病源凡人肝气通于目。若肝气有热,热冲于目,故令赤痛。(出第二十八卷中)
广济疗目赤病及胎赤方。
以 蛤裹置蜜二分盐碌一分,夜卧,火炙暖着目 ,二四日瘥止。
又方
猪胆和盐碌五分,点 效。
深师疗眼赤痛除热,黄连煎方。
黄连(半两) 大枣(一枚切)
上二味,以水五合,煎取一合,去滓,展绵取如麻子注目,日十夜再。忌猪肉。
集验疗目赤痛方。
甘竹叶(二七片) 乌梅(四两碎) 大钱(三文)
上三味,以水二升,洗渍药半日,早向东灶煮之三沸,三上三下,取二合,卧以注目
又疗目赤痛,洗眼方。
蕤核仁(二十枚碎) 苦竹叶(一把) 细辛(半两)
上三味,以水三升,煮取半升以洗眼,日三五度甚妙,删繁疗眼赤洗眼,竹叶汤方。
淡竹叶(五合) 黄连(四枚) 青钱(二十文) 大枣(二十枚去皮核) 栀子仁(七
枚) 车
前草(五合)
上六味,以水四升,煮取二升以洗眼,日六七遍,此方甚良。忌猪肉。
千金疗眼赤暗方。
杏未熟时杏仁汁(一合) 盐(五两) 青钱(三文)
上三味合纳瓷器中,封头勿令泄,百日后出,着四 头。日二三。
千金翼疗赤眼方。
杏仁四十九枚,去皮尖,绢袋裹,饭底蒸之,承热绞取脂,以铜青胡粉各如大豆,干姜
石盐各如半大豆许,熟研之,以鸡毛沾取掠眼中 头,日三夜再。
又方
杏仁脂(一合) 盐碌(如枣核大) 印成盐(三颗)
上三味,取杏仁脂法,先捣杏仁如脂,布袋盛,蒸绞取脂。置密器中,纳诸药,直坐着
其中密盖二七日,夜卧注目四 ,不过七度差止。
又疗赤眼不问久远方。
硼砂三两,以酢浆 器中浸,日中曝之三日药着器四畔,干者取如粟大夜着两 ,不过
三四度永瘥,并石盐石胆等分尤佳。(并出第十一卷中通按 乃坚土或系粗瓦罐如KT 类
也)
张文仲疗两眼热赤方。
东壁上土,帛细罗,纳如豆大两 中,令泪出,三五度即瘥,常用大效。(肘后同)
又传效疗眼赤无新久皆差。(神验方)
石盐枣核大,人乳一枣许,置故铜碗中,以古钱十文研之,使青稠着碗底,取熟艾急搏
一鸡子许,掘地作小坑子,坐艾于坑中烧,使烟出,以铜碗覆上,以土拥四边,勿令烟出,
量艾燃
注入
后
延年疗眼赤热不能得好差,此由肝中客热不绝方。
黄连(三两) 秦皮(三两)
上二味切,以水三升,煮取一升五合,去滓,食后温服,分二服,如人行七八里服,必
效同。
又疗眼赤饮方。
前胡 黄连 秦皮 黄芩 栀子仁(各三两) 决明子(二两半) 蕤仁(一两碎) 竹
叶(
一升)
上八味切,以水六升,煮取二升五合,去滓分三服,食后服之。忌猪肉。
又疗眼赤方
蕤仁 黄芩 栀子仁 黄连 秦皮(各二两) 竹叶(一升)
上六味切,以水五升,煮取一升六合分三服。
又疗目赤热方。
前胡(二两) 防风 决明子 黄连 蕤仁(各二两) 竹叶(一升)
上六味切,以水六升,煮取二升,分为五服。
又竹叶饮主痰热眼赤头痛方。
竹叶(一握) 犀角屑 升麻 干葛(各二两) 黄芩 麦门冬(各三两去心)
上六味切,以水六升,煮取二升,分为三服。
又方
竹叶(一握) 麦(一升淘) 地骨白皮(三分)
上三味,以水五升,煮取二升,以麦熟为度,食后分二服。(蒋孝璋处此方)
近效疗眼赤痛眼漠漠方。
硝石研末,于眼四角各点一粟许,须臾热泪出,便睡,睡觉,以浆水洗,又明目。
又疗赤眼及眼睛上疮方。
秦皮一大两,以清水一大升于白瓷碗中浸,春夏一食久,以上看碧色出,即以箸头缠绵
,点
沥却
又敕赐源干曜疗赤眼方。
生石蜜 朱砂(光明者) 石盐 芒硝 盐碌 石决明(去粗皮细研各六分) 蕤仁(三
百
颗) 黄连(宣州者) 细辛(各一两) 乌贼鱼骨(长二寸去甲)
上十味捣筛,细研,欲着时,少少取白蜜和,置眼两大角中如绿豆许大,仍不避风日,
唯破及枯除此并差,万金不传。忌猪肉生菜。
【背景信息】
书名:《外台秘要》 作者:王焘 朝代:唐·天宝十一年 章节:目赤痛方二十一首 类别:方剂
【原文翻译】
病因病机:人的肝气与眼睛相通。如果肝气有热,热气上冲于眼睛,就会导致眼睛发红疼痛。(出自第二十八卷中)
广济方治疗眼睛发红及胎赤(新生儿眼疾或皮肤红斑)的方子。
用蛤蜊肉包裹蜂蜜二分、盐碌一分,夜间睡觉时,用火烤暖后敷在眼睛上,两到四天后痊愈即止。
