论曰目偏视者,以腑脏虚而风邪牵睛,其睛不正,则瞳子亦斜侧,故其视偏也,固有自
幼小而得之,亦有长大方病者,率由气血亏而复受风邪也,龙木论、有去风热及摩点之剂,
又云、有息肉则用钩割,若上下睑赤而动者,又着针穴,不可不审也。
治眼风牵,睑硬睛疼,视物不正。凉隔天门冬汤方
天门冬(去心) 大黄(锉炒各一两) 车前子 茺蔚子 黄芩(去黑心各一两半)
上五味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓食后临卧温服。
治风牵眼偏斜。羚羊角汤方
羚羊角(镑) 防风(去叉) 赤茯苓(去黑皮) 人参 五味子(各一两) 知母(焙)
茺蔚
子黄 (锉各一两半)
上八味。粗捣筛,每服三钱匕,水一盏,煎至六分,去滓食后临卧温服。
治眼风牵痛如针刺,视物不能回顾。黄芩汤方
黄芩(去黑心) 大黄(锉炒) 桔梗(炒) 知母(焙各一两) 玄参 马兜铃(各
一两半)
防风(去叉二两)
上七味。粗捣筛,每服三钱匕,水一盏,煎至六分,去滓食后临卧温服。
治目偏视,冲风多泪。防风散方
防风(一两去芦头) 栀子仁(三分) 黄芩(一两) 葳蕤(一两) 黄连(一两去
须) 甘草
(一两炙赤锉)
上六味。捣罗为细散,食后煎竹叶汤,调下一钱,忌油腻热酒湿面。
治目偏视,冲风泪出。点眼杏仁膏方
杏仁(四十九枚汤去皮尖细研绢袋盛饭甑中蒸热绞取脂) 铜青(一大豆许) 胡粉(一
大
豆许) 干姜末(一大豆许) 青盐(一大豆半许)
上五味细研如粉,以杏仁脂调如膏,贮瓷盒中,每以铜箸取如麻子大,点目 中,日二
三次。
治一切眼疾,及生发退热毒。摩顶膏方
生油(二升) 黄牛酥(三两) 淡竹叶(一握) 大青(一两半) 葳蕤(一两半) 曾
青(一
两细研) 石长生(一两半) 吴蓝(一两) 槐子(一两半) 青盐(二两) 栀子仁(一
两半)
蕤仁(一两半) 旱莲子草汁(一升)
上一十三味。粗捣筛一十味,以绢袋盛之,先于净铛中,下油酥二味,然后入莲子草汁
及药袋,以文武火微养半日,即渐加火急煎,以莲子草汁尽不沸为度,候冷绵滤过,以通油
瓷瓶收盛,每候夜间欲卧时,将铁匙取半匙,细涂顶上。以铁匙摩顶中,药力消散,入顶发
孔中,渐入脑内,顿觉两太阳穴凉,从大 中入眼,其黑风热毒瓦斯自然退。不过十日瘥,其
膏仍隔三夜一度摩,其膏又治肾脏风毒,上冲脑户,脑脂流下,变为内障者,又治眼暗赤眼
风眼冷热泪,久不瘥者。
治风邪牵睛目偏视,睹物不正。菊花散方
菊花(一两) 苍术(五两,肥实者就银石器入皂荚一寸,以河水煮一日,去皂荚取术
以
铜刀刮去黑皮,切,曝干取三两) 荆芥穗 草决明(温水洗) 木贼 旋复花 甘草(炙
各一
两) 蝉蜕(温水洗三分) 蛇蜕(微炙一分)
上九味。捣罗为细散,每服一钱匕,入腊茶半钱匕,点服空心临卧。
治肝风目睛不正,视物偏斜。防风散方
防风(去叉二两) 菊花(四两) 蒺藜子(炒去角) 恶实(各一两炒)
上四味。捣罗为散,每服三钱匕,食后以熟水调服。
治目偏风牵疼痛。抵圣散方
荆芥穗(二两) 芎 羌活(去芦头) 木贼 楮实(麸炒各一两) 甘草(炙半两)
上六味。捣罗为散,每服二钱匕,茶清调下,食后服。
治目偏视风牵。五神散方
荆芥穗(四两) 白术 木贼(各二两) 青盐(一两研) 甘草(炙半两)
上五味。捣研为散,每服二钱匕,好茶点服。
论述说:目偏视(眼睛斜视),是因为脏腑虚弱,风邪牵引眼球,导致眼球位置不正,瞳孔也随之倾斜侧向,所以视线偏向一侧。这种病症有的自幼年时便已患上,也有成年后才发病的,大都是因为气血亏虚又复感风邪所致。《龙木论》中记载有祛风清热及按摩点眼的药剂,又说如果有息肉则用钩割法治疗;如果上下眼睑红肿且跳动,则需要针刺穴位,这些情况不可不仔细审察。
治疗眼风牵(风邪牵引眼部)、眼睑僵硬、眼球疼痛、视物不正的凉隔天门冬汤方:
天门冬(去除心部)一两,大黄(锉碎炒制)一两,车前子,茺蔚子,黄芩(去除黑心部分)各一两半。
以上五味药。粗捣筛碎,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓,饭后临睡前温服。
治疗风邪牵引导致的眼球偏斜的羚羊角汤方:
羚羊角(镑片),防风(去除叉枝),赤茯苓(去除黑皮),人参,五味子各一两,知母(焙干),茺蔚子,黄芩(锉碎)各一两半。
以上八味药。粗捣筛碎,每次服用三钱匕,用水一盏,煎煮至六分满,去渣滓,饭后临睡前温服。
治疗眼风牵疼痛如针刺、视物不能回顾的黄芩汤方:
