目疾总论
其症七十二种,治之应究其源。大约红为热、白为冷、痒为风、涩为毒瓦斯之作也。风则
散之、热则清凉之、冷则温补之、气结则调顺之。切不可用刀针点割,偶得其愈,出乎侥幸,
倘或不然,终身之患。又不宜过用凉药,恐冰其血,凝而不流,亦成痼疾。当量人老少、气
体虚实用药。又有肾虚者,亦令眼目无光,或生冷翳,补暖下元,益其肾水自愈。治北方人
与南方异。北方之人患眼最多,皆因日冒风沙,夜眠火炕,二气交蒸,治之多用凉药。北方
人禀受原与南方人不同也。治妇人又与男子异,盖其间有伤胎坠产之药,自当除去。须以当
归为主,可以活血。其余之药,对症而发。小儿患眼又与大人异,不过胎毒。受孕之时过食
热物而然,虽过百日、一周亦是胎毒。至一、二岁间患眼者,此是好食煎炒五辛之热物,使
五脏受毒,攻冲而后发也。至如孩童之患眼,有实无虚、多热无冷。若遇患眼之稚子,切不
可以药吹点之,恐血气未定,致伤其目。只可以败毒散治之。如痘疹之后,毒瓦斯郁结于心肝
二经,气不能泄,攻发于眼目,伤瞳仁者,则又素无治法也。
目疾通治
荆芥 羌活 甘草 甘菊 防风 本 黄芩 当归 山栀 赤芍 白芷 乳香 没药
各一钱 全蝎三个
水二碗煎一碗,空心服。凡目疾初起即至十余日,急服二、三剂无不立愈。如意为增减
多不验。(《秘方集验》)
眼中起星
取荸荠捶碎,将水洒纸上成粉,候干刮取点患处。(古方)
洗眼奇方(张道人从道藏内检采,普济十方,不论瞽目犯土,云雾风眼,火眼昏花,久
洗自明)
用皮硝六钱,桑白皮(生)一两,白水煎。每遇日期,热洗数十次。
正月初五 二月初二 三月初三 四月初九 五月初五 六月初四 七月初三 八月初
十九月十二 十月十二 十一月初四 十二月初四 闰月照本月
以上吉星日子,乃通光明也。其方千金不易,屡试屡验。出(《道藏》)
羊肝丸(治男女肝经不足,风热上攻头目,昏暗羞明及障翳、青盲等症。)
黄连一两(末) 羊子肝一具(去膜)
擂烂同连末为丸,梧子大。每食后暖浆水吞十四丸,连作五剂瘥。昔崔承元活一死囚,
囚后病死。崔患内障逾年,半夜独坐,耳阶除蟋蟀之声,问之。答曰∶“是昔蒙活之囚,今
特报恩”。遂告此方。崔服之,不数日,眼复明。(刘禹锡传信方)
眼目障翳
好焰硝一两(铜器熔化) 黄丹(飞) 片脑各二分
铜匙急炒,入罐内收之。每点少许,其效如神。 克州朱秀才忽不见物,朝夕礼天,梦
神传此方。(张三丰仙方)
眼药(京师方好眼药,能治七十二眼疾)
冰片、熊胆各一分,洁净加工研极细。清晨点上如观星,若还低头药不灵。十年瞽目无
所见
七十二种眼疾
羊胆一枚割开,入蜂蜜一钱,线轧紧,两手揉匀,白水煮一滚即取出,凉水浸半日,倾
出内
明目散
薄荷甘草共天麻,荆芥防风甘菊花,当归连翘枸杞子,川芎白芷密蒙花。
等分各研为细末,每服三钱,只用茶。劝君每日进一服,瞳仁咫尺见天涯。(《万病回春》)
昏花
用童便煎菊花;洗数次即愈。(《愿济堂刊施》)
取下翳膜
蕤仁二两,去油,入硼砂一钱,麝香二分,研匀收之。去翳膜妙不可言。(《本草》)
赤肿
胡黄连浸人乳点之;小儿则涂足心。(古方)
暴发肿痛
先将青布一块,水浸洗令干。另用生姜汁、白矾末将布蘸搽眼胞上,闭目少倾,泪出痛
止。(《秘方集验》)
明目补肾(兼治筋骨疼痛)
小红枣十二个(冷水洗净,去蒂) 甘州枸杞子三钱 小马料豆四钱
水二碗煎半。早晨空心连汤共食之。若专明目,枸杞子三钱,菊花七朵去蒂,每早白汤
下。久服,青盲可以复明。(《秘方集验》)
青盲
雄鼠胆(鼠胆最小,略惊惶便碎矣) 鲤鱼胆各二枚,和匀滴之,立效。(《圣惠方》)
肝虚雀目
黄蜡不拘多少,溶汁取出,入蛤粉相和得所,每用刀切下二钱,以猪肝二两,剖开掺药
在内,麻绳扎定,水一碗,入铫子内煮熟熏眼。至温,并肝食之。日二,以平安为度,效。
(《
小儿雀目
羯羊肝一具,不用洗,竹刀剖开,入谷精草一撮,瓦罐煮熟,日食之,屡验。忌铁器。
(《
天丝入目
石菖蒲捶碎。左目塞右鼻,右目塞左鼻,百发百中。或用木梳垢为小丸,放眼角边,即
出。
烟渣入目
小儿及好吃烟者误犯。如将别汤洗目,愈洗愈疼,必至眼瞎而后止。须用乱头发或综缨
缓缓揉之即愈。(抄本)
沙尘入目
取活蜣螂一枚,持其斧于眼上影之,即出。(徐氏抄录)
麦芒入目
煮大麦汁洗之,即出。(《单方全集》)
打伤眼睛(如突出,急揉进)
