按∶眉棱骨痛有二,眼属肝,有肝虚而痛,才见光明则眉骨痛甚,宜服生地黄丸;有眉
棱骨痛目不能开,昼夜剧,宜导痰丸汤之类,加入芽茶二陈汤吞青州白丸子亦效。甫见眉棱
骨痛者,多是肝火上炎,怒气甚者,多有此病,其谓风症,亦火之所致,热甚生风是也。大
抵抑肝火,有风痰则兼而治之。
阴邪额角痛,多向热时来,元虚成内障,火实外生灾。
此症专言额角板骨,及眉棱骨之病也。发则多于六阳用事之时,元虚精弱者,则为内症
若兼火者,则为外症。宜服∶
加味柴胡汤
柴胡 酒芩 荆芥穗 制半夏 甘草 川芎 香白芷 苏薄荷(五片) 防风 前胡(各等分)
上锉剂。生姜三片,白水二钟,煎至八分,食后服。
生熟地黄汤 治目不光明,眉骨痛甚。此系肝虚,法当养血凉血益血,痰火降而风热除
熟地黄 甘草 生地 五味子 当归身 酒芩 枳壳 地骨皮 天门冬 人参 柴胡
川黄连
上锉剂。白水二钟,煎至八分,食远服。
驱风上清散 治风热上攻,眉棱骨痛。
酒黄芩(二钱) 白芷(钱半) 羌活 防风 柴胡梢(各一钱) 川芎(一钱二分) 荆芥(八分) 甘草
(五分)
上为细末。每服四钱,白水二钟,煎至八分,食后服。
上清散 治因风头痛,眉骨眼眶俱痛,不可忍者。
乳香(另研) 没药(研,各一钱) 脑子(另研,五分) 赤芍药 川芎 薄荷 芒硝 荆芥穗
郁金(各五分)
上为细末。每用一字,口噙水,鼻内搐之,甚妙。
按语:眉棱骨疼痛有两种情况。眼睛归属于肝,若是肝虚引起的疼痛,刚见到光亮时眉棱骨疼痛加剧,适宜服用生地黄丸;若是眉棱骨疼痛且眼睛无法睁开,昼夜剧烈疼痛,适宜使用导痰丸汤之类,配合芽茶、二陈汤吞服青州白丸子也有效。刚开始出现眉棱骨疼痛的,多是肝火上炎所致,怒气很大的人,多有此病,这被称为风症,也是由火邪引起的,即热盛生风。大抵需要抑制肝火,若有风痰则兼治风痰。
阴邪导致的额角疼痛,多在受热时发作,元气虚弱形成内障,火气实盛则外生灾祸。
此症专门论述额角板骨及眉棱骨的疾病。发作时多于六阳经当令之时,若元气虚弱、精气不足,则为内症;若兼有火邪,则为外症。适宜服用:
加味柴胡汤
柴胡、酒炒黄芩、荆芥穗、制半夏、甘草、川芎、香白芷、苏薄荷(五片)、防风、前胡(各等分)
以上药材切碎成剂。加入生姜三片,白水两钟,煎至八分,饭后服用。
生熟地黄汤 治疗眼睛不明亮,眉棱骨疼痛严重。此属肝虚,治法应当养血、凉血、益血,使痰火下降而风热消除。
熟地黄、甘草、生地、五味子、当归身、酒炒黄芩、枳壳、地骨皮、天门冬、人参、柴胡、川黄连
以上药材切碎成剂。用白水两钟,煎至八分,在离吃饭较远的时候服用。
驱风上清散 治疗风热上攻引起的眉棱骨疼痛。
酒炒黄芩(二钱)、白芷(一钱半)、羌活、防风、柴胡梢(各一钱)、川芎(一钱二分)、荆芥(八分)、甘草(五分)
以上研为细末。每次服用四钱,用白水两钟,煎至八分,饭后服用。
上清散 治疗因风邪头痛,眉骨眼眶都疼痛,难以忍受的情况。
乳香(另研)、没药(研,各一钱)、脑子(另研,五分)、赤芍药、川芎、薄荷、芒硝、荆芥穗、郁金(各五分)
以上研为细末。每次取一字量,口中含清水,将药粉吸入鼻中,效果极佳。
Note: There are two types of pain in the supraorbital ridge. The eyes belong to the Liver; if the pain is caused by Liver deficiency, the pain in the supraorbital ridge intensifies upon exposure to light, and it is appropriate to take Shengdi Huang Wan (Rehmannia Pill). If there is pain in the supraorbital ridge accompanied by the inability to open the eyes, with severe pain day and night, it is appropriate to use Dao Tan Wan Tang (Phlegm-Draining Pill Decoction) or similar formulas, taken with Ya Cha (Bud Tea) and Er Chen Tang (Two-Aged Powder) to swallow Qingzhou Bai Wan Zi (Qingzhou White Pills), which is also effective. Those who initially present with supraorbital ridge pain mostly suffer from Liver Fire flaming upward; those with severe anger often have this condition. Although it is called a Wind syndrome, it is actually caused by Fire, specifically where excessive Heat generates Wind. Generally, one must suppress Liver Fire, and if Wind-Phlegm is present, treat both simultaneously.
