夫肝气通于目。目者肝之官。眼有五轮。以应五脏。若肝胆气实。心膈壅滞。风邪毒瓦斯。
上
治肝气上壅。攻注眼疼睛痛。及腹胁滞闷。宜服细辛散方。
细辛(半两) 川升麻(三分) 芎 (一两) 当归(一两) 丹参(三分) 赤芍
药(一两)
黄芩
两麸炒
微黄
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。忌炙
爆热
治眼睛疼痛。连头遍疼。宜服羌活散方。
羌活 防风(去芦头) 黄芩 芎 蔓荆子 甘菊花(以上各一两) 石膏(三两) 甘
草
(半
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食后温服。
治肝膈壅热。眼睛赤涩疼痛。心神烦热。宜服羚羊角散方。
羚羊角屑 茯神 防风(去芦头) 地骨皮(各一两) 石膏(二两) 黄芩(三分) 麦
门冬
(一
去赤
皮)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。入地黄汁半合。更煎
一
治肝脏壅毒。气上攻。眼睛赤涩疼痛。心躁。体热。宜服地骨皮散方。
地骨皮 川升麻 玄参 甘草(炙微赤锉) 防风(去芦头) 黄芩(以上各一两) 赤
茯苓
(二
胡(二
两半
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。淡竹叶二七片。黑豆五十
粒。
治上焦壅热。眼睛疼痛。大小便秘涩。心神烦躁。不得眠卧。宜服栀子散方。
栀子仁(一两) 黄连(一两去须) 枳壳(三分麸炒微黄去瓤) 龙胆(一两去芦头)
赤芍
药(
青(一两)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食后温服。
治诸风毒攻头目。睛中如针刺痛。及欲成障翳。宜服甘菊花散方。
甘菊花(一两) 川升麻(一两) 芎 (一两半) 细辛(一两) 防风(去芦头三
分) 石膏
(二
分炙微赤
锉)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。每于食后温服。
治眼睛疼痛。睡卧不得。宜服地骨皮散方。
地骨皮 石膏(细研水飞过) 川大黄(锉碎炒) 井泉石(以上各二两) 甘草(半
两炙微
赤锉)
上件药。捣细罗为散。入石膏更研令匀。每于食后。以白米泔。调下二钱。
治眼睛如针刺疼痛。通顶抽风散方。
硝石(二两)
上以新瓷瓶。内盛硝石。渐以火熔成汁。以生萝卜子。时时投三二十粒。入于硝内。候
烟出
子一两
鼻内。
肝脏之气与眼睛相通。眼睛是肝脏的外在表现器官。眼睛有“五轮”之说,分别对应五脏。如果肝胆气机亢盛,心膈部位气机壅滞,风邪毒气上攻,导致肝气上逆壅塞,冲击并注入眼部,引起眼痛、睛痛,以及腹部和胁肋部胀闷不适,适宜服用细辛散方。
细辛(半两) 川升麻(三分) 川芎(一两) 当归(一两) 丹参(三分) 赤芍药(一两) 黄芩(麸炒至微黄)
以上药物,捣碎并过粗筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分水量,滤去药渣。每次在饭后温服。忌食烤炸及热性食物。
治疗眼睛疼痛,并牵连头部全遍疼痛,适宜服用羌活散方。
羌活 防风(去除芦头) 黄芩 川芎 蔓荆子 甘菊花(以上各一两) 石膏(三两) 甘草(半两,炙至微红,锉碎)
以上药物,捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分水量,滤去药渣。每次在饭后温服。
治疗肝膈部位壅滞郁热,导致眼睛发红、干涩、疼痛,心神烦热,适宜服用羚羊角散方。
羚羊角屑 茯神 防风(去除芦头) 地骨皮(各一两) 石膏(二两) 黄芩(三分) 麦门冬(一两,去除心)
以上药物,捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分水量,滤去药渣,加入地黄汁半合,再煎煮片刻。
治疗肝脏壅滞毒气,气机上冲,导致眼睛发红、干涩、疼痛,心中烦躁,身体发热,适宜服用地骨皮散方。
地骨皮 川升麻 玄参 甘草(炙至微红,锉碎) 防风(去除芦头) 黄芩(以上各一两) 赤茯苓(二两) 胡黄连(二两半)
以上药物,捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,淡竹叶十四片,黑豆五十粒。
治疗上焦部位壅滞郁热,导致眼睛疼痛,大小便便秘涩滞,心神烦躁,无法安睡,适宜服用栀子散方。
栀子仁(一两) 黄连(一两,去除须根) 枳壳(三分,麸炒至微黄,去除瓤) 龙胆(一两,去除芦头) 赤芍药(一两) 青黛(一两)
以上药物,捣碎并过粗筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分水量,滤去药渣。每次在饭后温服。
治疗各种风毒攻袭头目,眼中感觉如针刺般刺痛,以及即将形成翳障的情况,适宜服用甘菊花散方。
甘菊花(一两) 川升麻(一两) 川芎(一两半) 细辛(一两) 防风(去除芦头,三分) 石膏(二两,炙至微红,锉碎)
以上药物,捣碎并过细筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分水量,滤去药渣。每次在饭后温服。
治疗眼睛疼痛,导致睡眠不安,适宜服用地骨皮散方(此处方名同前,但组成不同)。
