论曰目脓漏者,缘血脉壅热,传入于足太阳膀胱之经,膀胱之脉,起于目内 ,则令人
睑肿痒,久即成疮,脓汁时下,绵绵不绝,如器津漏,故谓之脓漏,不治则脓毒淹清,穿
坏白睛,黑点相连,即难治疗。
治风毒上攻目轮,眼烂肉疮翳生,眼睛肉臭,若不医疗,必不见物,羚羊角丸方
羚羊角(镑) 柏皮(去粗皮炙) 防风(去叉各一两半) 玄参 芎 荆芥穗 黄
连(去
须)槐子甘菊花 防己 石决明 蕤仁(去皮) 蔓荆子 车前子 秦艽(去苗土各一两) 大
黄(锉炒) 升麻麦门冬(去心) 前胡(去芦头) 人参 白槟榔(煨各一两半) 栀子
仁生干
地黄(焙) 阳起石(研) 真珠末(研) 龙脑(捣研) 蔷薇根(锉各一两) 枸杞子
(一两半)
上二十八味,捣研为末,炼蜜丸如梧桐子大,每服三十丸,晚食后熟水下。
治眼漏睛脓出,防风汤方
防风(去叉二两) 地骨皮 远志(去心) 人参 黄 (锉) 白茯苓(去黑皮各一
两) 知
母大黄(锉碎炒各二两)
上八味,粗捣筛,每服一钱匕,水一盏,煎至五分,去滓食后临卧温服。
治睛漏疮,目大 出脓汁有窍,以龙脑散点方
龙脑(研) 马牙硝(各半钱) 绿豆粉(一钱)
上三味,同研极细,用灯心粘药点之,日四五上。
治眼漏睛有脓出,经年不绝,马齿散熨方
马齿子(半合) 人苋子(半合)
上二味,捣罗为末,入银石器中,于饭甑上蒸,以绵裹熨眼大 头,泪孔有脓水出处,
凡熨眼时,须药热熨透睛,三五十度脓水自绝。
论述说:目脓漏这种病,是因为血脉壅滞蕴热,邪气传入足太阳膀胱经。足太阳膀胱经的经脉,起始于目内眦(眼角),所以会导致眼睑肿胀发痒,时间久了就会形成疮疡,脓汁时时流出,连绵不断,就像容器中的液体渗漏一样,因此称为“脓漏”。如果不治疗,脓毒会侵蚀清澈的眼部组织,穿破白睛(巩膜/球结膜),黑睛(角膜)上的斑点相连,这就难以治疗了。
治疗风毒上攻导致的眼轮匝肌病变、眼睑溃烂生疮长翳、眼睛有腐肉臭味,若不医疗,必然失明。羚羊角丸方:
羚羊角(镑片)一两半,黄柏皮(去粗皮炙)一两半,防风(去叉)一两半,玄参一两,川芎一两,荆芥穗一两,黄连(去须)一两,槐子一两,甘菊花一两,防己一两,石决明一两,蕤仁(去皮)一两,蔓荆子一两,车前子一两,秦艽(去苗土)一两,大黄(锉碎炒)一两,升麻一两,麦门冬(去心)一两,前胡(去芦头)一两,人参一两,白槟榔(煨)一两半,栀子仁一两,生干地黄一两,阳起石(研细)一两,真珠末(研细)一两,龙脑(捣研)一两,蔷薇根(锉碎)一两,枸杞子一两半。
以上二十八味药,捣碎研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸,晚饭后用温开水送服。
治疗眼漏睛流脓,防风汤方:
防风(去叉)二两,地骨皮一两,远志(去心)一两,人参一两,黄芪(锉碎)一两,白茯苓(去黑皮)一两,知母二两,大黄(锉碎炒)二两。
以上八味药,粗捣筛过。每次取一钱匕药粉,加水一盏,煎煮至五分水量,去渣滓,饭后临睡前温服。
治疗睛漏疮,眼睛大眦(外眼角)出脓汁有窍道,用龙脑散点眼方:
龙脑(研细)半钱,马牙硝(研细)半钱,绿豆粉一钱。
以上三味药,共同研磨至极细,用灯心草蘸取药物点眼,每天四五次。
治疗眼漏睛流脓,经久不愈,马齿散熨敷方:
马齿苋子(半合),人苋子(半合)。
以上两味药,捣碎筛选成粉末,放入银器或石器中,在蒸饭的甑上蒸熟,用棉布包裹后熨敷眼睛大眦头部,即泪孔有脓水流出的部位。凡是熨眼时,必须让药热力透入眼球内部,熨敷三五十次,脓水自然断绝。
Commentary states: Mu Nong Lou (Ocular Purulent Discharge) arises from blood vessels being congested with heat, which transmits to the Foot-Taiyang Bladder Meridian. The meridian of the Bladder originates at the inner canthus of the eye, thus causing swelling and itching of the eyelids. Over time, sores form, and purulent discharge flows continuously without cessation, resembling liquid leaking from a vessel; hence it is called "Nong Lou" (Purulent Leakage). If untreated, the purulent toxin will erode the clear ocular tissues, perforate the Bai Jing (Sclera/Bulbar Conjunctiva), and cause black spots on the Hei Dian (Cornea) to connect, making treatment difficult.
