\r看眼诀图\p05-c22a1.bmp\r
大小 属心,病则赤。大 赤则心实,小 赤则心虚。或昏热赤烂肿痛,多生浮翳。血贯瞳仁,若大 先赤
而传小 ,左眼先病而传右眼,其病在心。
黑睛属肝,病则昏花黑暗,头疼流泪,其病在肝。
上下睑属脾胃,病则胞肿。起 肉,外廓生小块,名偷针。又或拳毛倒睫,其病在
脾。
白睛属肺,病则白睛肿起,多生瘀肉有泪。或白膜侵睛,名曰气障,其病在肺。
瞳仁属肾,病则目昏暗,瞳仁青绿,头疼,冷泪多,视物若堆烟,或青盲内障,其病在肾。若瞳仁大而有
窟者不治。
气上昏蒙不足,虚则珠内生花,热则赤肿疼痛,风则肿痒更加,内障多因色欲,食毒眵膜来遮,上下拳毛倒
睫,脾胃风热堪嗟。扳睛 肉突出,心肝为酒伤也。
心冷目昏气闷,肝冷时时泪零,脾冷隐涩难开,肺冷时昏光晕,膀胱冷生昏暗,胃冷视物不明,昏沉大肠之
冷,肾冷大小瞳仁。
心热血贯瞳仁,肝热 肉扳睛,脾热时时刺痛,胃热膜翳时生,肾热睛瞳疼痛,膀胱倒睫如针,大肠热生赤膜,
肺热胞肿侵淫。
元参苦参能散血,大黄通利凉肝热,退热柴胡及前胡,归尾白芷能破血,藿香顺气并木通,防风荆芥能除风,
去障羚羊牛蒡子,明目蜜花有大功,苍术陈皮和脾胃,头痛 本及川芎,明目菊花谷精草,清神住泪真为宝,退
翳蝉蜕石决明,凉肝紫苏龙胆草,止泪木贼桑白皮,治肺五味及黄 ,退热黄连并黄柏,破血射干葙子随,搜风
独活连细辛,蔓荆浓朴可相亲,干弦止泪五倍子,香附紫苏亦堪尔,目晕除风旋覆花,补虚菟丝牛膝加,栀子凉
心当大用,补虚退热岂为差,远
志通心真罕得,黄芩凉心真顷刻,行血须知生地黄,退热连翘居其旁,破血赤芍地骨皮,赤茯苓堪补虚劳,羌活
谷精除风热,退障诃子山枫叶,磨障车前石决明,凉心当知小冬青,惟有枳壳宽肠疾,甘草解毒可传名,朱砂
硼砂开障翳,熊胆善能扫风尘,木香麝香通孔窍,黄丹解毒如神妙,去障 砂反掌神,牙硝琥珀岂等伦,白丁香
能除冷障,止痛血竭如可亲,虚实热风及诸症,空青片脑要买真,甘石安神能定目,从头一一说与君。
【看眼诀图】
眼睛的大小变化归属于心,病变时会出现发红。如果眼睛看起来大且红,说明心经实证;如果眼睛看起来小且红,说明心经虚证。或者出现视物昏花、发热、发红、溃烂、肿胀疼痛,并容易生成浮翳(覆盖在角膜表面的薄膜)。血液贯穿瞳孔,如果是先大而红,随后变小变红,且左眼先发病再传至右眼,其病位在心。
黑睛(角膜)归属于肝,病变时会出现视物昏花、黑暗,伴有头痛和流泪,其病位在肝。
上下眼睑归属于脾胃,病变时会出现胞睑肿胀。长出胬肉(翼状胬肉),外眼角生出小块状物,名为偷针(麦粒肿)。或者出现倒睫拳毛(睫毛向内卷曲刺入眼球),其病位在脾。
白睛(巩膜)归属于肺,病变时会出现白睛肿胀隆起,容易生成瘀肉并伴有流泪。或者出现白膜侵入黑睛,名为气障,其病位在肺。
瞳仁(瞳孔及晶状体等内部结构)归属于肾,病变时会出现视力昏暗,瞳仁呈现青绿色,伴有头痛,冷泪多,视物如同烟雾堆积,或者发生青盲内障(眼底病变导致的失明),其病位在肾。如果瞳仁变大且有窟窿状的,属于不治之症。
气机上逆导致头目昏蒙,正气不足则眼中生花,热邪盛则红肿疼痛,风邪盛则肿胀瘙痒加剧,内障多因房事过度所致,饮食中毒或眵膜(眼屎和分泌物形成的膜)遮蔽视线,上下眼睑倒睫拳毛,这是脾胃风热造成的悲哀。
心寒则目昏气闷,肝寒则时时流泪,脾寒则隐涩难开,肺寒则时而昏花光晕,膀胱寒则生昏暗,胃寒则视物不明,大肠寒则昏沉,肾寒则影响大小瞳仁。
心热则血贯瞳仁,肝热则胬肉扳睛,脾热则时时刺痛,胃热则膜翳时常生成,肾热则睛瞳疼痛,膀胱热则倒睫如针刺,大肠热则生成赤膜,肺热则胞睑肿胀侵淫。
玄参、苦参能散血,大黄通利并凉肝热,退热可用柴胡及前胡,当归尾、白芷能破血,藿香顺气并配木通,防风、荆芥能除风,去障可用羚羊角、牛蒡子,明目蜜花有大功效,苍术、陈皮调和脾胃,头痛用本及川芎,明目用菊花、谷精草,清神止泪真是宝,退翳用蝉蜕、石决明,凉肝用紫苏、龙胆草,止泪用木贼、桑白皮,治肺用五味子及黄芩,退热用黄连并黄柏,破血用射干、葙子随,搜风用独活、连细辛,蔓荆子、浓朴可相亲,干弦止泪用五倍子,香附、紫苏亦堪用,目晕除风用旋覆花,补虚加菟丝子、牛膝,栀子凉心当大用,补虚退热岂为差,远志通心真罕得,黄芩凉心真顷刻,行血须知生地黄,退热连翘居其旁,破血用赤芍、地骨皮,赤茯苓堪补虚劳,羌活、谷精除风热,退障用诃子、山枫叶,磨障用车前子、石决明,凉心当知小冬青,惟有枳壳宽肠疾,甘草解毒可传名,朱砂、硼砂开障翳,熊胆善能扫风尘,木香、麝香通孔窍,黄丹解毒如神妙,去障用硇砂反掌神,牙硝、琥珀岂等伦,白丁香能除冷障,止痛用血竭如可亲,虚实热风及诸症,空青、片脑要买真,甘石安神能定目,从头一一说与君。
[Diagram of Eye Diagnosis Rhymes]
The size of the eyes is associated with the Heart (Xin). Pathological changes manifest as redness. If the eyes appear large and red, it indicates an Excess syndrome (Shi) of the Heart; if they appear small and red, it indicates a Deficiency syndrome (Xu) of the Heart. Alternatively, there may be blurred vision, heat sensation, redness, ulceration, swelling, and pain, with a tendency to develop floating nebula (floating corneal opacity). Blood vessels penetrating the pupil, especially if starting with large and red eyes that subsequently become smaller and redder, progressing from the left eye to the right, indicates pathology in the Heart.
