伏以医有神圣巧工之妙人不可不知。药有温凉寒热之性医不可不辨昔黄帝尝百药而制本
草。
叔和察六脉而烛病原。所以扶世道而救民命者良有在也上古之人。咸臻寿考。况世之最贵者
。莫贵于人人之最贵者。莫贵于目。夫目者。五脏六腑之精华。百骸九窍之至宝。洞观万物
。朗视四方。皎洁如珠。包含天地。内连肝胆。外应睛瞳。窍虽开于肝门。瞳乃属于肾藏。
肾属北方壬癸水。心属南方丙丁火。心肾不和水火交战。则血气停留不散胆损肝虚。定然
眼中受病。凡疗眼疾须补肾元。次修肝木肝乃肾之苗。肾乃肝之本。修肝则神魂安静。补肾
则精魄安和。眼目自然明朗。譬如种木当在修根。根壮则枝叶茂盛。根损则花叶凋零。且如
黑睛属肾。肾虚则眼泪下流。窍门通肝。肝风则冷泪常出。白睛属肺。肺热则赤脉系白轮。
上下睑属脾。脾风则拳毛倒睫。大小 属心心热则攀睛 肉。眼有五轮。外应五行木火土金
水内应五脏肝心脾肺肾。五轮者。风血肉气水八廓者天地水火风雷山泽目有病患须究根源勿
用庸医。妄行钩割。夫人好施丹药。脾胃损伤终夜忧思精神耗惫或胆中受热。或肺上受寒或
食五辛太多或纵七情过甚。或观星望月。或近火冲烟。故使三焦受热。致令两目失明。或迎
风
多泪。或视物如烟。或观空中如云雾或视太阳如浊水。五脏虚耗。夜梦鬼交。眼前如见黑花
绕乱黑轮常如白雾昏 。臣窃悯之。陛下戒之。今按本草制成仙方。能养性安神。搜风明目
。却热除邪。修肝补肾虽远年内障而可明。治近日赤肿而即去。药共二十九味。名曰还睛丸
修之奇异。有君臣佐使之功制不寻常。有蒸炮锉炼之妙不问老幼阴阳。即见光明清白恭惟皇
帝陛下修凝道德摄养精神。端居九重之中。明鉴万里之外。固不赖于此药。亦可保于未然伏
愿普颁百姓。请尝试之。俯赐群臣。必臻捷效。臣无任瞻天仰圣。激切诚虔之至。谨录其方
。随表拜进以闻。
还睛丸方
人参 茯苓 山药(各一两五钱) 熟地 生地 麦冬(去心焙) 天冬(去心焙各三两)
犀角
(锉细末) 防风(各八钱) 川芎 黄连 五味子 甘草(炒各七钱) 杏仁 石斛 枸杞子
牛膝(酒洗炒) 羚羊角 菊花 菟丝子 青箱子 蒺藜(杵去刺炒) 枳壳 草决明 肉苁蓉
杜仲(酒洗炒) 当归(酒洗) 黄柏(酒洗炒各一两) 知母(酒炒二两)
(上为细末。炼蜜为丸如桐子大。每服四五十丸。空心盐汤下○一方无后五味名固本还
睛丸。)
我恭敬地认为,医学具有神圣、巧妙、高超的技艺,人们不可不知晓。药物具有温、凉、寒、热的性质,医生不可不辨别。从前黄帝尝试百草从而制定了《本草》。
王叔和诊察六脉从而洞察疾病的根源。所以,扶持世道、拯救民命的道理确实存在啊。上古时代的人,都能达到长寿。何况世间最珍贵的东西,没有比人更珍贵的了;而人身上最珍贵的部位,没有比眼睛更珍贵的了。
眼睛,是五脏六腑精华的汇聚,是全身百骸九窍中的至宝。它洞悉观察万物,明亮地视看四方,皎洁如珍珠,包容天地之象。内部连接肝胆,外部对应瞳孔。眼窍虽然开于肝门,但瞳孔归属于肾脏。
肾属于北方的壬癸水,心属于南方的丙丁火。如果心肾不交,水火相战,那么血气就会停留不散,导致胆受损、肝虚弱,眼中必然发生疾病。
凡是治疗眼疾,必须首先补肾元,其次调理肝木。肝是肾的苗裔(外在表现),肾是肝的根本。调理肝则神魂安静,补肾则精魄安和,眼睛自然明朗。
这就好比种植树木应当先修根,根壮实则枝叶茂盛,根受损则花叶凋零。
再说,黑睛(黑珠)属于肾,肾虚则眼泪下流。窍门(指眼部孔窍)通于肝,肝受风邪则冷泪常出。白睛(白珠)属于肺,肺热则赤脉缠绕白轮。上下眼睑属于脾,脾受风邪则睫毛倒卷向内。内外眦(眼角)属于心,心热则胬肉攀睛(翼状胬肉)。
眼睛有五轮,外部对应五行(木、火、土、金、水),内部对应五脏(肝、心、脾、肺、肾)。五轮者,即风、肉、血、气、水八廓者,即天、地、水、火、风、雷、山、泽。
眼睛如果有病患,必须探究根源,不要使用庸医,妄行钩割手术。
人们喜好服用丹药,损伤脾胃;整夜忧思,耗竭精神;或者胆中受热,或者肺上受寒;或者食用五辛太多,或者纵容七情过甚;或者观星望月,或者靠近火源冲撞烟雾。因此使三焦受热,致使两眼失明。或者迎风多泪,或者视物如烟,或者看空中如云雾,或者看太阳如浑浊的水。
五脏虚损耗竭,夜间梦见鬼魅交合,眼前如见黑花环绕混乱,黑轮(黑睛)常常像白雾一样昏暗。
臣私下怜悯陛下,希望陛下引以为戒。现在依据本草制成仙方,能够养性安神,搜风明目,清热除邪,调理肝脏,补益肾脏。即使是多年的内障也可以复明,治疗近期的红肿也能立即消除。
药共二十九味,名为还睛丸。其制作奇异,具备君臣佐使的功效,炮制不寻常,有蒸、炮、锉、炼的妙处。不问老少阴阳,服后即刻见到光明清白。
恭敬地祝愿皇帝陛下修养道德,摄养精神,端居深宫之中,明鉴万里之外,本来就不依赖此药,也可以预防未然。
伏愿将此药普遍颁布给百姓,请让他们尝试。俯赐群臣,必定能达到迅速见效的效果。臣怀着瞻仰上天、仰望圣明的无限感激与虔诚之心,谨记录此方,随表章拜进以呈报皇上。
还睛丸方
人参、茯苓、山药(各一两五钱)、熟地黄、生地黄、麦冬(去心焙干)、天冬(去心焙干,各三两)、犀角(锉成细末)、防风(各八钱)、川芎、黄连、五味子、甘草(炒,各七钱)、杏仁、石斛、枸杞子、牛膝(酒洗炒)、羚羊角、菊花、菟丝子、青葙子、蒺藜(捣碎去刺炒)、枳壳、草决明、肉苁蓉、杜仲(酒洗炒)、当归(酒洗)、黄柏(酒洗炒,各一两)、知母(酒炒,二两)。
