论曰伤寒热毒瓦斯盛,发于肌肉作斑豆,不已则上熏眼目,肿涩而痛,片见黄赤,若玳瑁
色,或碎如粟粒是也,点药入眼,必致损烂,惟宜服利脾肺解热毒之药,亦可敷药于眼睑上
下,稍削其势。
治斑疮后,翳膜忽生,及风毒暴赤等眼,羚羊角饮方
羚羊角(一对镑取细末) 车前子 决明子(微炒) 防风(去叉) 升麻 黄 (锉)
大黄
(锉炒) 黄芩(去黑心) 芒硝(各二两)
上九味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓倾入瓷瓶内,用油单纸封。系
悬在井中一宿,至次日取出,微暖动,临时徐徐呷,不得枕头,睡至明见效,如势不可缓,
急要服者,空心日午各一服。
治斑疮入眼,决明散方
决明子(微炒一两半) 秦皮(锉) 甘菊花(各一两) 细辛(去苗叶三分) 羚羊
角(镑一
两) 赤芍药(一两半) 麦门冬(去心焙) 升麻 黄芩(去黑心) 黄连(去须各一两)
朴硝
(研一两半) 甘草(炙一两)
上一十二味,捣研为散,每服二钱匕,食后以温米泔调服,临卧再服。
治斑疮入眼,茯神汤方
茯神(去木) 赤芍药 葛根(锉各一两) 升麻 地骨皮(锉) 黄芩(去黑心各一
两半)
大黄(锉炒一两)
上七味,粗捣筛,每服四钱匕,水一盏半,煎至八分,去滓温服,食后临卧服。
治斑豆疮入眼,黄芩汤方
黄芩(去黑心) 栀子仁 黄连(去须) 葳蕤 升麻 蕤仁(去皮) 甘草(炙锉并
等分)
上七味,粗捣筛,每服四钱匕,以水一盏半,煎至八分,去滓温服,食后临卧各一。
治斑豆疮入眼,宜服去脾肺,热毒瓦斯,柴胡汤方
柴胡(去苗) 黄芩(去黑心) 栀子仁赤芍药 升麻 麦门冬(去心) 甘草(炙锉
等分)
上七味,粗捣筛,每服五钱匕,水一盏半,煎至一小盏,去滓放温,食后临卧服。
治眼内有疮,但睛不损者,并可疗,蒺藜子丸方
蒺藜子(炒去角一两) 兔粪(喂黑豆后收者二两焙) 蝉蜕(去土炒) 蛇蜕(炙) 木
贼(
以合盛之略烧存性为末) 决明子(微炒各一两)
上六味,捣罗为末,用淡豆豉一两,白面一匙,先烂研豉,入水和面煮糊,丸如梧桐子
大,每服用淡竹叶汤下十丸。加至二十丸,早晚食后。
治斑疮入眼,黄连汤方
黄连(去须) 细辛(去苗叶) 紫菀(去苗土) 决明子(微炒) 车前子 苦 根
(干者锉
碎等分)
上六味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓温服。食后临卧。
治豆疮入目生翳,累医不效者,腻粉膏方
腻粉 水银 粉霜(各一分)
上三味。用瓷钵令男子溺六十日后,用铫子内铺纸一重,衬三味药,以湿纸幂铫面,
中心留一窍,如指大,以前瓷钵复之,用湿纸封缝,更以湿沙浓拥四面,钵上置水一盏。慢
火熬,候干冷取钵,扫取水银,令患者就病目卧,取药半豆大,内在耳中,少时目痒揉之,
翳随手落,避风将息三两日。
治麸豆疮入眼。宜外贴黄药膏方
黄药子 木香(各一两) 大黄(三两生用)
上三味,捣研为细散,更重研令匀细,每用时,以浆水调为膏,摊生绢上,贴眼睑上下
。不得入眼内,干即易。
治斑疮入眼,及诸般眼疾, 砂散方
砂(明净者生用一字) 硼砂(半钱) 龙脑(一钱)
上三味,各研为末,再同研令匀细,每以少许渗放翳上,日三四次。
治豆疮入眼睛上作白翳,遮障不明,刺痛不可忍者,神圣粉方
轻粉(一分)
上一味,用少炭灰渗地面,如盎大,次烧小木炭十数片,簇定吹令火盛,即倾粉其上,
以新大瓷盎一只盖之,四下速拨灰塞缝,勿令烟透,更滴十数滴冷水于盎底,候冷取起盎,
见粉烟飞粘盎内,旋以指点水刮洗下,用两重楮纸裹盛,绞出水银珠子,如赤豆大,以指甲
挑入不病眼边耳内,须侧卧,摇令药到耳底,以软纸塞耳,当时不痛,即开得眼,或未效,
次日再如前法 ,取一豆大,挑入病眼边耳内,立效。
论述说:伤寒病的热毒之气旺盛,发于肌肉形成斑豆疮,如果病情不愈,热毒就会向上熏蒸眼目,导致眼睛肿胀、干涩且疼痛,出现片状的黄红色斑块,颜色如同玳瑁色,或者破碎如粟粒状。此时若将药物点入眼中,必然会导致眼部组织溃烂损伤,因此只适宜服用能够调理脾肺、解除热毒的药物,也可以在眼睑上下敷药,以稍微削弱病势。
治疗斑疮痊愈后,突然生出翳膜,以及风毒引起的急性红眼等病症的羚羊角饮方:
羚羊角(一对,镑成细末) 车前子 决明子(微炒) 防风(去叉枝) 升麻 黄芪(锉碎) 大黄(锉碎并炒) 黄芩(去掉黑心部分) 芒硝(以上各二两)
