如男子妇人患偏正头痛者,先审热甚用双解散二三帖,大通之后,服川芎茶调散加凉剂,点用九一丹。冷痛者用桑
螵蛸酒调散,大通之后,用川芎散神清散主之,点用清凉散少加脑,入些姜粉,无不效矣。
乌轮赤晕、刺痛浮浆,此肝热也。治法,宜用酒调洗肝散加麻黄、赤芍,或泻肝散、修肝散;收功生地黄散;点用
清凉间九一丹。
眼生清泪、枯黄绕睛,此肝虚也。治法 用止泪补肝散,点用九一丹;后服补肾丸。此乃滋母益子也。
瞳仁开大淡白偏斜者,此肾虚也。治方服补肾丸、补肾明目丸、驻景丸,点用九一丹。多服少点。
瞳仁焦小或带微黄,此肾热也。治法,先服五泻汤着风之类,后收功用补肾明目丸,久服甚效。
瞳青胞白、痒而清泪、不赤不痛,是谓之风眼。治法,服羌活除风汤,点九一丹间二八,入些姜粉效。
乌轮突起、胞硬瞳红、眵泪湿浆,里热则痛,是谓之热眼。治法,用双解散加凉大通之剂;瞳痛止用生地黄散,点
用清凉散间九一丹点之,随人治法用之。
眼浑如泪、胞肿而软、上壅 、酸渣微赤,是谓之气眼。服桑螵蛸酒调散,后服明目流气饮、当归汤主之。
其或风与热并,则痒而浮赤;风与气搏,则痒涩昏沉。点用九一丹间二八丹,服羌活除风汤。
血热交聚,故生淫肤粟肉红缕偷针之类,服用泻脾汤、泻心汤主之,点用清凉散。有淫肤粟肉可 洗至平,洗止。
眼热经久,复有风冷所乘,则赤烂。点用清凉散,服用泻心汤、洗肝散主之,洗用绵裹散,其效甚捷。
眼中不痛而赤,但为痰饮所注则作痛。服用半夏二陈汤,三四贴后,服明目流气饮,不用点药。
肝气不顺而挟热,所以羞明。服用洗肝散二三贴加麻黄,后服密蒙花散五七贴,补肾主之,点用九一丹加清
凉散,初不可重药。
白睛带赤或红筋者,其热在肺。服洗肺汤,除热饮洗肝散,点用清凉药九一丹。
上胞下睑或目唇间如疥点者,其热在脾。治法,服泄脾汤、泄脾除热饮、三黄丸主之,可 可洗。用清凉散
点,有泪翳者九一丹点之。
因风则散之,九一丹入些姜粉;热则清凉散点之;气结则调顺之,将前药间点;因风者可用防风散、通圣散
即名双解散,后服羌活除风汤;热者洗肝散、修肝散;气结者服流气饮、黄 汤主之。
白陷鱼鳞之症,多因肝肾俱实,血衰成陷。治法,服酒调散二贴后,服蝉花散、密蒙花散相间服之效。点用
二八丹调乳汁点,间九一丹点之。
突起睛高,旋螺尖起,险峻利害之症也。又有一法,与他取平之效,将锋针针入三分,以凤屎点针口所,以
毒攻毒,或阴丹蘸点亦可。先服郁金酒调散四五贴后,可动针,此乃平之法,无光之效也。
又有一症,递年月眼内痒极,秘曰诸痛为实,诸痒为虚。人之患眼,虚肿及眼眶骨,此痰饮为患。治法,用
明目流气饮加半夏、陈皮、浓朴三味,用姜二片同煎,连服四五贴,其痛即除。
另将二陈汤丹药亦可点用。治之随轻重所施,治法在人意耳。
头风∶
冷痛 热痛 风痛 痰厥痛(系偏风) 阳明头痛
眼泪∶
热泪 冷泪 虚泪 风泪 湿泪
如果男子或女子患有偏头痛或正头痛,首先要审察是否热邪较重。若热甚,先服用双解散二至三帖,待大便通畅后,再服用川芎茶调散并加入凉性药物,外用点眼药九一丹。若是冷痛,则使用桑螵蛸酒调散,待大便通畅后,以川芎散和神清散为主治疗,外用点眼药清凉散,稍加冰片(脑)和姜粉,没有不有效的。
乌轮(黑睛/瞳孔周围)发红晕、刺痛且有浮浆,这是肝热所致。治疗方法,宜用酒调洗肝散加麻黄、赤芍,或者使用泻肝散、修肝散;收功阶段使用生地黄散;外用点眼药清凉散间杂使用九一丹。
眼睛流出清泪、眼球干枯发黄环绕眼珠,这是肝虚所致。治疗方法,使用止泪补肝散,外用点眼药九一丹;之后服用补肾丸。这属于“滋母益子”(通过补肾来养肝)的方法。
瞳仁开大、颜色淡白且偏斜的,这是肾虚所致。治疗方剂服用补肾丸、补肾明目丸、驻景丸,外用点眼药九一丹。多内服,少外用点眼。
瞳仁焦枯细小或带微黄色的,这是肾热所致。治疗方法,先服用五泻汤等祛风类药物,后期收功用补肾明目丸,长期服用效果很好。
瞳仁色青、眼睑色白、发痒且流清泪、不红不痛的,称为“风眼”。治疗方法,服用羌活除风汤,外用点眼药九一丹与二八丹交替使用,加入少许姜粉有效。
乌轮突起、眼睑坚硬、瞳仁发红、眼屎泪水湿润有浆液,内部热盛则疼痛,称为“热眼”。治疗方法,使用双解散加入凉性通便药物;瞳仁疼痛停止后使用生地黄散,外用点眼药清凉散间杂使用九一丹点眼,根据患者具体情况灵活施治。
