心虚,当归、生地。肝虚,柴胡、红花。脾虚,枣仁、白术、陈皮。肺虚,五味、麦冬。肾虚,苁蓉、山萸、
熟地、杜仲、枸杞。肺热血盛,桑皮、丹皮。
心火甘梢生地翘,独引黄连犀角超。肺火桑皮麦冬栀,芷引元参杏石膏。脾火只连生地芩,麻引黄甘用要
勤。肝火尾荆赤柏明,柴引薄荷补姜陈。肾火熟地知泽柏,独活引经增大黄。胃火栀子膏干葛,补胃白术与生
姜。补心远智茯苓盐,提肺升麻白芷桔,补肺车天五味参,补肝姜枸芍芎熟,补肾斛柏知芍煎。杜枸牛丝戟破
蓉,宽肠芒硝壳大黄,宽小木通及羌活,泻膀胱芎羌活柏,泻三焦兮柴胡芩。止吐藿香及生姜,止泪芥芩香附
菊,更有决榔附子辛,陈皮朴硝麻黄并,去翳蒙葙款菊明,龙胆蜕贼及谷精,退膜榔贼及谷精,白蒺为君用要
勤,去风蒺藜白僵虫,防风蝉蜕亦相仿,退热芩栀黄柏连,连翘大黄正相兼,破瘀芒硝丹大黄,槐红桃实最相
当,内障两明蔓归尾,朴硝葙子及大黄,外障菊花牛蒡蜕,石菖元细蒺藜芎,蔓羌草决防黄柏,黄连葙子生地
羚,犀角款冬白芷柏,赤芍车前覆盆楮,木贼谷精及菟丝,龙胆诸
医须要知。
一眼上午不痛,下午大痛,是虚热也。
一眼上午大痛,下午不痛,是实热也。
一眼泪多者是虚热,少者是实热也。
一眼淡白红者,是虚热也。
一眼不痛不疼,翳膜渐渐遮睛,冷也。
一眼内膜翳带白色,冷也。
一眼有疼痛,翳膜渐渐遮睛,热也。
一眼神肾水脱归瞳子者,气连清净府也,午前为阳,午后为阴,冷也。
虚实寒热歌
虚热泪多淡白红,上午不痛下午痛。实热泪少鲜红肿,午后不痛午前痛。
不痛翳膜渐遮睛,翳带白色冷可定。疼痛翳膜渐遮睛,更带红色热始审。
心气虚弱,使用当归、生地黄。肝气虚弱,使用柴胡、红花。脾气虚弱,使用酸枣仁、白术、陈皮。肺气虚弱,使用五味子、麦冬。肾气虚弱,使用肉苁蓉、山茱萸、熟地黄、杜仲、枸杞子。肺经血热旺盛,使用桑白皮、牡丹皮。
治疗心火:用甘草梢、生地黄、连翘,单独引导黄连和犀角发挥卓越疗效。治疗肺火:用桑白皮、麦冬、栀子,用白芷引导玄参、杏仁、石膏。治疗脾火:只用黄连、生地黄、黄芩,用麻黄引导,甘草需频繁使用。治疗肝火:用荆芥穗、赤芍、黄柏、石决明,用柴胡引导薄荷,配合生姜、陈皮。治疗肾火:用熟地黄、知母、泽泻、黄柏,用独活引导,加大黄用量。治疗胃火:用栀子、石膏、干葛根,补益胃气用白术和生姜。
补益心脏:用远志、益智仁、茯苓、盐。提升肺气:用升麻、白芷、桔梗。补益肺气:用车前子、天冬、五味子、人参。补益肝脏:用生姜、枸杞、白芍、川芎、熟地黄。补肾:用石斛、黄柏、知母、白芍煎服。还有杜仲、枸杞、牛膝、丝子、戟(注:原文可能指续断或类似补骨脂类,此处保留原字)、破故纸(补骨脂)、肉苁蓉。润肠通便:用芒硝、枳壳、大黄。宽利小肠:用木通及羌活。泻膀胱湿热:用川芎、羌活、黄柏。泻三焦之火:用柴胡、黄芩。止呕吐:用藿香及生姜。止流泪:用芥子、黄芩、香附、菊花。更有决明子、槟榔、附子、细辛、陈皮、朴硝、麻黄并用。去除翳膜蒙蔽:用菖蒲、款冬花、菊花、石决明。退去膜翳:用槟榔、蝉蜕、谷精草。以白蒺藜为君药,需勤加使用。祛风:用蒺藜、白僵蚕。防风、蝉蜕功效也相似。退热:用黄芩、栀子、黄柏、黄连。连翘与大黄正相适宜。破除瘀血:用芒硝、牡丹皮、大黄。槐花、红花、桃仁最为恰当。治疗内障:用两清散(推测方名,或指清热明目之品)、蔓荆子、当归尾、朴硝、菟丝子及大黄。治疗外障:用菊花、牛蒡子、蝉蜕、石菖蒲、元参、细辛、蒺藜、川芎、蔓荆子、羌活、甘草、石决明、防风、黄柏、黄连、菟丝子、生地黄、羚羊角、犀角、款冬花、白芷、黄柏、赤芍、车前子、覆盆子、楮实子、木贼、谷精草及菟丝子。龙胆草等诸药,医生必须知晓。
一只眼睛上午不痛,下午剧烈疼痛,这是虚热证。
一只眼睛上午剧烈疼痛,下午不痛,这是实热证。
一只眼睛泪多的是虚热,泪少的是实热证。
一只眼睛颜色淡白且红的是虚热证。
一只眼睛不痛不疼,翳膜渐渐遮蔽瞳孔,这是寒证。
一只眼睛内层翳膜带有白色,这是寒证。
一只眼睛有疼痛感,翳膜渐渐遮蔽瞳孔,这是热证。
一只眼睛神水(肾水)脱失归聚于瞳仁,气连清净府(眼),午前属阳,午后属阴,这是寒证。
虚实寒热歌诀:
虚热泪多色淡白红,上午不痛下午痛。实热泪少鲜红肿,午后不痛午前痛。
不痛而翳膜渐遮睛,翳带白色定为冷。疼痛而翳膜渐遮睛,更带红色始审热。
Heart deficiency: use Danggui (Angelicae Sinensis Radix), Shengdi Huang (Rehmanniae Radix). Liver deficiency: use Chaihu (Bupleuri Radix), Honghua (Carthami Flos). Spleen deficiency: use Zaoren (Ziziphi Spinosomi Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium). Lung deficiency: use Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix). Kidney deficiency: use Congrong (Cynomorii Herba), Shanyuzi (Corni Fructus), Shudi Huang (Rehmanniae Radix Preparata), Duzhong (Eucommiae Cortex), Gouqi (Lycii Fructus). Lung blood heat and abundance: use Sangbapi (Mori Cortex), Danpi (Moutan Cortex).