黄芩(去除黑心),大黄(锉碎炒制),桔梗(炒制),知母(焙干)各一两,玄参,马兜铃各一两半,防风(去除叉枝)二两。
以上七味药。粗捣筛碎,每次服用三钱匕,用水一盏,煎煮至六分满,去渣滓,饭后临睡前温服。
治疗目偏视,迎风流泪的防风散方:
防风(一两,去除芦头),栀子仁三分,黄芩一两,葳蕤一两,黄连(一两,去除须根),甘草(一两,炙至赤色并锉碎)。
以上六味药。捣罗成细散,饭后用竹叶汤煎剂调服一钱,忌食油腻、热酒和湿面。
治疗目偏视,迎风流泪的点眼杏仁膏方:
杏仁(四十九枚,用热水去皮尖,细细研磨,用绢袋盛装,放入饭甑中蒸热,绞取脂液),铜青(如一大豆大小),胡粉(如一大豆大小),干姜末(如一大豆大小),青盐(如一大豆半大小)。
以上五味药细细研磨成粉,用杏仁脂调和成膏状,贮存在瓷盒中。每次用铜筷取如麻子大小的量,点入眼中,每日二三次。
治疗一切眼疾,以及生发退热毒的摩顶膏方:
生油二升,黄牛酥三两,淡竹叶一握,大青一两半,葳蕤一两半,曾青一两(细研),石长生一两半,吴蓝一两,槐子一两半,青盐二两,栀子仁一两半,蕤仁一两半,旱莲子草汁一升。
以上十三味药。将其中十味药粗捣筛碎,用绢袋盛装。先在干净的锅中放入油和酥两种辅料,然后放入莲子草汁及药袋,用文武火微养半天,接着逐渐加大火急煎,直到莲子草汁烧尽且不沸腾为止。待冷却后用绵布过滤,用通油瓷瓶收盛。每当夜间欲睡觉时,用铁匙取半匙,细细涂抹在头顶。用铁匙按摩头顶,药力消散后进入头发孔中,渐渐渗入脑内,顿时感觉两侧太阳穴发凉,药气从囟门进入眼中,体内的黑风热毒自然消退。不超过十天即可痊愈。此膏仍每隔三夜按摩一次。此膏还能治疗肾脏风毒上冲脑户,脑脂流下变为内障的情况,也能治疗眼暗、赤眼、风眼、冷热泪久治不愈者。
治疗风邪牵引眼球致目偏视,视物不正的菊花散方:
菊花一两,苍术五两(选用肥实者,放入银石器中,加入皂荚一寸,用河水煮一天,去掉皂荚,取苍术用铜刀刮去黑皮,切片,晒干取三两),荆芥穗,草决明(温水洗),木贼,旋复花,甘草(炙制)各一两,蝉蜕(温水洗)三分,蛇蜕(微炙)一分。
以上九味药。捣罗成细散,每次服用一钱匕,加入腊茶半钱匕,空腹及临睡前点服。
治疗肝风导致目睛不正、视物偏斜的防风散方:
防风(去除叉枝)二两,菊花四两,蒺藜子(炒制去角),恶实(各一两,炒制)。
以上四味药。捣罗成散,每次服用三钱匕,饭后用熟水调服。
治疗目偏风牵疼痛的抵圣散方:
荆芥穗二两,川芎,羌活(去除芦头),木贼,楮实(麸炒)各一两,甘草(炙制)半两。
以上六味药。捣罗成散,每次服用二钱匕,用茶清调下,饭后服用。
治疗目偏视风牵的五神散方:
荆芥穗四两,白术,木贼各二两,青盐一两(研碎),甘草(炙制)半两。
以上五味药。捣研成散,每次服用二钱匕,用好茶点服。
Discourse states: Ocular deviation (strabismus) occurs due to deficiency of the Zang-Fu organs, where wind pathogen pulls the eyeball, causing misalignment. Consequently, the pupil tilts obliquely, resulting in biased vision. This condition may be present since childhood or manifest later in life, generally arising from Qi and Blood deficiency compounded by wind pathogen invasion. The *Longmu Lun* records remedies for dispelling wind-heat and agents for massage and eye drops. It further states that if polyps are present, hook-and-cut surgery should be used; if the upper and lower eyelids are red and twitching, acupuncture points should be needled. These situations must be carefully examined.