The black part of the eye (cornea) is associated with the Liver (Gan). Pathology manifests as blurred vision, darkness, headache, and tearing, indicating pathology in the Liver.
The upper and lower eyelids are associated with the Spleen (Pi) and Stomach (Wei). Pathology manifests as swollen eyelids. Growth of pterygium (fleshy growth), small nodules at the outer canthus known as Touzhen (hordeolum), or trichiasis/entropion (inverted eyelashes rubbing against the eyeball), indicates pathology in the Spleen.
The white part of the eye (sclera) is associated with the Lung (Fei). Pathology manifests as swelling and protrusion of the sclera, often accompanied by fleshy overgrowth (pterygium-like tissue) and tearing. Or, a white membrane invading the cornea, known as Qi Zhang (gas barrier/nebula), indicates pathology in the Lung.
The pupil is associated with the Kidney (Shen). Pathology manifests as dim vision, greenish-blue discoloration of the pupil, headache, excessive cold tears, vision obscured as if by smoke, or conditions such as Qing Mang (blindness due to internal cataract/dystrophy), indicating pathology in the Kidney. If the pupil is enlarged with a hole-like defect, it is incurable.
Rising Qi causing dizziness and mental clouding; Deficiency leading to photopsia (seeing spots); Heat causing redness, swelling, and pain; Wind causing increased swelling and itching; Internal cataracts are often caused by sexual excess; Toxic food or secretion membranes obscuring vision; Trichiasis and entropion of upper and lower lids are lamentable results of Wind-Heat in the Spleen and Stomach.
Protrusion of the eyeball and pterygium indicate damage to the Heart and Liver from alcohol.
Cold in the Heart causes dim vision and chest stuffiness; Cold in the Liver causes intermittent tearing; Cold in the Spleen causes hidden dryness and difficulty opening the eyes; Cold in the Lung causes intermittent blurring and halos; Cold in the Bladder (Pang Guang) causes dimness; Cold in the Stomach causes unclear vision; Cold in the Large Intestine (Da Chang) causes heaviness and drowsiness; Cold in the Kidney affects both the large and small pupils.
