目中有翳,其目必痒或闷者,何也?
虚窍中结的翳膜积滞,俱活动外转,而风邪之阻
于毛孔者皆开,是正气鼓动着邪气,经络中不能容,
自然作痒、沉闷。煎此药浸青绢搽之,则毒瓦斯外散,
经络中空洞无滞,光明不期然而复,所谓清阳上升,
浊阴下降者,此也。
老年青阳之气微弱,邪气易于上升而行空窍,
感之轻而为外障,感之重而成内障。外障则蔽锢日久,
内障则瘀塞日深,以致经络之虚者实矣,通者塞矣。
前用杞实粥养精血,猪肝脯补肝肾,五脏六腑、十二
经中清明之气将上升于目,此时神光微弱,不能外射,
必用引神丹引之,则精华渐复,神光自露。此引神丹
之妙用也。
始用熏洗汤以开毛窍,收功用赛空青者,何也?
食杞实粥以养胃气,胃能生气生血,气血生则经
络活动。吃猪肝脯以开肝窍,而肾经之光明自通。到
此时,正气复而邪气自退,经络中所积阴浊、污秽之
热毒,时时流出,而为眵泪,便是云翳化开的。火盛
则眵稠结而为翳,火退则结翳散而为稀眵。如眵涎粘
泥于眼内不爽,必用赛空青时时洗之,解热气,散眵
泪,就有羞明怕日的光景,而病已愈矣。收功之后,
用加味地黄丸等,以固其本。
加味地黄丸(滋阴固精明目,不寒不热,平和之剂,久服延年。)
怀地(八两) 茯苓(乳拌晒干) 山萸肉(酒洗焙干) 山药(各
四两) 泽泻(三两) 菊花(三两) 枸杞子(六两焙干) 丹皮
(三两酒洗炒) 辽五味(焙二两半) 蒺藜(炒去刺三两)
除地黄膏另入,余为细末,炼蜜为丸,如桐子大。
每三、四钱,空心淡盐汤下。虚甚,地黄丸内加紫河车
一具,酒洗净,盛瓷罐内,酒水煮烂,捣如泥,或焙
干为末入丸。晚服天王补心丹。二方朝夕并服,久久
自效。今之治目多补肾,不知补心,然心者君火也。
眼睛中有翳膜,必然伴有发痒或闷胀感,这是为什么呢?
这是因为虚窍中凝结的翳膜积滞,都处于活动外转的状态,而风邪阻滞于毛孔的情况也都得以开通。这是正气鼓动邪气,经络中无法容纳,自然会出现发痒、沉闷的感觉。煎煮此药浸湿青绢擦拭眼部,则毒瓦斯向外发散,经络中空洞无滞碍,视力光明不期而至地恢复,这就是所谓的“清阳上升,浊阴下降”的道理。
老年人阳气微弱,邪气容易上升并侵入空窍。感受轻微则形成外障,感受严重则形成内障。外障则遮蔽锢结日久,内障则瘀塞日益加深,导致原本虚弱的经络变得充实(邪实),原本通畅的经络变得闭塞。之前用枸杞子粥滋养精血,用猪肝脯补益肝肾,使五脏六腑、十二经脉中的清明之气将要上升至眼睛。此时神光微弱,不能向外投射,必须使用引神丹来引导它,那么精华逐渐恢复,神光自然显露。这就是引神丹的妙用。
起初使用熏洗汤以开通毛窍,最后收功时选用赛空青,这是为什么呢?
食用枸杞子粥以养护胃气,胃能化生气血,气血生成后经络便活动起来。吃猪肝脯以开通肝窍,肾经的光明自然通畅。到了这个时候,正气恢复而邪气自然退去,经络中积聚的阴浊、污秽的热毒,时时流出,成为眼屎和眼泪,这便是云翳化开的表现。火气旺盛则眼屎粘稠结成翳膜,火气消退则结翳散开成为稀薄的眼屎。如果眼屎粘腻在眼内不爽利,或者出现羞明怕日的症状,必须用赛空青经常清洗,以解热气,消散眼屎眼泪,病也就痊愈了。收功之后,使用加味地黄丸等药物,以巩固根本。
加味地黄丸(滋阴固精明目,不寒不热,是平和的药剂,久服可延年益寿。)
怀地黄(八两) 茯苓(用乳汁拌后晒干) 山茱萸肉(酒洗后焙干) 山药(各四两) 泽泻(三两) 菊花(三两) 枸杞子(六两焙干) 牡丹皮(三两酒洗炒) 辽五味子(焙干二两半) 蒺藜(炒去刺三两)
除地黄膏另外加入,其余药材研为细末,用炼蜜制成丸药,大小如梧桐子。
每次服用三、四钱,空腹时用淡盐汤送下。若虚损严重,在地黄丸中加入紫河车一个,用酒洗净,盛放在瓷罐内,用酒和水煮烂,捣成泥状,或焙干研末加入丸药中。晚上服用天王补心丹。这两方早晚并服,久而久之自然见效。当今治疗眼病多注重补肾,却不知补心,然而心属于君火。
If there is a nebula (corneal opacity) in the eye, it must be accompanied by itching or a sensation of stuffiness. Why is this?
