瞿麦(一钱) 归尾(酒洗) 赤芍(酒洗) 羌活 生地(酒洗)
花粉 石决明 草决明(炒) 黄芩(酒炒) 黄柏(各八分)
红花(酒洗) 苏木(酒洗各五分) 甘菊(一钱二分) 连翘(七
分)
水二钟,煎八分,灯心作引,食后热服。
(老年虚弱不用)
细茶(一两五钱) 山楂 甘草 广陈皮(各五钱) 老姜(一钱)
水二钟,煎八分,温服。片时即吐出痰涎,重则
三、四碗,轻吐一、二碗。吐完以小米汤止之。五、七
日后,痰火清,目自明矣。如痰不净,停几日再服。
睡起目赤良久者,此血热也。用生地黄半斤,捣
汁,浸粳米半升,三浸三晒,每早煮粥一盏,食之即
愈。
膈上有痰,目赤昏,用蛤粉一两,青黛一两,为
末,蜜丸圆眼核大。每一丸噙化,痰化为水,目自明。
若痰不清,火不降,日久生翳,外障成矣。凡眼病皆
因痰起,痰因火生也。
眼病遗精者,用六味地黄丸全料,加牡蛎烧红。
水淬,为末,焙干。一料用三两。
伤寒后余邪不散,上走空窍,两眼瘾涩,赤胀,
生翳,羞明,头疼,宜用∶
人参 白茯苓 炙甘草 白术 黄 羌活
独活(各六分) 白芍 生地 泽泻(各三分) 熟地
归身(各四分) 柴胡 防风(各五分)
白水二钟,煎一钟,热服。四物汤、地黄汤俱宜服∶
瞿麦(一钱) 当归尾(用酒清洗) 赤芍药(用酒清洗) 羌活 生地黄(用酒清洗)
天花粉 石决明 草决明(炒制) 黄芩(用酒炒制) 黄柏(各八分)
红花(用酒清洗) 苏木(用酒清洗,各五分) 甘菊花(一钱二分) 连翘(七分)
加水两钟,煎煮至剩余八分,以灯心草为引药,饭后热服。
眼白部分全部变黑的,是血瘀阻滞所致。药物起效后,患者会感到片刻的呆滞或痴傻,随后即可痊愈。适宜使用:
(老年人身体虚弱者不宜使用)
细茶(一两五钱) 山楂 甘草 广陈皮(各五钱) 老姜(一钱)
加水两钟,煎煮至剩余八分,温服。片刻之后便会吐出痰涎,病情重者吐三、四碗,轻者吐一、二碗。吐完后用小米汤来止住呕吐。五到七日后,痰火清除,眼睛自然明亮。如果痰未排净,间隔几天后再服用。
睡醒后眼睛发红持续很久的,这是血热所致。使用生地黄半斤,捣碎取汁,浸泡粳米半升,经过三次浸泡和三次晾晒,每天早晨煮一碗粥食用,吃了即可痊愈。
膈上有痰,眼睛发红昏暗,使用蛤粉一两,青黛一两,研成粉末,用蜂蜜制成如龙眼核大小的丸剂。每次含化一丸,痰液化为水排出,眼睛自然明亮。如果痰不清除,火气不降,日久会长出翳膜,形成外障眼病。凡是眼病都是由痰引起的,而痰是由于火气产生的。
患眼病并伴有遗精的,使用六味地黄丸的全料,加入烧红的牡蛎用水淬火,研成粉末,焙干。一料药用量三两。
伤寒病后余邪未散,向上走窜至头面空窍,双眼涩痛不适,红肿充血,长出翳膜,畏光,头痛,适宜使用:
人参 白茯苓 炙甘草 白术 黄芪 羌活
独活(各六分) 白芍 生地黄 泽泻(各三分) 熟地黄 当归身(各四分) 柴胡 防风(各五分)
加白水两钟,煎煮至一钟,热服。四物汤、地黄汤也都适宜服用:
Qu Mai (Dianthus Herba, 1 qian) Dang Gui Wei (Radix Angelicae Sinensis Cauda, washed with wine) Chi Shao (Radix Paeoniae Rubra, washed with wine) Qiang Huo (Notopterygii Rhizoma et Radix) Sheng Di Huang (Radix Rehmanniae Preparata, washed with wine)
Hua Fen (Trichosanthis Radix) Shi Jue Ming (Haliotidis Concha) Cao Jue Ming (Cassiae Semen, stir-fried) Huang Qin (Scutellariae Radix, stir-fried with wine) Huang Bo (Phellodendri Cortex, each 8 fen)
Hong Hua (Carthami Flos, washed with wine) Su Mu (Sappan Lignum, washed with wine, each 5 fen) Gan Ju (Chrysanthemi Flos, 1.2 qian) Lian Qiao (Forsythiae Fructus, 7 fen)
Add two zhong of water, decoct until eight fen remains, use Deng Xin Cao (Junci Medullia) as a guiding herb, take hot after meals.