用生猪肉一片,将当归、赤石脂末掺肉上贴之,去毒血愈。(《单方集验》)
目疾总论
眼部疾病的症状有七十二种,治疗时必须探究其病因。大致而言,眼睛发红属于热证,发白属于寒证,瘙痒属于风邪,干涩属于毒瓦斯(指外感邪气或体内毒素)作祟。若是风邪所致,则用疏散风邪的方法;若是热邪所致,则用清凉法;若是寒邪所致,则用温补法;若是气机郁结,则用调理顺气法。切不可使用刀针切割点刺,偶尔治愈也是侥幸,倘若处理不当,会成为终身的祸患。也不宜过度使用寒凉药物,恐怕会使血液凝滞如冰,凝固而不流动,从而形成顽固性疾病。应当根据患者的年龄、体质虚实来用药。又有肾虚的患者,也会导致眼目无神光彩,或者生出生翳膜,通过温补下元、滋益肾水即可自愈。治疗北方人与南方人有所不同。北方人患眼病最多,都是因为白天冒风沙,晚上睡火炕,两种热气交蒸所致,治疗时多使用寒凉药物。这是因为北方人的先天禀赋原本就与南方人不同。治疗妇人又与男子不同,因为其中有些药会损伤胎气导致流产,自然应当除去这些药物。必须以当归为主药,因为它可以活血。其余的药物,根据具体病症加减使用。小儿患眼病又与成人不同,不过是胎毒。在受孕之时母亲过食热性食物所致,即使过了百日、一周也是胎毒。到了两三岁之间患眼病的,这是喜欢食用煎炒及五辛等热性食物,使五脏受毒,毒气攻冲而后发作。至于孩童患眼病,只有实证没有虚证,多是热证少寒证。如果遇到患眼病的幼儿,切不可以药物吹入或点入眼中,恐怕血气未定,会伤害眼睛。只可以用败毒散治疗。如果是痘疹之后,毒瓦斯郁结在心肝二经,气机不能宣泄,攻发于眼目,损伤瞳仁的,这就没有固定的治疗方法了。
目疾通治
荆芥、羌活、甘草、甘菊、防风、藁本、黄芩、当归、山栀、赤芍、白芷、乳香、没药各一钱,全蝎三个。
用水两碗煎至一碗,空腹服用。凡是眼病初起直至十余日,急服二、三剂,无不立即痊愈。如果随意增减药味,大多不灵验。(出自《秘方集验》)
眼中起星
取荸荠捣碎,将汁液洒在纸上使其成为粉末,待干后刮取粉末点涂患处。(古方)
洗眼奇方(张道人从道藏中检选采集,普济十方,不论失明、土邪入侵、云雾遮挡、风眼、火眼昏花,长期清洗自然明亮)
用皮硝六钱,桑白皮(生用)一两,白水煎煮。每逢特定日期,趁热清洗数十次。
正月初五、二月初二、三月初三、四月初九、五月初五、六月初四、七月初三、八月十九、九月十二、十月十二、十一月初四、十二月初四、闰月照当月执行。
以上均为吉星日子,乃通达光明之意。此方价值千金不换,屡试屡验。出处(《道藏》)
羊肝丸(治疗男女肝经不足,风热上攻头目,导致视物昏暗、畏光羞明以及障翳、青盲等症状。)
黄连一两(研末),羊子肝一个(去除筋膜)。
研磨烂熟后同黄连末混合制成丸药,大小如梧桐子大。每次饭后用温浆水吞服十四丸,连续服用五剂病愈。从前崔承元救活了一个死囚,后来那个囚犯病死。崔承元自己患内障一年多,半夜独自坐着,听到台阶下蟋蟀叫声,询问原因。回答说:“是以前蒙您救活的囚犯,今天特意来报恩。”于是告知此方。崔承元服用后,没过几天,眼睛复明。(出自刘禹锡《传信方》)
眼目障翳
好焰硝一两(在铜器中熔化),黄丹(飞制),片脑各二分。
用铜匙快速翻炒,放入罐内收藏。每次点少许,效果神奇。克州的朱秀才突然看不见东西,早晚礼拜上天,梦中神灵传授此方。(张三丰仙方)
眼药(京师地区的好眼药,能治疗七十二种眼疾)
冰片、熊胆各一分,洁净加工后研磨极细。清晨点上如同观星,如果还低头看则药效不灵。十年失明的也能看见。
七十二种眼疾
羊胆一枚切开,放入蜂蜜一钱,用线扎紧,双手揉匀,在白水中煮沸后立即取出,在凉水中浸泡半天,倒出液体。
明目散
薄荷、甘草共配天麻,荆芥、防风、甘菊花,当归、连翘、枸杞子,川芎、白芷、密蒙花。
各等分分别研磨为细末,每次服用三钱,只用茶水送服。劝君每天进服一剂,瞳孔便能看清咫尺天涯。(《万病回春》)
取下翳膜
蕤仁二两,去油,加入硼砂一钱,麝香二分,研磨均匀后收藏。去除翳膜妙不可言。(《本草》)
暴发肿痛
先用一块青布,用水浸湿洗净晾干。另用生姜汁、白矾末蘸着布擦拭眼睑,闭目片刻,流泪后疼痛停止。(《秘方集验》)
明目补肾(兼治筋骨疼痛)
小红枣十二个(冷水洗净,去蒂),甘州枸杞子三钱,小马料豆四钱。
