此眼初患之时。眼朦昏暗。并无赤痛。内无翳膜。此是肾脏虚劳。肝气不足。眼前多生花。数般形状。或黑或白。
或黄或青。如此患者。切忌房室。如夜看细书。亦恐失明也。见一物面形难辨。后亦变为青盲。急宜补治五脏。可得疾
退。宜服补肝散、山药丸立效。
诗曰∶
朦胧远视不分明 赤痛前无净黑睛 下冷肝虚元气乏 眼前花见数般形
临时辞却阴阳事 书画裁缝且慢停 不是医家穿凿说 古来圣者说章程
有时一物睹为二 心绪多饶妄与惊 急服车前丸及散 免教久后变青盲
补肝散
羚羊角 防风(各二两) 羌活 车前子 人参 茯苓 细辛 黑参 黄芩(各三两半)
上为末。食后米饮汤调下一钱。
山药丸
干山药 干地黄 人参 茯苓 防风 泽泻(各一两)
上为末。炼蜜为丸如桐子大。空心茶下十丸。
此眼初患之时。忽然发动赤色。泪出翳生。或退或聚或散。初时即轻。如经一二年间渐重。瘀目不明。即冤神鬼祈
求。此疾皆因肝家劳热所作。毒风入脑眼中。觉患宜眼药将息。不得烧炙头面。可服泻肝汤、青葙子丸。及朱砂煎点之
立效。
诗曰∶
用力劳神赤痛来 睛瞳怕日泪难开 有时发动有时退 怨鬼求神作祸胎
忽尔翳生还自可 须知肝膈热荣排 急求汤药先除去 根株莫遣脏中理
一眼初时生作患 相牵后眼莫相违 今年发动轻轻过 后岁应多转转危
丸药青葙须至服 铍镰双睑血相牵 眼中宜点朱砂药 但炙头中即易为
泻肝汤
黄 大黄 黄芩 知母 芒硝(各一两) 桔梗(一两)
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
青葙子丸
青葙子 车前子 细辛 干地黄 菟丝子 防风 茺蔚子 五味子 人参 泽泻 茯苓(各一两)
上为末。炼蜜为丸如桐子大。空心茶下十丸。
朱砂煎
龙脑(一分) 乳香(二分) 朱砂(半两) 细辛 白芷 黄连 秦皮(各一两)
上为末。以水浸一复时。去渣用汁。以蜜五两煎之。点眼。
这段文字描述了两种眼部疾病的症状、病因及治疗方法。
第一种情况:此眼病在初发时,眼睛朦胧昏暗,并没有红肿疼痛,内部也没有翳膜遮挡。这是由于肾脏虚劳,肝气不足所致,眼前经常看到各种形状的花影,有的黑、有的白、有的黄、有的青。患有这种病的人,切忌进行房事;如果夜间看细小的书籍,也恐怕会导致失明。起初可能只是看到一个物体的形状难以辨认,后来也会演变为青盲(视力严重减退甚至失明)。应当紧急调理补益五脏,可以使病情迅速消退。适宜服用补肝散、山药丸,能立即见效。
诗曰:
视物朦胧远看也不分明,没有红肿疼痛且黑睛清澈。
下部寒冷肝虚元气匮乏,眼前出现多种花影形状。
此时应推辞阴阳房事,书画裁缝等工作暂且停止。
这不是医生牵强附会之说,自古圣贤就有这样的章程。
有时将一物看作两样,心神多有妄想与惊恐。
急服车前丸及散剂,以免久后变成青盲。
补肝散
配方:羚羊角、防风(各二两)、羌活、车前子、人参、茯苓、细辛、黑参、黄芩(各三两半)。
制法用法:以上药材研为细末,饭后用米汤调服一钱。
山药丸
配方:干山药、干地黄、人参、茯苓、防风、泽泻(各一两)。
制法用法:以上药材研为细末,用炼蜜制成如梧桐子大小的药丸,空腹时用茶送服十丸。
第二种情况:此眼病在初发时,突然发作出现红色,流泪并生出翳膜,有时消退、有时聚集、有时消散。初期病情较轻,如果经过一两年逐渐加重,导致瘀血阻滞眼睛不明亮。即使向冤神鬼祈求也无济于事,此疾都是因为肝脏劳热所致,毒风侵入脑部和眼中。感觉患病时应使用眼药调养,不得对头面部进行烧灼灸治。可以服用泻肝汤、青葙子丸,以及朱砂煎点眼,能立即见效。
诗曰:
用力劳神导致赤痛到来,瞳孔怕光流泪难开。
有时发作有时消退,怨鬼求神成为祸根。
忽然生出翳膜还算可救,须知是肝膈热邪排出的表现。
急求汤药先除去病根,不要让病根留在脏腑中处理。
一眼初起生病,牵连后眼不要违背规律。
今年发病轻轻度过,来年应该多次转转危险。
丸药青葙子必须服用,铍镰双睑血相牵(指手术或严重充血),眼中宜点朱砂药,只要不灸头部就容易治愈。
泻肝汤
配方:黄芪、大黄、黄芩、知母、芒硝(各一两)、桔梗(一两)。
制法用法:以上药材研为细末,用水一盏,取药散一钱,煎至五分,饭后去渣温服。
青葙子丸
配方:青葙子、车前子、细辛、干地黄、菟丝子、防风、茺蔚子、五味子、人参、泽泻、茯苓(各一两)。
制法用法:以上药材研为细末,用炼蜜制成如梧桐子大小的药丸,空腹时用茶送服十丸。
朱砂煎
配方:龙脑(一分)、乳香(二分)、朱砂(半两)、细辛、白芷、黄连、秦皮(各一两)。
制法用法:以上药材研为细末,用水浸泡一个晚上,去渣取汁,用五两蜜煎煮,用于点眼。
This text describes the symptoms, etiology, and treatment methods for two types of eye diseases.
