(附论)
夫眼睑垂缓者。以血气不足。肤腠开 。风邪客于睑肤。其皮垂缓。下覆睛轮。故俗呼
为睢
方
黄 丸(出圣济总录)
治肤睑下覆轮。垂缓难开。又明眼目。
黄 (锉) 蒺藜子(炒去角) 独活(去头) 柴胡(去苗) 甘草(炙) 生干地
黄(焙) 栀
子仁
山芋
秦
为末。
炼
羚羊角散(出圣惠方)
治眼睑垂肿。心躁头痛。
羚羊角(镑) 黄连(去须) 木通 赤芍药 防风(去叉) 甘草(炙) 黄芩(去
黑心各三
分)
每服三钱
七分。
大黄散(出圣惠方)
治眼睑垂肿疼痛。
川大黄(锉研微炒) 栀子仁 井泉石 秋桑叶 甘草(炙微赤) 决明子(以上各三
分)
上为散。每服三钱。以水一中盏。煎至六分。去滓。食后温服。
秦皮汤(出圣惠方)
治眼睑肿痛。
秦皮(去粗皮锉) 黄连(去须各一两) 栀子仁(一分) 大黄(锉炒) 甘草(炙
锉) 细辛
(去
竹
叶二
枸杞汤(出圣济总录)
治眼睑垂缓。甚则眼闭难开。
枸杞子(炒半两) 赤芍药 山芋 升麻(各一两半) 蒺藜子(炒) 茯神(去木各
二两)
防风(去叉一两) 上粗捣筛。每服五钱。以水一盏半。煎至七分。生地黄汁一合。去滓温
服。
临卧再服
升麻散(出圣济总录)
治眼睑垂缓。下覆睛轮。
升麻 山茱萸(各三分) 甘菊花 细辛(去苗叶各半两) 蔓荆实(去白皮) 山芋 防
风
(去
茺蔚散(出圣惠方)
治睑眼垂下。
茺蔚子 防风(去皮) 羌活(去芦头) 蔓荆子 甘菊花 玄参 细辛 黄芩(去黑
心)
车前
分。
食后
竹叶汤(出圣惠方)
治眼热毒。害垂肿遮睛。
苦竹叶 黄连(去须) 黄柏(去粗皮锉) 栀子仁(各一两) 蕤仁(汤浸去皮半两
用) 上
锉。
又方(出圣惠方)
治眼热毒。睑肿遮睛。\x
川大黄(一两锉碎微炒) 苦竹叶(一握) 甘草(一两锉) 郁金(一两) 腻粉(二
钱) 上
先捣
【附论】
眼睑下垂松弛,是因为气血不足,皮肤腠理疏松,风邪侵袭眼睑肌肤,导致眼皮松弛下垂,遮盖眼球。所以俗称“睢”(此处原文似有缺字或通假,通常指“睢目”或类似病症)。
方剂:
黄耆丸(出自《圣济总录》)
治疗眼睑下垂覆盖眼球,松弛难以睁开,又能明目。
黄耆(锉碎)、蒺藜子(炒后去刺)、独活(去头部)、柴胡(去苗)、甘草(炙)、生干地黄(焙干)、栀子仁、山芋、秦艽(原文此处可能有缺漏,根据常见配伍推测为秦艽,但严格按原文仅列药材名,若原文缺失则不译出具体药名,此处依上下文补全逻辑,若严格对应原文“秦”字后无内容,则视为秦某药,通常秦皮或秦艽,鉴于下文有秦皮汤,此处疑为秦艽或秦皮,暂按原文“秦”字处理,但在翻译中需指出原文不全。注:原文“秦”后换行接“为末”,中间缺药名。根据《圣济总录》原书,此方含秦艽。此处翻译时保留“秦[药名缺失]”或根据常识补正,为严谨起见,标注原文状态)。将上述药物研为细末,用蜂蜜炼制成丸。
羚羊角散(出自《太平圣惠方》)
治疗眼睑下垂肿胀,心中烦躁头痛。
羚羊角(镑片)、黄连(去须)、木通、赤芍药、防风(去叉枝)、甘草(炙)、黄芩(去黑心,各三分)。
每次服用三钱七分。
大黄散(出自《太平圣惠方》)
治疗眼睑下垂肿胀疼痛。
川大黄(锉碎研细,微炒)、栀子仁、井泉石、秋桑叶、甘草(炙至微红)、决明子(以上各三分)。
将上述药物研为散剂。每次服用三钱,用水一中盏,煎煮至六分,去渣,饭后温服。
秦皮汤(出自《太平圣惠方》)
治疗眼睑肿痛。
秦皮(去粗皮锉碎)、黄连(去须,各一两)、栀子仁(一分)、大黄(锉碎炒制)、甘草(炙锉)、细辛(原文此处可能有缺漏,通常配伍竹叶等,原文“细辛”后接“(去”然后换行“竹”,疑似缺字)、竹叶(二...,原文截断)、枸杞汤(出自《圣济总录》... 此处原文排版混乱,需重新梳理段落)。
*修正原文段落识别*:
原文中“秦皮汤”部分似乎与“枸杞汤”混杂或排版错误。让我们仔细看:
“秦皮汤... 细辛 (去 [换行] 竹 [换行] 叶二 [换行] 枸杞汤...” -> 这里明显是秦皮汤的配方未写完,或者“竹叶”属于秦皮汤,“枸杞汤”是新标题。
再看“枸杞汤”内容:“治眼睑垂缓。甚则眼闭难开。枸杞子...”。
而“秦皮汤”在“细辛”后中断,接着出现“竹”、“叶二”,这可能是秦皮汤的剩余成分“竹叶二两”之类,然后紧接着是“枸杞汤”。
为了准确翻译,我将依据可见文本进行分段。
秦皮汤(出自《太平圣惠方》)
治疗眼睑肿痛。
秦皮(去粗皮锉碎)、黄连(去须,各一两)、栀子仁(一分)、大黄(锉碎炒制)、甘草(炙锉)、细辛(原文此处信息不全,括号内文字被截断)、竹叶(原文显示“竹”、“叶二”,推测为竹叶二两或其他剂量,但原文不完整)。
枸杞汤(出自《圣济总录》)
治疗眼睑下垂松弛,严重时眼睛闭合难以睁开。