Heat in the Heart causes blood vessels penetrating the pupil; Heat in the Liver causes pterygium and eyeball protrusion; Heat in the Spleen causes intermittent stinging pain; Heat in the Stomach causes frequent formation of membranous opacities; Heat in the Kidney causes pain in the eyes and pupil; Heat in the Bladder causes trichiasis like needles; Heat in the Large Intestine causes red membranes; Heat in the Lung causes swollen eyelids spreading invasively.
Scutellaria Barbata (Xuan Shen) and Sophora Flavescens (Ku Shen) can dissipate blood stasis; Rheum Palmatum (Da Huang) promotes unblocking and clears Liver Heat; Bupleurum (Chai Hu) and Peucedanum (Qian Hu) reduce fever; Angelica Sinensis tail (Gui Wei) and Angelica Dahurica (Bai Zhi) break blood stasis; Agastache (Huo Xiang) regulates Qi and together with Akebia (Mu Tong) smooths flow; Saposhnikovia (Fang Feng) and Schizonepeta (Jing Jie) dispel wind; Antelope Horn (Ling Yang Jiao) and Arctium Fruit (Niu Bang Zi) remove obstructions; Honey Flower (Mi Hua) has great merit for brightening eyes; Atractylodes (Cang Zhu) and Tangerine Peel (Chen Pi) harmonize the Spleen and Stomach; Ligusticum Chuanxiong (Chuan Xiong) and Libanotis (Ben) treat headaches; Chrysanthemum (Ju Hua) and Centipeda (Gu Jing Cao) brighten eyes; Scutellaria (Zhu Ye/Zhen Wei Bao - likely referring to specific clearing herbs) calms spirit and stops tears truly as a treasure; Cicada Slough (Chan Tui) and Hemimorphis (Shi Jue Ming) reduce nebula; Perilla (Zi Su) and Gentiana (Long Dan Cao) cool the Liver; Equisetum (Mu Zei) and Mulberry Root Bark (Sang Bai Pi) stop tearing; Schisandra (Wu Wei Zi) and Scutellaria (Huang Qin) treat the Lung; Coptis (Huang Lian) and Phellodendron (Huang Bo) reduce fever; Belamcanda (She Gan) and Smilax (Xiang Zi) follow for breaking blood stasis; Angelica Pubescens (Du Huo) and Asarum (Xi Xin) search out wind; Vitex (Man Jing Zi) and Magnolia Bark (Nou Hou) are close allies; Myrobalan (Wu Bei Zi) stops tears for dry strings; Cyperus (Xiang Fu) and Perilla (Zi Su) are also suitable; Inula (Xuan Fu Hua) removes wind for visual halos; Dodder Seed (Tu Si Zi) and Achyranthes (Niu Xi) add for tonifying deficiency; Gardenia (Zhi Zi) cools the Heart and should be used heavily; Tonifying deficiency and reducing fever, how could it be inferior? Polygala (Yuan Zhi) opens the Heart, truly rare to obtain; Scutellaria (Huang Qin) cools the Heart instantly; For promoting blood circulation, one must know Rehmannia (Sheng Di Huang); Forsythia (Lian Qiao) stands beside for reducing fever; Red Peony Root (Chi Shao) and Groundsel Tree Root (Di Gu Pi) break blood stasis; Red Poria (Chi Fu Ling) is suitable for tonifying deficiency labor; Notopterygium (Qiang Huo) and Centipeda (Gu Jing) dispel wind-heat; Terminalia (He Zi) and Maple Leaf (Shan Feng Ye) remove obstructions; Plantago Seed (Che Qian Zi) and Hemimorphis (Shi Jue Ming) grind away obstructions; Small Wintergreen (Xiao Dong Qing) should be known for cooling the Heart; Only Fructus Aurantii (Zhi Ke) relaxes the intestines and treats diseases; Licorice (Gan Cao) detoxifies and spreads fame; Cinnabar (Zhu Sha) and Borax (Peng Sha) open obstructions and nebulae; Bear Gallbladder (Xiong Dan) is good at sweeping away dust and wind; Costus (Mu Xiang) and Musk (She Xiang) open orifices; Lead Oxide (Huang Dan) detoxifies miraculously; Natrium Nitrate (Nao Sha) turns palms upside down with divine power; Sodium Sulfate (Ya Xiao) and Amber (Hu Po) are unparalleled; White Civet Cat Droppings (Bai Ding Xiang) can remove cold obstructions; Dragon's Blood (Xue Jie) is approachable for stopping pain; For Deficiency, Excess, Wind, Heat, and various symptoms, Azure Stone (Kong Qing) and Borneol (Pian Nao) must be bought genuine; Calamine (Gan Shi) calms the spirit and stabilizes the eyes; I will tell you all this from the beginning.