论曰∶凡人五脏尽有风,而发有高下,动有深浅,则肾风发香港脚,肝风目泪而暗,肺风
鼻鼽嚏而嗽,脾风肉缓而重,心风恍惚而忘。若加于热,亦随脏观候,即肝风胁满而怒喜静
,加之热,即目漠漠而暗,若石气兼之,则赤而益痛,或生 肉,及肿而烂速,可随轻重泻
之。不然丧明矣,经曰,肝旺则目赤,若兼石,则冬慎勿食热,热既不散,遂成伏气,遇春
必发,预宜法防之,即非石药之过,岂不惜哉,黄帝曰,形受味。精受气,皆为饮食寒温呼
吸之召也,诸脏仿此。
疗眼久赤痛方。
干枣(相接长一尺切) 黄连(相接长一尺擘)
上二味,以水一升煎三合,绵裹,夜卧点眼 中,以瘥为度,忌如常法。
又泻肝汤,不服石人亦主之方。
大黄 黄连 石膏(各二两碎) 甘草(炙) 黄芩 细辛 生姜 半夏(洗各一两) 栀
子(十四枚擘)
上九味切,以水八升,煮取三升,分温服,忌如常法。
又疗眼赤,闭目不开,烦闷热,胸中澹澹,泻肝汤方。
前胡 大青 秦皮 干姜 子芩 细辛(各三两) 决明子(三枚) 栀子仁(二两) 石
膏
(八两碎) 淡竹叶 车前叶(各切一升)
上十一味切,以水一斗,煮取三升,去滓,分服,或加朴硝三两,得利即瘥,忌如常法
又疗眼肿痛不开方。
精猪肉薄切,以贴眼上,热即易之,一方用子肝,又以井花水浸,更再用之取瘥。
又疗久风目赤,兼胎赤方。
光明盐(六分) 杏仁油(五合又云半鸡子)
上二味,以净铜锣一尺面者一枚,内盐油,即取青柳枝如筋大者一握,急束截令头齐,
用研之三日,候如稠墨。即先剜地作一小坑,置瓦于底,又取热艾一鹅子许,于瓦上烧火,
即安前药锣,覆坑上令烟熏之,勿令火灭,候火尽,可收置于铜合子,或 合子中,每夜用
点目 间,便卧,频点之取瘥。(通按前目病胎赤用此方)
又主眼生赤脉,息内碜痛不开者方。
大枣(七枚取肉) 黄连(二两碎绵裹) 淡竹叶(切五合)
上三味,以水二升煮竹叶,取一升澄清,取八合,内枣肉黄连煎,取三合去滓,以点眼
中,瘥止。
又疗目痒赤方。
黄连(半两碎) 丁香(二七枚碎) 黄柏皮(半两切) 青钱(七文) 蕤仁(三七
枚碎)
上五味,以水二升,煮取一升,去滓,以绵缠杖子头点之妙。
扁鹊疗令人目明,发不落方。
取十月上巳日槐子,去上皮,不限多少,于瓶中封口三七日,初服一枚,再服至二枚,
十日十枚,还从一起,甚验。
又疗发热,心腹胀满,小便赤,大便难,逆冲胸中,口燥,目赤痛方。
黄芩 大黄(各二两) 栀子(一两) 豉(三合)
上四味切,以水三升,煮取一升二合,去滓分服。
又疗目翳方。
干蓝(二分) 雄黄(二分研)
上二味相和,以少许点上,三五度即便瘥。
论述说:大凡人的五脏都含有风邪,但发病有轻有重,病位有深有浅。因此,肾风发作表现为脚气病(香港脚),肝风表现为流泪且视力昏暗,肺风表现为鼻流清涕、打喷嚏和咳嗽,脾风表现为肌肉松弛沉重,心风表现为神志恍惚健忘。如果这些风邪兼夹热邪,也会随着所属脏腑表现出相应的证候。例如,肝风导致胁肋胀满、易怒且喜静;若再加热邪,则眼睛昏花昏暗;若再兼夹石药之气(指服用寒凉金石类药物后产生的郁热),则眼睛发红且疼痛加剧,或者长出胬肉(翼状胬肉),甚至肿胀溃烂迅速,可根据病情轻重进行泻下治疗。否则会导致失明。医经上说,肝脏旺盛时眼睛会发红,如果兼夹石气,冬季务必不要食用热性食物。热邪既不能发散,就会形成伏气,到了春天必然发作,应当预先加以防范。这并非金石药物的过错,难道不可惜吗?黄帝说,形体受饮食五味的影响,精气受呼吸之气的影响,这都是由饮食的寒温以及呼吸所召致的,其他脏腑的情况也仿照此理。
治疗眼睛长期发红疼痛的方子。
干枣(选取长度一尺的切开) 黄连(选取长度一尺掰开)
以上两味药,用水一升煎煮至三合,用绵布包裹药渣,夜间卧床时滴入眼中,以痊愈为度,忌口遵循常规方法。
又方:泻肝汤,不服食金石类药物的人也适用。
大黄 黄连 石膏(各二两,捣碎) 甘草(炙过) 黄芩 细辛 生姜 半夏(洗过,各一两) 栀子(十四枚,掰开)
以上九味药切碎,用水八升,煮取三升,分次温服,忌口遵循常规方法。
又方:治疗眼睛发红,闭目不开,烦闷燥热,心中悸动不安,具有泻肝作用的汤剂。
前胡 大青 秦皮 干姜 子芩(黄芩) 细辛(各三两) 决明子(三枚) 栀子仁(二两) 石膏(八两,捣碎) 淡竹叶 车前叶(各切取一升)
以上十一味药切碎,用水一斗,煮取三升,去掉药渣,分次服用。也可以加入朴硝三两,大便通利后即痊愈,忌口遵循常规方法。
又方:治疗眼睛肿痛无法睁开。
精瘦猪肉薄切,贴在眼睛上,变热就更换。另一法使用猪肝,再用井水浸泡,反复使用直至痊愈。
又方:治疗久年风邪引起的眼睛发红,兼治胎赤(新生儿眼疾)。
光明盐(六分) 杏仁油(五合,又说半鸡蛋量)
以上两味药,取一面直径一尺的干净铜锣一枚,放入盐和油,再取一把像筋一样粗的青柳枝,扎紧截齐头部,用来研磨药物三天,直到变成稠墨状。先在地上挖一个小坑,底部放瓦片,再取像鹅蛋大小的热艾绒,在瓦上烧火,将前面的药锣放在上面,覆盖在坑上让烟熏蒸,不要让火熄灭。等火燃尽,可收集药物放入铜盒或铁盒中。每晚点在眼睑之间,点后立即躺下,频繁点涂直至痊愈。(按语:前面提到的目病胎赤也可用此方)
又方:主治眼睛生出红血丝,感觉内部磨痛睁不开。
大枣(七枚,取肉) 黄连(二两,捣碎后用绵布包裹) 淡竹叶(切五合)
以上三味药,用水二升煮竹叶,取一升澄清液,再取八合,加入枣肉和黄连一起煎煮,取三升,去掉药渣,滴入眼中,痊愈即止。
又方:治疗眼睛痒且发红。