眼睛浑浊如流泪状、眼睑肿胀而软、上部壅塞、酸涩渣滓微红,称为“气眼”。服用桑螵蛸酒调散,之后服用明目流气饮、当归汤为主治疗。
如果是风与热并存,则发痒且浮红;风与气相搏,则发痒、涩滞、昏沉。外用点眼药九一丹间杂使用二八丹,内服羌活除风汤。
血热交聚,因而产生淫肤粟肉、红缕、偷针(麦粒肿)之类的病症,内服泻脾汤、泻心汤为主治疗,外用点眼药清凉散。若有淫肤粟肉可用药水洗至平复,洗净即止。
眼热经久不愈,又受风冷侵袭,则出现赤烂。外用点眼药清凉散,内服泻心汤、洗肝汤为主治疗,外洗使用绵裹散,效果非常迅速。
眼中不痛但发红,只是由于痰饮注滞才引起疼痛。内服半夏二陈汤,服用二至三帖后,改服明目流气饮,不需要使用点眼药。
肝气不顺兼夹热邪,所以畏光羞明。内服洗肝散二至三帖加麻黄,之后服用密蒙花散五至七帖,以补肾为主,外用点眼药九一丹加清凉散,初期不可使用重药。
白睛带红或有红筋的,其热在肺。服用洗肺汤,饮用除热饮、洗肝散,外用点眼药清凉药及九一丹。
上眼睑、下睑或眼角如疥疮斑点状的,其热在脾。治疗方法,服用泄脾汤、泄脾除热饮、三黄汤为主治疗,可清洗可点眼。使用清凉散点眼,有泪翳的用九一丹点眼。
因风邪引起的则疏散风邪,九一丹中加入少许姜粉;因热邪引起的则用清凉散点眼;因气机郁结引起的则调理顺气,将前述药物间杂点用;因风邪者可用防风散、通圣散(即双解散),之后服用羌活除风汤;因热邪者用洗肝散、修肝散;因气机郁结者服用流气饮、黄 汤为主治疗。
白陷鱼鳞之症,多因肝肾俱实,血衰而成凹陷。治疗方法,服用酒调散两帖后,服用蝉花散、密蒙花散交替服用有效。外用点眼药二八丹调和乳汁点眼,间杂使用九一丹点眼。
突起睛高,旋螺尖起(角膜溃疡穿孔前兆等险症),是危险严重的病症。另有一种方法,能使其恢复平整,用锋针刺入三分深,用凤屎(鸟粪)点涂针孔处,以毒攻毒,或者用阴丹蘸取点涂也可以。先服用郁金酒调散四至五帖后,方可动针,这是平复的方法,对于无光之症也有效。
还有一种病症,逐年递进,眼内极痒,秘传口诀说:诸痛为实,诸痒为虚。人患眼病,虚肿及眼眶骨,这是痰饮为患。治疗方法,使用明目流气饮加半夏、陈皮、厚朴三味药,用生姜两片同煎,连服四至五帖,疼痛即可消除。
If men or women suffer from lateral or frontal headaches, one must first examine whether the heat pathogen is severe. If heat is severe, administer Shuangjie San (Double Release Powder) for two to three doses; after bowel movements are unblocked, administer Chuanxiong Chatiao San (Ligusticum Chuanxiong Tea-Regulating Powder) with added cooling agents, and apply Jiuyi Dan (Nine-One Pill) as an eye drop. For cold pain, use Sangpiaoxiao Jiudiao San (Mantis Egg-case Wine-Regulated Powder); after bowel movements are unblocked, treat primarily with Chuanxiong San (Ligusticum Powder) and Shenqing San (Spirit-Clearing Powder), applying Qingliang San (Cooling Powder) mixed with a little Bingpian (Borneol) and Jiangfen (Ginger powder); this method is invariably effective.
