(附论)
夫坠睛者。眼因贼风所吹。血脉受寒。贯冲瞳仁。风寒气随眼带牵拽。睛瞳向下。名曰
坠睛
方
犀角散 治坠睛。眼时发疼痛。视物散乱。
犀角(镑) 羚羊角(镑各半两) 青羊胆(一枚) 五味子 槐实 青葙子 芡实(炒)
茺
蔚子
胆汁拌
匀。
槐实丸 治坠睛失明。眼牵陷。
槐实 羚羊角(镑) 独活(去芦头) 天麻 沙参 地肤子 人参(各一两半) 防
风(去
芦)
大。
每服
菊花散 治坠睛。风毒牵瞳仁向下。眼带紧急。视物不明。
甘菊花 羚羊角屑(各一两) 旋复花 防风(去芦头) 蔓荆子(各三分) 生干地
黄海
桐皮
盐水一
钟。
犀角散 治坠睛。眼失明。眼睛牵陷。或时发疼。视物散乱。
犀角 羚羊角(屑各半两) 车前子 枸杞子(各一两) 五味子 槐子 青葙子 牛
蒡子
(微
槐子
汤下
羌活散(出圣惠方)治坠睛久不瘥。
羌活(二两) 秦艽(去苗) 防风(去芦头) 桂心 牛蒡子(微炒) 胡黄连 茯
神(各一
两)
散。每
服空心
细辛散(出圣惠方)治坠睛眼。风热热牵。瞳仁向下。
细辛 赤茯苓 黄芩(各一两) 麦门冬(去心焙) 木通 黄连 葳蕤(各一两半) 川
大
黄(二两锉碎微炒) 甘草(半两锉碎微炒) 上 咀。每服四钱。以水一钟。煎至六分。
去滓。
食后温服。临卧再服。忌炙爆腻毒滑鱼肉。
点眼蕤仁煎(出圣济总录)治坠睛。风毒所攻。
蕤仁(去皮研二两) 黄连(去须锉) 地骨皮(取白者用) 曾青(研如粉各一两) 青
盐
(一分)
以重绵滤
洗眼决明汤(出圣济总录)治坠睛视物失明。
决明子 柴胡(去苗) 秦皮 防风(去芦) 蛇衔草(各一两) 生干地黄(二两) 上
锉
细。每
点眼药方(出圣惠方)治坠睛。风热所攻。
猪肝(一具) 黑豆花(曝干) 槐花(曝干) 地黄花(曝干各一两) 上除猪肝外。
捣细罗
为散
每
(附论)
所谓坠睛,是指眼睛受到贼风侵袭,血脉受寒,寒气贯穿并冲击瞳仁。风寒之气随着眼带牵拉拽引,导致眼球瞳孔向下垂落,这种病症称为坠睛。
犀角散:治疗坠睛。症状表现为眼睛时常发作疼痛,视物模糊散乱。
处方组成:犀角(镑片)、羚羊角(镑片,各半两)、青羊胆(一枚)、五味子、槐实、青葙子、芡实(炒制)、茺蔚子。
用法:将胆汁拌入药末中拌匀。
槐实丸:治疗坠睛导致的失明,以及眼球牵拉下陷。
处方组成:槐实、羚羊角(镑片)、独活(去芦头)、天麻、沙参、地肤子、人参(各一两半)、防风(去芦)。
用法:制成丸剂,每次服用适量(原文此处有缺漏,通常指用特定汤剂或温水送服)。
菊花散:治疗坠睛。风毒牵引瞳仁向下,眼带紧张紧急,视物不明。
处方组成:甘菊花、羚羊角屑(各一两)、旋复花、防风(去芦头)、蔓荆子(各三分)、生干地黄、海桐皮。
用法:用水一钟,煎煮后服用(原文此处有缺漏,通常为煎汤服)。
犀角散:治疗坠睛。眼睛失明,眼球牵拉下陷,有时发作疼痛,视物散乱。
处方组成:犀角、羚羊角(屑,各半两)、车前子、枸杞子(各一两)、五味子、槐子、青葙子、牛蒡子(微炒)。
用法:用槐子汤送服。
羌活散(出自《圣惠方》):治疗坠睛日久不愈。
处方组成:羌活(二两)、秦艽(去苗)、防风(去芦头)、桂心、牛蒡子(微炒)、胡黄连、茯神(各一两)。
用法:研为散剂,每次空腹服用适量(原文此处有缺漏)。
细辛散(出自《圣惠方》):治疗坠睛眼,风热邪气牵引,瞳仁向下。
处方组成:细辛、赤茯苓、黄芩(各一两)、麦门冬(去心焙干)、木通、黄连、葳蕤(各一两半)、川大黄(二两,锉碎微炒)、甘草(半两,锉碎微炒)。
用法:以上药物切碎。每次服用四钱,用水一钟,煎至六分,去渣。食后温服,临睡前再服。忌食炙烤、爆炒、油腻及有毒滑腻的鱼肉。
点眼蕤仁煎(出自《圣济总录》):治疗坠睛,由风毒攻袭所致。
处方组成:蕤仁(去皮研碎,二两)、黄连(去须锉碎)、地骨皮(取白色部分使用)、曾青(研成粉末,各一两)、青盐(一分)。
用法:用重绵过滤药液,用于洗眼。
洗眼决明汤(出自《圣济总录》):治疗坠睛视物失明。
处方组成:决明子、柴胡(去苗)、秦皮、防风(去芦)、蛇衔草(各一两)、生干地黄(二两)。
用法:以上药物锉细。每次服用适量(原文此处有缺漏,通常为煎汤洗眼或内服)。
点眼药方(出自《圣惠方》):治疗坠睛,由风热邪气攻袭所致。
处方组成:猪肝(一个)、黑豆花(晒干)、槐花(晒干)、地黄花(晒干,各一两)。
用法:除去猪肝外,将其他药物捣碎过罗成为散剂(原文此处有缺漏,通常是将猪肝与药末混合制作成药膏或敷料)。
(Attached Discussion)