枸杞子(炒半两)、赤芍药、山芋、升麻(各一两半)、蒺藜子(炒)、茯神(去木质,各二两)、防风(去叉枝一两)。将上述药物粗捣筛过。每次服用五钱,用水一盏半,煎煮至七分,加入生地黄汁一合,去渣温服。临睡前再服一次。
升麻散(出自《圣济总录》)
治疗眼睑下垂松弛,下覆遮盖眼球。
升麻、山茱萸(各三分)、甘菊花、细辛(去苗叶,各半两)、蔓荆实(去白皮)、山芋、防风(去叉枝... 原文此处截断)。
茺蔚散(出自《太平圣惠方》)
治疗眼睑下垂。
茺蔚子、防风(去皮)、羌活(去芦头)、蔓荆子、甘菊花、玄参、细辛、黄芩(去黑心)、车前子(原文“车前”后接“分”,推测为车前子若干分)。食后服用...(原文截断)。
竹叶汤(出自《太平圣惠方》)
治疗眼热毒,导致眼睑下垂肿胀遮蔽眼球。
苦竹叶、黄连(去须)、黄柏(去粗皮锉碎)、栀子仁(各一两)、蕤仁(汤浸去皮,半两用)。将上述药物锉碎。
又一方(出自《太平圣惠方》)
治疗眼热毒,眼睑肿胀遮蔽眼球。
川大黄(一两,锉碎微炒)、苦竹叶(一握)、甘草(一两,锉碎)、郁金(一两)、腻粉(二钱)。将上述药物先捣...(原文截断)。
[Attached Discussion]
Ptosis and laxity of the eyelids are caused by deficiency of blood and qi, leading to open skin pores (couli). Wind-pathogens invade the skin of the eyelids, causing the skin to become lax and droop, covering the eyeball. Hence, it is commonly referred to as "Sui" (a term for ptosis or similar condition).
Formulas:
Huangqi Wan (Cinnamon Twig Pill? No, Huangqi is Astragalus. *Correction*: Huangqi Wan - Astragalus Pill) (From *Shengji Zonglu*)
Treats eyelids drooping over the eyeball, lax and difficult to open; also brightens the eyes.
Ingredients: Huangqi (Astragali Radix, sliced), Jili Zi (Tribuli Fructus, stir-fried and thorns removed), Duhuo (Angelicae Pubescentis Radix, head removed), Chaihu (Bupleuri Radix, sprouts removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shenggan Dihuang (Rehmanniae Radix Preparata, baked), Zhizi Ren (Gardeniae Semen, flesh removed), Shanyu (Dioscoreae Rhizoma), Qin [Name missing in source text, likely Qinjiao or Qupi]. Grind into fine powder. Refine honey to make pills.
Lingyangjiao San (Antelope Horn Powder) (From *Taiping Shenghui Fang*)
Treats ptosis with swelling of the eyelids, restlessness in the heart, and headache.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu, shaved), Huanglian (Coptidis Rhizoma, whiskers removed), Mutong (Akebiae Caulis), Chishaoyao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix, forked parts removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqin (Scutellariae Radix, black heart removed, each 3 fen).
Dosage: Take 3 qian 7 fen per dose.
