沉翳白隐黑睛内,肝劳脑热下攻瞳,向日细看方见翳,日轻夜重黑睛疼。羚羊角饮
车前子,羚角军防芩黑茺,皂荚丸用蛇蝉术,龙胆元精归菊芎,参苓木贼连翘芍,猪爪 皮甲谷精。
【注】沉翳内障,白藏在黑睛之内,向日细看,方见其白,疼痛则昼轻夜重。缘肝经
劳热,脑中热气流下。宜服羚羊角饮子及皂荚丸以治之。
沉翳羚羊饮
车前子(一钱) 羚羊角(二钱) 大黄(一钱) 防风(二钱) 黄芩(一钱) 黑参(一钱) 茺蔚子(二钱)
上为粗末,水二盏,煎至一盏,食后去渣温服。
皂荚丸方
蛇蜕(七条) 蝉蜕 白术 龙胆草 元精石 当归 白菊花(各两半) 川芎(半两) 人参(一两)
茯苓(一两半) 木贼(一两半) 连翘(一两半) 赤芍药(一两半) 猪爪(二十枚) 刺 皮 穿山甲
谷精草(各一两半)
共为细末,一半入牙皂十二梃,烧存性,和匀,炼白蜜丸桐子大,每服一钱五分,空
心杏仁汤下;一半入仙灵脾一两,每服三钱,用猪肝三片,批开夹药煮熟,临卧细嚼,用原汁送下。
横翳横格在瞳心,形如剑脊白如银,内虚风热攻冲脑,胃热肝邪致目昏。还睛决明
车前地,芩防辛味黑人参,七宝车前连炙草,丹砂石决犀羚均。
【注】横翳又名剑脊翳,自瞳仁中映出于外如剑脊,中高边薄,横格于瞳仁中心,色
白如银。缘内虚肝邪胃热,上冲于脑,脑脂下流入眼,致成内障。宜服还睛丸、七宝散。
横翳还睛丸方
石决明(一两) 车前子(一两) 生地黄(二两) 黄芩(一两) 防风(二两) 细辛(五钱)
五味子(半两) 黑参(一两) 人参(一两)
上为细末,炼蜜为丸,如桐子大,空心茶清送下三钱。
七宝散方
车前子 胡黄连 丹砂 石决明 甘草(各五分) 犀角(一钱) 羚羊角(一钱)
上为粗末,以水二盏,煎至一盏,食后去渣温服。
沉翳(深层内障)白色隐伏在黑睛(角膜)内部,因肝经劳损生热、脑中热气下攻瞳孔所致。在阳光底下仔细观看才能看见翳障,疼痛表现为白天轻、夜晚重。
羚羊角饮方:
包含车前子、羚羊角、大黄、防风、黄芩、黑参、茺蔚子。
皂荚丸方:
包含蛇蜕、蝉蜕、白术、龙胆草、元精石、当归、菊花、川芎、人参、茯苓、木贼、连翘、赤芍药、猪爪皮、穿山甲、谷精草。
【注释】沉翳属于内障疾病,白色翳膜藏于黑睛之内,只有在阳光下仔细查看,才能见到其白色;疼痛症状是白天轻而夜晚重。这是因为肝经有劳热,脑中的热气向下流注所致。适宜服用羚羊角饮子和皂荚丸来治疗。
沉翳羚羊角饮具体剂量与用法:
车前子(一钱)、羚羊角(二钱)、大黄(一钱)、防风(二钱)、黄芩(一钱)、黑参(一钱)、茺蔚子(二钱)。
将上述药材捣成粗末,加水两盏,煎煮至一盏,饭后去渣温服。
皂荚丸具体配方与制法:
蛇蜕(七条)、蝉蜕、白术、龙胆草、元精石、当归、白菊花(各半两)、川芎(半两)、人参(一两)、茯苓(一两半)、木贼(一两半)、连翘(一两半)、赤芍药(一两半)、猪爪(二十枚)、刺皮、穿山甲、谷精草(各一两半)。
将所有药材共研为细末。取一半药末,加入十二根牙皂,烧至存性(保留药性),混合均匀,用炼过的白蜜制成梧桐子大小的丸药。每次服用一钱五分,空腹时用杏仁汤送服;另一半药末,加入仙灵脾一两,每次服用三钱,用三片猪肝切开夹住药物煮熟,临睡前细细咀嚼,用原汁送下。
横翳(横向内障)横格位于瞳孔中心,形状像剑脊一样,颜色白如银。因体内虚弱、风热之邪上冲脑部,以及胃热和肝邪导致目视昏花。
还睛决明方:
包含车前子、地黄、黄芩、防风、细辛、五味子、黑参、人参。
七宝散方:
包含车前子、胡黄连、丹砂、石决明、甘草、犀角、羚羊角。
【注释】横翳又名剑脊翳,从瞳仁中映现出来,形状像剑脊,中间高两边薄,横向阻隔在瞳孔中心,颜色白如银。这是因为体内虚弱、肝邪和胃热上冲于脑,脑脂向下流入眼睛,从而形成内障。适宜服用还睛丸和七宝散。
横翳还睛丸具体配方与用法:
石决明(一两)、车前子(一两)、生地黄(二两)、黄芩(一两)、防风(二两)、细辛(五钱)、五味子(半两)、黑参(一两)、人参(一两)。
将上述药材研为细末,用炼蜜制成丸药,大小如梧桐子。空腹时用茶清送服三钱。
七宝散具体配方与用法:
车前子、胡黄连、丹砂、石决明、甘草(各五分)、犀角(一钱)、羚羊角(一钱)。
将上述药材捣成粗末,加水两盏,煎煮至一盏,饭后去渣温服。
Deep nebula (Shen Yi) appears as a white opacity hidden within the cornea (Hei Jing), caused by liver exhaustion generating heat and hot qi from the brain descending to attack the pupil. It is only visible upon close inspection in sunlight, with pain that is lighter during the day and heavier at night.
