物伤何最险,风水气三轮。黄白两般色,浅深一样痕。血亡先益气,神倦且安魂。已破加沉陷,汤丸免入唇。
此泛言目忽被金、被木打伤、跌伤,迫在轮廓之甚者。初患必赤肿痛涩,急进救睛散、黑神散。稍瘥,始现
伤痕,或黄或白。白者害迟,黄者速而险。有赤障头疼,症必变。
再用紫泥金,看效否。发本科药,对病调燮,准愈。其为细尖之物所触,浅小可治,若伤大而深,及内损神膏、
外破神珠者,纵然急治,免得枯凸,明终丧尔。嗟嗟!千金之子坐不垂堂,知命者不立乎岩墙之下,书不云乎。
彼真睛物损,非金也、木也、人也,盖天形也, 我为治,抑亦逆天行道者乎。
大道匪荆棘,风起沙尘竞。眯目不能行,泪障烟雨并。安得松滋侯,一洗群嚣靖。
此盖风吹沙土游丝,偶然撞入目中,而泪出不止,痛涩难开。又一种毒虫,名金蚕,吐丝网竹、树间,误触
而不即出,眼必肿。肿极不消,神珠潜裂耳。其实总易治,只浓磨好墨,用新羊毫笔涂入目中,少闭,仍用笔拭
出。不出,磨人指甲,与竹鼠齿和墨再涂,无不出者。出则痛患顿消,服药俱不必。奈人不知此,且擦且吹,致
气血凝滞,泪干而物着上睑不动,酿成大祸,甚有不可救者噫。
竹鼠,一名土豚,毛色苍碧,身肥大而足短小,食笋根。樵人常于竹山挖获。其齿上下四个,长八分,生取
下备用。
川十龄子秋成,时沿溪扑草虫饲雀。误拂一物于目,睑率胀起。本里有眼医二,一曰暑风,一曰中虫毒,
尔散我丸,既汗载下,睑愈肿,睛尤痛不能耐。无已延余。心知飞尘眯目,拭未出尔。翻胞见谷大一颗,周遭血
瘀。铲落视之,真谷也。哄堂一笑,厥病如失。然谷有芒刺,不受尘埃半点,侵之青睛,何当刺蔽三日,竟成气
翳,嗟嗟!医者,意
也。乃无妄之疾,治之大故,二医之意深矣哉。
物体损伤眼睛为何最为危险?因为风、水、气三邪容易随之侵入。伤痕呈现黄色或白色两种颜色,无论深浅,留下的痕迹是一样的严重。治疗时应当先益气以补充耗损的血液,若患者精神疲倦,则需安神定魂。如果眼球已经破裂并出现凹陷,此时应停止内服汤药和丸药,以免加重病情。
这段文字泛指眼睛突然被金属或木制物体击打、跌撞所受的严重外伤。初起时必然红肿疼痛、涩滞不适,应立即使用救睛散和黑神散。待症状稍有好转后,才会显现出伤痕,颜色或黄或白。白色伤痕危害较缓,黄色伤痕发展迅速且危险。如果出现赤障(角膜混浊)并伴有头痛,病情必定恶化。
随后再使用紫泥金进行治疗,观察疗效如何。发放本专科的药物,对症调理,即可痊愈。如果是被细小尖锐的物体触碰,伤口浅小尚可治愈;但如果伤势大而深,导致内部神膏(玻璃体)受损、外部神珠(眼球)破裂,即使紧急治疗,也只能避免眼球干枯凸起,最终难免失明。唉!富贵人家子弟不坐在屋檐下,知晓天命的人不站在危墙之下,古书不是这样说的吗?那真睛(眼球)被物体损伤,并非由金、木、人或天灾引起,而是人为造成的。我去治疗它,岂不是违背天道行事吗?
大道上并没有荆棘,但风起时沙尘飞扬。沙子迷住眼睛无法行走,泪水与烟雾般的模糊感交织在一起。怎样才能请出“松滋侯”(茶的别称),来洗去所有的喧嚣与浑浊呢?
这大概是指风吹起的沙土、游丝偶然进入眼中,导致眼泪不止,疼痛涩滞难以睁开。还有一种毒虫名叫金蚕,在竹树间吐丝结网,误触而不立即取出,眼睛必然肿胀。肿到极点若不消退,会导致神珠(眼球)内部潜裂。其实这些情况总归容易治疗,只需将优质好墨浓磨,用新羊毫笔涂抹入眼中,稍微闭眼片刻,仍用笔将其拭出。如果异物不出,可磨取人的指甲,与竹鼠齿混合墨汁再次涂抹,没有不能取出的。异物取出后,疼痛立刻消除,连服药都不必了。无奈人们不知道这个方法,反而一边擦拭一边吹气,导致气血凝滞,泪干后异物粘附在上眼睑不动,酿成大祸,甚至有不可挽救的情况,唉!