Liangge Tianshendong Decoction (Cooling Partition Asparagus Root Decoction) for treating wind-pulling of the eye, stiff eyelids, ocular pain, and distorted vision:
Tianshendong (Asparagi Radix, heart removed), 1 liang; Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), 1 liang; Cheqianzi (Plantaginis Semen), 1 liang; Chongweizi (Leonuri Fructus), 1 liang; Huangqin (Scutellariae Radix, black heart removed), 1.5 liang.
The above five herbs are coarsely pounded and sieved. Each dose consists of 3 qianbi (approx. 9g), decocted with one zhan (approx. 200ml) of water until reduced to 70%. Strain and take warm after meals before retiring.
Lingyangjiao Decoction (Antelope Horn Decoction) for treating ocular deviation caused by wind-pulling:
Lingyangjiao (Saigae Tataricae Cornu, shaved), Fangfeng (Saposhnikoviae Radix, forked parts removed), Chi Fuling (Poria with Red Skin, black skin removed), Renshen (Ginseng Radix), Wuweizi (Schisandrae Fructus), each 1 liang; Zhimu (Anemarrhenae Rhizoma, baked), Chongweizi (Leonuri Fructus), Huangqin (Scutellariae Radix, crushed), each 1.5 liang.
The above eight herbs are coarsely pounded and sieved. Each dose consists of 3 qianbi, decocted with one zhan of water until reduced to 60%. Strain and take warm after meals before retiring.
Huangqin Decoction (Scutellaria Decoction) for treating ocular wind-pulling with needle-like pain and inability to look back:
Huangqin (Scutellariae Radix, black heart removed), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Jiegeng (Platycodonis Radix, stir-fried), Zhimu (Anemarrhenae Rhizoma, baked), each 1 liang; Xuanshen (Scrophulariae Radix), Madouling (Aristolochiae Fructus), each 1.5 liang; Fangfeng (Saposhnikoviae Radix, forked parts removed), 2 liang.
The above seven herbs are coarsely pounded and sieved. Each dose consists of 3 qianbi, decocted with one zhan of water until reduced to 60%. Strain and take warm after meals before retiring.
Fangfeng San (Wind-Dispersing Powder) for treating ocular deviation and tearing upon exposure to wind:
Fangfeng (Saposhnikoviae Radix, 1 liang, radicle removed), Zhizi Ren (Gardeniae Semen, 3 fen), Huangqin (Scutellariae Radix, 1 liang), Weirui (Polygonati Odorati Rhizoma, 1 liang), Huanglian (Coptidis Rhizoma, 1 liang, fibers removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried to reddish color and crushed).
The above six herbs are pounded and sifted into a fine powder. Take 1 qian with decoction of Zhu Ye (Bambusae Folium) after meals. Avoid greasy food, hot wine, and damp noodles.
Xingren Gao (Almond Ointment) for eye application, treating ocular deviation and tearing upon exposure to wind:
Xingren (Armeniacae Semen Amarum, 49 seeds, skin and tip removed by hot water, finely ground, placed in silk bag, steamed in rice cooker, juice extracted); Tongqing (Chalcanthitum, size of one large soybean); Hufen (Lead Carbonate, size of one large soybean); Ganjiang Mo (Zingiberis Rhizoma Pulvis, size of one large soybean); Qingyan (Natrii Sulfas, size of one and a half large soybeans).
The above five herbs are finely ground into powder and mixed with almond oil to form an ointment. Store in a porcelain box. Use copper chopsticks to take a quantity the size of a hemp seed to apply into the eyes twice or three times daily.
