《正宗》曰∶太阴发,乃足少阳胆经多气少血,发于眼梢脸上瞳子穴,(在目外 五分。)
赤肿有脓知痛者生;大渴闷乱,血出不止,及青黑色,不痛作蛀孔,血出尽则死矣。
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陈实功曰∶眼胞菌毒乃脾经蕴热凝结而成也。其患眼胞内生出如菌,头大蒂小,
渐长垂出,甚者眼翻流泪,亦致昏蒙。治法∶用软绵纸蘸水荫之眼胞上,少倾用左
手大指甲垫于患根,右手以披针尖头齐根切下,血出不妨,随用翠云锭磨浓涂之,其
血自止。(《正宗》)
又曰∶宜内服凉膈散、清脾饮。
《心法》曰∶此证初如菌形,头大蒂小,黄亮水 ,亦有头小蒂大者,渐长垂出,坚
凝不痛;有缠绵经年不愈者,以致目病,乃脾经素有湿热,思郁气结而成。初起宜清
凉圆洗,即消。
清凉圆
当归尾 赤芍 石菖蒲(各二钱) 羌活(五分) 地肤子 川连 生杏仁(各一钱) 胆矾(二分)
共研粗末,以大红绸包扎如缨桃大,滚水浸泡,乘热蘸洗。
《心法》曰∶眼胞痰核结于上下眼胞,皮里肉外,其形大者如枣,小者如豆,推
之移动,皮色如常,硬肿不疼,由湿痰气郁而成。外用生天南星蘸醋磨浓,频涂眼
皮,日数浅者即消,日数深者,虽不能即消,常常涂之。涂令皮薄,微微剥损,以
手指甲挤出如白粉汁,即消。
《外科正宗》说:太阴发,是足少阳胆经多气少血之证,发生于眼梢脸上的瞳子髎穴(位于目外眦五分处)。
如果局部红肿且有脓液、触痛明显的,预后良好;如果出现大渴、烦闷神志昏乱、出血不止,或者患处呈青黑色、不痛且形成蛀蚀样孔洞,血液流尽则死亡。
陈实功说:眼胞菌毒是由于脾经蕴积热邪凝结而成的。其病症表现为眼睑内长出如菌状物,头大蒂小,逐渐长大下垂伸出,严重的会导致眼睑外翻流泪,甚至导致视力模糊昏蒙。治疗方法:用软绵纸蘸水敷在患侧眼睑上,片刻后,用左手大拇指指甲垫在病灶根部,右手持披针尖头从根部齐平切断,出血不要紧,随即用翠云锭磨成浓汁涂抹,出血自然停止。(出自《外科正宗》)
又说:适宜内服凉膈散、清脾饮。
《医宗心法》说:此证初起时形状像菌类,头大蒂小,颜色黄亮含水,也有头小蒂大的,逐渐长大下垂伸出,质地坚硬且不疼痛;有的缠绵数年不愈,以致引起眼部疾病,这是由于脾经素有湿热,加上思虑忧郁导致气机郁结而成。初起时宜用清凉圆清洗,即可消除。
清凉圆方剂组成:当归尾、赤芍、石菖蒲(各二钱)、羌活(五分)、地肤子、川黄连、生杏仁(各一钱)、胆矾(二分)。
共研为粗末,用大红绸布包扎如樱桃大小,用滚水浸泡,趁热蘸取药液清洗患处。
《医宗心法》说:眼胞痰核结于上下眼睑,位于皮肤与肌肉之间,大的像枣,小的像豆,推之可以移动,皮色正常,硬肿但不疼痛,由湿痰和气郁而成。外用生天南星蘸醋磨成浓汁,频繁涂抹眼皮,病程短浅的即可消除,病程深久的,虽然不能立即消除,但经常涂抹,使皮肤变薄,微微剥损,用手指甲挤出如白粉状的汁液,即可消除。
*Zhengzong* (Orthodox Standard) states: Taiyin Fa (Taiyin Abscess) is a condition of the Foot-Shaoyang Gallbladder Meridian, which is characterized by abundant Qi and scarce Blood. It occurs at the Tongzihui acupoint (Tongziliao, BL1) on the outer canthus of the eye (located 0.5 cun lateral to the outer canthus).
If the area is red, swollen, suppurative, and painful upon palpation, the prognosis is good; if there is intense thirst, restlessness and confusion, unceasing bleeding, or if the lesion turns cyanotic/black, is painless, forms a fungating ulcer, and death ensues when the blood is exhausted.
Chen Shigong states: Yanbao Jun Du (Eye Lid Fungus Toxin) is formed by the condensation of latent heat in the Spleen Meridian. The manifestation involves a mushroom-like growth emerging from within the eyelid, with a large head and small stalk, gradually growing larger and prolapsing. In severe cases, it causes eversion of the eyelid, tearing, and visual obscuration. Treatment method: Apply soft cotton paper soaked in water onto the affected eyelid. After a short while, use the thumbnail of the left hand to cushion the base of the lesion, and use the tip of a lancet held in the right hand to cut flush with the base. Bleeding is not a concern; immediately apply a thick paste made from Cuiyun Ding (Emerald Cloud Stick), and the bleeding will stop spontaneously. (*Zhengzong*)
It further states: Internal administration of Liangge San (Cool the Diaphragm Powder) and Qingpi Yin (Clear the Spleen Drink) is suitable.
*Xinfa* (Heart Method) states: This condition initially resembles a fungus, with a large head and small stalk, appearing yellowish and glistening with moisture; some have a small head and large stalk. They gradually grow and prolapse, becoming hard and painless. Some may persist for years without healing, leading to ocular pathology. This is caused by pre-existing damp-heat in the Spleen Meridian combined with emotional stagnation and Qi constraint due to excessive thinking and depression. At the initial stage, washing with Qingliang Yuan (Cooling Paste) can eliminate it.
Qingliang Yuan Formula: Dangguiwei (Tail of Angelicae Sinensis Radix), Chishao (Red Peony Root), Shichangpu (Acori Tatarinowii Rhizoma) (each 2 qian); Qianghuo (Notopterygii Rhizoma et Radix) (0.5 qian); Difuzi (Kochiae Fructus); Chuanlian (Coptidis Rhizoma); Sheng Xingren (Raw Prunus Armeniacae Semen) (each 1 qian); Danfan (Alumen) (0.2 qian).
Grind all ingredients into a coarse powder, wrap in red silk cloth into a ball the size of a cherry, soak in boiling water, and use the warm infusion to wash the affected area.
*Xinfa* states: Yanbao Tanhe (Eyelid Phlegm Nodule) occurs in the upper and lower eyelids, between the skin and muscle. Large nodules are like dates, small ones like beans; they are movable upon pushing, with normal skin color, hard and swollen but painless. It is caused by damp-phlegm and Qi stagnation. Externally, apply raw Tiannanxing (Arisaematis Rhizoma) ground with vinegar into a thick paste, frequently applied to the eyelids. For recent onset, it resolves quickly; for long-standing cases, although immediate resolution is unlikely, frequent application will thin the skin slightly, causing minor erosion. Squeeze out a white powdery fluid with fingernails, and the nodule will resolve.