生地 玉竹 百合 百部 石斛 麦冬 石枣 淡竹叶 当归 人参 五味子 甘草 山药
漏睛,痼疾也,不治不变,治亦鲜愈。然无夜无明,血泪沾襟,风仪实不可观,不得不勉为燮理,以尽医职。
故主是方,以清金润燥为首务。生地、百部、百合、玉竹、淡竹叶、麦冬、石斛,清燥者也,当归、人参、五味、
甘草、石
枣、山药,养阴者也。阴足则气治,水自上升。燥去则血荣,火随下降。水升火降,而睛漏如初,术其终穷已乎。
睛漏久则必有管,当以庆云丹透净浊液,此汤乃效。
诗曰∶养阴清燥石枣肉,百合百部金钗斛,麦门参地味酸甘,淡叶还当饶玉竹。
病有不同,药无大异,穷原应变,临症圆通,汇因方∶
郁金 雄精 天竺黄 滑石 使君子(取净肉) 蝎梢 蟾蜍(去肠杂,炙酥,各二钱) 轻粉 牛黄 朱砂(各
一钱) 巴豆(去净油,取霜) 麝香(各六分) 浓煎二陈汤,调绿豆粉,蒸糊,丸如梧子大,阴干,飞石青为衣,
铅罐收藏,听用。
小儿饮食失宜,冷热蕴蓄,阻塞太阴传送之路,致清浊不分,时泄时止。尔时不善为调护,必加目青面惨,
肌退肢热,似疳非疳而甚于疳。将谓投以和剂,则不着痛痒。投以热剂,则实实而耗气。投以寒以补,均非对症,
术其穷矣。不尘为处此方,活者颇众,故谬曰保婴。或问故,曰∶轻粉、竹黄、石青、丹砂镇风热、坠顽痰之品
也,益以滑石,兼能解肌行水,而火不内燔。郁金、雄黄、牛黄破结气,散恶血之品也,益以二陈、绿豆,或更
清胃扶脾而谷气稍复。少佐巴豆、麝香者,盖癖积沉寒,法当以热下之。且妙有诸药监制,则威而不猛。初则通
幽,继而止泻,固攻散之和剂也。且蟾蜍、蝎稍、使君子,总以积郁生虫,从而杀之,法
制始备。雏嫩而弱者,不可过饵。经曰∶大积大聚,其可犯也,衰其半而止,过则死。
诗曰∶郁金巴豆赤雄精,滑石丹砂粉白轻,天竺牛黄蟾蝎麝,使君丸好保孩婴。
生地、玉竹、百合、百部、石斛、麦冬、石枣、淡竹叶、当归、人参、五味子、甘草、山药。
漏睛(泪窍常溢泪水,如泪管堵塞之症),属于顽固性疾病,不治疗不会自行改变,即使治疗也很少痊愈。然而若不分昼夜流泪,血泪沾湿衣襟,仪容实在不堪入目,不得不努力调理,以尽到医生的职责。
因此主治此方,以清润肺金、滋润燥邪为首要任务。生地、百部、百合、玉竹、淡竹叶、麦冬、石斛,是清除燥邪的药物;当归、人参、五味子、甘草、石枣、山药,是滋养阴液的药物。阴液充足则气机调顺,水液自然上升。燥邪去除则血液荣润,火气随之下降。水升火降,而眼睛漏泪的症状如同初愈,医术难道会陷入绝境吗?
眼睛漏泪时间久了必然形成管道,应当用庆云丹透净浊液,此汤剂才能见效。
诗曰:养阴清燥用石枣肉,百合百部配金钗石斛,麦冬人参地黄五味酸甘,淡竹叶还需多加玉竹。
病情各不相同,药物没有太大差异,探究本源以应对变化,临证时灵活变通,汇总病因与方剂如下:
郁金、雄精、天竺黄、滑石、使君子(取干净果肉)、蝎梢、蟾蜍(去掉内脏杂质,烤至酥脆,各二钱)、轻粉、牛黄、朱砂(各一钱)、巴豆(去尽油脂,取药霜)、麝香(各六分)。浓煎二陈汤,调和绿豆粉,蒸制成糊状,丸药大小如梧桐子大,阴干,用飞石青做外衣包裹,装在铅罐中收藏,听候使用。
小儿饮食不当,冷热蕴结蓄积,阻塞了太阴脾肺传送的路径,导致清浊不分,时而腹泻时而停止。此时如果不善于调护,必定会出现面色发青惨白,肌肉消瘦四肢发热,症状类似疳积但比疳积更严重。如果说投用平和的药剂,则不对症(不着痛痒);投用热性药剂,则会实证更实而耗伤正气;投用寒凉兼补益的药剂,也都不是对症之法,医术似乎就要穷尽了。不尘先生为此开出此方,治愈者很多,所以谦称其为“保婴”。有人问原因,回答说:轻粉、竹黄、石青、丹砂是镇息风热、坠除顽痰的药物,加上滑石,兼能解肌行水,从而使内火不再焚烧。郁金、雄黄、牛黄是破除结气、消散恶血的药物,加上二陈汤和绿豆,或许更能清胃扶脾而使谷气稍复。少量佐以巴豆、麝香的原因,是因为癖积沉寒,治法应当用热下药攻逐。况且妙在诸药相互监制,则威力大而不过猛。起初通畅幽闭,继而止住腹泻,这是攻散结合的平和药剂。而且蟾蜍、蝎梢、使君子,总因积郁生虫,从而杀灭它们,法制才算完备。雏嫩体弱的小儿,不可过量服用。经书说:对于大的积聚,可以触犯它,但病势减半时就应停止,过度使用会导致死亡。
Shengdi (Rehmanniae Radix), Yuzhu (Polygonati Odorati Rhizoma), Baihe (Lilii Bulbus), Bubu (Stemonae Radix), Shihu (Dendrobii Caulis), Maidong (Ophiopogonis Radix), Shizao (Ziziphi Spinosae Semen), Danzhuye (Lophatheri Herba), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Wuweizi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma).
