〔东垣〕人参补胃汤 治劳役饮食不节,内障眼痛,神效。
黄 根 人参(各一两) 炙甘草(八钱) 蔓荆子 白芍药(炒) 黄柏(酒拌炒四次。各三钱)
上,每服二三钱,水煎,稍热服。临卧三五服。
冲和养胃汤 治内障初起,视觉微昏,空中有黑花,神水变淡绿色,次则视岐,睹
则成二,神水变淡白色,久则不睹,神水变纯白色。
柴胡(七钱) 人参 当归 炙甘草 干生姜 升麻 葛根 白术 羌活(各一两) 防风
(五钱) 黄 (一两五钱) 白茯苓(三钱) 白芍药(六钱) 五味子(二钱)
上,每服二钱,水煎服。
滋阴肾气丸 治神水宽大渐散,昏如雾露中行,渐睹空中有黑花,视物二体,久则
光不收及内障,神水淡白色者。
熟地黄(三两) 当归尾 牡丹皮 五味子 干山药 柴胡(各五钱) 茯苓 泽泻(各二钱半)
生地黄(酒炒,四两)
上为末,炼蜜、丸如桐子大,辰砂为衣。每服十丸,空心滚汤化下。
泻热黄连汤 治内障有眵泪, 。
黄芩 黄连 大黄(并酒洗) 柴胡(各一两) 升麻(五钱) 龙胆草(三钱)
上,每服一钱,水煎,午前服。
《千金》补肝散 治目失明。
青羊肝(一具,去膜,薄切,以火烧新瓦上炙干) 决明子(一钱半) 蓼香(一合,熬令香)
上为末。每服方寸匕,日二服。久而有验。
《局方》菊睛丸 治脾肾不足,眼花昏暗。
枸杞子 肉苁蓉(酒浸炒) 巴戟(去心。各一两) 甘菊花(四两)
上为末,炼蜜丸,梧子大。每服十丸,空心、白汤送下。
真珠膏 专治眼病久不瘥, 不见物。
真珠末(细研) 甘菊花(为末) 香豉(炒黄,为末) 井泉石(细研。各二钱半)
上拌匀,用白蜜一合,鲤鱼胆一枚,同药慢火熬成膏,入好龙脑一钱同拌匀。
每用少许,时时点眼中。
生熟地黄散(见前)
【李东垣】人参补胃汤:治疗因过度劳累、饮食不规律导致的内障眼痛,效果显著。
药材及用量:黄(根)、人参(各一两),炙甘草(八钱),蔓荆子,白芍药(炒制),黄柏(用酒拌后炒四次)。以上五味药各三钱。
用法:每次服用二三钱,加水煎煮,趁稍热时服用。临睡前服用三五次。
冲和养胃汤:治疗内障初期,视力轻微模糊,眼前出现黑色飞蚊,瞳神内的“神水”变为淡绿色;随后出现视物重影,看东西变成两个影像,“神水”变为淡白色;日久则完全看不见,“神水”变为纯白色。
药材及用量:柴胡(七钱),人参、当归、炙甘草、干生姜、升麻、葛根、白术、羌活(各一两),防风(五钱),黄(一两五钱),白茯苓(三钱),白芍药(六钱),五味子(二钱)。
用法:每次服用二钱,加水煎煮后服用。
滋阴肾气丸:治疗“神水”逐渐散大,视物昏蒙如行于雾露之中,逐渐看见空中有黑花,视物成双,日久光线无法收敛导致内障,“神水”呈淡白色的病症。
药材及用量:熟地黄(三两),当归尾、牡丹皮、五味子、干山药、柴胡(各五钱),茯苓、泽泻(各二钱半),生地黄(用酒炒制,四两)。
用法:将上述药物研为细末,用炼蜜制成梧桐子大小的丸剂,以辰砂为衣。每次服用十丸,空腹时用温开水送服化下。
泻热黄连汤:治疗内障伴有眼屎流泪等症状。(注:原文此处有缺字或符号,依文意译为伴有眼部分泌物及流泪等症)。
药材及用量:黄芩、黄连、大黄(均用酒洗制)、柴胡(各一两),升麻(五钱),龙胆草(三钱)。
用法:每次服用一钱,加水煎煮,在午前服用。
《千金方》补肝散:治疗眼睛失明。
药材及用量:青羊肝(一个,去除内膜,薄切,放在新烧的瓦片上用火烤干),决明子(一钱半),蓼香(一合,熬至发出香味)。
用法:将上述药物研为细末。每次服用一方寸匕,每日两次。长期服用可见疗效。
《局方》菊睛丸:治疗脾肾不足引起的眼花昏暗。
药材及用量:枸杞子、肉苁蓉(用酒浸后炒制)、巴戟天(去心,以上各一两),甘菊花(四两)。
用法:将上述药物研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用十丸,空腹时用白开水送服。
真珠膏:专门治疗眼病久治不愈,视力丧失不见物体的症状。
药材及用量:珍珠末(细细研磨),甘菊花(研为末),香豉(炒黄后研为末),井泉石(细细研磨,以上各二钱半)。
用法:将上述药物拌匀,加入一合白蜜、一枚鲤鱼胆,与药物一起在慢火上熬制成膏状,加入一钱好龙脑(冰片)一同拌匀。
用法:每次取少许,不时地点入眼中。
生熟地黄散(见前文)
[Li Dongyuan] Renshen Buwei Tang (Ginseng Decoction for Tonifying the Stomach): Treats internal cataract eye pain caused by overexertion and irregular diet, with miraculous effects.