Redness and halos around the Wulun (black cornea/pupil area), accompanied by stinging pain and floating turbidity, indicate Liver Heat. The treatment method involves using Jiudiao Xigan San (Wine-Regulated Liver-Washing Powder) added with Mahuang (Ephedrae Herba) and Chishao (Paeoniae Radix Rubra), or alternatively Xiegan San (Liver-Draining Powder) or Xiugan San (Liver-Mending Powder); for recovery, use Shengdihuang San (Rehmannia Root Powder); apply Qingliang San (Cooling Powder) intermittently with Jiuyi Dan (Nine-One Pill).
Clear tears flowing from the eyes, with dry yellow discoloration surrounding the eyeballs, indicate Liver Deficiency. The treatment method uses Zhilei Bugan San (Tear-Stopping Liver-Nourishing Powder), applied with Jiuyi Dan (Nine-One Pill); subsequently, take Bushen Wan (Kidney-Tonifying Pill). This follows the principle of "nourishing the mother to benefit the child" (tonifying Kidney Water to nourish Liver Wood).
Dilated pupils with pale white color and deviation indicate Kidney Deficiency. The prescription involves taking Bushen Wan (Kidney-Tonifying Pill), Bushen Mingmu Wan (Kidney-Tonifying Vision-Improving Pill), and Zhujing Wan (Scenery-Residing Pill), applied with Jiuyi Dan (Nine-One Pill). Internal administration should be frequent, while external application should be sparse.
Shriveled, small pupils or those with slight yellow discoloration indicate Kidney Heat. The treatment method begins with Wuxie Tang (Five-Draining Decoction) and wind-dispersing agents; for recovery, use Bushen Mingmu Wan (Kidney-Tonifying Vision-Improving Pill), which is highly effective with long-term use.
Blue-green pupils with white eyelids, itching, clear tears, without redness or pain, is termed Fengyan (Wind Eye). The treatment method involves taking Qianghuo Chufeng Tang (Notopterygium Wind-Dispersing Decoction), applying Jiuyi Dan (Nine-One Pill) alternating with Erba Dan (Two-Eight Pill), adding ginger powder for efficacy.
Protruding Wulun (cornea/pupil area), hard eyelids, red pupils, and purulent tearing with wet discharge, where internal heat causes pain, is termed Reyan (Heat Eye). The treatment method uses Shuangjie San (Double Release Powder) added with cooling purgatives; once pupil pain subsides, use Shengdihuang San (Rehmannia Root Powder), applying Qingliang San (Cooling Powder) intermittently with Jiuyi Dan (Nine-One Pill), adjusted according to individual conditions.
Cloudy eyes resembling tears, swollen and soft eyelids, upper obstruction, and sour grit with slight redness is termed Qiyan (Qi Eye). Take Sangpiaoxiao Jiudiao San (Mantis Egg-case Wine-Regulated Powder), followed by Mingmu Liuqi Yin (Vision-Improving Qi-Flowing Drink) and Danggui Tang (Angelica Decoction).
If wind and heat coexist, itching and floating redness occur; if wind and qi collide, itching, astringency, and dullness ensue. Apply Jiuyi Dan (Nine-One Pill) alternating with Erba Dan (Two-Eight Pill), and take Qianghuo Chufeng Tang (Notopterygium Wind-Dispersing Decoction).
Blood heat aggregation generates conditions such as Yinfu Sumou (excessive skin growth), Honglv (red filaments), and Touzhen (Stye). Treat internally with Xiepi Tang (Spleen-Draining Decoction) and Xixin Tang (Heart-Draining Decoction), and externally apply Qingliang San (Cooling Powder). If Yinfu Sumou exists, wash until flat, then stop washing.