另一个方子
猪胆汁混合盐碌五分,点入眼中,有效。
深师方治疗眼睛红痛以清除热邪的黄连煎方。
黄连(半两) 大枣(一枚,切开)
以上两味药,用水五合,煎煮取一合药液,去掉药渣,用绵布过滤,取如麻子大小的量滴入眼中,白天十次,夜晚两次。忌食猪肉。
集验方治疗眼睛红痛的方子。
甘竹叶(十四片) 乌梅(四两,捣碎) 大钱(三文)
以上三味药,用水二升,浸泡药物半天,早晨对着东边的灶火煮至沸腾三次,注意防止溢出(三上三下),取二合药液,睡前滴入眼中。
又治疗眼睛红痛的洗眼方。
蕤核仁(二十枚,捣碎) 苦竹叶(一把) 细辛(半两)
以上三味药,用水三升,煎煮取半升药液用来洗眼,每天三到五次,效果很好。
删繁方治疗眼睛红痛的洗眼竹叶汤方。
淡竹叶(五合) 黄连(四枚) 青钱(二十文) 大枣(二十枚,去皮去核) 栀子仁(七枚) 车前草(五合)
以上六味药,用水四升,煎煮取二升药液用来洗眼,每天六七次,此方非常好。忌食猪肉。
千金方治疗眼睛红暗的方子。
未成熟的杏仁汁(一合) 盐(五两) 青钱(三文)
以上三味药混合放入瓷器中,封口不要漏气,一百天后取出,涂抹在眼角。每天两三次。
千金翼方治疗红眼的方子。
杏仁四十九枚,去皮尖,用绢袋包裹,放在饭底蒸熟,趁热绞取杏仁脂,加入铜青和胡粉各如大豆大小,干姜和石盐各如半大豆大小,研细,用鸡毛沾取涂抹眼中眼角,每天三次,夜晚两次。
另一个方子
杏仁脂(一合) 盐碌(如枣核大小) 印成盐(三颗)
以上三味药,按上述方法取杏仁脂,先捣杏仁成脂状,装入布袋,蒸熟后绞取脂液。放入密封容器中,加入其他药物,正坐其中,密闭容器二十七天,夜间睡觉时滴入眼中四次,不超过七次即可痊愈。
又治疗红眼,不问病程长短的方子。
硼砂三两,在醋浆浸泡的容器中浸渍,在阳光下晒三天,使药物附着在容器四周,干燥后取如粟米大小的量,夜间滴入两眼,不超过三四次即可永久痊愈,配合石盐和石胆等分使用更佳。(出自第十一卷中,“通”指坚固的陶器,可能是粗瓦罐之类)
张文仲方治疗双眼热红。
东墙上的土,用细帛筛过,取如豆大的量放入两眼眼角,令眼泪流出,三到五次即可痊愈,常用效果很大。(与《肘后备急方》相同)
又传效方治疗眼红,无论新久皆能治愈。(神验方)
石盐如枣核大,人乳如枣许,放入旧铜碗中,用古钱十文研磨,使药液变青稠附着在碗底,取熟艾急揉如鸡蛋大小,在地上挖一个小坑,将艾放在坑中燃烧,使烟冒出,用铜碗覆盖在上面,用土围住四周,不让烟逸出,待艾燃尽后注入……(原文此处似有缺漏,意指收集烟熏后的药液或灰烬处理)
延年方治疗眼红热不能好,这是由于肝中客热不绝引起的方子。
黄连(三两) 秦皮(三两)
以上两味药切碎,用水三升,煎煮取一升五合药液,去掉药渣,饭后温服,分两次服用,如人行走七八里的时间服用,必定有效。
又治疗眼红的饮方。
前胡 黄连 秦皮 黄芩 栀子仁(各三两) 决明子(二两半) 蕤仁(一两,捣碎) 竹叶(一升)
以上八味药切碎,用水六升,煎煮取二升五合药液,去掉药渣,分三次服用,饭后服用。忌食猪肉。
又治疗眼红的方子
蕤仁 黄芩 栀子仁 黄连 秦皮(各二两) 竹叶(一升)
以上六味药切碎,用水五升,煎煮取一升六合药液,分三次服用。
又治疗目赤热的方子。
前胡(二两) 防风 决明子 黄连 蕤仁(各二两) 竹叶(一升)
以上六味药切碎,用水六升,煎煮取二升药液,分五次服用。
又竹叶饮主治痰热眼红头痛的方子。
竹叶(一握) 犀角屑 升麻 干葛(各二两) 黄芩 麦门冬(各三两,去心)
以上六味药切碎,用水六升,煎煮取二升药液,分三次服用。
另一个方子
竹叶(一握) 麦(一升,淘洗) 地骨白皮(三分)
以上三味药,用水五升,煎煮取二升药液,以麦煮熟为度,饭后分两次服用。(蒋孝璋提供此方)
近效方治疗眼红痛、眼睛模糊不清的方子。
硝石研末,在眼睛四角各点如粟米大小的量,片刻后热泪流出,随即睡觉,醒来后用浆水洗眼,又能明目。
又治疗红眼及眼睛上生疮的方子。
秦皮一大两,用清水一大升在白瓷碗中浸泡,春夏季节浸泡一顿饭的时间,直到看到碧色渗出,即用筷子头缠绕棉絮,蘸取药液点入眼中,沥去多余药液。