The condition known as "Zhuijing" (Ptosis of the Eye / Drooping Pupil) refers to a state where the eye is blown upon by "Zefeng" (Thieving Wind, a pathogenic wind factor), causing the blood vessels to receive cold. The cold penetrates and rushes into the pupil. The Qi of wind and cold follows the eye tendons to pull and drag, causing the eyeball and pupil to droop downward. This condition is named Zhuijing.
Xijiao San (Rhino Horn Powder): Treats Zhuijing. Symptoms include frequent episodes of eye pain and blurred or scattered vision.
Ingredients: Xijiao (Horn of Rhinoceros, sliced thin), Lingyangjiao (Horn of Antelope, sliced thin, each half liang), Qingyangdan (Gallbladder of Blue Sheep, one piece), Wuweizi (Fructus Schisandrae), Huaishi (Fructus Sophorae), Qingxiangzi (Semen Celosiae), Qianshi (Semen Euryales, stir-fried), Chongweizi (Semen Viticis).
Usage: Mix the herbal powder evenly with the gallbladder juice.
Huai Shi Wan (Sophora Fruit Pill): Treats blindness caused by Zhuijing and the pulling/drooping of the eyeball.
Ingredients: Huai Shi (Fructus Sophorae), Lingyangjiao (Horn of Antelope, sliced thin), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Tianma (Rhizoma Gastrodiae), Shashen (Radix Adenophorae or Radix Glehniae), Difuzi (Herba Kochiae), Renshen (Radix Ginseng, each 1.5 liang), Fangfeng (Radix Saposhnikoviae, remove rhizome).
Usage: Form into pills. Take an appropriate amount per dose (text incomplete, typically taken with decoction or warm water).
Juhua San (Chrysanthemum Powder): Treats Zhuijing. Wind-toxin pulls the pupil downward, eye tendons are tense and tight, and vision is unclear.
Ingredients: Gan Juhua (Flos Chrysanthemi), Lingyangjiao xie (Shavings of Horn of Antelope, each 1 liang), Xuanfuhua (Flos Inulae), Fangfeng (Radix Saposhnikoviae, remove rhizome), Manjingzi (Fructus Viticis, each 3 qian), Sheng Gan Dihuang (Radix Rehmanniae Preparata), Haitongpi (Cortex Phellodendri).
Usage: Decoct with one zhong of water and take (text incomplete).