竹鼠,又名土豚,毛色苍碧,身体肥大而脚短小,吃竹笋根。樵夫常在竹林山里挖掘获得。它的牙齿上下各四个,长八分,活体取下备用。
四川十龄子秋天收获庄稼时,沿着溪流捕捉草虫喂鸟。不小心拂过一个东西进眼睛里,眼睑立刻肿胀起来。本村有两个眼科医生,一个说是暑风,一个说是中了虫毒,各自给我散剂和丸药,服用后大汗淋漓,眼睑更加肿胀,眼睛疼痛难忍。没办法只好延请我诊治。我心里明白是飞尘眯目,只是异物未取出罢了。翻开眼睑看到像谷粒大的一颗异物,周围有血瘀。铲落一看,真的是谷粒。满屋哄堂大笑,他的病瞬间消失。然而谷粒有芒刺,不受尘埃沾染,侵入青睛(黑眼球),怎么会刺痛遮蔽三天,竟然形成气翳(角膜瘢痕),唉!医者,靠的是意会。这是无妄之疾(意外之病),治疗是大事,两位医生的用心可谓深远啊。
Object injury is the most perilous because it invites the invasion of Wind, Water, and Qi (vital energy). The scars appear in two colors, yellow or white, with equal severity regardless of depth. Treatment should first focus on tonifying Qi to replenish lost Blood; if the patient shows signs of mental fatigue, the Shen (Spirit) must be calmed. If the eye has ruptured and sunk inward, decoctions and pills should be avoided to prevent further harm.
This passage generally refers to severe external trauma to the eye caused by sudden blows from metal or wooden objects. Initially, there will inevitably be redness, swelling, pain, and astringency; one should urgently administer Jiu Jing San (Eye-Saving Powder) and Hei Shen San (Black Spirit Powder). Once symptoms subside slightly, scars may appear, either yellow or white. White scars indicate a slower progression, while yellow ones are rapid and dangerous. If a red nebula (corneal opacity) appears accompanied by headache, the condition will likely deteriorate.
Subsequently, apply Zi Ni Jin (Purple Mud Gold) and observe the efficacy. Dispense ophthalmic medications appropriate for the specific condition, and recovery can be assured. If injured by a fine, sharp object, the wound is shallow and small, making it treatable. However, if the injury is large and deep, damaging the internal Shen Gao (Vitreous Humor) and breaking the external Shen Zhu (Eyeball), even urgent treatment can only avoid eyeball atrophy and protrusion, but blindness is ultimately inevitable. Alas! Children of wealthy families do not sit under eaves, and those who understand destiny do not stand beneath precarious walls. Is it not written in the books? Injury to the true eye (eyeball) by an object is not caused by Metal, Wood, humans, or natural disasters, but by human action. My treating it would be acting against the Way of Heaven.
The Great Dao has no thorns, yet when the wind rises, dust and sand compete. Sand blinds the eyes, preventing movement, while tears mix with a misty blur. How can we summon the "Lord of Songzi" (a poetic name for tea) to wash away all this turmoil?
This likely refers to wind-blown sand, soil, or gossamer accidentally entering the eye, causing incessant tearing, pain, and astringency that makes opening difficult. Another type of venomous insect, named Jin Can (Golden Silkworm), spins webs between bamboo and trees. If touched and not removed immediately, the eye will swell. If the swelling does not subside at its peak, the Shen Zhu (Eyeball) may suffer internal cracking. In fact, these conditions are generally easy to treat: simply grind high-quality ink thickly, apply it into the eye with a new sheep-hair brush, keep the eye closed briefly, and then use the brush to wipe out the foreign body. If the object does not come out, grind human fingernails and mix them with Zhu Shu Chi (Palm Civet Teeth) and ink, then reapply. Nothing will fail to come out. Once removed, the pain vanishes instantly, and medication is unnecessary. Unfortunately, people do not know this method; instead, they rub and blow at the eye, causing Qi and Blood stagnation. As tears dry, the foreign body adheres to the upper eyelid, leading to major disaster, and sometimes incurable outcomes. Alas!
Zhu Shu, also known as Tu Tun, has blue-green fur, a fat body, and short legs, feeding on bamboo roots. Woodcutters often dig them up in bamboo mountains. It has four teeth each on the upper and lower jaws, measuring eight fen in length, harvested alive for preparation.
Shi Lingzi from Sichuan was catching grass insects by the stream to feed birds during the autumn harvest. Accidentally, he brushed something into his eye, causing immediate eyelid swelling. There were two local eye doctors in his village: one diagnosed it as Summer-Wind, the other as Insect Poisoning. They prescribed their respective powders and pills. After taking them, he sweated profusely, his eyelids swelled more, and his eye pain became unbearable. With no other option, he invited me. I knew internally that it was merely sand blinding the eye and that the foreign body had not been removed. I everted the eyelid and saw a grain-sized object surrounded by blood stasis. Upon scraping it off, it was indeed a grain of millet. The room erupted in laughter, and his illness vanished instantly. However, the millet grain had awns (bristles) that repel dust; once it penetrated the Qing Jing (black cornea/pupil), how could it cause stabbing pain and obstruction for three days, eventually forming a Qi Yi (corneal scar)? Alas! Medicine relies on intuition. This was an accidental disease, and treatment is a grave matter; the intentions of the two doctors were profound indeed.