夫乳石发目昏赤痛者。由石势乘虚而上。亦膈内有痰热也。石性归肾。若将适失宜。饮
食失
凡人五脏尽有风。而发有高下。动有浅深。则肾风发香港脚。肝风目泪而暗。肺风鼻鼽嚏
而嗽。脾风肉缓而重。心恍惚而忘。若加于热。亦随脏观候。即肝风胁满而怒。喜静加之。
热即目漠漠而暗。若石气兼之。则赤而亦痛。或生 肉。及肿而烂速。可随轻重而泻之。不
然丧
预宜
也。
方
泻肝前胡汤（出圣济总录）治乳石发。目赤闭目不开。烦闷热气。胸中
。
前胡（去芦头） 山栀子仁 干姜（炮） 淡竹叶 车前叶（各二两） 大青 秦皮（锉）
决
明子
五钱。煎
五六
大黄汤（出圣济总录）治乳石发。目昏赤痛不睹物。
大黄（锉炒） 黄连（去须） 石膏（研各二两） 黄芩（去黑心一两） 甘草（炙锉
一两） 细
辛（
盏。入
生
丁香黄连点汤方（出圣济总录）治乳石发目赤痒。
丁香（二七枚碎） 黄连（去须） 黄柏皮（切各半两） 五铢钱（一十文） 蕤仁（研
二七枚）
上
黄芩汤（出圣济总录）治乳石发目赤痛。小便赤。大便难。逆冲胸中口燥。
黄芩（去黑心） 大黄（锉炒各二两） 山栀子仁（十四枚） 上粗捣筛。每服三钱。
水一盏。
煎
黄连饮（出圣济总录）治乳石发。腰痛欲折。两目欲脱者。为热上肝膈。腰
肾冷极故也。
黄连（去须） 葳蕤（各一两） 甘草（炙锉半两） 上粗捣筛。以水三盏。煎至一盏。
去滓。
纳
枣肉黄连点方（出圣济总录）治乳石发。目生赤脉。息肉碜不开。
枣（七枚去核） 淡竹叶（切一握） 黄连（去须碎一两绵裹） 上先以水二盏。煎竹
叶至一
盏半
青盐点方（出圣济总录）治乳石发。久风目赤。
青盐（研一两） 杏仁（去皮尖二两微炒研烂以少汤同研匀绵裹压油出用半鸡子壳） 上
用
铜盆
稠墨
点取
雄黄散（出圣济总录）治乳石发目翳点方。
雄黄（研） 干蓝（各半两） 上为散。每用一米大。翳上点之。三五度即瘥。
治金石发热。及诸热暴赤目方。（出圣济总录）
冬葵子（二合） 朴硝（一合） 上以水二升。同煮至一升。去滓。分三服。空心早晚
食前
各一
洗方（出圣济总录）治乳石发。目痛如刺者。为热气冲肝上目故也。
数冷食。清朝温小便洗三日。即瘥。
贴方（出圣济总录）治乳石发眼肿痛不开。
用精猪肉薄切。贴眼上。热即易之。或用子肝井花水浸贴之。
治丹石发冲眼目肿痛（出本草）
取 蓄根一握。洗捣。以少水绞取汁服之。若热肿处。捣根茎敷之。
服丹石人上冲眼暗不见物（出本草）
以兔肝可生食之。一如服羊子肝法。薄切。水浸服之。生吞之。亦妙。
凡是乳石（矿物药）引发的目昏、眼红疼痛，是由于石药的燥烈之性乘人体正气虚弱而上攻，同时也因为膈间有痰热蕴结。石药之性归于肾经，如果调摄失当，饮食不节，导致五脏皆受风邪侵袭，但发病部位有高下之分，病势有浅深之别。因此，肾风发作可致脚气病，肝风发作则流泪且视力昏暗，肺风发作则鼻流清涕、打喷嚏并咳嗽，脾风发作则肌肉松弛沉重，心风发作则心神恍惚健忘。若风邪兼夹热邪，则随所犯脏腑的不同而呈现相应证候：如肝风挟热则胁肋胀满易怒，喜静恶动；热盛则视物模糊昏暗。若再兼夹石药之气，则眼睛红肿疼痛，或生胬肉，甚至肿胀溃烂迅速。治疗应根据病情轻重采用泻法。否则后果严重，预先预防是必要的。
【方剂】
泻肝前胡汤（出自《圣济总录》），主治乳石发引起的目赤、闭目难开、烦闷热气及胸中不适。
处方组成：前胡（去芦头）、山栀子仁、干姜（炮制）、淡竹叶、车前叶（各二两）、大青、秦皮（锉碎）、决明子五钱。煎服方法：加水煎煮五六沸后服用。
大黄汤（出自《圣济总录》），主治乳石发引起的目昏、眼红疼痛、视物不清。
处方组成：大黄（锉碎炒制）、黄连（去须）、石膏（研细，各二两）、黄芩（去黑心，一两）、甘草（炙、锉碎，一两）、细辛。煎服方法：加水一盏，入生姜三片，煎至半盏，去渣温服。
丁香黄连点汤方（出自《圣济总录》），主治乳石发引起的目赤瘙痒。
处方组成：丁香（七枚，捣碎）、黄连（去须）、黄柏皮（切，各半两）、五铢钱（十文）、蕤仁（研细，七枚）。煎服方法：以上药材加水煎煮，取汁外洗或点眼。
黄芩汤（出自《圣济总录》），主治乳石发引起的目赤痛、小便赤涩、大便困难、气逆冲胸、口燥。
处方组成：黄芩（去黑心）、大黄（锉碎炒制，各二两）、山栀子仁（十四枚）。煎服方法：将药材粗捣筛过，每次服用三钱，加水一盏，煎至半盏，去渣温服。
黄连饮（出自《圣济总录》），主治乳石发引起的腰痛欲折、双目胀痛欲脱，此为热气上扰肝膈，腰肾极冷所致。
处方组成：黄连（去须）、葳蕤（各一两）、甘草（炙、锉碎，半两）。煎服方法：将药材粗捣筛过，加水三盏，煎至一盏，去渣，纳入枣肉同服。