Xijiao San (Rhino Horn Powder): Treats Zhuijing. Symptoms include blindness, pulling and drooping of the eyeball, occasional pain, and scattered vision.
Ingredients: Xijiao (Horn of Rhinoceros), Lingyangjiao (Shavings of Horn of Antelope, each half liang), Cheqianzi (Semen Plantaginis), Gouqizi (Fructus Lycii, each 1 liang), Wuweizi (Fructus Schisandrae), Huaizi (Fructus Sophorae), Qingxiangzi (Semen Celosiae), Niubangzi (Fructus Arctii, lightly stir-fried).
Usage: Take with a decoction made from Huaizi (Sophora fruit).
Qianghuo San (Notopterygium Powder, from *Taiping Shenghui Fang*): Treats Zhuijing that has persisted for a long time without healing.
Ingredients: Qianghuo (Rhizoma et Radix Notopterygii, 2 liang), Qin jiao (Radix Gentianae Macrophyllae, remove sprouts), Fangfeng (Radix Saposhnikoviae, remove rhizome), Guixin (Cinnamomi Cortex), Niubangzi (Fructus Arctii, lightly stir-fried), Huhuanglian (Rhizoma Coptidis Chinensis? Note: Text says Hu Huang Lian, likely Artemisiae Annuae Herba or similar bitter cold herb, but standard is Coptis; however, text specifies Hu Huang Lian which is often associated with specific preparations, here interpreted as a bitter cold herb), Fushen (Poria with Hostwood, each 1 liang).
Usage: Grind into powder. Take an appropriate amount on an empty stomach (text incomplete).
Xixin San (Asarum Powder, from *Taiping Shenghui Fang*): Treats Zhuijing eye, where wind-heat pulls the pupil downward.
Ingredients: Xixin (Radix et Rhizoma Asari), Chi Fuling (Poria with Brown Hostwood, each 1 liang), Huangqin (Radix Scutellariae, 1 liang), Maimendong (Radix Ophiopogonis, remove heart and roast), Mutong (Caulis Akebiae), Huanglian (Rhizoma Coptidis), Weirui (Rhizoma Polygonati Odorati, each 1.5 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 2 liang, cut into pieces and lightly stir-fried), Gancao (Radix Glycyrrhizae, half liang, cut into pieces and lightly stir-fried).
Usage: Cut all ingredients into small pieces. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Remove dregs. Take warm after meals, and again before bed. Avoid roasted, fried, greasy, toxic, and slippery fish/meat.
Dianyuan Ruiren Jian (Buckthorn Seed Decoction for Eye Application, from *Shengji Zonglu*): Treats Zhuijing caused by wind-toxin attack.
Ingredients: Ruiren (Semen Pruni Persicae, peel and grind, 2 liang), Huanglian (Rhizoma Coptidis, remove roots and cut), Digupi (Cortex Lycii), Zengqing (Mineral drug, grind into powder, each 1 liang), Qingyan (Halitum, 1 fen).
Usage: Filter the liquid through heavy silk and use to wash the eyes.
Xiyan Jueming Tang (Cassia Decoction for Eye Washing, from *Shengji Zonglu*): Treats Zhuijing resulting in blindness.
Ingredients: Juemingzi (Semen Cassiae), Chaihu (Radix Bupleuri, remove sprouts), Qinpi (Cortex Fraxini), Fangfeng (Radix Saposhnikoviae, remove rhizome), She Xiancao (Herba Siegesbeckiae, each 1 liang), Sheng Gan Dihuang (Radix Rehmanniae Preparata, 2 liang).
Usage: Cut ingredients finely. Take an appropriate amount per dose (text incomplete, typically for washing eyes or internal use).
Dianyanyao Fang (Eye Drop Formula, from *Taiping Shenghui Fang*): Treats Zhuijing caused by wind-heat attack.
Ingredients: Zhuogan (Liver of Pig, one whole), Heidouhua (Flower of Black Soybean, dried), Huaihua (Flos Sophorae, dried), Dihuanghua (Flower of Rehmannia, dried, each 1 liang).
Usage: Except for the pig liver, grind the other herbs finely and sift them into a powder (text incomplete, typically mixed with liver to form a topical application).