以上九味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分满,滤去药渣,倒入瓷瓶中,用油单纸密封。将其悬挂在井中过夜,第二天取出,微微温热摇匀,临时慢慢啜饮,服药时不要枕枕头,睡到天亮见效。如果病势紧急不能拖延,需要急服者,空腹和日午时分各服一次。
治疗斑疮入眼,决明散方:
决明子(微炒一两半) 秦皮(锉碎) 甘菊花(各一两) 细辛(去苗叶三分) 羚羊角(镑成一两) 赤芍药(一两半) 麦门冬(去心焙干) 升麻 黄芩(去掉黑心部分) 黄连(去须,以上各一两) 朴硝(研细一两半) 甘草(炙制一两)
以上十二味药,捣碎研成散剂,每次服用二钱匕,饭后用温米泔水调服,临睡前再服一次。
治疗斑疮入眼,茯神汤方:
茯神(去木质部) 赤芍药 葛根(锉碎,各一两) 升麻 地骨皮(锉碎) 黄芩(去掉黑心部分,各一两半) 大黄(锉碎并炒一两)
以上七味药,粗捣筛过,每次服用四钱匕,用水一盏半,煎煮至八分满,滤去药渣,温服,饭后及临睡前服用。
治疗斑豆疮入眼,黄芩汤方:
黄芩(去掉黑心部分) 栀子仁 黄连(去须) 葳蕤 升麻 蕤仁(去皮) 甘草(炙制锉碎,以上等分)
以上七味药,粗捣筛过,每次服用四钱匕,用水一盏半,煎煮至八分满,滤去药渣,温服,饭后及临睡前各服一次。
治疗斑豆疮入眼,适宜服用能去除脾肺热毒之气的柴胡汤方:
柴胡(去苗) 黄芩(去掉黑心部分) 栀子仁 赤芍药 升麻 麦门冬(去心) 甘草(炙制锉碎,以上等分)
以上七味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至一小盏,滤去药渣放温,饭后及临睡前服用。
治疗眼内有疮,但眼球未受损的,均可治疗,蒺藜子丸方:
蒺藜子(炒去刺一两) 兔粪(喂黑豆后收集的,二两焙干) 蝉蜕(去土炒) 蛇蜕(炙制) 木贼(用盒子盛住略烧存性,研为末) 决明子(微炒,各一两)
以上六味药,捣碎罗筛成末,用淡豆豉一两,白面一匙,先将豆豉煮烂研碎,加入水和面煮成糊状,制成梧桐子大小的丸药,每次服用淡竹叶汤送下十丸,加量至二十丸,早晚饭后服用。
治疗斑疮入眼,黄连汤方:
黄连(去须) 细辛(去苗叶) 紫菀(去苗土) 决明子(微炒) 车前子 苦参根(干者锉碎,以上等分)
以上六味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至八分满,滤去药渣,温服。饭后及临睡前服用。
治疗豆疮入目生翳,多次就医无效的,腻粉膏方:
腻粉 水银 粉霜(以上各一分)
以上三味药。用瓷器钵,装入男子尿液六十天,用铫子内铺一层纸,衬上三味药,用湿纸覆盖铫口,中心留一个指头大的孔,用前面的瓷钵盖在上面,用湿纸密封缝隙,再用浓湿沙土紧紧包围四周,钵上放置一盏水。用慢火熬制,待干冷后取钵,扫取水银,让患者侧卧对着患病的眼,取半颗豆子大小的药,纳入耳中,片刻后眼睛发痒揉搓它,翳膜随即脱落,避风调养两三天。
治疗麸豆疮入眼,适宜外贴黄药膏方:
黄药子 木香(各一两) 大黄(三两,生用)
以上三味药,捣碎研成细散,再次研磨使其均匀细腻,每次用时,用浆水调成膏状,摊在生绢上,贴在眼睑上下。不得进入眼内,干了就更换。
治疗斑疮入眼,以及各种眼疾,硇砂散方:
硇砂(明净的生用一字量) 硼砂(半钱) 龙脑(一钱)
以上三味药,分别研为末,再共同研磨使其均匀细腻,每次取少许撒在翳膜上,每天三四次。
治疗豆疮入眼睛上产生白翳,遮蔽视线不明,刺痛难以忍受的,神圣粉方:
轻粉(一分)
以上一味药,用少量炭灰渗在地面上,面积如盎那么大,接着烧十几片小木炭,簇拥在一起吹旺火焰,立即将粉倾倒在火上,用新的瓷盎一只盖住,迅速拨动灰烬堵塞缝隙,不让烟雾透出,再滴十几滴冷水在盎底,待冷却后取下盎,可见粉烟飞散粘在盎内,随即用手指蘸水刮洗下来,用两层楮纸包裹盛装,绞出水银珠子,大小如赤豆,用指甲挑入不生病的那只眼睛旁边的耳内,必须侧卧,摇晃使药到达耳底,用软纸塞住耳朵,当时就不痛了,眼睛就能睁开;如果未见效,第二天再按前述方法,取一颗豆子大小的药,挑入生病眼睛旁边的耳内,立刻见效。
Translation:
