用引火藏源之方,服于食前,峻补其肝肾,则浊阴降而上热自除,下阴足而目光自返,
陷翳自浮,冰翳自化。倘翳膜过浓者,另以养荣药中佐以消障疏风之味,服于食后,
则标本俱得其功,上下咸受其益矣。(《锦囊》)
张蕴山曰∶睁眼见黑花,宜服人参固本丸主之。(《眼科秘览》)
又曰∶眼目昏花,视物不明,皆由阴虚火旺,宜用知柏地黄丸加甘菊花治之。
明目第一法∶节省酒色,戒恼怒,夜勿看书,减思虑,专内视,简外视,晨兴
迟,夜眠早,少用辛燥物。
明目要诀∶夜卧睡醒,开目转睛四十九遍,常常左右转之,永无目疾。
疾目勿药自愈法∶夜卧小便时,用力将眼睁开,转运瞳子左右各十数遍,然后
存想下边不数日火即下,如站起小便更妙。平常如用此法,能令火不上炎。
《心法》曰∶皮翻证由胃经血壅气滞而成,小儿多有之,眼皮外翻,加以舌 唇之状。
又曰∶患目昏者,不拘时候,静坐闭歇,以两目轮左转七遍,右转七遍,紧闭
少时,忽大睁开,久行勿间,则郁火浊阴运出,清阳精气独光。
又曰∶治翳当辨其起自何经,及翳形何色,各加引经药。如东垣治一妇,绿色
自下而上,知其阳明来也,但绿非五脏正色,殆肺肾相合而为病也。乃就画家以黑
调腻粉合成色,谛视之与翳同,则肺肾为病无疑矣。乃以泻肺肾之邪为君,以阳明
药为使,服之甚效。他日复病者三,其所从来之经与医色各异,因思必经脉不调,以
致目病不已。询之果然,遂以养血滋阴药作丸服之,而永不发。观此则辨色分经,讵可忽哉。
又曰∶治眼有以三棱针刺血出而愈者,即《内经》血实宜决之之义。然必初起血
盛而热者宜之,在太阳阳明二经方可,盖二经气血俱多故耳。他经出血,其病转剧,
故曰刺太阳阳明则目愈明,刺少阳阳明则目愈昏。
东垣治一人,因用猪肉煎饼与蒜同食,复大醉而卧热炕,次日瞳子散大,视物不
真,诸方不应,乃以酒炒芩、连泻热为君,归身、生地养血凉血为臣,五味子酸收瞳
神散大,人参、二冬、地骨皮、生甘草、枳壳苦甘补中抑气为佐,柴胡引经为使,服之顿愈。
丹溪治一壮年人,早起忽视物不见,就睡片时,略见而不明,食减倦甚,其脉缓
大,重则散而无力。意其中湿所致,询之果卧湿地半月,乃以白术为君,黄 、陈
皮为臣,附子十剂而愈。皆治本之神见也。
海藏治一女及笄而病目三年,而红肿难开,服散风清热之药反生翳,从锐 遮
瞳神,右目之翳从下而上,其脉短而实。洁古曰∶短为有积。经曰∶从内走外者少阳
病,从下上者阳明病,乃少阳阳明有积滞于中,抑遏脏腑,以致清阳不升,浊阴不
降。乃以去积之药加黄连、龙胆草,每早化服一丸,一日便下黑血块如豆大而甚坚
硬,由是翳退目明矣。
冯鲁瞻曰∶予幼年读书过劳而常目病,今看书写字略多,便易于举发。发时惟以
八味丸加牛膝、五味子者,每日食前各进五六钱,一日共有一两五六钱矣;外用黄
连钱余,入铜青分许煎浓汁,洗净两三次,俟红障少淡,再入人参二三分于内,温和
洗之,则光还而能视物如故矣。
澄曰∶凡治时眼,七日内切勿就用当归、菊花。若用早便难速愈,此专门眼科秘法也。
使用引火归元(将上浮之火引回肾中)的方剂,在饭前服用,大力补益肝肾,那么浊阴之气下降而上部的热邪自然消除,下焦阴液充足而视力自然恢复,凹陷的翳膜自然浮起,冰样的翳膜自然化解。倘若翳膜过于浓厚者,另外在养血荣卫的药物中辅助加入消障疏风的药味,在饭后服用,那么标本兼治都能收到功效,上下都受到益处了。(出自《锦囊》)
张蕴山说:睁眼看见黑花飞舞,适宜服用人参固本丸来主治。(出自《眼科秘览》)
他又说:眼睛昏花,视物不明,都是由阴虚火旺引起的,适宜用知柏地黄丸加甘菊花来治疗。
明目的第一法则:节省酒色,戒除恼怒,晚上不要看书,减少思虑,专心内视,简化外视,早晨起床要晚些,晚上睡觉要早些,少吃辛辣燥热的食物。
明目的关键诀窍:夜间卧床睡醒后,睁开眼睛转动眼球四十九次,经常左右转动它,永远不会有眼疾。
眼疾不用药物自愈的方法:夜间卧床小便时,用力将眼睛睁开,转动瞳孔左右各十几次,然后存想下部,不几天火气就会下行,如果站起来小便效果更好。平常如果用这个方法,能使火气不上炎。
《心法》说:眼皮外翻证是由于胃经血壅气滞形成的,小儿多有此病,眼皮向外翻,伴有舌头和嘴唇的症状。
他又说:患有眼昏的人,不论什么时候,静坐休息,让双眼向左轮转七遍,向右轮转七遍,紧闭一会儿,忽然大大地睁开,长久坚持不间断,那么郁积的火气和浊阴之气运出,清阳精气独自发光。
他又说:治疗翳膜应当辨别它起始于哪条经络,以及翳膜的形状和颜色,分别加入引经药。比如李东垣治疗一位妇女,绿色自下而上出现,知道是阳明经传来的,但绿色不是五脏的正色,大概是肺肾相合而导致的疾病。于是就像画家以黑色调和腻粉合成颜色一样,仔细观看它与翳膜相同,那么肺肾为病无疑了。于是以泻肺肾之邪为主药,以阳明经药为使药,服用非常有效。后来患者三次复发,其所来的经络与医生判断的颜色各异,因此思考必定是经脉不调,导致眼病不止。询问之后果然如此,于是用养血滋阴的药做成丸剂服用,从此永不复发。看这个例子,辨别颜色分属经络,怎么可以忽视呢。
他又说:治疗眼病有用三棱针刺破出血而痊愈的,这就是《内经》“血实宜决之”的意思。然而必须是在初起血盛且热的时候适宜使用,只在太阳、阳明二经才可以,因为这两条经络的气血都很多缘故。其他经络出血,病情反而加重,所以说刺太阳、阳明则眼睛更明亮,刺少阳、阳明则眼睛更昏暗。
