《银海精微》二卷,未知何人氏所撰着。盖余生而目善病,昔直掖垣,余同寅友李冲涵
公出以示余曰∶庶几有当于目病方技乎?余检阅,见其图像立论及答问宗旨俱一一分晰明尽
,若尝饮上池所视见者,取名银海本之道藏,其为方书,信乎精矣微矣。数年宦游所至,每
携之笥中,兹承乏河朔,因檄所属付欹劂,盖不欲秘之自私也。虽然方亦未可尽拘泥也,脉
证有阴阳、表里、虚实之异,斟酌损益存乎其人,不然拘泥古法而不通变,则是编也真古人糟粕
耳!至易简妙方,则古宋阳里子所授,鲁东门伯所修,六物不竣外假,而自称绝技,又是书
\x赐进士第中宪大夫河南等处提刑按察司副使奉敕兵巡河北道前吏科左给事中北海齐一经
人有两眼,犹如天地之有两曜,视万物,察纤毫,何所不至。日月有一时之晦者,风云
雷雨之所致也;眼之失明者,四气七情之所害也。大抵目为五脏之精华,一身之要系,故五
脏分五轮,八卦名八廓。五轮∶肝属木曰风轮,在眼为乌睛;心属火曰血轮,在眼为二 ;脾
属土曰肉轮,在眼为上下胞睑;肺属金曰气轮,在眼为白仁;肾属水曰水轮,在眼为瞳仁。
至若八廓无位有名,大肠之腑为天廓,脾胃之腑为地廓,命门之腑为火廓,肾之腑为水廓,
肝之腑为风廓,小肠之腑为雷廓,胆之腑为山廓,膀胱之腑为泽廓,斯为眼目之根本,而又
借血为之胞络,或蕴积风热,或七情之气,郁结不散,上攻眼目,各随五脏所属而见。或肿
而痛,羞涩多泪,或生障昏暗失明,其症七十有二。治之须究其源,因风则散之,热则清凉
之,气结则调顺之,切不可轻用针刀钩割。偶得其愈,出乎侥幸,或有误而为者,则必为终
身之患也。又不宜通用凉药,恐冰其血,凝而不流,亦成痼疾。用药当量人之老少,气体之
虚实。又有肾虚者,亦令人眼目无光,或生冷翳,宜补暖下元,滋补肾水。北方患者,多是
日冒风沙,夜卧热炕,二气交蒸,故使之用凉药。北方之人故与南方之人用药有不同也。疹
痘之后,毒瓦斯郁结于肝而气不能泻,攻发于眼目,伤于瞳仁者,素无治法也。
《银海精微》共两卷,不知是由何人所撰写。大概我生来眼睛就容易生病,以前我在掖垣任职时,我的同僚好友李冲涵先生拿出这本书给我看,说:“这或许对眼病的医术有所裨益吧?”我查阅后,发现书中的图像立论以及问答宗旨都分析得十分清晰详尽,就像曾经喝过“上池之水”(指传说中能透视脏腑的水)那样看得真切一样。取名为《银海》,本于《道藏》中的内容,作为方书,确实精妙入微。多年来我宦游各地,总是把它带在书箱中。如今我暂代河朔地区的职务,于是下令所属机构刻印此书,是不想将其秘藏而据为己有。虽然如此,方剂也不可完全拘泥不变。脉象和证候有阴阳、表里、虚实的不同,斟酌增减在于医生本人,如果不通晓变通而拘泥于古法,那么这本书就真是古人的糟粕了!至于那些简易奇妙的方子,则是古宋阳里子所传授,鲁东门伯所修订的,不需要借助其他六种药物,便自称是绝技。这是赐进士出身、中宪大夫、河南等处提刑按察司副使、奉敕兵巡河北道、前吏科左给事中、北海人齐一经所作。
人有两只眼睛,就像天地有两个太阳(日月),观察万物,洞察细微之处,没有不到的地方。日月有一段时间会昏暗,是因为风云雷雨所致;眼睛失明,是因为四气(风、寒、暑、湿)和七情(喜、怒、忧、思、悲、恐、惊)的伤害。大抵眼睛是五脏精华所在,是一身的关键所在,所以五脏分为五轮,八卦命名为八廓。五轮:肝属木称为风轮,在眼睛对应黑睛(乌睛);心属火称为血轮,在眼睛对应两眦(眼角);脾属土称为肉轮,在眼睛对应上下眼睑;肺属金称为气轮,在眼睛对应白仁(白睛);肾属水称为水轮,在眼睛对应瞳仁。至于八廓,只有名称而没有固定位置,大肠之腑为天廓,脾胃之腑为地廓,命门之腑为火廓,肾之腑为水廓,肝之腑为风廓,小肠之腑为雷廓,胆之腑为山廓,膀胱之腑为泽廓,这就是眼目的根本,而又借血液作为胞络。如果蕴积风热,或者七情之气郁结不散,向上攻冲眼目,就会随着五脏所属的不同而显现症状。有的红肿疼痛,羞涩多泪,有的生成障翳导致昏暗失明,其病症共有七十二种。治疗时必须探究病源,因风邪则发散它,因热邪则用清凉药,因气机郁结则调理顺气,切不可轻易使用针刀钩割。偶尔治愈,只是出于侥幸,如果有误治而导致伤害,那就必定成为终身的祸患。也不宜通用凉药,恐怕会使血液凝滞如冰,凝固而不流动,也会形成顽固的疾病。用药应当衡量病人的老少,体气的虚实。又有肾虚的人,也会让人眼目无光,或者生出冷性翳障,适宜补暖下元,滋补肾水。北方患病的人,多是白天冒风沙,晚上睡热炕,两种气息交蒸,所以使他们需要使用凉药。北方人与南方人在用药上有不同之处。疹痘之后,毒瓦斯郁结在肝脏而不能宣泄,攻发于眼目,损伤瞳仁的,原本就没有治疗方法。
*Yin Hai Jing Wei* (Essential Secrets of the Silver Sea) consists of two volumes, and it is unknown who authored it. It seems that I was born with eyes prone to illness. Previously, while serving in the Yeyuan (Imperial Secretariat), my colleague and friend, Mr. Li Chonghan, presented this book to me, saying, "Perhaps this will be beneficial for the medical techniques regarding eye diseases?" Upon reviewing it, I found that the theoretical discussions based on images and the principles of Q&A were all analyzed clearly and thoroughly, as if I could see through organs like someone who had drunk "water from an upper pool" (a legendary water believed to grant clairvoyance). The title *Yin Hai* (Silver Sea) is derived from the *Daozang* (Taoist Canon). As a medical text, it is indeed exquisite and subtle. Throughout my years of official travel, I always carried it in my book chest. Now, having temporarily assumed duties in Hebei North, I ordered the local authorities to print it, not wishing to keep it secret for private gain. Nevertheless, one should not adhere rigidly to prescriptions. Pulse signs and syndromes differ in Yin/Yang, exterior/interior, and deficiency/excess; the discretion to modify them lies with the practitioner. Otherwise, adhering rigidly to ancient methods without adapting to changes would render this book merely the dregs of the ancients! As for those simple and miraculous prescriptions, they were transmitted by Yang Lizhi of the Northern Song Dynasty and revised by Lu Dongmen Bo, claiming unique skill without relying on other six substances. This work was written by Qi Yijing of Beihai, a Jinshi degree holder, Zhongxian Dafu (Grand Master of Benevolence), Vice Commissioner of Criminal Justice for Henan and other regions, Imperial Envoy for Military Patrol of Hebei North, and former Left Censor of the Ministry of Personnel.