Yin pathogenic factors causing pain at the temporal angle often occur when exposed to heat; Yuan Qi deficiency leads to internal cataracts, while excess Fire causes external disasters.
This section specifically discusses diseases of the frontal bone angle and the supraorbital ridge. Attacks often occur during the time when the Six Yang meridians are dominant. If Yuan Qi is deficient and essence is weak, it constitutes an internal syndrome; if accompanied by Fire, it constitutes an external syndrome. It is appropriate to take:
Jiawei Chaihu Tang (Modified Bupleurum Decoction)
Chai Hu (Bupleuri Radix), Jiu Qin (Scutellariae Radix processed with wine), Jing Jie Sui (Schizonepetae Spica), Zhi Ban Xia (Pinelliae Rhizoma preparata), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xiang Bai Zhi (Angelicae Dahuricae Radix), Su Bo He (Menthae Haplocalycis Herba, five leaves), Fang Feng (Saposhnikoviae Radix), Qian Hu (Peucedani Radix) (all in equal proportions).
Crush these into coarse powder. Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), two zhong of clear water, decoct until reduced to eight-tenths, and take after meals.
Sheng Shu Di Huang Tang (Raw and Prepared Rehmannia Decoction)
Treats dim vision and severe supraorbital ridge pain. This is due to Liver deficiency; the treatment method should be to nourish blood, cool blood, and benefit blood, thereby descending Phlegm-Fire and eliminating Wind-Heat.
Shu Di Huang (Rehmanniae Radix Preparata), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Dang Gui Shen (Angelicae Sinensis Radix), Jiu Qin (Scutellariae Radix processed with wine), Zhi Ke (Aurantii Fructus Immaturus), Di Gu Pi (Lycii Cortex), Tian Men Dong (Asparagi Radix), Ren Shen (Ginseng Radix et Rhizoma), Chai Hu (Bupleuri Radix), Chuan Huang Lian (Coptidis Rhizoma).
Crush these into coarse powder. Use two zhong of clear water, decoct until reduced to eight-tenths, and take far from meal times.
Qu Feng Shang Qing San (Wind-Expelling Upper-Clearing Powder)
Treats supraorbital ridge pain caused by Wind-Heat attacking upward.
Jiu Huang Qin (Scutellariae Radix processed with wine, 2 qian), Bai Zhi (Angelicae Dahuricae Radix, 1.5 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Chai Hu Shao (Bupleuri Radix tip, each 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.2 qian), Jing Jie (Schizonepetae Spica, 0.8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 fen).
Grind into fine powder. Take 4 qian per dose, with two zhong of clear water, decoct until reduced to eight-tenths, and take after meals.
Shang Qing San (Upper-Clearing Powder)
Treats headache due to Wind, where both the supraorbital ridge and eye sockets are painfully unbearable.
Ru Xiang (Olibanum, separately ground), Mo Yao (Myrrha, ground, each 1 qian), Nao Zi (Borneolum Syntheticum, separately ground, 0.5 fen), Chi Shao Yao (Paeoniae Radix Rubra), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bo He (Menthae Haplocalycis Herba), Mang Xiao (Natrii Sulfas), Jing Jie Sui (Schizonepetae Spica), Yu Jin (Curcumae Longae Radix) (each 0.5 fen).
Grind into fine powder. For each use, take an amount equivalent to "yi zi" (a very small measure), hold water in the mouth, and insufflate the powder into the nose; this is highly effective.