用水两碗煎至半碗。早晨空腹连汤一起食用。若专门为了明目,用枸杞子三钱,菊花七朵去蒂,每天早上用白开水送服。长期服用,青盲症可以复明。(《秘方集验》)
青盲
雄鼠胆(鼠胆最小,稍微受惊就会破碎)、鲤鱼胆各两枚,混合均匀滴眼,立即见效。(《圣惠方》)
肝虚雀目
黄蜡不拘多少,溶化后取出,加入蛤粉调和适当,每次用刀切下二钱,用猪肝二两剖开,将药掺在里面,用麻绳扎紧,放一碗水,放入铫子内煮熟熏眼。温度适宜时,连同猪肝一起吃掉。每天两次,以平安为度,有效。
小儿雀目
羯羊肝一个,不用洗,用竹刀剖开,放入谷精草一撮,瓦罐煮熟,每天食用,屡试有效。忌用铁器。
天丝入目
石菖蒲捣碎。左眼患病塞右鼻孔,右眼患病塞左鼻孔,百发百中。或者用木梳垢做成小丸,放在眼角边,即可排出。
烟渣入目
小儿及爱吃烟的人误触。如果用别的汤水洗眼,越洗越疼,必须直到眼瞎才停止。必须用乱头发或综缨慢慢揉搓即可痊愈。(抄本)
沙尘入目
取活蜣螂一枚,拿着它的斧状前肢在眼睛上方晃动影射,沙尘即出。(徐氏抄录)
麦芒入目
煮大麦汁清洗眼睛,麦芒即出。(《单方全集》)
General Discussion on Eye Diseases
There are seventy-two types of symptoms in eye diseases; treatment must investigate the root cause. Generally, redness indicates Heat (Re), whiteness indicates Cold (Han), itching indicates Wind (Feng), and dryness/astringency indicates the action of toxic vapors (Du Wa). If caused by Wind, disperse it; if by Heat, cool it; if by Cold, warm and tonify it; if by Qi stagnation, regulate and smooth it. One must absolutely avoid using knives, needles, or cutting points. Occasional cures are merely luck; otherwise, it may become a lifelong affliction. It is also inadvisable to overuse cold-natured medicines, as this may freeze the blood, causing coagulation and stasis, thereby forming chronic diseases. Medicines should be prescribed according to the patient's age and the deficiency or excess of their constitution. Patients with Kidney Deficiency (Shen Xu) may also suffer from lackluster eyes or the formation of corneal opacities (Yi); warming the Lower Yuan (Xia Yuan) and benefiting Kidney Water (Shen Shui) will lead to self-healing. Treatment for people in the North differs from that in the South. People in the North suffer from eye diseases most frequently, all due to exposure to wind and sand during the day and sleeping on heated kang beds at night, where the two energies steam each other; thus, treatment often