(以上药材研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用四五十丸,空腹时用盐汤送服。另一版本无后五味药,名为固本还睛丸。)
I respectfully submit that medicine possesses the miraculous skills of the divine, the sage, the adept, and the craftsman, which people must not fail to understand. Medicines possess properties of warmth, coolness, cold, and heat, which physicians must not fail to distinguish. In ancient times, the Yellow Emperor (Huangdi) tasted hundreds of herbs to compile the *Bencao* (Compendium of Materia Medica). Wang Shuhe (Shuhe) examined the six pulse positions to illuminate the origins of diseases. Thus, the principles for supporting the moral order of the world and saving people's lives are indeed profound.
In ancient times, people generally reached old age. Among all things in the world, nothing is more precious than human beings; and among all parts of the human body, nothing is more precious than the eyes. The eyes are the gathering place of the essence and spirit of the five zang organs and six fu organs, and the supreme treasure of the hundred bones and nine orifices. They observe all things clearly and view the four directions brightly, shining like pearls, containing the imagery of heaven and earth. Internally, they connect with the Liver and Gallbladder; externally, they correspond to the pupils. Although the eye orifices open through the Liver gate, the pupils belong to the Kidney. The Kidney belongs to the Water of Ren and Gui in the North; the Heart belongs to the Fire of Bing and Ding in the South. If the Heart and Kidney do not interact, and Water and Fire battle each other, then Qi and Blood will stagnate and not disperse, damaging the Gallbladder and weakening the Liver, inevitably causing disease in the eyes.
Therefore, when treating eye diseases, one must first tonify the Yuan Qi of the Kidney, and subsequently regulate the Wood of the Liver. The Liver is the sprout of the Kidney, and the Kidney is the root of the Liver. Regulating the Liver calms the Hun (Ethereal Soul); tonifying the Kidney harmonizes the Zhi (Will) and Po (Corporeal Soul), making the eyes naturally clear. This is like planting trees: one must cultivate the roots. If the roots are strong, branches and leaves flourish; if the roots are damaged, flowers and leaves wither.