李东垣治疗一个人,因为吃猪肉煎饼配大蒜,又在大醉后躺在热炕上睡觉,第二天瞳孔散大,视物不清,各种方剂都不见效,于是用酒炒的黄芩、黄连泻热作为主药,当归身、生地养血凉血作为辅药,五味子酸收以防瞳神散大,人参、天冬、麦冬、地骨皮、生甘草、枳壳苦甘补中抑气作为佐药,柴胡引经作为使药,服用后立即痊愈。
朱丹溪治疗一个壮年人,早起看不见东西,躺下一会儿,稍微看见但不清晰,食欲减退,疲倦严重,脉象缓大,重按则散而无力。推测是湿邪所致,询问之后果然卧在湿地半个月,于是用白术作为主药,黄柏、陈皮作为辅药,服用附子十剂后痊愈。这都是治本的高明见解啊。
王海藏治疗一个女子,成年后患眼病三年,红肿难以睁开,服用散风清热的药物反而生出翳膜,从眼角遮住瞳神,右眼的翳膜自下而上,脉象短而实。张洁古说:短脉代表有积滞。经文说:从内走外的是少阳病,从下往上的是阳明病,这是少阳、阳明有积滞在中焦,压抑脏腑,导致清阳不升,浊阴不降。于是用去积的药物加上黄连、龙胆草,每天早晨化服一丸,一天就排出黑豆大小的黑血块而且非常坚硬,从此翳膜消退眼睛明亮了。
冯鲁瞻说:我年轻时读书过度劳累而常患眼病,现在看书写字稍多,就容易发作。发作时只用八味丸加牛膝、五味子,每天饭前各进五六钱,一天总共有一两五六钱;外用黄连一钱多,入铜青少许煎成浓汁,洗净两三次,等到红障稍微变淡,再放入人参二三分在里面,温和地清洗,那么光明回归就能像以前一样视物了。
Use the formula for guiding fire back to its source (guiding floating fire back to the Kidney), taken before meals, to strongly tonify the Liver and Kidneys. Then turbid Yin will descend and upper heat will naturally be eliminated; lower Yin will be sufficient and vision will naturally return; sunken nebulae will naturally float up, and ice-like nebulae will naturally dissolve. If the nebular membrane is excessively thick, separately add herbs that eliminate obstructions and disperse wind among the blood-nourishing medicines, taken after meals. Thus, both root and branch will benefit, and both upper and lower parts will receive their advantages. (From *Jinnang*)
Zhang Yunshan said: Seeing black flowers when opening the eyes is suitable for treating with Renshen Guben Wan (Ginseng Root Solidifying Pill). (From *Yanke Milan*)
He also said: Blurred vision and unclear sight are all caused by Yin deficiency with hyperactive fire. It is suitable to treat with Zhibai Dihuang Wan (Anemarrhena, Phellodendron and Rehmannia Pill) plus Ganjuhua (Chrysanthemi Flos).
The first method for brightening the eyes: Conserve alcohol and sexual activity, abstain from anger, do not read books at night, reduce mental exertion, focus on inner vision, simplify external vision, rise late in the morning, sleep early at night, and use fewer pungent and drying substances.
The essential secret for brightening the eyes: Upon waking from sleep at night, open the eyes and rotate them forty-nine times, often rotating left and right. This will permanently prevent eye diseases.