employs cold medicines. This is because the innate endowment of Northerners differs originally from Southerners. Treating women differs from men, as some medicines may damage the fetus or induce abortion, so these must be excluded. Angelica Sinensis (Danggui) should be the principal herb, as it can invigorate Blood (Huo Xue). Other herbs are added according to specific symptoms. Children’s eye diseases differ from adults’, usually stemming from Fetal Toxin (Tai Du). This results from the mother consuming excessive hot-natured foods during conception; even after one hundred days or one week, it remains fetal toxin. Those who develop eye issues between ages one and two have likely enjoyed fried, roasted, or pungent (Wu Xin) hot foods, causing toxins to accumulate in the Five Zang Organs, which then attack and manifest. For children, eye diseases present as Excess (Shi) rather than Deficiency (Xu), and Heat rather than Cold. When encountering a child with eye disease, one must absolutely avoid blowing medicine into or dropping it into the eyes, lest the unstable Qi and Blood damage the eyes. Only Baidu San (Poison-Resolving Powder) should be used. If, following smallpox or chickenpox, toxic vapors stagnate in the Heart and Liver meridians, unable to vent, and attack the eyes, damaging the pupil, there is no fixed method of treatment.
Universal Prescription for Eye Diseases
Jingjie (Schizonepetae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ganju (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix), Bencao (Ligustici Rhizoma et Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Shanzhi (Gardeniae Fructus), Chishao (Paeoniae Radix Rubra), Baizhi (Angelicae Dahuricae Radix), Ruxiang (Olibanum), Moyao (Myrrha) — each 1 qian; Quanxie (Scorpio) — 3 pieces.