黄连(半两,捣碎) 丁香(十四枚,捣碎) 黄柏皮(半两,切片) 青钱(七文) 蕤仁(二十一枚,捣碎)
以上五味药,用水二升,煮取一升,去掉药渣,用棉布缠绕杖头蘸药点眼,效果奇妙。
扁鹊治疗使人眼睛明亮、头发不落的方子。
取农历十月上巳日的槐树种子,去掉外皮,数量不限,装在瓶中封口三七二十一天。初次服用一枚,第二次服用至两枚,第十天服用十枚,然后重新开始从一枚起服,非常有效。
又方:治疗发热,心腹胀满,小便发红,大便困难,气逆冲胸中,口干舌燥,眼睛发红疼痛。
黄芩 大黄(各二两) 栀子(一两) 豆豉(三合)
以上四味药切碎,用水三升,煮取一升二合,去掉药渣分次服用。
Commentary states: Generally, the five zang organs of a person all contain wind pathogen, but the onset varies in severity and depth. Thus, kidney wind manifests as jiaogongjiao (foot disease), liver wind manifests as tearing and dim vision, lung wind manifests as rhinorrhea, sneezing, and cough, spleen wind manifests as flaccid and heavy muscles, and heart wind manifests as mental confusion and forgetfulness. If these winds are combined with heat, they will present symptoms corresponding to their respective zang organs. For instance, liver wind causes hypochondriac fullness, irritability, and a preference for quietness; if heat is added, the eyes become hazy and dim; if further compounded by the qi of mineral drugs (referring to the retained heat from ingesting cold mineral substances), the eyes turn red with increased pain, or pterygium (wing-shaped fleshy growth) may develop, or swelling and rapid ulceration may occur. Treatment should involve purging according to the severity. Otherwise, blindness may result. The classics state that when the liver is exuberant, the eyes turn red. If compounded by mineral qi, one must strictly avoid hot-natured foods in winter. If the heat cannot dissipate, it becomes latent qi (latent pathogenic factor), which will inevitably manifest in spring; preventive measures should be taken in advance. This is not the fault of mineral drugs, is it? The Yellow Emperor said, the form is affected by flavors, and the essence is affected by qi, all summoned by the cold or warmth of diet and respiration. The other zang organs follow this principle.
Formula for treating long-standing red and painful eyes.
Dried Jujube Fruit (Ziziphi Fructus, selected pieces one chi long, cut) Coptis Rhizome (Coptidis Rhizoma, selected pieces one chi long, split)
Take the above two ingredients, decoct in one sheng of water until reduced to three he, wrap in silk cloth, and instill into the eyes before sleep. Continue until cured. Observe usual dietary restrictions.