Ingredients: Huanggen (Radix Astragali), Renshen (Radix Ginseng) (each 1 liang), Zhi Gancao (Prepared Licorice Root) (8 qian), Manjingzi (Fructus Viticis), Baishao Yao (Radix Paeoniae Alba, stir-fried), Huangbai (Cortex Phellodendri, mixed with wine and stir-fried four times). The latter three herbs are each 3 qian.
Usage: Take 2-3 qian per dose, decoct in water, and take while slightly warm. Take 3-5 doses before bedtime.
Chonghe Yangwei Tang (Harmonizing and Stomach-Nourishing Decoction): Treats early-stage internal cataracts, characterized by slight blurring of vision, seeing black spots in the air, and the "Shen Shui" (Spirit Water, referring to the aqueous humor) turning pale green; subsequently, diplopia (seeing double images) occurs, and the "Shen Shui" turns pale white; after a long time, blindness ensues, and the "Shen Shui" becomes pure white.
Ingredients: Chaihu (Radix Bupleuri) (7 qian), Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis), Zhi Gancao (Prepared Licorice Root), Ganshengjiang (Dried Ginger), Shengma (Rhizoma Cimicifugae), Gegen (Radix Puerariae), Baizhu (Rhizoma Atractylodis Macrocephalae), Qianghuo (Rhizoma et Radix Notopterygii) (each 1 liang), Fangfeng (Radix Saposhnikoviae) (5 qian), Huangqi (Radix Astragali) (1.5 liang), Bai Fuling (Poria) (3 qian), Baishao Yao (Radix Paeoniae Alba) (6 qian), Wuweizi (Fructus Schisandrae) (2 qian).
Usage: Take 2 qian per dose, decoct in water, and take orally.
Ziyin Shenqi Wan (Kidney-Qi Nourishing Pill): Treats conditions where the "Shen Shui" gradually expands, vision is blurred as if walking in fog or dew, one gradually sees black spots in the air, objects appear doubled, and eventually light cannot be gathered leading to internal cataracts, with the "Shen Shui" appearing pale white.
Ingredients: Shudihuang (Prepared Radix Rehmanniae) (3 liang), Dangguiwei (Tail of Radix Angelicae Sinensis), Mudanpi (Cortex Moutan), Wuweizi (Fructus Schisandrae), Ganshanyao (Rhizoma Dioscoreae), Chaihu (Radix Bupleuri) (each 5 qian), Fuling (Poria), Zexie (Rhizoma Alismatis) (each 2.5 qian), Shengdihuang (Fresh Radix Rehmanniae, stir-fried with wine) (4 liang).
Usage: Grind into powder, mix with refined honey to form pills the size of paulownia seeds, coat with Zhensha (Cinnabar). Take 10 pills per dose on an empty stomach, dissolved in warm boiled water.
Xiere Huanglian Tang (Bitter-Cold Clearing Heat Coptis Decoction): Treats internal cataracts accompanied by ocular discharge and tearing.
Ingredients: Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), Dahuang (Radix et Rhizoma Rhei) (all washed with wine), Chaihu (Radix Bupleuri) (each 1 liang), Shengma (Rhizoma Cimicifugae) (5 qian), Longdancao (Herba Gentianae) (3 qian).
Usage: Take 1 qian per dose, decoct in water, and take before noon.
Qianjin Fang Bugan San (Liver-Tonifying Powder from the Thousand Gold Formulas): Treats blindness.
Ingredients: Qingyanggan (Green Sheep Liver) (one whole, remove membrane, slice thinly, dry by roasting on a new tile over fire), Juemingzi (Semen Cassiae) (1.5 qian), Liaoxiang (Herba Polygoni Avicularis, dried until fragrant) (1 he).
Usage: Grind into powder. Take one fangcunbi (a square-inch spoon measure) per dose, twice daily. Effective with prolonged use.
Jufang Jujing Wan (Chrysanthemum Eye-Shining Pill from the Formulary of the Imperial Medical Bureau): Treats blurred vision and dimness due to Spleen and Kidney deficiency.
Ingredients: Gouqizi (Fructus Lycii), Roucongrong (Herba Cistanche) (soaked in wine and stir-fried), Bajitian (Radix Morindae, remove heart) (each 1 liang), Gan Juhua (Flos Chrysanthemi) (4 liang).
Usage: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 10 pills per dose on an empty stomach, taken down with plain warm water.
Zhenzhu Gao (Pearl Ointment): Specifically treats chronic eye diseases that do not heal, resulting in blindness.
Ingredients: Zhenzhumo (Concha Margaritifera, finely ground), Gan Juhua (Flos Chrysanthemi, powdered), Xiangchi (Massa Fermentata Sojae, stir-fried yellow and powdered), Jingquanshi (Mineral, finely ground) (each 2.5 qian).
Usage: Mix evenly, add one he of white honey and one carp gallbladder, slowly simmer over low heat to form an ointment. Add one qian of high-quality Longnao (Borneolum Syntheticum) and mix well.
Usage: Apply a small amount to the eyes occasionally.
Shengshu Dihuang San (Raw and Prepared Rehmannia Powder) (see previous text).