Decoct in 2 bowls of water until 1 bowl remains. Take on an empty stomach. For any eye disease from onset up to ten days, taking 2–3 doses urgently will invariably bring immediate cure. Arbitrary modifications rarely yield results. (From *Mifang Jiyuan*)
Stars Rising in the Eye
Take fresh water chestnuts (Biqi), crush them, sprinkle the juice onto paper to form a powder, wait for it to dry, scrape off the powder, and apply to the affected area. (Ancient Formula)
Miraculous Eye-Washing Formula (Collected by Daoist Zhang Daoren from the Daoist Canon, intended to benefit all directions; effective for blindness, earth-pathogen invasion, cloudy vision, wind-eye, fiery-eye, and blurred vision; long-term washing restores clarity.)
Use Piao Xiao (Natrii Sulfas) 6 qian, Sangbaipi (Mori Cortex) 1 liang (raw). Decoct in plain water. On designated dates, wash the eyes dozens of times while hot.
Dates: 5th of the 1st month, 2nd of the 2nd, 3rd of the 3rd, 9th of the 4th, 5th of the 5th, 4th of the 6th, 3rd of the 7th, 19th of the 8th, 12th of the 9th, 12th of the 10th, 4th of the 11th, 4th of the 12th. Leap months follow the current month.
These are auspicious star days, representing universal illumination. This formula is worth a thousand gold and has been tested repeatedly with success. Source: (*Daozang*)
Sheep Liver Pill (Treats insufficiency of the Liver Meridian in both men and women, wind-heat attacking the head and eyes, causing dim vision, photophobia, corneal opacities, and congenital blindness.)
Huanglian (Coptidis Rhizoma) 1 liang (powdered); Yangzi Gan (Ovis Felis Hepat) 1 piece (remove membrane).
Grind thoroughly and mix with the Huanglian powder to form pills the size of wutong seeds. Swallow 14 pills with warm fermented rice water after each meal. Complete five courses for recovery. Formerly, Cui Chengyuan saved a death-row prisoner who later died. Cui himself suffered from cataracts for over a year. Sitting alone at midnight, he heard crickets chirping below the steps and asked why. The voice replied, "I am the prisoner you once saved, here specifically to repay your kindness." He then revealed this formula. After Cui took it, his sight was restored within a few days. (From Liu Yuxi's *Chuanxin Fang*)
Corneal Opacity in Eyes
Hao Yanxiao (Sal Nitratis) 1 liang (melted in a copper vessel), Huangdan (Minii Oxidum Rubrum) (sublimated/purified), Pian Nao (Borneolum Syntheticum) — each 2 fen.
Stir-fry rapidly with a copper spoon, store in a jar. Apply a tiny amount to the eye; the effect is miraculous. Scholar Zhu from Kezhou suddenly lost his sight. He worshipped Heaven morning and evening, and a deity transmitted this formula in a dream. (Zhang Sanfeng's Immortal Formula)
Eye Drops (High-quality drops from the capital, capable of treating seventy-two eye diseases)
Bingpian (Borneolum Syntheticum) and Xiongdan (Ursi Fel) — each 1 fen. Process cleanly and grind to an extremely fine powder. Apply in the early morning like viewing stars; if one lowers their head, the efficacy is lost. Even ten-year blindness can be cured.
Seventy-Two Types of Eye Diseases
Cut open one Sheep Gallbladder (Yangdan), insert 1 qian of honey, tie tightly with thread, knead evenly with both hands, boil briefly in plain water, remove immediately, and soak in cold water for half a day. Pour out the liquid.
Bright-Eye Powder
Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma) combined with Tianma (Gastrodiae Rhizoma); Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Ganju (Chrysanthemi Flos); Danggui (Angelicae Sinensis Radix), Lianqiao (Forsythiae Fructus), Gouqizi (Lycii Fructus); Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Mimenghua (Principis Flos).