又敕赐源干曜治疗红眼的方子。
生石蜜 朱砂(明亮的) 石盐 芒硝 盐碌 石决明(去粗皮细研,各六分) 蕤仁(三百颗) 黄连(宣州产的) 细辛(各一两) 乌贼鱼骨(长二寸,去甲)
以上十味药捣碎过筛,细研,使用时,取少量白蜜调和,置于两眼两大角中如绿豆大小,仍然不避风日,除了破溃和枯死的眼疾外,其余都能治愈,这是万金不传的秘方。忌食猪肉和生菜。
[Background Information]
Book: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Twenty-One Formulas for Red and Painful Eyes
Category: Formulas
[Etiology and Pathogenesis]
The liver qi connects with the eyes. If there is heat in the liver qi, this heat rushes upward to the eyes, causing redness and pain. (From Volume 28)
**Guangji Formula for Treating Red Eyes and Fetal Redness**
Wrap half a part of honey and one part of rock salt (yanlu) in clam meat. At night before sleep, warm it over fire and apply to the eyes. Discontinue after two to four days when healed.
**Another Formula**
Mix pig bile with five parts of rock salt (yanlu). Instill into the eyes; effective.
**Shenshi Formula for Clearing Heat from Red and Painful Eyes using Coptis Decoction**
*Coptidis Rhizoma* (Huanglian) (half liang)
*Jujubae Fructus* (Dazao) (one piece, cut open)
Take the above two ingredients, add five he of water, decoct to obtain one he of liquid. Strain the dregs. Filter through cotton cloth. Take an amount the size of a hemp seed and instill into the eye. Ten times during the day, twice at night. Avoid pork.
**Jiyan Formula for Treating Red and Painful Eyes**
*Gan Zhuye* (Sweet Bamboo Leaf) (fourteen leaves)
*Mume Fructus* (Wumei) (four liang, crushed)
*Qianbi* (Copper Coin) (three wen)
Take the above three ingredients, add two sheng of water, soak the herbs for half a day. In the morning, boil over the east-facing stove for three boiling cycles (preventing overflow). Obtain two he of liquid. Instill into the eyes before sleep.