The self-healing method for eye diseases without medication: When urinating at night while lying down, forcefully open the eyes and rotate the pupils left and right ten or more times each. Then visualize the lower body. Within a few days, the fire will descend. Standing up to urinate is even better. Using this method normally can prevent fire from flaring upward.
*Xinfa* states: The syndrome of everted eyelids is formed by blood stagnation and Qi obstruction in the Stomach meridian. Children often have this disease, characterized by outwardly everted eyelids, accompanied by symptoms involving the tongue and lips.
He also said: For those suffering from blurred vision, regardless of the time, sit quietly and rest. Rotate the eyes seven times to the left and seven times to the right, close them tightly for a short while, then suddenly open them wide. Practice this continuously for a long time, and the stagnant fire and turbid Yin will be transported out, allowing clear Yang and essence-Qi to shine alone.
He also said: When treating nebulae, one must distinguish which meridian they originate from, as well as the shape and color of the nebulae, adding meridian-guiding herbs accordingly. For example, Li Dongyuan treated a woman whose greenish hue appeared moving upward from below, knowing it came from the Yangming meridian. However, green is not the correct color of the five Zang organs; it was likely a disease resulting from the combination of Lung and Kidney. Just as a painter mixes black with calamine powder to create a specific color, upon careful observation matching the nebula, it was undoubtedly a Lung and Kidney disease. Thus, herbs draining pathogenic factors from the Lung and Kidney were used as the sovereign drug, and Yangming meridian herbs as the envoy drug. The treatment was very effective. Later, the patient relapsed three times, with different meridians and colors involved. He reasoned that meridian imbalance must be causing the persistent eye disease. Inquiry confirmed this. Consequently, blood-nourishing and Yin-tonifying herbs were made into pills for consumption, preventing recurrence forever. Observing this case, how can distinguishing colors and assigning meridians be ignored?