Humans have two eyes, akin to the Heaven and Earth having two luminaries (Sun and Moon), observing all things and discerning the finest details, reaching everywhere. When the Sun and Moon become obscured for a time, it is due to wind, clouds, thunder, and rain; when eyes lose sight, it is due to the harm of the Four Qi (Wind, Cold, Summer-heat, Dampness) and Seven Emotions (Joy, Anger, Worry, Thought, Grief, Fear, Fright). Generally, the eyes are the essence of the Five Zang Organs and the vital connection of the body. Thus, the Five Zang are divided into Five Wheels, and the Eight Trigrams are named Eight Palaces. The Five Wheels: The Liver belongs to Wood, called the Wind Wheel, corresponding to the cornea (Wu Jing) in the eye; the Heart belongs to Fire, called the Blood Wheel, corresponding to the canthi (corners of the eyes); the Spleen belongs to Earth, called the Flesh Wheel, corresponding to the upper and lower eyelids; the Lung belongs to Metal, called the Qi Wheel, corresponding to the sclera (Bai Ren); the Kidney belongs to Water, called the Water Wheel, corresponding to the pupil. Regarding the Eight Palaces, they have names but no fixed positions: the Large Intestine Fu organ is the Heavenly Palace, the Spleen and Stomach Fu organs are the Earthly Palace, the Mingmen (Gate of Life) Fu organ is the Fire Palace, the Kidney Fu organ is the Water Palace, the Liver Fu organ is the Wind Palace, the Small Intestine Fu organ is the Thunder Palace, the Gallbladder Fu organ is the Mountain Palace, and the Bladder Fu organ is the Marsh Palace. These constitute the root of the eyes, which further relies on blood as the connective tissue (Baoluo). If Wind-Heat accumulates, or the Qi of the Seven Emotions becomes stagnant and fails to disperse, attacking upward to the eyes, symptoms manifest according to their association with the Five Zang. Symptoms may include swelling and pain, photophobia with excessive tearing, or the formation of nebulae leading to dimness and blindness, totaling seventy-two types of syndromes. Treatment must investigate the source: if due to Wind, disperse it; if due to Heat, use cooling agents; if due to Qi stagnation, regulate and smooth it. One must absolutely avoid using needles, knives, hooks, or cutting instruments lightly. Occasional cures are mere luck; erroneous treatment causing damage will inevitably lead to lifelong affliction. It is also inadvisable to universally apply cold medicines, lest they freeze the blood, causing coagulation and stasis, thereby forming chronic diseases. Medication should be measured against the patient's age and the deficiency or excess of their constitution. Those with Kidney Deficiency may also suffer from lusterless eyes or the formation of cold-type nebulae, requiring warming of the Lower Yuan and nourishment of Kidney Water. Patients in the North often endure wind and sand during the day and sleep on heated kang beds at night; the interaction of these two energies necessitates the use of cooling medicines. Hence, medication differs between Northern and Southern populations. After chickenpox or smallpox, if toxic vapors stagnate in the Liver and cannot be vented, attacking the eyes and damaging the pupil, there is traditionally no established treatment method.