It is stated that in the disease of cold damage (Shanghan), the pathogenic heat-toxin qi is vigorous, manifesting on the muscles as macules and pustules. If the condition persists, the heat-toxin will ascend to fumigate the eyes, causing swelling, dryness, and pain, with patches appearing yellowish-red, resembling the color of tortoiseshell, or fragmented like millet grains. In such cases, applying eye drops will inevitably cause ulceration and damage; therefore, it is only appropriate to administer internal medicines that regulate the Spleen and Lung and resolve heat-toxins. Alternatively, external applications can be placed on the upper and lower eyelids to slightly mitigate the severity of the condition.
**Antelope Horn Decoction for treating nebulae suddenly arising after macular eruptions, as well as acute red eyes caused by wind-toxin:**
* Antelope Horn (one pair, shaved into fine powder)
* Semen Plantaginis (Cheqianzi)
* Fructus Cassiae (Juemingzi, lightly stir-fried)
* Radix Saposhnikoviae (Fangfeng, forked parts removed)
* Rhizoma Cimicifugae (Shengma)
* Radix Astragali (Huangqi, sliced)
* Radix et Rhizoma Rhei (Dahuang, sliced and stir-fried)
* Radix Scutellariae (Huangqin, black heart removed)
* Natrii Sulfas (Mangxiao)
*(Each of the above ingredients weighs two liang)*
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi (approx. 3-5 grams), boiled in one sheng (approx. 200 ml) of water until reduced to seven-tenths. The dregs are filtered out, and the liquid is poured into a porcelain bottle, sealed with oil-treated paper. It is then suspended in a well overnight. On the next day, it is taken out, gently warmed and shaken, and slowly sipped when needed. The patient should not use a pillow while resting after taking the medicine; improvement is expected upon waking. If the condition is urgent and cannot wait, take one dose on an empty stomach and another at noon.
