夫坠睛眼者。由眼中贼风所吹故也。风寒入贯瞳仁。攻于眼带。则瞳仁牵拽向下。名曰
坠睛
多。
治坠睛眼。风热牵瞳仁向下。宜服此细辛散方。
细辛(一两) 赤茯苓(一两) 黄芩(一两) 麦门冬(一两半去心焙) 木通(一
两半) 黄
连(
上件药。捣粗罗为散。每服四钱。以水一盏。煎至六分。去滓。食后温服。临卧再服。
忌炙
治坠睛。风毒牵瞳仁向下。眼带紧急。视物不明。宜服菊花散方。
甘菊花(一两) 旋复花(三分) 生干地黄(半两) 羚羊角屑(一两) 海桐皮(半
两) 秦
艽(
明子(半
两)
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。食后温服。临卧再服
之。
治坠睛眼失明。眼睛牵陷。或时发KT 。视物散乱。宜服犀角散方。
犀角屑(半两) 羚羊角屑(半两) 车前子(一两) 枸杞子(一两) 槐子 五味
子青葙
子
上件药。捣细罗为散。每于食后煎槐子汤调下二钱。临卧再服。
治坠睛久不瘥。宜服羌活散。
羌活(二两) 秦艽(去苗) 防风(去芦头) 桂心 牛蒡子(微炒) 胡黄连 茯
神(以上
各一
上件药。捣细罗为散。每于空心。盐汤调下二钱。晚食前。煎麦门冬热水。再调服之。
治眼风邪所攻。坠睛向下。渐渐失明。宜服槐子丸方。
槐子 天麻 独活 地肤子 沙参(去芦头) 人参(去芦头) 羚羊角屑(以上各一
两半)
决
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每日空心。以温浆水下三十丸。
夜
治坠睛风热所攻。宜用此点眼药方。
猪肝(一具) 黑豆花(曝干) 槐花(曝干) 地黄花(曝干以上各一两)
上件药。除猪肝外。捣细罗为散。和猪肝纳铛中。以水二斗。缓火煎。候上有凝脂。似
酥片
坠睛眼,是由眼中受到贼风侵袭所致。风寒之邪侵入并贯穿瞳仁,攻击眼带(眼睑及眼部筋膜),导致瞳仁被牵拉向下,这种情况被称为坠睛。
治疗坠睛眼,若因风热牵引导致瞳仁向下,适宜服用细辛散方。
药材:细辛(一两)、赤茯苓(一两)、黄芩(一两)、麦门冬(一两半,去心,焙干)、木通(一两半)、黄连(一两)。
制法与用法:将上述药材捣碎并过粗筛制成散剂。每次服用四钱,加水一盏,煎煮至六分,滤去药渣,饭后温服。睡前再服一次。
禁忌:忌食炙烤食物。
治疗坠睛,若因风毒牵引导致瞳仁向下,眼带紧张拘急,视物模糊不清,适宜服用菊花散方。
药材:甘菊花(一两)、旋复花(三分)、生干地黄(半两)、羚羊角屑(一两)、海桐皮(半两)、秦艽(一两)、决明子(半两)。
制法与用法:将上述药材捣碎并过粗筛制成散剂。每次服用三钱,加水一中盏,煎煮至六分,滤去药渣,饭后温服。睡前再服一次。
治疗坠睛眼失明,眼睛牵拉凹陷,有时出现惊悸抽搐(KT指惊掣或痉挛),视物散乱无章,适宜服用犀角散方。
药材:犀角屑(半两)、羚羊角屑(半两)、车前子(一两)、枸杞子(一两)、槐子、五味子、青葙子(各适量,原文此处剂量缺失,依古方惯例通常等分或按序排列,此处仅列名)。
制法与用法:将上述药材捣细并过细筛制成散剂。每次在饭后,用煎好的槐子汤调服二钱散剂。睡前再服一次。
治疗坠睛日久不愈,适宜服用羌活散。
药材:羌活(二两)、秦艽(去苗)、防风(去芦头)、桂心、牛蒡子(微炒)、胡黄连、茯神(以上各一两,原文此处剂量显示不全,依上下文推断为各一两或等量)。
制法与用法:将上述药材捣细并过细筛制成散剂。每次在空腹时,用盐开水调服二钱。晚饭前,再用煎好的麦门冬热水调服一次。
治疗因眼受风邪侵袭导致的坠睛向下,逐渐失明,适宜服用槐子丸方。
药材:槐子、天麻、独活、地肤子、沙参(去芦头)、人参(去芦头)、羚羊角屑(以上各一两半)、决明子(一两,原文此处剂量显示不全,依上下文推断)。
制法与用法:将上述药材捣碎过筛制成粉末,用炼蜜调和,捣杵三五百下,制成如梧桐子大小的丸剂。每天空腹时,用温浆水送服三十丸。睡前再服一次。
治疗因风热侵袭导致的坠睛,适宜使用此点眼药方。
药材:猪肝(一具)、黑豆花(晒干)、槐花(晒干)、地黄花(晒干,以上各一两)。
制法与用法:除猪肝外,将其他药材捣细并过细筛制成散剂。与猪肝一起放入铛中,加入水二斗,用慢火煎煮。待液面上出现凝固的脂状物,形状似酥片时即可。
Ophthalmoptosis (drooping of the eye/pupil) is caused by the invasion of "thieving wind" (pathogenic wind) into the eye. When cold and wind pathogens penetrate through the pupil and attack the ocular ligaments (eye bands), the pupil is pulled downward, a condition named Ophthalmoptosis.