Moding Gao (Scalp-Massaging Ointment) for treating all eye diseases and promoting hair growth while clearing heat-toxins:
Sheng You (Raw Oil, 2 sheng); Huangniu Su (Yellow Cow Butter, 3 liang); Dan Zhuye (Bambusae Folium, one handful); Daqing (Isatidis Folium, 1.5 liang); Weirui (Polygonati Odorati Rhizoma, 1.5 liang); Zengqing (Chalcanthite, 1 liang, finely ground); Shichangsheng (unknown herb, 1.5 liang); Wulan (unknown herb, 1 liang); Huaizi (Sophorae Tonkinensis Semen, 1.5 liang); Qingyan (Natrii Sulfas, 2 liang); Zhizi Ren (Gardeniae Semen, 1.5 liang); Ruiren (Pruni Semen, 1.5 liang); Han Lianzi Cao Zhi (Ecliptae Herba Juice, 1 sheng).
Of the above thirteen ingredients, ten are coarsely pounded and sieved, then placed in a silk bag. In a clean pot, add the oil and butter first, then add the Ecliptae Herba Juice and the herb bag. Simmer gently over medium-low heat for half a day, then gradually increase heat to rapid boiling until the Ecliptae Herba Juice is consumed and no longer bubbling. Filter through cotton cloth when cool, and store in an oil-proof porcelain bottle. At night before sleep, take half a spoonful with an iron spoon and smear thinly on the vertex. Massage the vertex with the iron spoon until the medicinal power dissipates and enters the hair follicles, gradually penetrating into the brain. One will suddenly feel coolness in both temporal acupoints. The medicinal qi enters the eyes via the fontanelle, naturally retreating internal black wind and heat toxins. Recovery occurs within ten days. Apply this ointment every three nights. This ointment also treats Kidney wind-toxin rushing to the Brain House (Naohu), where brain fat flows down causing internal cataracts, as well as dim vision, red eyes, wind-eye, and chronic cold/heat tearing.
Juhua San (Chrysanthemum Powder) for treating wind-pulling of the eyeballs causing ocular deviation and distorted vision:
Juhua (Chrysanthemi Flos, 1 liang); Cangzhu (Atractylodis Rhizoma, 5 liang, select plump rhizomes, boil in silver/copper vessel with one inch of Zaojia (Ziziphus Jujuba Fructus Spina) in river water for one day, remove Zaojia, scrape black skin off Cangzhu with copper knife, slice, dry, use 3 liang); Jingjie Sui (Schizonepetae Spica); Caojueming (Cassiae Semen, washed with warm water); Muzei (Equiseti Herba); Xuanfuhua (Inulae Flos); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), each 1 liang; Chantui (Cicadae Periostracum, washed with warm water, 3 fen); Shetui (Serpentis Shed Skin, lightly roasted, 1 fen).
The above nine herbs are pounded and sifted into a fine powder. Take 1 qianbi per dose, mixed with 0.5 qianbi of La Cha (aged tea), taken on an empty stomach and before retiring.
Fangfeng San (Wind-Dispersing Powder) for treating Liver wind causing ocular misalignment and skewed vision:
Fangfeng (Saposhnikoviae Radix, forked parts removed, 2 liang); Juhua (Chrysanthemi Flos, 4 liang); Jili Zi (Tribuli Fructus, stir-fried and thorns removed); E Shi (Arctii Fructus), each 1 liang (stir-fried).
The above four herbs are pounded and sifted into a powder. Take 3 qianbi per dose, taken with boiled water after meals.
Disheng San (Miracle-Saving Powder) for treating ocular deviation and wind-pulling pain:
Jingjie Sui (Schizonepetae Spica, 2 liang); Xiong (Ligustici Chuanxiong Rhizoma); Qianghuo (Notopterygii Rhizoma et Radix, radicle removed); Muzei (Equiseti Herba); Chu Shi (Broussonetiae Fructus, bran-roasted), each 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 0.5 liang.
The above six herbs are pounded and sifted into a powder. Take 2 qianbi per dose, taken with clear tea infusion after meals.
Wushen San (Five-Gods Powder) for treating ocular deviation and wind-pulling:
Jingjie Sui (Schizonepetae Spica, 4 liang); Baizhu (Atractylodis Macrocephalae Rhizoma); Muzei (Equiseti Herba), each 2 liang; Qingyan (Natrii Sulfas, 1 liang, ground); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 0.5 liang.
The above five herbs are pounded and ground into a powder. Take 2 qianbi per dose, taken with good tea infusion.