Loujing (Leaking Canthus / Chronic Dacryocystitis) is a stubborn disease; without treatment, it does not change spontaneously, and even with treatment, few recover. However, if tears flow day and night, staining the lap with bloody tears, the appearance is truly unbecoming. One must strive to regulate it, fulfilling the duty of a physician.
Therefore, this prescription is primarily used to clear the Lung Metal (Metal element associated with the Lungs in TCM theory) and moisten dryness as the top priority. Shengdi, Bubu, Baihe, Yuzhu, Danzhuye, Maidong, and Shihu are herbs that clear dryness; Danggui, Renshen, Wuweizi, Gancao, Shizao, and Shanyao are herbs that nourish Yin. When Yin is sufficient, Qi becomes regulated, and Water naturally ascends. When dryness is removed, Blood becomes prosperous, and Fire descends accordingly. With Water ascending and Fire descending, the leaking canthus returns to its original state; would medical art be at an impasse?
If leaking canthus persists for a long time, a fistula (tube) will inevitably form. Qingyun Dan should be used to penetrate and clear turbid fluids; only then will this decoction be effective.
Poem says: To nourish Yin and clear dryness, use flesh of Shizao;
Baihe and Bubu paired with Jinchai Shihu;
Maidong, Renshen, Dihuang, Wuweiizi offer sour and sweet flavors;
Danzhuye should be augmented with ample Yuzhu.
Diseases vary, but medicines do not differ greatly. Investigate the origin to adapt to changes, and apply flexibility in clinical practice. The compiled causes and formulas are as follows:
Yujin (Curcumae Longae Radix), Xiongjing (Realgar), Tianzhu Huang (Calamistrum), Huashi (Talcum), Shijunzi (Quisqualis Fructus - take clean pulp), Xieshao (Scorpion's tail tip), Chan Chu (Bufo bufo gargarizans Cantor - remove internal organs and impurities, roast until crisp, 2 qian each), Qingfen (Calomelas), Niuhuang (Bovis Calculus), Zhusha (Cinnabaris - 1 qian each), Badou (Crotonis Fructus - remove all oil, take the frost/residue), Shexiang (Moschus - 6 fen each). Decoct Erchen Tang (Two-Aged Decoction) strongly, mix with Lvdou Fen (Mung Bean Powder), steam into a paste, pill to the size of a wutong seed, dry in shade, coat with Fei Shi Qing (Fly-stone Cyan), store in lead jars for use.
When infants' diet is improper, cold and heat accumulate and stagnate, blocking the transmission pathway of the Taiyin (Spleen/Lung channels), causing confusion between clear and turbid substances, resulting in intermittent diarrhea. If care is not proper at this time, symptoms such as blue-green complexion, emaciated muscles, and hot limbs will worsen, resembling Ganic syndrome (Infantile Malnutrition) but more severe than typical Ganic. If one claims to use harmonizing agents, they may seem irrelevant (not addressing the pain/itch); if using heating agents, excess will increase and Qi will be depleted; if using cooling and tonifying agents, none are appropriate. Medical art seems exhausted. Buchen prescribed this formula, and many were saved, hence the humble name "Baoying" (Protecting Infants). Asked for the reason, he replied: Qingfen, Zhu Huang (Bambusae Concretio Resinae), Shi Qing (Azurite), and Dansha (Cinnabaris) are substances that settle wind-heat and sink stubborn phlegm. Added with Huashi, they also release the muscle layer and promote water metabolism, preventing internal fire from blazing. Yujin, Xionghuang (Realgar), and Niuhuang break stagnant Qi and dissipate evil blood. Added with Erchen Tang and Lv Dou, they may further clear the Stomach and support the Spleen, allowing grain Qi to recover slightly. A small addition of Badou and Shexiang is because accumulated masses and deep cold require purgation by heat methods. Moreover, the mutual restraint among these drugs makes them potent yet not fierce. Initially, they open obstructions; subsequently, they stop diarrhea. This is a harmonizing formula combining attack and dispersion. Furthermore, Chan Chu, Xie Shao, and Shijunzi address worms generated by accumulated stagnation, thereby killing them, completing the methodological preparation. Tender and weak chicks should not be over-fed. The Classic states: For large accumulations and聚结s, one may intervene, but stop when half the pathogen is reduced; exceeding this leads to death.
Poem says: Yujin, Badou, red Xiongjing;
Huashi, Dansha, white Qingfen;
Tianzhu, Niuhuang, Chan, Xie, Shexiang;
Shijun pills protect the infant well.