Chronic eye heat compounded by wind-cold invasion results in Chi Lan (red erosion). Apply Qingliang San (Cooling Powder), take Xixin Tang (Heart-Draining Decoction) and Xigan San (Liver-Washing Powder) internally, and wash with Mian Guo San (Cotton-Wrapped Powder) for rapid effect.
Redness without pain in the eyes, causing pain only when phlegm-fluids stagnate, is treated with Banxia Erchen Tang (Pinellia Two-Aged Decoction); after two to three doses, switch to Mingmu Liuqi Yin (Vision-Improving Qi-Flowing Drink), without external eye drops.
Liver Qi stagnation combined with heat causes photophobia. Take Xigan San (Liver-Washing Powder) for two to three doses with Mahuang (Ephedrae Herba), followed by Mimenghua San (Mimosa Flower Powder) for five to seven doses, focusing on Kidney tonification, and apply Jiuyi Dan (Nine-One Pill) mixed with Qingliang San (Cooling Powder); heavy medications should not be used initially.
Whites of the eyes with redness or red veins indicate heat in the Lung. Take Xifei Tang (Lung-Washing Decoction), drink Chu re yin (Heat-Removing Drink) and Xigan San (Liver-Washing Powder), and apply Qingliang Yao (Cooling Medicine) and Jiuyi Dan (Nine-One Pill).
Scabs-like spots on the upper eyelid, lower lid, or corners of the eyes indicate heat in the Spleen. Treatment involves Xiepi Tang (Spleen-Draining Decoction), Xiepi Chu re yin (Spleen-Draining Heat-Removing Drink), and Sanhuang Wan (Three-Yellow Pill), suitable for washing or dropping. Apply Qingliang San (Cooling Powder); for tear films, apply Jiuyi Dan (Nine-One Pill).
For wind pathogens, disperse them: add ginger powder to Jiuyi Dan (Nine-One Pill). For heat, apply Qingliang San (Cooling Powder). For qi stagnation, regulate it by intermittently applying the aforementioned medicines. For wind, use Fangfeng San (Saposhnikovia Powder) or Tongsheng San (which is Shuangjie San/Double Release Powder), followed by Qianghuo Chufeng Tang (Notopterygium Wind-Dispersing Decoction). For heat, use Xigan San (Liver-Washing Powder) and Xiugan San (Liver-Mending Powder). For qi stagnation, take Liuqi Yin (Qi-Flowing Drink) and Huang [missing character] Tang.
Bai Xian Yulin (White Depression Fish-Scale) syndrome, often due to excess in Liver and Kidney with blood deficiency leading to depression, is treated by taking Jiudiao San (Wine-Regulated Powder) for two doses, then alternating Chan Hua San (Cicada Flower Powder) and Mimenghua San (Mimosa Flower Powder) for efficacy. Apply Erba Dan (Two-Eight Pill) mixed with milk, intermittently with Jiuyi Dan (Nine-One Pill).
Protruding high eyes or spiral-pointed corneal protrusion are dangerous and severe conditions. Another method to flatten them involves puncturing with a Feng Zhen (Sharp Needle) to a depth of three fen, applying Feng Shi (Bird Droppings) to the puncture site to attack poison with poison, or using Yindan (Yin Pill) for application. First, take Yujin Jiudiao San (Curcuma Wine-Regulated Powder) for four to five doses before needle insertion; this is the method for flattening and can restore vision in blind cases.
Another condition involves progressive extreme itching inside the eye over years. The secret saying states: all pain indicates excess, all itching indicates deficiency. Eye diseases with swelling and orbital bone involvement are caused by phlegm-fluids. The treatment uses Mingmu Liuqi Yin (Vision-Improving Qi-Flowing Drink) added with Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Houpo (Magnoliae Officinalis Cortex), decocted with two slices of ginger; take continuously for four to five doses to eliminate pain. Additionally, Erchen Dan (Two-Aged Pills) can be used for application. Treatment depends on severity and the physician's judgment.
Head Wind (Tou Feng):
Cold Pain, Heat Pain, Wind Pain, Phlegm-Jue Pain (related to lateral wind), Yangming Headache.
Eye Tears:
Hot Tears, Cold Tears, Deficiency Tears, Wind Tears, Damp Tears.