枣肉黄连点方（出自《圣济总录》），主治乳石发引起的目生赤脉、息肉遮蔽瞳孔难以睁开。
处方组成：枣（七枚，去核）、淡竹叶（切，一握）、黄连（去须，捣碎一两，用绵包裹）。煎服方法：先加水二盏，煎竹叶至一盏半，去渣，纳黄连包于其中，浸出汁液，用于点眼。
青盐点方（出自《圣济总录》），主治乳石发引起的久风目赤。
处方组成：青盐（研细，一两）、杏仁（去皮尖，二两，微炒后研烂，加少量水同研匀，用绵包裹压出油，取半鸡子壳量）。煎服方法：以上药材混合，置于铜盆中，加入稠墨，研磨成汁，用于点眼。
雄黄散（出自《圣济总录》），主治乳石发引起的目翳点眼方。
处方组成：雄黄（研细）、干蓝（各半两）。煎服方法：将药材研为散剂，每次取米粒大小，点在翳膜上，三五次即可痊愈。
治金石发热及诸热暴赤目方（出自《圣济总录》）
处方组成：冬葵子（二合）、朴硝（一合）。煎服方法：加水二升，同煮至一升，去渣，分三次服用，空腹早晚食前各服一次。
洗方（出自《圣济总录》），主治乳石发引起的目痛如针刺，此为热气冲犯肝脏上注于目所致。
用法：数吃冷食，清晨用温水清洗小便处三日，即可痊愈。（注：此处原文可能有误或特指某种外洗法，依原文直译）
贴方（出自《圣济总录》），主治乳石发引起的眼肿痛不开。
用法：取精猪肉薄切，贴在眼睛上，变热即更换。或用猪肝井花水浸泡后贴敷。
治丹石发冲眼目肿痛（出自《本草》）
用法：取蓄根一握，洗净捣碎，加少量水绞取汁液内服。若眼部热肿，则将根茎捣碎敷于患处。
服丹石人上冲眼暗不见物（出自《本草》）
用法：以兔肝生食。如同服用羊子肝的方法，薄切，用水浸泡后服用，生吞亦可，效果奇妙。
Whenever mineral drugs (Shishi) induce blurred vision, redness, and pain in the eyes, it is due to the acrid nature of the minerals ascending while the body's healthy Qi is deficient, compounded by phlegm-heat accumulation in the diaphragm. The nature of mineral drugs tends toward the Kidney channel. If lifestyle management is improper and diet unregulated, wind pathogens may invade all five Zang organs. However, the onset varies in location (high or low) and depth. Thus, Kidney wind manifests as gouty arthritis (Hongjiaojiao); Liver wind causes tearing and dim vision; Lung wind results in nasal discharge, sneezing, and cough; Spleen wind leads to flaccid and heavy muscles; Heart wind causes mental restlessness and forgetfulness. If wind combines with heat, symptoms follow the affected organ: Liver wind with heat causes hypochondriac fullness and irritability, a preference for stillness; excessive heat causes blurred and dim vision. If further complicated by mineral drug qi, the eyes become red and painful, pterygium (Yurou) may grow, or swelling and rapid ulceration may occur. Treatment should employ purging methods according to severity. Otherwise, severe consequences ensue; preventive measures are essential.