Dahuang San (Rhubarb Powder) (From *Taiping Shenghui Fang*)
Treats ptosis with swelling and pain of the eyelids.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, sliced and ground, slightly stir-fried), Zhizi Ren (Gardeniae Semen, flesh removed), Jingquanshi (Jingquanshi), Qi Sangye (Mori Folium, autumn leaves), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red), Juemingzi (Cassiae Semen, each 3 fen).
Preparation: Grind into a powder. Dosage: Take 3 qian per dose. Decoct with one zhongzhan of water until reduced to six-tenths. Strain and take warm after meals.
Qinpi Tang (Phellodendri Cortex Decoction? No, Qinpi is Bark of Phellodendron or Fraxinus. Here likely Fraxini Cortex or Phellodendri Cortex. Given context of heat/swelling, often Phellodendri or Fraxini. Standard WHO term for Qinpi is Cortex Fraxini or Cortex Phellodendri. In *Shenghui Fang*, Qinpi Tang usually uses Cortex Fraxini. I will use Cortex Fraxini/Phellodendri based on common usage, but strictly "Qinpi") (From *Taiping Shenghui Fang*)
Treats swelling and pain of the eyelids.
Ingredients: Qinpi (Cortex Fraxini or Cortex Phellodendri, remove coarse bark and slice), Huanglian (Coptidis Rhizoma, whiskers removed, each 1 liang), Zhizi Ren (Gardeniae Semen, flesh removed, 1 fen), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced), Xixin (Asari Radix et Rhizoma, [text incomplete]), Zhuye (Bambusae Folium, [text incomplete]).
Gouqi Tang (Lycii Fructus Decoction) (From *Shengji Zonglu*)
Treats ptosis and laxity of the eyelids; in severe cases, the eyes close and are difficult to open.
Ingredients: Gouqizi (Lycii Fructus, stir-fried, half liang), Chishaoyao (Paeoniae Radix Rubra), Shanyu (Dioscoreae Rhizoma), Shengma (Cimicifugae Rhizoma, each 1.5 liang), Jili Zi (Tribuli Fructus, stir-fried), Fushen (Poria cum Radice Pinelliae, wood removed, each 2 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed, 1 liang). Prepare: Coarsely crush and sieve. Dosage: Take 5 qian per dose. Decoct with one and a half zhan of water until reduced to seven-tenths. Add Shengdihuang Zhi (Jus Rehmanniae Recens) one he. Strain and take warm. Take again before retiring to bed.
Shengma San (Cimicifugae Rhizoma Powder) (From *Shengji Zonglu*)
Treats ptosis and laxity of the eyelids, covering the eyeball.
Ingredients: Shengma (Cimicifugae Rhizoma), Shanzhuyu (Corni Fructus, each 3 fen), Gan Juhua (Chrysanthemi Flos), Xixin (Asari Radix et Rhizoma, remove sprouts and leaves, each half liang), Manjing Shi (Viticis Fructus, remove white skin), Shanyu (Dioscoreae Rhizoma), Fangfeng (Saposhnikoviae Radix, [text incomplete]).
Chongwei San (Leonuri Fructus Powder) (From *Taiping Shenghui Fang*)
Treats drooping of the eyelids.
Ingredients: Chongweizi (Leonuri Fructus), Fangfeng (Saposhnikoviae Radix, remove skin), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Manjingzi (Viticis Fructus), Gan Juhua (Chrysanthemi Flos), Xuanshen (Scrophulariae Radix), Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix, remove black heart), Cheqian [Zi] (Plantaginis Semen, [dosage incomplete]). Take after meals... [text incomplete].
Zhuye Tang (Bambusae Folium Decoction) (From *Taiping Shenghui Fang*)
Treats eye heat-toxin causing ptosis and swelling that obscures the vision.
Ingredients: Ku Zhuye (Bambusae Folium Amarum), Huanglian (Coptidis Rhizoma, whiskers removed), Huangbai (Phellodendri Cortex, remove coarse bark and slice), Zhizi Ren (Gardeniae Semen, flesh removed, each 1 liang), Ruiren (Pruni Armeniacae Semen, soaked in hot water, remove skin, half liang used). Prepare: Slice/crush.
Another Prescription (From *Taiping Shenghui Fang*)
Treats eye heat-toxin, eyelid swelling obscuring the vision.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and slightly stir-fried), Ku Zhuye (Bambusae Folium Amarum, one handful), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, crushed), Yujin (Curcumae Radix, 1 liang), Nifen (Calomel/Nitrum? Usually refers to Mercurius Sublimatus Corrosivus or similar mineral drug in ancient texts, often translated as Calomel or Nishan. WHO term: Calomel or Mercury Chloride. I will use Calomel (Nifen)), [text incomplete]. Prepare: Pound first... [text incomplete].