This is because the nebular membranes and stagnation accumulated in the deficient orifices are all active and turning outward, while the obstruction of Wind pathogen at the hair follicles has been opened. This indicates that the Healthy Qi (Zheng Qi) is driving out the Pathogenic factors, which cannot be contained within the meridians, naturally resulting in itching and a feeling of oppression. Decocting this medicine, soaking a green silk cloth in it, and wiping the eyes will cause the toxic vapors to dissipate externally. The meridians will become hollow and free of stagnation, and clear vision will recover spontaneously. This is what is meant by "Clear Yang ascends, Turbid Yin descends."
In the elderly, the Yang Qi is weak, making it easy for pathogenic factors to ascend and enter the empty orifices. A mild infection results in external obstructions (exogenous eye diseases), while a severe infection leads to internal obstructions (endogenous eye diseases). External obstructions remain covered and bound for a long time, while internal obstructions become increasingly blocked with blood stasis over time. Consequently, the previously deficient meridians become filled with excess pathogens, and the previously unobstructed meridians become blocked. Previously, Goji Berry Porridge was used to nourish Essence and Blood, and Pork Liver Fries were used to tonify the Liver and Kidneys. This allows the Clear and Bright Qi from the Zang-Fu organs and the Twelve Meridians to ascend to the eyes. At this stage, the Divine Light (Shen Guang) is weak and cannot project outward. It is necessary to use Yinshen Dan (Spirit-Guiding Pill) to guide it, so that the essence gradually recovers and the Divine Light naturally emerges. This is the wonderful application of Yinshen Dan.
Why was Xunxi Tang (Fumigation and Washing Decoction) used initially to open the hair follicles, and Sai Kong Qing (Fake Azurite) chosen for the final treatment?
Eating Goji Berry porridge nourishes Stomach Qi. The Stomach generates Qi and Blood; once Qi and Blood are generated, the meridians become active. Eating pork liver opens the Liver orifice, allowing the brightness of the Kidney meridian to flow freely. By this time, Healthy Qi has recovered and pathogenic factors have retreated. The Yin turbidity, filth, and heat-toxin accumulated in the meridians flow out constantly, manifesting as ocular discharge (rheum) and tears, indicating that the cloud-like nebula is dissolving. When Fire is excessive, the rheum becomes thick and forms a nebula; when Fire subsides, the formed nebula disperses into thin rheum. If the rheum and saliva are sticky and muddy inside the eye causing discomfort, or if there is photophobia (aversion to light), one must frequently wash the eyes with Sai Kong Qing to resolve heat, disperse rheum and tears, and cure the disease even in cases of photophobia. After the curative effect is achieved, Jiawei Dihuang Wan (Modified Rehmannia Pill) and other formulas should be used to consolidate the root.
Jiawei Dihuang Wan (Nourishes Yin, consolidates Essence, and brightens the eyes; it is neither cold nor hot, a balanced formula suitable for long-term use to prolong life.)
Huai Dihuang / Radix Rehmanniae Preparata (8 liang) Fuling / Poria (mixed with milk and sun-dried) Shanzhanyu / Fructus Corni (washed with wine and dried) Shanyao / Rhizoma Dioscoreae (each 4 liang) Zexie / Rhizoma Alismatis (3 liang) Juhua / Flos Chrysanthemi (3 liang) Gouqizi / Fructus Lycii (6 liang, dried) Danpi / Cortex Moutan (3 liang, washed with wine and stir-fried) Liaowuweizi / Fructus Schisandrae Chinensis (dried 2.5 liang) Bilibi / Spina Gleditsiae Sinensis (stir-fried, thorns removed, 3 liang)
Except for Dihuang paste which is added separately, the remaining herbs are ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds.
Take 3-4 qian each time on an empty stomach, washed down with light salt water. For severe deficiency, add one Zijheche / Placenta Humana (Human Placenta) to the Dihuang Wan. Wash clean with wine, place in a porcelain jar, cook until soft with wine and water, mash into a paste, or dry and grind into powder to add to the pills. Take Tianwang Buxin Dan (Emperor of Heaven's Tonic for the Heart Pill) in the evening. Taking these two formulas morning and evening will yield effects over time. Currently, treating eye diseases often focuses on tonifying the Kidney, neglecting the Heart. However, the Heart belongs to Ministerial Fire (Jun Huo).