Furthermore, the black cornea (Hei Jing) belongs to the Kidney; Kidney deficiency causes tears to flow. The eye orifices connect to the Liver; Liver Wind causes constant cold tears. The white sclera (Bai Jing) belongs to the Lung; Lung Heat causes red vessels to wrap around the white wheel. The upper and lower eyelids belong to the Spleen; Spleen Wind causes inverted eyelashes (Trichiasis). The inner and outer canthi belong to the Heart; Heart Heat causes Pterygium (fleshy growth overgrowing the cornea).
The eyes have Five Wheels, corresponding externally to the Five Elements (Wood, Fire, Earth, Metal, Water) and internally to the Five Zang Organs (Liver, Heart, Spleen, Lung, Kidney). The Five Wheels correspond to Wind, Flesh, Blood, Qi, and Water. The Eight Palaces (Ba Kuo) correspond to Heaven, Earth, Water, Fire, Wind, Thunder, Mountain, and Lake. When eye diseases occur, one must investigate the root cause and avoid quack doctors who recklessly perform hooking or cutting surgeries.
People often take elixirs, damaging the Spleen and Stomach; they worry and ponder all night, exhausting their Spirit. Or, the Gallbladder may be heated, or the Lung may be chilled. One may consume too much of the "Five Pungent Spices," indulge excessively in the Seven Emotions, gaze at stars and the moon, or stay close to fire and smoke. This causes Heat in the San Jiao (Triple Burner), leading to blindness in both eyes. Symptoms include tearing when facing wind, vision obscured as if by smoke, seeing clouds and mist in the air, or viewing the sun as turbid water. With the depletion of the Five Zang Organs, one may dream of ghostly intercourse, see black flowers swirling before the eyes, and the black wheel (cornea) may appear dim like white fog.
I, your subject, feel deep pity for Your Majesty and urge you to beware. Now, based on the *Bencao*, I have formulated an immortal prescription. It nourishes nature, calms the Spirit, expels Wind, clarifies the eyes, clears Heat, removes pathogens, regulates the Liver, and tonifies the Kidney. It can restore clarity even in long-standing internal cataracts and immediately resolve recent redness and swelling. The formula consists of twenty-nine ingredients and is named Huanjing Wan (Restore Clarity Pill). Its preparation is extraordinary, possessing the synergy of Jun (Monarch), Chen (Minister), Zuo (Assistant), and Shi (Envoy). Its processing involves steaming, frying, grinding, and refining. Regardless of age or Yin-Yang constitution, it brings light and clarity.
Respectfully, I pray that Your Majesty cultivates virtue and preserves the Spirit, residing in the inner palace while perceiving events from afar. You certainly do not rely on this medicine, yet it can prevent illness before it arises. I humbly request that this medicine be distributed to the common people for trial, and bestowed upon the ministers for immediate efficacy. With utmost reverence and sincerity, I record this formula and submit it via memorial to Your Majesty.
**Huanjing Wan Formula**
Ren Shen (Ginseng Radix), Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma) [each 1 liang 5 qian]; Shu Di Huang (Prepared Rehmanniae Radix), Sheng Di Huang (Rehmanniae Radix), Mai Dong (Ophiopogonis Tuber - heart removed, baked), Tian Dong (Asparagi Tuber - heart removed, baked) [each 3 liang]; Xi Jiao (Rhinocerotis Cornu - ground to fine powder), Fang Feng (Saposhnikoviae Radix) [each 8 qian]; Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Lian (Coptidis Rhizoma), Wu Wei Zi (Schisandrae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma - stir-fried) [each 7 qian]; Xing Ren (Armeniacae Semen Amarum), Shi Hu (Dendrobii Caulis), Gou Qi Zi (Lycii Fructus), Niu Xi (Achyranthis Bidentatae Radix - washed in wine, stir-fried), Ling Yang Jiao (Saiga Tataricae Cornu), Ju Hua (Chrysanthemi Flos), Tu Si Zi (Cuscutae Semen), Qing Xiang Zi (Qingxiangzi, Celosiae Semen), Ji Li (Tribuli Fructus - pounded, thorns removed, stir-fried), Zhi Ke (Aurantii Fructus), Cao Jue Ming (Cassiae Semen), Rou Cong Rong (Cistanches Herba), Du Zhong (Eucommiae Cortex - washed in wine, stir-fried), Dang Gui (Angelicae Sinensis Radix - washed in wine), Huang Bo (Phellodendri Cortex - washed in wine, stir-fried) [each 1 liang]; Zhi Mu (Anemarrhenae Rhizoma - stir-fried in wine) [2 liang].
(Grind the above into a fine powder. Mix with refined honey to make pills the size of tung tree seeds. Take 40-50 pills per dose, swallowed with salted water on an empty stomach. Another version excludes the last five ingredients and is named Guben Huanjing Wan.)