地骨皮 石膏(细研,水飞法处理) 川大黄(锉碎,炒制) 井泉石(以上各二两) 甘草(半两,炙至微红,锉碎)
以上药物,捣碎并过细筛制成散剂,加入石膏再次研磨均匀。每次在饭后,用白米泔水调服二钱。
治疗眼睛如针刺般疼痛,牵引头顶抽掣作痛的方剂。
硝石(二两)
将上述硝石放入新的瓷瓶中,逐渐用火熔化成汁液,不时投入生萝卜子三二十粒进入熔化的硝液中,等待烟雾冒出后,取萝卜子一两,纳入鼻中。
The Qi of the Liver connects with the Eyes. The eyes are the external orifice of the Liver. There are five "wheels" (Wulun, anatomical zones of the eye corresponding to organs) in the eye, which correspond to the Five Zang Organs. If the Qi of the Liver and Gallbladder is excessive, and there is stagnation in the Heart and Diaphragm, Wind pathogenic factors and toxic vapors ascend. To treat Liver Qi ascending and obstructing, attacking and injecting into the eyes causing eye pain and globe pain, as well as abdominal and hypochondriac fullness and oppression, it is appropriate to take Xixin San (Asarum Powder).
Xixin (Asarum Herba, Ban liang), Chuan Shengma (Cimicifugae Rhizoma, San fen), Xiong (Ligusticum Chuanxiong Rhizoma, Yi liang), Danggui (Angelicae Sinensis Radix, Yi liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, San fen), Chi Shaoyao (Paeoniae Radix Rubra, Yi liang), Huangqin (Scutellariae Radix, bran-fried until slightly yellow).
The above medicines are coarsely pounded and sieved to make a powder. Each dose is three qian. With one zhong of water, decoct until six parts remain. Remove the dregs. Take warm after meals. Avoid roasted, fried, and hot-natured foods.
To treat eye pain extending to the entire head, it is appropriate to take Qianghuo San (Notopterygii Rhizoma et Radix Powder).
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix, remove radicle), Huangqin (Scutellariae Radix), Xiong (Ligusticum Chuanxiong Rhizoma), Manjingzi (Viticis Semen), Gan Juhua (Chrysanthemi Flos, each Yi liang), Shigao (Gypsum Fibrosum, San liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red, cut into small pieces).
The above medicines are coarsely pounded and sieved to make a powder. Each dose is four qian. With one zhong of water, decoct until six parts remain. Remove the dregs. Take warm after meals.
To treat Liver and Diaphragm heat obstruction causing redness, dryness, and pain in the eyes, along with mental restlessness and heat, it is appropriate to take Lingyangjiao San (Antelope Horn Powder).