He also said: Some eye treatments involve pricking with a three-edged needle to release blood until cured, which aligns with the principle in *Neijing*: "When blood is excessive, it should be drained." However, this is only suitable when the condition is in its initial stage with abundant blood and heat, specifically in the Taiyang and Yangming meridians, because these two meridians have abundant Qi and blood. Bleeding from other meridians may worsen the condition. Therefore, it is said that bleeding Taiyang and Yangming improves vision, while bleeding Shaoyang and Yangming worsens it.
Li Dongyuan treated a man who, after eating pork pancakes with garlic and falling asleep drunk on a heated kang, woke up the next day with dilated pupils and unclear vision. Various prescriptions failed. He used wine-fried Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma) to drain heat as the sovereign drug; Danggui Shen (Angelicae Sinensis Radix) and Shengdi Huang (Rehmanniae Radix) to nourish blood and cool blood as the minister drugs; Wuweizi (Schisandrae Fructus) to astringently secure the dilated pupil; Renshen (Ginseng Radix), Dongqing (Asparagi Radix), Dongbai (Ophiopogonis Radix), Digupi (Lycii Cortex), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), and Zhike (Aurantii Fructus Immaturus) to tonify the middle and suppress Qi with bitter and sweet flavors as the assistant drugs; and Chaihu (Bupleuri Radix) as the envoy drug to guide the herbs. The patient recovered instantly.
Zhu Danxi treated a young adult who could not see objects upon waking in the morning. After lying down for a moment, he could see slightly but unclearly. His appetite decreased, and he felt extremely fatigued. His pulse was slow and large, becoming scattered and weak upon heavy pressure. He surmised it was caused by dampness. Inquiry confirmed he had slept on damp ground for half a month. He used Baizhu (Atractylodis Macrocephalae Rhizoma) as the sovereign drug, Huangbo (Phellodendri Cortex) and Chenpi (Citri Reticulatae Pericarpium) as the minister drugs, and Fuzi (Aconiti Lateralis Radix Praeparata) for ten doses until cured. These are all divine insights into treating the root cause.
Wang Haizang treated a girl who, upon reaching marriageable age, suffered from eye disease for three years. Her eyes were red and swollen, difficult to open. Taking wind-dispersing and heat-clearing herbs instead caused nebulae to form, obscuring the pupil from the canthus. The nebula in the right eye moved upward from below. Her pulse was short and solid. Zhang Jiegou stated: A short pulse indicates accumulation. The classics say: Pathogens moving from inside to outside indicate Shaoyang disease; moving upward from below indicates Yangming disease. Thus, there was accumulation in the Shaoyang and Yangming meridians, suppressing the Zang organs, leading to failure of clear Yang to ascend and turbid Yin to descend. He used herbs to remove accumulation added with Huanglian (Coptidis Rhizoma) and Longdancao (Gentianae Radix), taken as one pill dissolved each morning. Within a day, hard, bean-sized black blood clots were passed. Thereafter, the nebula receded and vision cleared.
Feng Luzhan said: In my youth, I studied too hard and often suffered from eye diseases. Now, reading or writing slightly more easily triggers an outbreak. During outbreaks, I only use Bawei Wan (Eight-Ingredient Pill) added with Niuxi (Achyranthis Bidentatae Radix) and Wuweizi (Schisandrae Fructus), taking five or six qian before each meal, totaling about one liang and five or six qian per day. Externally, I use over one qian of Huanglian (Coptidis Rhizoma) and a small amount of Tongqing (Azurite), decocted into a concentrated juice. After washing two or three times, once the red obstruction lightens slightly, I add two or three fen of Renshen (Ginseng Radix) and wash gently. Then, brightness returns and vision becomes normal again.
I, Cheng, say: Whenever treating epidemic eye diseases, absolutely avoid using Danggui (Angelicae Sinensis Radix) and Juhua (Chrysanthemi Flos) within the first seven days. If used too early, rapid recovery will be difficult. This is a secret method of specialized ophthalmology.