**Cassia Seed Powder for treating macular eruptions affecting the eyes:**
* Fructus Cassiae (Juemingzi, lightly stir-fried, one and a half liang)
* Cortex Fraxini (Qinpi, sliced)
* Flos Chrysanthemi Indici (Gan Juhua, each one liang)
* Radix Asari (Xixin, seedlings and leaves removed, three fen)
* Antelope Horn (shaved, one liang)
* Radix Paeoniae Rubra (Chishaoyao, one and a half liang)
* Radix Ophiopogonis (Maimendong, core removed and baked)
* Rhizoma Cimicifugae (Shengma)
* Radix Scutellariae (Huangqin, black heart removed)
* Rhizoma Coptidis (Huanglian, stamens removed, each one liang)
* Natrii Sulfas (Piaoxiao, ground, one and a half liang)
* Radix Glycyrrhizae (Gancao, honey-fried, one liang)
The above twelve ingredients are crushed and ground into a powder. Each dose consists of two qianbi, taken after meals mixed with warm rice wash water, and again before bedtime.
**Poria Spirit Decoction for treating macular eruptions affecting the eyes:**
* Poria Cum Radice Xylomi (Fushen, woody part removed)
* Radix Paeoniae Rubra (Chishaoyao)
* Radix Puerariae Lobatae (Gegen, sliced, each one liang)
* Rhizoma Cimicifugae (Shengma)
* Cortex Lycii (Digupi, sliced)
* Radix Scutellariae (Huangqin, black heart removed, each one and a half liang)
* Radix et Rhizoma Rhei (Dahuang, sliced and stir-fried, one liang)
The above seven ingredients are coarsely crushed and sifted. Each dose consists of four qianbi, boiled in one and a half sheng of water until reduced to eight-tenths. The dregs are filtered out, and the decoction is taken warm after meals and before bedtime.
**Scutellaria Decoction for treating bean-like eruptions affecting the eyes:**
* Radix Scutellariae (Huangqin, black heart removed)
* Fructus Gardeniae (Zhizi Ren)
* Rhizoma Coptidis (Huanglian, stamens removed)
* Radix Polygonati Odorati (Weirui)
* Rhizoma Cimicifugae (Shengma)
* Semen Pruni Persicae (Ruiren, skin removed)
* Radix Glycyrrhizae (Gancao, honey-fried and sliced, equal parts)
The above seven ingredients are coarsely crushed and sifted. Each dose consists of four qianbi, boiled in one and a half sheng of water until reduced to eight-tenths. The dregs are filtered out, and the decoction is taken warm after meals and before bedtime.
**Bupleurum Decoction suitable for removing heat-toxin qi from the Spleen and Lung in cases of bean-like eruptions affecting the eyes:**
* Radix Bupleuri (Chaihu, seedlings removed)
* Radix Scutellariae (Huangqin, black heart removed)
* Fructus Gardeniae (Zhizi Ren)
* Radix Paeoniae Rubra (Chishaoyao)
* Rhizoma Cimicifugae (Shengma)
* Radix Ophiopogonis (Maimendong, core removed)
* Radix Glycyrrhizae (Gancao, honey-fried and sliced, equal parts)
The above seven ingredients are coarsely crushed and sifted. Each dose consists of five qianbi, boiled in one and a half sheng of water until reduced to one small cup. The dregs are filtered out, allowed to cool to warm temperature, and taken after meals and before bedtime.
**Tribulus Pill for treating sores inside the eye where the eyeball itself is not damaged:**
* Fructus Tribuli (Jilizi, stir-fried and spines removed, one liang)
* Faecus Leporis (Tuifen, collected after feeding black beans, two liang, baked)
* Exuviation Cicadae (Chantui, cleaned of soil and stir-fried)
* Cutis Serpentis (Shetui, roasted)
* Herba Equiseti Hiemalis (Muzei, held in a box and lightly burned to retain properties, then ground into powder)
* Fructus Cassiae (Juemingzi, lightly stir-fried, each one liang)
The above six ingredients are crushed and sieved into powder. Using one liang of Fermented Soybean (Danshi) and one spoonful of white flour, boil the fermented soybeans until soft and mash them. Mix with water and flour to make a paste, forming pills the size of paulownia seeds. Take ten pills with light bamboo leaf decoction per dose, increasing up to twenty pills, taken morning and evening after meals.