**Another Formula for Washing Eyes for Redness and Pain**
*Ruihexin* (Prunus mume Kernel/Rui Ren) (twenty pieces, crushed)
*Ku Zhuye* (Bitter Bamboo Leaf) (one handful)
*Xixin* (Asarum) (half liang)
Take the above three ingredients, add three sheng of water, decoct to obtain half a sheng. Use to wash the eyes, three to five times daily; very effective.
**Shanfan Formula for Washing Eyes for Redness using Bamboo Leaf Decoction**
*Danzhuye* (Light Bamboo Leaf) (five he)
*Coptidis Rhizoma* (Huanglian) (four pieces)
*Qingqian* (Green Copper Coin) (twenty wen)
*Jujubae Fructus* (Dazao) (twenty pieces, peeled and pitted)
*Gardeniae Fructus* (Zhizi) (seven kernels)
*Plantaginis Herba* (Cheqiancao) (five he)
Take the above six ingredients, add four sheng of water, decoct to obtain two sheng. Use to wash the eyes, six to seven times daily. This formula is excellent. Avoid pork.
**Qianjin Formula for Treating Red and Dim Eyes**
*Amygdalus communis* juice from unripe apricot kernels (Xingren) (one he)
Salt (five liang)
*Qingqian* (Green Copper Coin) (three wen)
Combine the above three ingredients in a porcelain vessel. Seal tightly to prevent leakage. After one hundred days, take out and apply to the corners of the eyes. Two to three times daily.
**Qianjin Yi Formula for Treating Red Eyes**
Forty-nine *Amygdalus communis* kernels (Xingren), peel off skin and tips, wrap in silk bag. Steam over rice until cooked. While hot, squeeze out the almond oil (lip). Add *Chloritum* (Tongqing) and *Cerussa* (Hufen), each the size of a soybean. Add dried ginger (*Ganjiang*) and rock salt (*Shiyan*), each the size of half a soybean. Grind finely. Dip a chicken feather into the mixture and sweep/instill into the eye corners. Three times daily, twice at night.
**Another Formula**
Almond oil (Xingren zhi) (one he)
Rock salt (Yanlu) (size of a jujube pit)
Stamped salt (Yincheng yan) (three pieces)
Prepare the almond oil as described above: crush almonds into a paste, place in a cloth bag, steam, and squeeze out the oil. Place in a sealed container, add other medicines. Sit upright with the container covered for twenty-seven days. Before sleep, instill into the eyes four times. Not exceeding seven applications until healed.
**Another Formula for Red Eyes Regardless of Duration**
*Borax* (Pengsha) (three liang). Soak in a vessel containing vinegar slurry. Expose to sunlight for three days until the medicine adheres to the sides of the vessel. When dry, take particles the size of millet seeds. Instill into both eyes at night. Not exceeding three or four applications; permanent cure. Using equal parts of rock salt (*Shiyan*) and alum (*Shidan*) is even better. (From Volume 11. "Tong" refers to sturdy pottery, such as coarse earthenware jars.)
**Zhang Wenzhong Formula for Treating Hot Redness of Both Eyes**
Soil from the east wall, sifted through fine silk. Take an amount the size of a bean and place in the corners of both eyes to induce tearing. Three to five applications will heal. Very effective for common use. (Same as *Zhouhou Beiji Fang*)
**Another Effective Formula for Red Eyes, New or Old** (Divine Efficacy Formula)
Rock salt (*Shiyan*) the size of a jujube pit. Human milk the size of a jujube. Place in an old copper bowl. Grind with ten ancient coins until the mixture becomes thick and green at the bottom of the bowl. Take prepared mugwort (*Ai*) and knead quickly into a ball the size of a chicken egg. Dig a small pit in the ground. Place the mugwort in the pit and burn it to produce smoke. Cover with the copper bowl and surround with soil to contain the smoke. Wait until the mugwort burns out... [Text incomplete here, implying collection of the condensed substance].
**Yannian Formula for Persistent Red and Hot Eyes due to Unceasing Guest Heat in the Liver**
*Coptidis Rhizoma* (Huanglian) (three liang)
*Fraxini Cortex* (Qinpi) (three liang)
Cut the above two ingredients. Add three sheng of water, decoct to obtain one sheng five he. Strain. Take warm after meals, divided into two doses. Administer at intervals equivalent to walking eight or seven li. Must be effective.