[Formulas]
Xiegan Qianhu Tang (Liver-Purging Peucedanum Decoction) (from *Shengji Zonglu*): Treats eye redness, inability to open eyes, mental restlessness, and rising heat caused by mineral drug eruption.
Ingredients: Qianhu (Peucedani Radix, radix removed), Shanzhizi Ren (Gardeniae Semen, kernel), Ganjiang (Zingiberis Rhizoma, processed), Danzhuye (Lophatheri Herba), Cheqian Ye (Plantaginis Folium) (each 2 liang), Daqing (Isatidis Folium), Qinpi (Ailanthi Cortex, crushed), Juemingzi (Cassiae Semen) (5 qian). Preparation: Decoct with water for 5-6 boils.
Dahuang Tang (Rhubarb Decoction) (from *Shengji Zonglu*): Treats blurred vision, eye redness, pain, and visual impairment caused by mineral drug eruption.
Ingredients: Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Huanglian (Coptidis Rhizoma, stamens removed), Shigao (Gypsum Fibrosum, ground) (each 2 liang), Huangqin (Scutellariae Radix, black heart removed) (1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed) (1 liang), Xixin (Asari Radix et Rhizoma). Preparation: Add 1 zhan of water and 3 slices of fresh ginger, decoct until half a zhan remains, strain, and take warm.
Dingxiang Huanglian Dian Tang Fang (Clove and Coptis Eye-Drop Decoction) (from *Shengji Zonglu*): Treats eye redness and itching caused by mineral drug eruption.
Ingredients: Dingxiang (Caryophylli Flos, 7 pieces, crushed), Huanglian (Coptidis Rhizoma, stamens removed), Huangbai Pi (Phellodendri Cortex, sliced) (each 0.5 liang), Wuzhuqian (Wuzhuqian) (10 coins), Ruiren (Pruni Semen Persicae, ground) (7 pieces). Preparation: Decoct ingredients, extract juice for external washing or eye-dropping.
Huangqin Tang (Scutellaria Decoction) (from *Shengji Zonglu*): Treats eye redness and pain, dark urine, difficult defecation, rebellious Qi rushing to the chest, and dry mouth caused by mineral drug eruption.