**Coptis Decoction for treating macular eruptions affecting the eyes:**
* Rhizoma Coptidis (Huanglian, stamens removed)
* Radix Asari (Xixin, seedlings and leaves removed)
* Radix Asteris Tatarici (Ziwan, seedlings and soil removed)
* Fructus Cassiae (Juemingzi, lightly stir-fried)
* Semen Plantaginis (Cheqianzi)
* Radix Sophorae Flavescentis (Kushen, dried and sliced, equal parts)
The above six ingredients are coarsely crushed and sifted. Each dose consists of five qianbi, boiled in one and a half sheng of water until reduced to eight-tenths. The dregs are filtered out, and the decoction is taken warm after meals and before bedtime.
**Nifen Paste for treating nebulae arising from pockmarks entering the eyes, which have resisted multiple treatments:**
* Hydrargyri Subchloridum (Nifen)
* Hydrargyrum (Shuiyin)
* Calamina (Fenshuang)
*(Each weighs one fen)*
For these three ingredients, use a porcelain mortar containing urine from a male subject aged sixty days. Place a layer of paper inside a boiling vessel (diao), line it with the three medicines, cover the vessel mouth with wet paper leaving a hole the size of a finger in the center, and place the porcelain mortar on top. Seal the seams with wet paper and surround the vessel tightly with thick wet sand. Place one sheng of water on top of the mortar. Simmer over slow fire until dry and cool. Remove the mortar and sweep out the mercury. Have the patient lie down facing the affected eye, insert a piece of medicine the size of half a bean into the ear. After a short time, the eye will itch; rub it, and the nebula will fall off easily. Avoid wind and rest for two to three days.
**Yellow Medicine Plaster for external application for bran-bean eruptions affecting the eyes:**
* Radix Dioscoreae Hypoglaucae (Huangyaozi)
* Radix Aucklandiae (Muxiang)
*(Each one liang)*
* Radix et Rhizoma Rhei (Dahuang, three liang, raw)
The above three ingredients are crushed and ground into a fine powder, then repeatedly ground to ensure uniformity. When using, mix with vinegar water to form a paste, spread it on raw silk, and apply to the upper and lower eyelids. Do not let it enter the eye. Replace when dry.
**Nuo Sha Powder for treating macular eruptions affecting the eyes and various other eye diseases:**
* Natrii Chloratum Impurum (Nuosha, pure and raw, one zi amount)
* Borax (Pengsha, half qian)
* Borneolum Syntheticum (Longnao, one qian)
The above three ingredients are each ground into powder, then mixed and ground together until fine and uniform. Apply a small amount to the nebula three to four times daily.
**Shenshen Powder for treating white nebulae on the eye surface due to pockmarks, causing blurred vision and unbearable stabbing pain:**
* Hydrargyri Subchloridum (Qingfen, one fen)
Take this single ingredient. Spread a small amount of charcoal ash on the ground, about the size of an ang (vessel). Burn ten to dozen pieces of small charcoal wood, cluster them, and blow to intensify the fire. Immediately pour the powder onto the fire. Cover quickly with a new large porcelain vessel. Quickly move ash to seal the gaps around the vessel to prevent smoke leakage. Drip ten to dozen drops of cold water onto the bottom of the vessel. Once cooled, lift the vessel. The powder smoke will adhere to the inside of the vessel. Use a finger dipped in water to scrape it down. Wrap in two layers of mulberry paper, squeeze out mercurial beads the size of red beans. Pick up a bead with a fingernail and insert it into the ear of the unaffected eye. Lie on the side and shake to ensure the medicine reaches the bottom of the ear. Plug the ear with soft paper. Pain will cease immediately, and the eye will open. If ineffective, repeat the method the next day, taking a bean-sized amount, inserting it into the ear beside the affected eye, resulting in immediate efficacy.