**Another Drink Formula for Red Eyes**
*Peucedani Radix* (Qianhu)
*Coptidis Rhizoma* (Huanglian)
*Fraxini Cortex* (Qinpi)
*Scutellariae Radix* (Huangqin)
*Gardeniae Fructus* (Zhizi) (each three liang)
*Cassiae Semen* (Juemingzi) (two and a half liang)
*Pruni Armeniacae Semen* (Ruiren) (one liang, crushed)
*Bamboo Leaves* (Zhuye) (one sheng)
Cut the above eight ingredients. Add six sheng of water, decoct to obtain two sheng five he. Strain. Divide into three doses. Take after meals. Avoid pork.
**Another Formula for Red Eyes**
*Pruni Armeniacae Semen* (Ruiren)
*Scutellariae Radix* (Huangqin)
*Gardeniae Fructus* (Zhizi)
*Coptidis Rhizoma* (Huanglian)
*Fraxini Cortex* (Qinpi) (each two liang)
*Bamboo Leaves* (Zhuye) (one sheng)
Cut the above six ingredients. Add five sheng of water, decoct to obtain one sheng six he. Divide into three doses.
**Another Formula for Red and Hot Eyes**
*Peucedani Radix* (Qianhu) (two liang)
*Saposhnikoviae Radix* (Fangfeng)
*Cassiae Semen* (Juemingzi)
*Coptidis Rhizoma* (Huanglian)
*Pruni Armeniacae Semen* (Ruiren) (each two liang)
*Bamboo Leaves* (Zhuye) (one sheng)
Cut the above six ingredients. Add six sheng of water, decoct to obtain two sheng. Divide into five doses.
**Another Bamboo Leaf Drink for Phlegm-Heat Red Eyes and Headache**
*Bamboo Leaves* (Zhuye) (one handful)
*Rhinocerotis Cornu* (Xijiao) (shavings)
*Belamcandae Rhizoma* (Shengma)
*Puerariae Radix* (Gegen) (dried) (each two liang)
*Scutellariae Radix* (Huangqin)
*Ophiopogonis Tuber* (Maidong) (each three liang, heart removed)
Cut the above six ingredients. Add six sheng of water, decoct to obtain two sheng. Divide into three doses.
**Another Formula**
*Bamboo Leaves* (Zhuye) (one handful)
*Hordeum vulgare* (Mai) (one sheng, washed)
*Phellodendri Cortex* (Digupi) (three fen)
Add five sheng of water, decoct to obtain two sheng. Stop when the barley is cooked. Divide into two doses after meals. (Provided by Jiang Xiaozhang)
**Jin Xiao Formula for Red and Painful Eyes with Blurred Vision**
Grind *Natrii Sulfas* (Xiaoshi/Niter) into powder. Instill a millet-sized amount into each of the four corners of the eyes. After a moment, hot tears will flow. Then sleep. Upon waking, wash the eyes with grain wash water. This also brightens vision.
**Another Formula for Red Eyes and Ulcers on the Eyes**
*Fraxini Cortex* (Qinpi) (one da liang). Soak in one da sheng of clear water in a white porcelain bowl. For spring and summer, soak for the duration of one meal until a green color appears. Wrap cotton around the tip of a chopstick, dip into the liquid, instill into the eyes, and drain excess.
**Another Formula Bestowed by Yuan Ganyao for Red Eyes**
Raw rock sugar (*Shimi*)
*Cinnabaris* (Zhusha) (bright quality)
Rock salt (*Shiyan*)
*Natrii Sulfas* (Mangxiao)
Rock salt (*Yanlu*)
*Concha Arcae* (Shiejue Ming) (coarse skin removed, finely ground, each six fen)
*Pruni Armeniacae Semen* (Ruiren) (three hundred pieces)
*Coptidis Rhizoma* (Huanglian) (from Xuanzhou)
*Asari Radix et Rhizoma* (Xixin) (each one liang)
*Sepiae Endoconcha* (Wuzheiyu Gu) (two cun long, nail removed)
Grind and sieve the above ten ingredients finely. When applying, mix a small amount with white honey. Place an amount the size of a mung bean in the two large corners of the eyes. Do not avoid wind or sun. All conditions except those that are ulcerated or necrotic will heal. This is a secret formula worth ten thousand gold. Avoid pork and raw vegetables.