For treating Wind-Toxicity attacking upward to the eye wheel, resulting in eyelid erosion, ulceration, growth of neoplasms or pterygium, and foul odor of the eyes, if not treated, vision will be lost. Lingyang Jiao Wan (Antelope Horn Pill) Formula:
Lingyang Jiao (Antelope Cornu, processed into flakes) 1.5 liang, Bopi (Phellodendri Cortex, coarse bark removed and stir-fried) 1.5 liang, Fangfeng (Saposhnikoviae Radix, stems removed) 1.5 liang, Xuanshen (Scrophulariae Radix) 1 liang, Xiong (Ligustici Chuanxiong Rhizoma) 1 liang, Jingjie Sui (Schizonepetae Spica) 1 liang, Huanglian (Coptidis Rhizoma, whiskers removed) 1 liang, Huaizi (Broussonetiae Fructus) 1 liang, Ganhua Ju (Chrysanthemi Flos) 1 liang, Fangji (Stephaniae Tetrandrae Radix) 1 liang, Shijueming (Haliotidis Concha) 1 liang, Ruiren (Pruni Semen Persicae, skin removed) 1 liang, Manjingzi (Viticis Semen) 1 liang, Cheqianzi (Plantaginis Semen) 1 liang, Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed) 1 liang, Dahuang (Rhei Radix et Rhizoma, cut and stir-fried) 1 liang, Shengma (Cimicifugae Rhizoma) 1 liang, Maimendong (Ophiopogonis Radix, heart removed) 1 liang, Qianhu (Peucedani Radix, rhizome removed) 1 liang, Renshen (Ginseng Radix et Rhizoma) 1 liang, Baibinglang (Arecae Semen, baked) 1.5 liang, Zhizi Ren (Gardeniae Fructus) 1 liang, Shengan Dihuang (Rehmanniae Radix Preparata, dried and roasted) 1 liang, Yangqishi (Yangqi Shi) 1 liang, Zhenzhu Mo (Margarita Pulvis) 1 liang, Longnao (Borneolum Syntheticum) 1 liang, Qiangweigen (Rosae Rugosae Radix, cut) 1 liang, Gouqizi (Lycii Fructus) 1.5 liang.
The above twenty-eight ingredients are crushed and ground into powder. Honey is refined to make pills the size of wutong seeds. Take thirty pills each time, swallowed with warm water after evening meal.
Fangfeng Tang (Saposhnikovia Decoction) for treating eye leakage with pus discharge:
Fangfeng (Saposhnikoviae Radix, stems removed) 2 liang, Digupi (Lycii Cortex) 1 liang, Yuanzhi (Polygalae Radix, heart removed) 1 liang, Renshen (Ginseng Radix et Rhizoma) 1 liang, Huangqi (Astragali Radix, cut) 1 liang, Baifuling (Poria, black skin removed) 1 liang, Zhimu (Anemarrhenae Rhizoma) 2 liang, Dahuang (Rhei Radix et Rhizoma, cut and stir-fried) 2 liang.
The above eight ingredients are coarsely crushed and sieved. Take one qianbi (approx. 3-5g) per dose, add one zhan (approx. 200ml) of water, decoct until five fen (approx. 100ml) remains, strain, and take warm after meals before retiring.
Longnao San (Borneol Powder) for applying to treat Jing Lou Chuang (Ocular Leakage Ulcer) where pus discharges from an opening at the large canthus of the eye:
Longnao (Borneolum Syntheticum, ground) 0.5 qian, Mayaxiao (Natrii Sulfas) 0.5 qian, Lvdou Fen (Phaseoli Radiati Semen Farina) 1 qian.
The above three ingredients are ground together extremely finely. Use a rush stem (Dengxin) to dip the medicine and apply to the eye, four to five times daily.
Machi San (Portulaca Powder) for compressing to treat eye leakage with pus discharge persisting for years:
Machizi (Portulacae Semen) half he, Renxianzi (Amaranti Semen) half he.
The above two ingredients are crushed, sifted into powder, placed in a silver or earthenware vessel, steamed over a rice steamer. Wrap in cotton cloth and compress the head of the large canthus of the eye, specifically where pus discharges from the lacrimal punctum. When compressing the eye, ensure the medicinal heat penetrates thoroughly into the eyeball. After thirty to fifty applications, the pus discharge will cease naturally.