Lingyangjiao (Antelope Cornu, shaved), Fushen (Poria with Hostwood, each Yi liang), Fangfeng (Saposhnikoviae Radix, remove radicle), Digupi (Lycii Cortex, Yi liang), Shigao (Gypsum Fibrosum, Er liang), Huangqin (Scutellariae Radix, San fen), Maidong (Ophiopogonis Radix, Yi liang, remove heart).
The above medicines are coarsely pounded and sieved to make a powder. Each dose is four qian. With one zhong of water, decoct until six parts remain. Remove the dregs. Add Ban he of Dihuang juice (Rehmanniae Radix Praeparata juice), and boil briefly.
To treat Liver heat-toxin obstruction with Qi attacking upward, causing redness, dryness, and pain in the eyes, mental irritability, and body heat, it is appropriate to take Digupi San (Lycii Cortex Powder).
Digupi (Lycii Cortex), Chuan Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, cut into small pieces), Fangfeng (Saposhnikoviae Radix, remove radicle), Huangqin (Scutellariae Radix, each Yi liang), Chi Fuling (Poria with Hostwood, Er liang), Hujintou (Coptidis Rhizoma, Er liang ban).
The above medicines are coarsely pounded and sieved to make a powder. Each dose is four qian. With one zhong of water, add Ban fen of Shengjiang (Zingiberis Rhizoma Recens), fourteen leaves of Dan Zhuye (Phyllostachys nigra var. henonis Caulis), and fifty Heidou (Phaseoli Semen).
To treat Upper Jiao heat obstruction causing eye pain, constipation and difficult urination/defecation, mental restlessness, and insomnia, it is appropriate to take Zhizi San (Gardeniae Fructus Powder).
Zhiziren (Gardeniae Fructus, Yi liang), Huanglian (Coptidis Rhizoma, Yi liang, remove roots), Zhike (Aurantii Fructus, San fen, bran-fried until slightly yellow, remove placenta), Longdan (Gentianae Radix, Yi liang, remove radicle), Chi Shaoyao (Paeoniae Radix Rubra, Yi liang), Qingdai (Indigo Naturalis, Yi liang).
The above medicines are coarsely pounded and sieved to make a powder. Each dose is four qian. With one zhong of water, decoct until six parts remain. Remove the dregs. Take warm after meals.
To treat various wind-toxins attacking the head and eyes, causing stabbing pain in the eyes like needles, and impending formation of nebula (cataract/opaque cornea), it is appropriate to take Gan Juhua San (Chrysanthemi Flos Powder).
Gan Juhua (Chrysanthemi Flos, Yi liang), Chuan Shengma (Cimicifugae Rhizoma, Yi liang), Xiong (Ligusticum Chuanxiong Rhizoma, Yi liang ban), Xixin (Asarum Herba, Yi liang), Fangfeng (Saposhnikoviae Radix, remove radicle, San fen), Shigao (Gypsum Fibrosum, Er liang, honey-fried until slightly red, cut into small pieces).
The above medicines are pounded and finely sieved to make a powder. Each dose is four qian. With one zhong of water, decoct until six parts remain. Remove the dregs. Take warm after meals.
To treat eye pain causing inability to sleep, it is appropriate to take Digupi San (Lycii Cortex Powder - different composition from previous).
Digupi (Lycii Cortex), Shigao (Gypsum Fibrosum, finely ground and water-washed), Chuan Dahuang (Rhei Radix et Rhizoma, cut into small pieces and fried), Jingquanshi (Jingquanshi, each Er liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red, cut into small pieces).
The above medicines are finely pounded and sieved to make a powder. Add Shigao and grind again until uniform. After meals, take two qian mixed with Baimitang (rice washing water).
For treating eye pain like needle pricks, radiating to the vertex with wind convulsion:
Xiaoshi (Natrii Nitratis Crystal).
Place the Xiaoshi in a new porcelain bottle. Gradually melt it with fire into liquid. Occasionally throw thirty to twenty grains of fresh Luobozhong (Raphani Semen) into the molten nitre. Wait for smoke to emerge. Take one liang of the processed seeds and insufflate them into the nose.