Ingredients: Huangqin (Scutellariae Radix, black heart removed), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried) (each 2 liang), Shanzhizi Ren (Gardeniae Semen, kernel) (14 pieces). Preparation: Coarsely crush and sieve. Take 3 qian per dose, add 1 zhan of water, decoct until half a zhan remains, strain, and take warm.
Huanglian Yin (Coptis Drink) (from *Shengji Zonglu*): Treats severe lower back pain resembling breaking, eyes bulging due to heat rushing upward affecting the Liver and Diaphragm, and extreme cold in the waist and Kidneys caused by mineral drug eruption.
Ingredients: Huanglian (Coptidis Rhizoma, stamens removed), Weirui (Polygonati Odorati Rhizoma) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed) (0.5 liang). Preparation: Coarsely crush and sieve. Add 3 zhan of water, decoct until 1 zhan remains, strain, and mix with jujube paste before taking.
Zaorou Huanglian Dian Fang (Jujube Paste and Coptis Eye-Drop Formula) (from *Shengji Zonglu*): Treats red vessels growing in the eyes and pterygium blocking the pupil, preventing opening, caused by mineral drug eruption.
Ingredients: Jujube (7 pieces, pitted), Danzhuye (Lophatheri Herba, sliced, one handful), Huanglian (Coptidis Rhizoma, stamens removed, crushed 1 liang, wrapped in silk). Preparation: First, add 2 zhan of water and decoct the Lophatheri Herba until 1.5 zhan remains. Strain, place the wrapped Coptidis Rhizoma in the liquid, steep to extract juice, and use for eye-dropping.
Qingyan Dian Fang (Blue Salt Eye-Drop Formula) (from *Shengji Zonglu*): Treats chronic wind-induced eye redness caused by mineral drug eruption.
Ingredients: Qingyan (Halitum, ground) (1 liang), Xingren (Armeniacae Semen Amarum, skin and tip removed, 2 liang, lightly stir-fried and ground into a paste, mixed with a little water, squeezed through silk to extract oil, take half an eggshell volume). Preparation: Mix ingredients in a copper basin, add thick ink, grind into a solution, and use for eye-dropping.
Xionghuang San (Realgar Powder) (from *Shengji Zonglu*): Treats corneal opacity (Yiyi) caused by mineral drug eruption.
Ingredients: Xionghuang (Realgar, ground), Ganlan (Indigo Naturalis, dried) (each 0.5 liang). Preparation: Grind into powder. Apply a grain-of-rice-sized amount to the opacity 3-5 times until healed.
Formula for Treating Heat from Metal/Stone and Acute Red Eyes from Various Heat Pathogens (from *Shengji Zonglu*)
Ingredients: Dongkuizi (Malvae Semen) (2 he), Puxiao (Natrii Sulfas) (1 he). Preparation: Add 2 sheng of water, boil together until 1 sheng remains, strain, and divide into three doses. Take one dose each morning and evening on an empty stomach before meals.
Washing Formula (from *Shengji Zonglu*): Treats stabbing eye pain caused by mineral drug eruption, attributed to heat rushing to the Liver and ascending to the eyes.
Usage: Consume cold foods frequently. Wash the genital area with warm water in the early morning for three days until cured.
Paste Formula (from *Shengji Zonglu*): Treats swollen and painful eyes that cannot open due to mineral drug eruption.
Usage: Slice lean pork thinly and apply to the eyes. Replace when warm. Alternatively, soak pig liver well-water and apply as a compress.
Treating Eye Swelling and Pain from Danstone Eruption Rushing Upward (from *Bencao*)
Usage: Take a handful of Xubu root, wash and crush. Add a small amount of water, squeeze out the juice, and ingest. For hot swelling at the site, crush the root and stem and apply externally.
Treating Blurred Vision and Inability to See Due to Upward Rushing from Taking Danstone (from *Bencao*)
Usage: Eat raw rabbit liver. Follow the method for consuming sheep liver: slice thinly, soak in water, and ingest. Swallowing raw is also effective.