Grind each ingredient separately into fine powder in equal parts. Take 3 qian per dose, washed down only with tea. I advise you to take one dose daily; your pupils will see the ends of the earth from close range. (From *Wanbing Huichun*)
Blurred Vision
Decoct chrysanthemum in urine of a healthy young boy (Tongbian); wash several times until healed. (From *Yuanjitang Kanshi*)
Removing Corneal Opacity
Ruren (Buckthorn Fruit) 2 liang, remove oil; add Pengsha (Borax) 1 qian, Shexiang (Moschus) 2 fen. Grind uniformly and store. Excellent for removing opacities. (From *Bencao*)
Redness and Swelling
Soak Huhuanglian (Coptidis Chinensis Rhizoma) in human milk and apply to the eye; for children, apply to the sole of the foot. (Ancient Formula)
Sudden Onset of Pain and Swelling
First, take a piece of blue cloth, wet it with water, wash it, and let it dry. Separately, use ginger juice and Baijian (Alumen) powder to dip the cloth and rub it on the eyelids. Close the eyes for a moment; tearing will occur, and pain will cease. (From *Mifang Jiyuan*)
Brighten Eyes and Tonify Kidney (Also treats bone and tendon pain)
Small red jujubes 12 pieces (wash in cold water, remove stems); Ganzhou Gouqizi (Lycii Fructus) 3 qian; Xiaomaliaodou (Vigna angularis var. nipponica) 4 qian.
Decoct in 2 bowls of water until half remains. Eat together with the decoction on an empty stomach in the morning. For brightening eyes specifically, use Gouqizi 3 qian and 7 chrysanthemum flowers (remove stems), taken with plain boiled water every morning. Long-term use can restore sight in congenital blindness. (From *Mifang Jiyuan*)
Congenital Blindness (Qingmang)
Male rat gallbladder (rat gallbladders are smallest and break easily if startled) and carp gallbladder — 2 of each. Mix evenly and drip into the eye; immediate effect. (From *Shenghui Fang*)
Liver Deficiency Night Blindness (Que Mu)
Huangla (Beeswax) as needed, melt and pour out; mix with Ge Fen (Concha Tridacnae) appropriately. Cut off 2 qian each time. Slice 2 liang of pig liver, insert the medicine inside, tie tightly with hemp rope. Cook in 1 bowl of water in a clay pot. Steam the eyes while hot. When warm enough, eat the liver along with the medicine. Twice daily, continue until stable. Effective.
Childhood Night Blindness
One castrated sheep liver, do not wash. Slice open with a bamboo knife, insert a handful of Gujingcao (Essciae Spica), cook in a clay pot. Eat daily; repeatedly effective. Avoid ironware.
Filament Entering the Eye
Crush Shichangpu (Acori Tatarinowii Rhizoma). Block the right nostril if the left eye is affected, and the left nostril if the right eye is affected; highly effective. Alternatively, make small pills from wood comb dirt and place them at the corner of the eye; the filament will exit.
Tobacco Ash in the Eye
Common in children and smokers. Washing with other liquids increases pain and leads to blindness unless stopped. Must use loose hair or tassel threads to gently rub the eye until healed. (Manuscript Copy)
Dust and Sand in the Eye
Take one live dung beetle (Qianglang). Hold its mandibles above the eye and wave/shadow it; the dust will exit. (Recorded by Mr. Xu)
Wheat Awn in the Eye
Decoct barley water to wash the eye; the awn will exit. (From *Danfang Quanjí*)
Trauma to the Eye (If the eyeball protrudes, press it back in urgently)
Take a slice of raw pork. Sprinkle Danggui (Angelicae Sinensis Radix) and Chishizhi (Halloysitum Rubrum) powder onto the meat and apply as a patch. Expel toxic blood to heal. (From *Danfang Jiyuan*)