When the sclera (white part of the eye) turns completely black, it indicates blood stasis (Xue Kui). When the medicinal power takes effect, the patient may experience slight stupor or dullness, after which they will recover. It is suitable to use:
Wu Ling Zhi (Trogopteri Dung, 3 qian)
Grind into powder, mix and take with hot yellow wine.
For phlegm in the chest and diaphragm causing wheezing with sound, and dim vision in both eyes, it is suitable to use:
(Not for elderly patients with weak constitution)
Xi Cha (Fine Tea, 1.5 liang) Shan Zha (Crataegi Fructus) Gan Cao (Glycyrrhizae Radix et Rhizoma) Guang Chen Pi (Citri Reticulatae Pericarpium, each 5 qian) Lao Jiang (Zingiberis Rhizoma Recens, 1 qian)
Add two zhong of water, decoct until eight fen remains, take warm. After a short while, phlegm and saliva will be vomited; severe cases may vomit three to four bowls, mild cases one to two bowls. After vomiting is complete, stop it with millet soup. After five to seven days, when phlegm-heat is cleared, vision will naturally become clear. If phlegm is not fully expelled, wait a few days and take again.
If the eyes remain red for a long time after waking up, this is due to blood heat. Use half a jin of Sheng Di Huang (Radix Rehmanniae Preparata), crush and extract juice, soak half a sheng of Jing Mi (Oryza Sativa Germen) rice. Soak and sun-dry three times. Cook a bowl of porridge every morning and eat it; recovery will follow immediately.
For phlegm above the diaphragm causing red and dim eyes, use one liang of Ge Fen (Concha Meretricis Preparata) and one liang of Qing Dai (Indicum), grind into powder, and make honey pills the size of a longan pit. Hold one pill in the mouth to dissolve slowly; when phlegm transforms into water and is discharged, vision will naturally clear. If phlegm is not cleared and fire is not descended, opacities (Yi) will form over time, resulting in external obstructions (Wai Zhang). All eye diseases arise from phlegm, and phlegm arises from fire.
For eye disease accompanied by spermatorrhea, use the full ingredients of Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), add Mu Li (Ostrea Concha) calcined until red, quenched with water, ground into powder, and dried. One dose uses three liang.
After Shang Han (Cold Damage), residual pathogens remain undissipated, moving upward to the orifices, causing itching and dryness in both eyes, redness and swelling, formation of opacities, photophobia, and headache. It is suitable to use:
Ren Shen (Ginseng Radix et Rhizoma) Bai Fu Ling (Poria, 6 fen each) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Huang Qi (Astragali Radix) Qiang Huo (Notopterygii Rhizoma et Radix)
Du Huo (Angelicae Pubescentis Radix, 6 fen each) Bai Shao (Radix Paeoniae Alba) Sheng Di Huang (Radix Rehmanniae Preparata) Ze Xie (Alismatis Rhizoma, 3 fen each) Shu Di Huang (Prepared Radix Rehmanniae) Dang Gui Shen (Radix Angelicae Sinensis Root Part, 4 fen each) Chai Hu (Bupleuri Radix) Fang Feng (Saposhnikoviae Radix, 5 fen each)
Add two zhong of white water, decoct until one zhong remains, take hot. Si Wu Tang (Four Substances Decoction) and Di Huang Tang (Rehmannia Decoction) are also suitable to take: