草决明 当归 菊花(各一两) 木贼 蝉蜕(各二
钱) 川芎(三钱) 青葙子(炒) 防风 山栀 白蒺藜(炒)
白芍 粉草(各五钱)
上为细末,炼蜜为丸,如桐子大。每服三十丸,
麦冬汤下。
打伤头目,十分重症,宜用∶
当归 白芍 熟地 川芎(各一钱) 本 前胡
防风(各七分)
水二钟,煎一钟,热服。
伤眉骨,加黄连;伤目中,加柴胡;伤额、交巅、
耳上角及脑,加苍术;伤耳前后、耳角,加枳壳;伤
头角、耳前后,加胆草;伤额角及巅,加五味子;有
热,加黄芩∶大便干加大黄。
神水散大者,不治。如初散,用四物汤加五味
子、枸杞、人参、枣仁等药收之。
覆盆子叶,不拘多少,为末,水调成膏,摊纱绢
上,贴眼片时,其中即出。
大凡眵泪、热泪、风泪,俱点扫雾丹。惟秋冬迎
风流泪,并时常流冷泪,此虚泪也。用∶
枸杞子八两,捣烂装绢袋内,入大瓶中,加好黄
酒一瓶,待七日,每早饮热酒两、三钟, 猪肝竹刀
切,蒸熟,蘸花椒盐吃,泪即止。
风砂入目,粘睛不脱,疼痛瘾涩流泪,闭目不
开,日久生云翳,赤丝瘀血堆聚。先用细海浮石削如
笔头,安笔筒上,蘸凉水打磨。瘀血积滞散了,然后
服通灵散。眼皮内砂粟,并珠上浓翳,俱用此打磨。
草决明、当归、菊花(各一两)、木贼、蝉蜕(各二钱)、川芎(三钱)、青葙子(炒制)、防风、山栀、白蒺藜(炒制)、白芍、粉草(各五钱)。
以上药物研成细末,用炼蜜制成丸药,大小如梧桐子。每次服用三十丸,用麦冬汤送服。
头部和眼部受到外伤,属于十分严重的病症,适宜使用:
当归、白芍、熟地黄、川芎(各一钱)、藁本、前胡、防风(各七分)。
加水两钟,煎煮至一钟,热服。
若伤及眉骨,加黄连;伤及眼中,加柴胡;伤及额头、头顶、耳上角及脑部,加苍术;伤及耳前后、耳角,加枳壳;伤及头角、耳前后,加龙胆草;伤及额角及头顶,加五味子;若有热象,加黄芩;大便干燥加大黄。
若神水散大者,属不治之症。若初起时神水散大,可用四物汤加入五味子、枸杞子、人参、酸枣仁等药物来收敛治疗。
小儿双眼通睛呆转,想往东看却看见西边,适宜使用:
(原文此处重复“小儿双眼通睛呆转,欲看东则见西,宜用∶”,未列出具体方药,故译为原文描述)
烂眼伴有虫蚀,瘙痒难忍,适宜使用:
覆盆子叶,数量不限,研成粉末,用水调成膏状,摊在纱绢上,贴敷于患处片刻,虫即会出来。
凡是眵泪(眼屎多伴泪水)、热泪、风泪,均点用扫雾丹。只有秋冬季节迎风流泪,以及时常流出冷泪,这属于虚性流泪。适宜使用:
枸杞子八两,捣烂装入绢袋内,放入大瓶中,加入一瓶优质黄酒,待七日,每天早晨饮用热酒两到三钟,猪肝用竹刀切片,蒸熟后蘸花椒盐食用,眼泪即可停止。
风砂入目,异物粘附眼球不脱落,疼痛且隐涩感伴随流泪,闭目不开,日久生成云翳,赤丝瘀血堆聚。先用细海浮石削成笔头形状,固定在笔筒上,蘸凉水进行打磨。待瘀血积滞消散后,再服用通灵散。眼皮内的砂粟,以及黑睛上的浓翳,均用此法打磨。
Cassiae Semen (Juemingzi), Angelicae Sinensis Radix (Danggui), and Chrysanthemi Flos (Juhua) (each 1 liang); Tmesopteridis Herba (Muzei) and Cicadae Periostracum (Chantui) (each 2 qian); Ligustici Chuanxiong Rhizoma (Chuanxiong) (3 qian); Celosiae Semen Qianqizi (Qiangzizi, stir-fried); Saposhnikoviae Radix (Fangfeng); Gardeniae Fructus (Shanzhi); Tribuli Fructus (Bajili, stir-fried); Paeoniae Radix Alba (Baishao); and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Fengcao) (each 5 qian).