Heart fire: Use Gancao Shao (Glycyrrhizae Radix et Rhizoma with tip), Shengdi Huang, Lianqiao (Forsythiae Fructus) as guides; Du Yin (specifically targeting) Huanglian (Coptidis Rhizoma) and Xijiao (Rhinocerotis Cornu) yields superior results. Lung fire: Use Sangbapi, Maidong, Zhizi (Gardeniae Fructus), guided by Baizhi (Angelicae Dahuricae Radix), combined with Xuanshen (Scrophulariae Radix), Xingren (Armeniacae Semen Amarum), Shigao (Gypsum Fibrosum). Spleen fire: Use only Huanglian, Shengdi Huang, Huangqin (Scutellariae Radix), guided by Mahuang (Ephedrae Herba); the use of Huangqin and Gancao requires frequent attention and caution. Liver fire: Use Jingjie Wei (Schizonepetae Spica tail), Chishao (Paeoniae Radix Rubra), Baihuangbo (Phellodendri Cortex), Shimingzhe (Halitum), guided by Chaihu, combined with Bohe (Menthae Haplocalycis Herba), Ganjiang (Zingiberis Rhizoma), Chenpi. Kidney fire: Use Shudi Huang, Zhimu (Anemarrhenae Rhizoma), Zexie (Alismatis Rhizoma), Huangbai, guided by Du Huo (Angelicae Pubescentis Radix), increase the dose of Dahuang (Rhei Radix et Rhizoma). Stomach fire: Use Zhizi, Shigao, Gegen (Puerariae Lobatae Radix); to tonify the stomach, use Baizhu and Shengjiang (Zingiberis Rhizoma Recens). Tonify Heart: use Yuanzhi (Polygalae Radix), Yizhiren (Bletillae Rhizoma), Fuling (Poria), salt. Lift Lung Qi: use Shengma (Cimicifugae Rhizoma), Baizhi, Jiegeng (Platycodonis Radix). Tonify Lung Qi: use Cheqianzi (Plantaginis Semen), Tiantong (Asparagi Radix), Wuweizi, Renshen (Ginseng Radix et Rhizoma). Tonify Liver: use Ganjiang, Gouqi, Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudi Huang. Tonify Kidney: use Shihu (Dendrobii Caulis), Huangbai, Zhimu, Baishao decocted. Additionally: Duzhong, Gouqi, Niuxi (Achyranthis Bidentatae Radix), Tusizi (Cuscutae Semen), Ji (possibly Duanmu or similar), Poguzhi (Psoraleae Fructus), Congrong. To loosen the intestines: use Mangxiao (Natrii Sulfas), Zhike (Aurantii Fructus), Dahuang. To promote urination and dispel wind: use Mutong (Akebiae Caulis), Qianghuo (Notopterygii Rhizoma et Radix). Drain Bladder damp-heat: use Chuanxiong, Qianghuo, Huangbai. Drain Sanjiao (Triple Burner) fire: use Chaihu, Huangqin. Stop vomiting: use Huoxiang (Agastaches Herba), Shengjiang. Stop tearing: use Jiezi (Sinapis Semen), Huangqin, Xiangfu (Cyperi Rhizoma), Juhua (Chrysanthemi Flos). Furthermore: Juemingzi (Cassiae Semen), Binglang (Arecae Semen), Fuzi (Aconiti Lateralis Radix Preparata), Xixin (Asari Radix et Rhizoma), Chenpi, Xiaokao (Natrii Sulfas), Mahuang used together. Remove nebula/macular opacity: use Tinglizi (Lepidii Semen), Kuandonghua (Farfarae Flos), Juhua, Shimingzhe. Retract membrane opacity: use Binglang, Chan Tui (Bombyx Batryticatus), Gujingcao (Euphrasiae Herba). Use Baijili (Tribuli Fructus) as the sovereign herb, applied frequently. Dispel wind: use Jili, Baijiangcan (Bombyx Batryticatus - note: usually Jiangcan is silkworm, Baijiangcan is dead silkworm infected with Beauveria, here likely referring to dispelling wind-phlegm/wind), Fangfeng (Saposhnikoviae Radix), Chan Tui have similar effects. Clear heat: use Huangqin, Zhizi, Huangbai, Huanglian. Lianqiao and Dahuang are perfectly compatible. Break blood stasis: use Mangxiao, Mudanpi, Dahuang. Huaihua (Sophorae Flos), Honghua, Taoren (Persicae Semen) are most appropriate. For internal cataracts (Neizhang): use Liangming (likely a specific combination or typo for Mingmu herbs), Manjingzi (Vitalbae Fructus), Danggui Wei (Angelicae Sinensis Radix caudex), Xiaokao, Tinglizi, Dahuang. For external cataracts (Waizhang): use Juhua, Niubangzi (Arctii Fructus), Chan Tui, Shichangpu (Acori Tatarinowii Rhizoma), Yuannan (Scrophulariae Radix), Xixin, Jili, Chuanxiong, Manjingzi, Qianghuo, Gancao, Juemingzi, Fangfeng, Huangbai, Huanglian, Tinglizi, Shengdi Huang, Lingyangjiao (Saigae Tataricae Cornu), Xijiao, Kuandonghua, Baizhi, Huangbai, Chishao, Cheqianzi, Fupenzi (Rubiae Fructus), Chushizi (Aucubae Fructus), Muzei (Equiseti Herba), Gujingcao, Tusizi, Longdancao (Gentianae Radix). Physicians must know these.
If one eye does not hurt in the morning but hurts severely in the afternoon, it is Deficient Heat (Xu Re).
If one eye hurts severely in the morning but does not hurt in the afternoon, it is Excess Heat (Shi Re).
If one eye has excessive tearing, it is Deficient Heat; if tearing is scanty, it is Excess Heat.
If one eye appears pale white with redness, it is Deficient Heat.
If one eye has no pain or itching, and the nebula gradually covers the pupil, it is Cold (Han).
If the inner layer of the nebula appears white, it is Cold.
If one eye has pain, and the nebula gradually covers the pupil, it is Heat (Re).
If the Shen Shui (Kidney Water/Eye Fluid) escapes and gathers at the pupil, connecting to the Qingjing Fu (Clear and Pure Organ, i.e., the Eye), before noon is Yang, after noon is Yin, and this indicates Cold.
Song on Deficiency/Excess and Cold/Heat:
Deficient Heat: tears abundant, color pale white-red; no pain in morning, pain in afternoon.
Excess Heat: tears scanty, bright red and swollen; no pain in afternoon, pain in morning.
No pain, nebula gradually covers pupil; nebula white indicates Cold can be determined.
Pain, nebula gradually covers pupil; accompanied by redness indicates Heat can be examined.