First Condition: When this eye disease first occurs, the eyes appear hazy and dim, without redness or pain, and there is no membrane (翳膜) inside. This is caused by Kidney deficiency and exhaustion, and insufficient Liver Qi. The patient frequently sees various shapes of "flowers" (visual disturbances) before their eyes, which may be black, white, yellow, or green. Patients with this condition must strictly avoid sexual intercourse; if they read small print at night, they risk losing their sight. Initially, it may be difficult to distinguish the shape of an object, which may later progress to Qing Mang (severe visual impairment or blindness). It is urgent to tonify and regulate the Five Zang Organs to allow the condition to recede quickly. It is suitable to take Bu Gan San (Liver-Tonifying Powder) and Shan Yao Wan (Dioscorea Pill), which will produce immediate results.
Poem:
Vision is hazy and distant objects are unclear;
No redness or pain, the black pupil remains clear.
Lower body cold, Liver deficient, Yuan Qi depleted,
Various flower-like shapes appear before the eyes.
At this time, decline sexual activities;
Pause work in calligraphy, painting, and tailoring.
This is not a forced interpretation by physicians,
But follows the regulations set by ancient sages.
Sometimes one object is seen as two,
The mind is filled with delusions and fright.
Urgently take Che Qian Wan and its powder,
To prevent eventual progression to Qing Mang.
Bu Gan San (Liver-Tonifying Powder)
Ingredients: Ling Yang Jiao (Antelope Horn), Fang Feng (Saposhnikovia Root) (each 2 liang); Qiang Huo (Notopterygium Rhizome), Che Qian Zi (Plantago Seed), Ren Shen (Ginseng), Fu Ling (Poria), Xi Xin (Asarum), Hei Shen (Black Ginseng), Huang Qin (Scutellaria Root) (each 3.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1 qian after meals, mixed with rice water.
Shan Yao Wan (Dioscorea Pill)
Ingredients: Gan Shan Yao (Dried Dioscorea Rhizome), Gan Di Huang (Dried Rehmannia Root), Ren Shen (Ginseng), Fu Ling (Poria), Fang Feng (Saposhnikovia Root), Ze Xie (Alisma Rhizome) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills on an empty stomach with tea.
Second Condition: When this eye disease first occurs, it suddenly manifests with redness, tearing, and the formation of membranes. These symptoms may subside, gather, or disperse. The condition is mild initially, but if it persists for one or two years and gradually worsens, it leads to blood stasis obscuring the eyes. Praying to spirits or ghosts is useless; this disease is caused by Liver labor and heat, where toxic wind enters the brain and eyes. Upon feeling ill, use eye drops for care; do not apply moxibustion or cauterization to the head and face. One can take Xie Gan Tang (Liver-Draining Decoction), Qing Xiang Zi Wan (Celosia Seed Pill), and apply Zhu Sha Jian (Cinnabar Fritillary) to the eyes for immediate results.
Poem:
Labor and mental strain bring redness and pain;
The pupil fears light, tears hard to open.
Sometimes it flares up, sometimes it subsides;
Resentful ghosts and seeking gods become the root of disaster.
Suddenly membranes appear, yet it is still manageable;
Know that it is the expulsion of Heat from the Liver and Diaphragm.
Urgently seek decoctions to remove the cause first;
Do not let the root remain within the Zang Organs.
When one eye first becomes diseased,
Do not let the other eye deviate from the pattern.
If passed lightly this year,
Next year it should turn dangerous repeatedly.
Qing Xiang Zi pills must be taken;
Bilean (scalpel) and double eyelids involve blood connection;
Apply Cinnabar medicine to the eyes;
Only avoid cauterizing the head, and it will be easy to cure.
Xie Gan Tang (Liver-Draining Decoction)
Ingredients: Huang Qi (Astragalus Root), Da Huang (Rhubarb Root), Huang Qin (Scutellaria Root), Zhi Mu (Anemarrhena Rhizome), Mang Xiao (Mirabilite) (each 1 liang); Jie Geng (Platycodon Root) (1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1 qian of the powder with one cup of water, boil until reduced to half a cup. Strain and take warm after meals.
Qing Xiang Zi Wan (Celosia Seed Pill)
Ingredients: Qing Xiang Zi (Celosia Seed), Che Qian Zi (Plantago Seed), Xi Xin (Asarum), Gan Di Huang (Dried Rehmannia Root), Tu Si Zi (Cuscuta Seed), Fang Feng (Saposhnikovia Root), Chong Wei Zi (Chervil Seed), Wu Wei Zi (Schisandra Fruit), Ren Shen (Ginseng), Ze Xie (Alisma Rhizome), Fu Ling (Poria) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills on an empty stomach with tea.
Zhu Sha Jian (Cinnabar Fritillary)
Ingredients: Long Nao (Borneol) (1 fen), Ru Xiang (Frankincense) (2 fen), Zhu Sha (Cinnabar) (0.5 liang); Xi Xin (Asarum), Bai Zhi (Angelica Dahurica Root), Huang Lian (Coptis Rhizome), Qin Pi (Ash Bark) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Soak in water overnight, strain, and take the juice. Boil with 5 liang of honey. Use for eye drops.