚,且石药之性归于肾脏。如果起居调摄不当,饮食失去节制,那么石药之气就会腾涌上冲,与痰热相互搏结,熏蒸肝脏,从而导致眼睛昏花、发红疼痛。
治疗因服用石药引发,出现眼睛昏花、发红疼痛,视物不清的方剂:大黄汤方
大黄(切碎炒制) 黄连(去除须根) 石膏(研碎,各二两) 黄芩(去除黑心部分) 甘草(炙烤后切碎) 细辛(去除苗叶) 半夏(用热水洗去滑腻感,各一两) 山栀子仁(七枚)
以上八味药,粗捣筛过,每次服用五钱匕的药量,加水三盏,放入生姜一分(约一钱),拍碎,煎煮至一盏半的量,滤去药渣,分三次温服,早晚各服一次。
治疗因服用石药引发,眼睛发红,闭眼难以睁开,心烦闷乱有热气,胸中悸动不安,以泻肝热的方剂:前胡汤方
前胡(去除芦头) 山栀子仁 干姜(炮制) 车前叶 淡竹叶(各二两) 大青 秦皮(切碎) 决明子(捣碎) 细辛(去除苗叶) 黄芩(去除黑心部分,各三两) 石膏
以上十一味药,粗捣筛过,每次服用五钱匕的药量,加水三盏,煎煮五六沸后,加入芒硝一钱匕,再煎煮至一盏半的量,滤去药渣,分三次温服,大便通畅即痊愈。
治疗因服用石药引发,眼睛发红疼痛,小便颜色深赤,大便困难,气逆冲撞胸中,口舌干燥的方剂:黄芩汤方
黄芩(去除黑心部分) 大黄(切碎炒制,各二两) 山栀子仁(十四枚)
以上三味药,粗捣筛过,每次服用三钱匕的药量,加水一盏,煎煮至七分量的时候,加入豆豉一合,再煎煮三五沸,滤去药渣温服。取效标准为大便通利两三次,然后用浆水粥来停止泻下。
治疗因服用石药引发,腰痛欲断,双眼感觉要脱出的症状,这是因为热气上冲至肝和膈部,而腰肾部位寒冷至极所致。方剂:黄连饮方
黄连(去除须根) 葳蕤(玉竹,各一两) 甘草(炙烤后切碎,半两)
以上三味药,粗捣筛过,加水三盏,煎煮至一盏的量,滤去药渣,加入朴硝一钱匕,再煎煮二三沸,分两次温服,取微弱的腹泻效果,即可痊愈。
治疗因服用石药引发,眼睛疼痛如针刺的感觉,这是因为热气冲撞肝脏并上行至眼部。方剂:小便清洗法
取隔夜冷的食物产生的尿液,清晨时温热后,用来清洗眼睛,三天即可痊愈。
治疗因服用石药引发,眼睛生出红色血丝和息肉,异物感疼痛难以睁开的方剂:枣肉黄连点眼方
大枣(七枚,去核) 黄连(去除须根,捣碎一两,用绵布包裹) 淡竹叶(切成一握)
以上三味药,先用水二盏,煎煮竹叶至一盏半的量,滤去竹叶,澄清药液,加入大枣和黄连,煎煮至三合的量,用绵布过滤去渣。每天临睡前,滴入眼中,即可痊愈。
治疗因服用石药引发,眼睛发红发痒的方剂:丁香黄连点眼方
丁香(十四枚,捣碎) 黄连(去除须根) 黄柏皮(切碎,各半两) 蕤仁(桃仁或蕤仁,研碎十四枚) 五铢钱(十文)
以上五味药,用水二盏,煎煮至六分量的时候,用绵布过滤去渣,滴入眼中,频繁滴用,直至痊愈。
治疗因长期服用石药引发,风邪导致眼睛发红。方剂:青盐点眼方
青盐(研碎一两) 杏仁(去皮尖二两,轻微炒制后研烂,加少量汤汁同研均匀,用丝绸包裹压出油,使用半鸡蛋壳盛装)
以上两味药,用一个口径一尺的铜盆,将油和盐放入其中,取一把像筷子粗细的青柳枝,紧紧捆扎在一起。截齐头部,用来研磨药物。等到混合物像浓墨一样稠厚时,先在地下挖一个坑,在坑底放置瓦片,取鹅蛋大小的熟艾绒,放在瓦片上点燃,随即把装有药物的铜盆扣在坑口上,用烟熏蒸。火燃尽后药物制成,存放在不透水的容器中,每晚滴入眼中,然后睡觉,频繁滴用直至痊愈。
治疗因服用石药引发,眼睛生翳(角膜云翳)。方剂:雄黄散点眼方
雄黄(研碎) 干蓝(马蓝或蓼蓝的干燥叶或茎,各半两)
以上两味药,捣碎研成散剂,每次取米粒大小,点在翳膜上,三到五次即可痊愈。
治疗因服用石药引发,眼睛肿痛无法睁开。方剂:猪肉贴敷法
取精瘦猪肉,切成薄片,贴在眼睛上,变热了就更换。另一方法是用猪肝,用井泉水浸湿后贴敷。
Discourse states: The condition of blurred vision, redness, and pain in the eyes caused by the eruption of mineral drugs (Shiyao, referring to ancient consumption of mineral-based medicines such as Five-Stone Powder) occurs because the pathogenic nature of the minerals ascends due to deficiency, accompanied by phlegm-heat accumulation within the diaphragm. The nature of mineral drugs tends to enter the Kidney. If daily life management is improper or dietary intake is unregulated, the qi of the minerals surges upward, combining with phlegm-heat to steam and harass the Liver, resulting in blurred vision, redness, and pain in the eyes.
Formula for treating blurred vision, redness, and pain in the eyes, and inability to see clearly caused by the eruption of mineral drugs: Dahuang Tang (Rhubarb Decoction).
Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried), Huanglian (Coptidis Rhizoma, removed roots), Shigao (Gypsum Fibrosum, crushed, each 2 liang), Huangqin (Scutellariae Radix, removed black heart), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Banxia (Pinelliae Rhizoma, washed with hot water to remove slipperiness, each 1 liang), Shanzhizi Ren (Gardeniae Fructus, 7 seeds).
The above eight herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi (approx. 5-10g depending on era/measure) of the mixture, added with 3 zhan of water and 1 fen (approx. 1 qian) of Paojiang (Zingiberis Rhizoma Praeparatum, smashed). Decoct until 1.5 zhan remains, strain, and divide into three warm doses, taken morning and evening.
Formula for treating redness of the eyes, inability to open them, irritability with heat sensation, and palpitations in the chest caused by the eruption of mineral drugs, aimed at purging the Liver heat: Qianhu Tang (Peucedani Radix Decoction).
Qianhu (Peucedani Radix, removed rhizome head), Shanzhizi Ren (Gardeniae Fructus), Ganjiang (Zingiberis Rhizoma, processed), Cheqianye (Plantaginis Herba), Danzhuyez (Phyllostachys Viridis Folium, each 2 liang), Daqing (Arctii Fructus or Isatidis Folium context dependent, here likely Isatidis Folium based on formula name variants, but text says Daqing - Indigo Naturalis/Folium Isatidis), Qinpi (Fraxini Cortex, chopped), Juemingzi (Cassiae Semen, crushed), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Huangqin (Scutellariae Radix, removed black heart, each 3 liang), Shigao (Gypsum Fibrosum).
The above eleven herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi of the mixture, added with 3 zhan of water. Boil for five or six boils, then add Mangxiao (Natrii Sulfas, 1 qianbi). Decoct until 1.5 zhan remains, strain, and divide into three warm doses. Recovery occurs when bowel movements become free.
Formula for treating redness and pain in the eyes, dark urine, difficult defecation, rebellious qi rushing to the chest, and dry mouth caused by the eruption of mineral drugs: Huangqin Tang (Scutellariae Radix Decoction).
Huangqin (Scutellariae Radix, removed black heart), Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried, each 2 liang), Shanzhizi Ren (Gardeniae Fructus, 14 seeds).