For treating Ophthalmoptosis where wind-heat pulls the pupil downward, it is appropriate to take this Xixin San (Asarum Powder) formula.
Ingredients: Xixin (Asarum Herba, 1 liang), Chi Fuling (Red Poria, 1 liang), Huangqin (Scutellaria Root, 1 liang), Maimendong (Ophiopogon Tuber, 1.5 liang, heart removed, roasted), Mutong (Akebia Stem, 1.5 liang), Huanglian (Coptis Rhizome, 1 liang).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose, add 1 zhen of water, decoct until reduced to 6 fen, remove the dregs, and take warm after meals. Take again before retiring to bed.
Dietary Restrictions: Avoid roasted or grilled foods.
For treating Ophthalmoptosis where wind-toxin pulls the pupil downward, causing tightness and urgency in the ocular ligaments and blurred vision, it is appropriate to take Juhua San (Chrysanthemum Powder) formula.
Ingredients: Gan Juhua (Sweet Chrysanthemum Flower, 1 liang), Xuanjufang (Inula Flower, 3 fen), Sheng Gan Dihuang (Fresh Dried Rehmannia Root, 0.5 liang), Lingyangjiao Xie (Antelope Horn Chips, 1 liang), Haitongpi (Phellodendron Bark, 0.5 liang), Qinjiao (Gentiana Macrophylla Root, 1 liang), Juemingzi (Cassia Seed, 0.5 liang).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 3 qian per dose, add 1 zhen of water, decoct until reduced to 6 fen, remove the dregs, and take warm after meals. Take again before retiring to bed.
For treating blindness due to Ophthalmoptosis, where the eyes are pulled and sunken, accompanied by occasional spasms (convulsions/twitching) and scattered/chaotic vision, it is appropriate to take Xijiao San (Rhinoceros Horn Powder) formula.
Ingredients: Xijiao Xie (Rhinoceros Horn Chips, 0.5 liang), Lingyangjiao Xie (Antelope Horn Chips, 0.5 liang), Cheqianzi (Plantago Seed, 1 liang), Gouqizi (Goji Berry, 1 liang), Huaizi (Sophora Seed), Wuweizi (Schisandra Fruit), Qingxiangzi (Celosia Seed).
Preparation and Administration: Crush the above ingredients finely and sieve them to make a powder. After each meal, take 2 qian of the powder mixed with decocted Huaizi (Sophora Seed) soup. Take again before retiring to bed.
For treating chronic Ophthalmoptosis that does not heal, it is appropriate to take Qianghuo San (Notopterygium Powder).
Ingredients: Qianghuo (Notopterygium Rhizome, 2 liang), Qinjiao (Gentiana Macrophylla Root, radix removed), Fangfeng (Saposhnikovia Root, rhizome removed), Guixin (Cinnamon Twig Heart), Niubangzi (Arctium Fruit, lightly stir-fried), Hu Huanglian (Picrorhiza Rhizome), Fushen (Poria with Hostwood, each 1 liang).
Preparation and Administration: Crush the above ingredients finely and sieve them to make a powder. On an empty stomach, take 2 qian mixed with salted water. Before evening meal, take another dose mixed with hot decocted Maimendong (Ophiopogon Tuber) water.
For treating Ophthalmoptosis downward and gradual loss of vision caused by wind-pathogen attacking the eyes, it is appropriate to take Huaizi Wan (Sophora Seed Pill) formula.
Ingredients: Huaizi (Sophora Seed), Tianma (Gastrodia Rhizome), Duhuo (Angelica Pubescens Root), Difuzi (Kochia Fruit), Shashen (Adenophora Root, rhizome removed), Renshen (Ginseng Root, rhizome removed), Lingyangjiao Xie (Antelope Horn Chips, each 1.5 liang), Juemingzi (Cassia Seed, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients into powder. Mix with refined honey and pound for 300-500 strikes to form pills the size of Sophora seeds. On an empty stomach daily, swallow 30 pills with warm grain water. Take again at night.
For treating Ophthalmoptosis caused by wind-heat attack, use this external eye-drop ointment formula.
Ingredients: Zhu Gan (Pig Liver, 1 piece), Heidouhua (Black Soybean Flower, dried), Huaihua (Sophora Flower, dried), Dihuanghua (Rehmannia Flower, dried, each 1 liang).
Preparation and Administration: Except for the pig liver, crush the other ingredients finely and sieve them to make a powder. Mix with the pig liver and place in a pan. Add 2 dou of water and simmer over low heat. Wait until a solidified lipid layer forms on the surface, resembling butter slices.