Another formula: Liver-Purging Decoction (Xiegan Tang), also suitable for those who do not ingest mineral drugs.
Rhubarb Root and Rhizome (Rhei Radix et Rhizoma) Coptis Rhizome (Coptidis Rhizoma) Gypsum Fibrosum (Shigao, each two liang, crushed) Licorice Root (Gancao, honey-fried) Scutellaria Root (Scutellariae Radix) Asarum Root (Xixin) Fresh Ginger (Shengjiang) Pinellia Tuber (Banxia, washed, each one liang) Gardenia Fruit (Zhizi, fourteen fruits, split)
Cut the above nine ingredients, decoct in eight sheng of water until three sheng remain. Take warm in divided doses. Observe usual dietary restrictions.
Another formula: Liver-Purging Decoction for treating red eyes, inability to open eyes, restlessness and heat sensation, palpitations, and chest discomfort.
Peucedani Radix (Qianhu) Indigo Naturalis (Daqing) Birch Bark (Qinpi) Dried Ginger (Ganjiang) Scutellaria Root (Ziqin, i.e., Huangqin) Asarum Root (Xixin) Cassia Seed (Juemingzi, three fruits) Gardenia Kernel (Zhiziren, two liang) Gypsum Fibrosum (Shigao, eight liang, crushed) Bambusa Leaves (Danzhuye) Plantago Leaf (Cheqianye, each one sheng, cut)
Cut the above eleven ingredients, decoct in ten dou of water until three sheng remain. Strain and take in divided doses. Alternatively, add Mirabilite (Puxiao) three liang; cure upon bowel movement. Observe usual dietary restrictions.
Another formula for treating swollen and painful eyes unable to open.
Thinly slice lean pork and apply to the eyes. Replace when warm. Another method uses pig liver soaked in well water, applied repeatedly until cured.
Another formula for treating chronic wind-induced red eyes and congenital eye redness (taichi).
Bright Salt (Guangmingyan, six fen) Apricot Seed Oil (Xingren You, five he, or half an egg volume)
Place the salt and oil in a clean copper mortar with a surface diameter of one chi. Take a handful of green willow branches as thick as sinews, bundle tightly, and cut the ends even. Grind the mixture for three days until it resembles thick ink. Dig a small pit, place a tile at the bottom, and burn a quantity of hot Mugwort Herb (Aiye) equivalent to a goose egg on the tile. Place the mortar over the pit to smoke the medicine with the fumes, ensuring the fire does not extinguish. Once the fire burns out, collect the substance into a copper or iron container. Instill into the palpebral fissure every night, then lie down. Frequent instillation leads to cure. (Note: This formula is also applicable to taichi mentioned previously.)
Another formula for treating red vessels in the eyes, internal grittiness, pain, and inability to open.
Jujube Fruit (Ziziphi Fructus, seven fruits, flesh only) Coptis Rhizome (Coptidis Rhizoma, two liang, crushed and wrapped in silk) Bambusa Leaves (Danzhuye, five he, cut)
Decoct the Bambusa Leaves in two sheng of water to obtain one sheng of clear liquid. Take eight he of this liquid, add the jujube flesh and Coptis Rhizome, and decoct until three sheng remain. Strain and instill into the eyes. Stop when cured.
Another formula for treating itchy and red eyes.
Coptis Rhizome (Coptidis Rhizoma, half a liang, crushed) Clove Dingxiang (Dingxiang, fourteen fruits, crushed) Phellodendron Bark (Huangbopi, half a liang, sliced) Copper Cash Coins (Qingqian, seven coins) Burying Plum Kernel (Ruiren, twenty-one fruits, crushed)
Decoct the above five ingredients in two sheng of water until one sheng remains. Strain. Wrap the head of a stick with cotton, dip in the liquid, and apply to the eyes for excellent results.
Bian Que’s formula for brightening eyes and preventing hair loss.
Collect Sophora Seeds (Huai Zi) from the Shangsi day in the tenth lunar month. Remove the outer skin. Place in a bottle, seal, and leave for twenty-one days (three sevens). Initially take one seed, increase to two seeds for the second dose, up to ten seeds by the tenth day, then restart from one seed. Highly effective.
Another formula for treating fever, abdominal distension and fullness, red urine, difficult defecation, rebellious qi rushing to the chest, dry mouth, and red, painful eyes.
Scutellaria Root (Scutellariae Radix) Rhubarb Root and Rhizome (Rhei Radix et Rhizoma) (each two liang) Gardenia Fruit (Zhizi, one liang) Fermented Soybean (Chidou, three he)
Cut the above four ingredients, decoct in three sheng of water until one sheng and two he remain. Strain and take in divided doses.
Another formula for treating corneal opacity (yiyi).
Isatis Root (Banlangen, two fen) Realgar (Xionghuang, two fen, finely ground)
Mix the above two ingredients. Apply a small amount to the eyes. Cure within three to five applications.