The above three herbs are coarsely pounded and sieved. Each dose consists of 3 qianbi of the mixture, added with 1 zhan of water. Decoct until 70% remains, then add Chidou (Sojae Semen Preparatum, 1 he). Boil for three or five more boils, strain, and take warm. The therapeutic goal is mild diarrhea two to three times; stop this effect with Jiangshui Zhou (fermented rice water porridge).
Formula for treating severe lower back pain resembling breaking, and a sensation that the eyes will protrude, caused by heat rising to the Liver and Diaphragm while the Waist and Kidneys are extremely cold: Huanglian Yin (Coptis Decoction).
Huanglian (Coptidis Rhizoma, removed roots), Weirui (Polygonati Odorati Rhizoma, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, 0.5 liang).
The above three herbs are coarsely pounded and sieved. Add 3 zhan of water and decoct until 1 zhan remains. Strain, add Puxiao (Natrii Sulfas, 1 qianbi), and boil for two or three more boils. Divide into two warm doses. A mild laxative effect indicates recovery.
Method for treating stabbing eye pain caused by heat rushing to the Liver and ascending to the eyes: Urine Wash Method.
Collect urine from overnight cold food/digestion. Warm it in the early morning and use it to wash the eyes. Recovery occurs after three days.
Formula for treating red blood vessels and polyps in the eyes, gritty pain, and inability to open them: Za Rou Huanglian Dian Fang (Jujube Meat Coptis Eye Drop Formula).
Zao (Jujubae Fructus, 7 seeds, pitted), Huanglian (Coptidis Rhizoma, removed roots, crushed 1 liang, wrapped in silk), Danzhuyez (Phyllostachys Viridis Folium, one handful).
Add 2 zhan of water and decoct the bamboo leaves until 1.5 zhan remains. Remove the leaves and clarify the liquid. Add the jujube meat and wrapped Coptis. Decoct until 3 he remains. Filter through silk to remove dregs. Before sleep, instill into the eyes daily until recovery.
Formula for treating red and itchy eyes: Dingxiang Huanglian Dian Fang (Clove Coptis Eye Drop Formula).
Dingxiang (Caryophylli Flos, 14 seeds, crushed), Huanglian (Coptidis Rhizoma, removed roots), Huangbai (Phellodendri Cortex, chopped, each 0.5 liang), Ruiren (Pruni Armeniaci Semen Amarum or Ruania, ground, 14 seeds), Wuzhu Qian (Wu Zhu Qian, ten coins).
Add 2 zhan of water and decoct until 60% remains. Filter through silk. Instill into the eyes frequently until recovery.
Formula for treating chronic wind-induced red eyes from long-term mineral drug use: Qingyan Dian Fang (Green Salt Eye Drop Formula).
Qingyan (Halitum, crushed 1 liang), Xingren (Armeniacae Semen Amarum, peeled and core removed 2 liang, lightly stir-fried and ground into paste, mixed with a little water, pressed in silk cloth to extract oil, stored in half an eggshell).
Use a copper basin with a width of one chi. Place the oil and salt inside. Take a bundle of green willow branches (thickness of chopsticks), bind tightly. Cut the ends even and grind the mixture in the basin. When it becomes as thick as dense ink, dig a pit in the ground, place a tile at the bottom, put a goose-egg-sized amount of Shuai Ai (Artemisiae Argyi Folium, prepared) on the tile, and ignite it. Place the basin over the pit opening to fumigate with smoke. Once the fire burns out, the medicine is ready. Store in a non-porous container. Instill into the eyes every night before sleep, frequently, until recovery.
Formula for treating corneal opacity (Yi) caused by mineral drug eruption: Xionghuang San Dian Fang (Realgar Powder Eye Drop Formula).
Xionghuang (Realgar, crushed), Ganlan (Isatidis Folium or Baphicacanthis Cusia, dried leaf/stem, each 0.5 liang).
Pound and grind into powder. Apply a grain-of-rice-sized amount onto the opacity 3 to 5 times until recovery.
Formula for treating swollen and painful eyes unable to open: Zhurou Tie Fang (Pork Paste Application).
Take lean pork, slice thinly, and apply to the eyes. Replace when it warms up. Another method uses Pig Liver (Zigan) soaked well-water (Jinghua Shui) applied to the eyes.