Lingyangjiao Yin Decoction:
Contains Qianqianzi (Plantaginis Semen), Lingyangjiao (Antelope Horn), Dahuang (Rhei Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Heishen (Ginseng Radix Rubra), and Chongweizi (Leonuri Fructus).
Zaojiao Wan Pill:
Contains Shetui (Crotali Periostracum), Chantui (Bombyx Disparis Periostracum), Baizhu (Atractylodis Macrocephalae Rhizoma), Longdancao (Gentianae Radix), Yuanjingshi (Natrii Sulfas), Danggui (Angelicae Sinensis Radix), Juhua (Chrysanthemi Flos), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Muzei (Equiseti Herba), Lianqiao (Forsythiae Fructus), Chishao (Paeoniae Radix Rubra), Zhu Zhaopi (Porci Cutis Corium), Chanshanjia (Manis Squama), and Gujingcao (Eriocauli Flos).
[Note] Deep nebula belongs to internal cataracts; the white opacity is concealed within the cornea. It can only be seen when carefully examined under sunlight. The pain symptom presents as lighter during the day and heavier at night. This is due to labor-heat in the Liver Meridian and hot qi from the brain flowing downward. It is appropriate to treat with Lingyangjiao Yin Zi and Zaojiao Wan.
Specific Dosage and Administration for Shen Yi Lingyangjiao Yin:
Qianqianzi (1 qian), Lingyangjiao (2 qian), Dahuang (1 qian), Fangfeng (2 qian), Huangqin (1 qian), Heishen (1 qian), Chongweizi (2 qian).
Grind the above herbs into coarse powder. Add two zhan of water, decoct until one zhan remains. Strain and take warm after meals.
Specific Formula and Preparation for Zaojiao Wan:
Shetui (7 strips), Chantui, Baizhu, Longdancao, Yuanjingshi, Danggui, Baijuhua (each 0.5 liang), Chuanxiong (0.5 liang), Renshen (1 liang), Fuling (1.5 liang), Muzei (1.5 liang), Lianqiao (1.5 liang), Chishao (1.5 liang), Zhu Zhao (20 pieces), Cipi, Chanshanjia, Gujingcao (each 1.5 liang).
Grind all herbs into fine powder. Take half of the powder, add twelve stalks of Yazao, burn until the medicinal nature is preserved (cun xing), mix evenly, and form pills using refined white honey, sized like tung tree seeds. Take 1.5 qian per dose, administered on an empty stomach with Apricot Kernel Decoction. For the other half of the powder, add Xianlingpi (1 liang), take 3 qian per dose. Use three slices of pig liver, split open to sandwich the medicine, cook thoroughly, chew finely before bedtime, and swallow with the original broth.
Horizontal nebula (Heng Yi) horizontally obstructs the center of the pupil, shaped like the ridge of a sword, white as silver. It is caused by internal deficiency with wind-heat attacking the brain, and stomach heat combined with liver pathogenic factors leading to blurred vision.
Huanjing Jueming Formula:
Contains Qianqianzi, Dihuang, Huangqin, Fangfeng, Xixin, Wuweizi, Heishen, Renshen.
Qibao San Powder:
Contains Qianqianzi, Huhuanglian, Dansha, Shijueming, Gancao, Xijiao, Lingyangjiao.
[Note] Horizontal nebula is also known as Sword Ridge Nebula. It emerges from the pupil, resembling the ridge of a sword, higher in the middle and thinner at the edges, horizontally obstructing the center of the pupil, white as silver. This results from internal deficiency, liver pathogenic factors, and stomach heat rushing upward to the brain, causing brain fat to flow downward into the eye, forming an internal cataract. It is appropriate to administer Huanjing Wan and Qibao San.
Specific Formula and Administration for Heng Yi Huanjing Wan:
Shijueming (1 liang), Qianqianzi (1 liang), Shengdihuang (2 liang), Huangqin (1 liang), Fangfeng (2 liang), Xixin (5 qian), Wuweizi (0.5 liang), Heishen (1 liang), Renshen (1 liang).
Grind the above herbs into fine powder, form pills with refined honey, sized like tung tree seeds. Take 3 qian on an empty stomach, washed down with clear tea.
Specific Formula and Administration for Qibao San:
Qianqianzi, Huhuanglian, Dansha, Shijueming, Gancao (each 5 fen), Xijiao (1 qian), Lingyangjiao (1 qian).
Grind the above herbs into coarse powder. Add two zhan of water, decoct until one zhan remains. Strain and take warm after meals.