目有肉痣者何也?答曰∶用手法微破之。点珍珠散,或在两角,可取去血。点推云散(方见十四问),宜服
地黄丸(方见四十八问),服返睛丸(方见五十五问。珍珠散散字疑误,盖即珍珠虎液膏前批明。)
目有睛上浮翳,与黑白不相粘者,何法治之?答曰∶可用手法,将铜钩钩起上皮,系于鬓上,再点珍珠虎液
膏,或点水眼药。
目昏不痛,日日出暴泪者何也?答曰∶肾阴虚,并心阳亦虚也。宜点珍珠散,服益阴肾气丸(珍珠散六十三
问批明。)
益阴肾气丸
泽泻 茯神 生地 丹皮 山药 当归 柴胡 熟地 人参 山萸肉 五味子 远志(以上各一钱) 石菖蒲
(四钱)
共末蜜丸,每服五十丸,空心盐汤下,一日三服。
目有患花翳白陷者何也?答曰∶肺金被心火克制,金虚不能平制肝木,木反侮金,肾水又枯,不能制火,火更
旺而肺金益虚。宜服补肾丸,点水眼药。
补肾丸(十一问、五十四问之补肾丸与此俱异)
人参 白蒺藜 白术 杏仁 苍术 蛤蚧 玉屑 白石脂 车前子 金樱子 旋覆花 五味子 黄精(以上
各等分)
共为末,每服二钱,米汤下。
眼睛长有肉痣是怎么回事?回答说:用手法将其微微刺破。点涂珍珠散,如果长在眼角的部位,可以放去瘀血。点涂推云散(方剂见第十四问),适宜服用地黄丸(方剂见第四十八问),服用返睛丸(方剂见第五十五问。注:原文“珍珠散”的“散”字疑似误写,应当是前文提到的珍珠虎液膏)。
眼睛出现黑睛上浮起的翳膜,且与黑白眼球不相粘连的情况,用什么方法治疗?回答说:可以用手法,用铜钩将上层的翳膜钩起,系在鬓角处,再点涂珍珠虎液膏,或者点用水制的眼药。
眼睛昏花但不疼痛,每天突然流出大量眼泪是怎么回事?回答说:这是肾阴虚,并且心阳也虚的表现。适宜点涂珍珠散,服用益阴肾气丸(注:珍珠散已在第六十三问批注中说明)。
益阴肾气丸
泽泻、茯神、生地、丹皮、山药、当归、柴胡、熟地、人参、山萸肉、五味子、远志(以上各一钱)、石菖蒲(四钱)
共研为细末,炼蜜为丸,每次服用五十丸,空腹时用盐汤送服,一日三次。
眼睛患有花翳白陷的症状是怎么回事?回答说:这是肺金被心火克制,肺气虚弱不能平抑制约肝木,导致肝木反过来侮害肺金,同时肾水枯竭,不能制约心火,致使火势更旺而肺金更加虚弱。适宜服用补肾丸,点涂水制眼药。
补肾丸(第十一问、第五十四问中的补肾丸与此方均不同)
人参、白蒺藜、白术、杏仁、苍术、蛤蚧、玉屑、白石脂、车前子、金樱子、旋覆花、五味子、黄精(以上各等分)
共研为细末,每次服用二钱,用米汤送服。
眼睛突然流泪如倾盆,陡然出现花翳膜是怎么回事?回答说:将一枚铜钱合放在上眼睑居中位置,用灯心草在钱孔中灸一壮,然后将铜钱埋在灶前的地下,病即可痊愈。
What is the condition of having fleshy nevi on the eye? The answer is: Use manual techniques to slightly pierce them. Apply Zhenzhu San (Pearl Powder). If located at the canthi, bloodletting may be performed. Apply Tuiyun San (Cloud-Pushing Powder) (formula see Question 14). It is advisable to take Dihuang Wan (Rehmannia Pill) (formula see Question 48) and Fanjing Wan (Eye-Returning Pill) (formula see Question 55). Note: The character "San" in "Zhenzhu San" is suspected to be an error; it likely refers to Zhenzhu Huye Gao (Pearl Tiger Fluid Ointment) mentioned earlier.
What is the treatment for a floating nebula on the cornea that does not adhere to the sclera or iris? The answer is: Use manual techniques to hook up the superficial layer with a copper hook, tie it to the temple area, then apply Zhenzhu Huye Gao (Pearl Tiger Fluid Ointment), or use aqueous eye drops.
What causes dim vision without pain, accompanied by sudden profuse tearing daily? The answer is: This indicates Kidney Yin Deficiency and concurrent Heart Yang Deficiency. It is advisable to apply Zhenzhu San (Pearl Powder) and take Yiyin Shenqi Wan (Yin-Nourishing Kidney-Energy Pill) (Note: Zhenzhu San was clarified in the annotation for Question 63).
Yiyin Shenqi Wan (Yin-Nourishing Kidney-Energy Pill)
Xie Xie (Alisma Rhizoma), Fushen (Poria with Hostwood), Sheng Di (Rehmanniae Radix), Dan Pi (Moutan Cortex), Shan Yao (Dioscoreae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chai Hu (Bupleuri Radix), Shu Di (Prepared Rehmanniae Radix), Ren Shen (Ginseng Radix et Rhizoma), Shan Yu Rou (Corni Fructus), Wu Wei Zi (Schisandrae Chinensis Fructus), Yuan Zhi (Polygalae Radix) (each 1 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma) (4 qian).
Grind into fine powder, form pills with honey. Take 50 pills per dose, swallowed with salt water on an empty stomach, three times a day.
What is the condition of Huayi Baixian (Flower-like Nebula with White Depression)? The answer is: Lung Metal is constrained by Heart Fire. Due to Lung Qi deficiency, it cannot control Liver Wood, leading to Liver Wood counter-restricting Lung Metal. Meanwhile, Kidney Water is depleted and cannot control Fire, causing Fire to flare up further and exacerbating Lung Metal deficiency. It is advisable to take Bushen Wan (Kidney-Nourishing Pill) and apply aqueous eye drops.
Bushen Wan (Kidney-Nourishing Pill) (Note: The Bushen Wan formulas in Questions 11 and 54 are different from this one.)
Ren Shen (Ginseng Radix et Rhizoma), Bai Ji Li (Tribuli Fructus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xing Ren (Armeniacae Semen Amarum), Cang Zhu (Atractylodis Rhizoma), Ge Jie (Gecko), Yu Xi (Jade Dust), Bai Shi Zhi (Halloysitum Rubrum), Che Qian Zi (Plantaginis Semen), Jin Ying Zi (Cherokee Rose Fruit), Xuan Fu Hua (Inulae Flos), Wu Wei Zi (Schisandrae Chinensis Fructus), Huang Jing (Polygonati Rhizoma) (all in equal proportions).
Grind into fine powder. Take 2 qian per dose, swallowed with rice soup.
What causes sudden profuse tearing like pouring and the abrupt appearance of flower-like nebulae? The answer is: Place a copper coin centered on the upper eyelid. Moxibustion with a rush pith candle should be applied to the hole of the coin for one moxa cone. Then, bury the coin underground in front of the stove to achieve a cure.