Grind the above herbs into a fine powder. Form pills using refined honey, with each pill being the size of a paulownia seed. Take thirty pills per dose, administered with Ophiopogonis Decoction (Maidong Tang).
For severe trauma to the head and eyes, the following prescription is suitable:
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Praeparata (Shudi), and Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 1 qian); Libanotidis Rhizoma (Ben), Peucedani Radix (Qianhu), and Saposhnikoviae Radix (Fangfeng) (each 0.7 qian).
Add two zhong of water, decoct until one zhong remains, and take hot.
If the injury involves the eyebrow bone, add Scutellariae Radix (Huanglian); if it involves the eye interior, add Bupleuri Radix (Chaihu); if it involves the forehead, vertex, upper ear angle, or brain, add Atractylodis Rhizoma (Cangzhu); if it involves the areas before and behind the ears or the ear angle, add Aurantii Fructus Immaturus (Zhiqiao); if it involves the temporal angles and areas before and behind the ears, add Gentianae Radix (Dancao); if it involves the frontal angles and vertex, add Schisandrae Fructus (Wuweizi); if there is heat, add Scutellariae Radix (Huangqin); if the stool is dry, add Rhei Radix et Rhizoma (Dahuang).
If the Shen Shui (Divine Water, referring to the aqueous humor or pupil dynamics in traditional context) is dilated, it is considered incurable. If initially dilated, use Siwu Tang (Four Substances Decoction) added with Schisandrae Fructus (Wuweizi), Lycii Fructus (Gouqi), Ginseng Radix (Renshen), and Ziziphi Spinosae Semen (Zaoren) to consolidate and treat.
For children with strabismus (Tongjing) and dull, fixed gaze, where they intend to look east but see west, the following is suitable:
(Original text repeats the symptom description without listing specific herbs.)
For ulcerative eye conditions with parasitic infestation causing unbearable itching, the following is suitable:
Rubus Idaeus Folium (Fupenzi Ye), quantity unspecified. Grind into powder, mix with water to form a paste, spread on gauze or silk, and apply to the affected area for a short period; the parasites will emerge.
For cases involving excessive discharge with tears (Chi Lei), hot tears, or wind-induced tears, apply Saowu Dan (Sweeping Mist Pill/Elixir). However, tearing triggered by wind in autumn and winter, or frequent cold tears, indicates deficiency-type tearing. The following is suitable:
Lycii Fructus (Gouqi) 8 liang, crushed and placed in a silk bag, then put into a large jar with one bottle of high-quality yellow wine. After seven days, drink two to three zhong of warm wine every morning. Slice fresh liver with a bamboo knife, steam until cooked, and dip in Sichuan pepper salt; this will stop the tearing.
When foreign bodies (wind and sand) enter the eye, adhering to the globe and not detaching, accompanied by pain, gritty sensation, tearing, inability to open the eyes, clouding opacity (Yunyi) developing over time, and accumulation of red filaments and blood stasis: First, shape fine pumice stone (Haifushi) like a pen tip, fix it on a pen holder, dip in cool water, and grind/polish the affected area. Once the blood stasis and stagnation dissipate, then administer Tongling San (Spirit-Connecting Powder). This grinding method is also used for granules within the eyelids and thick opacities on the cornea (Zhu Shang).