白陷鱼鳞者,肝肺二经积热,充壅攻上,致黑睛遂生白翳,如鱼鳞铺砌之状,或入枣花
,中有白陷,发歇不时,或发或聚,疼痛泪出,然妇人多生此病,何也?苦乐不由己出,七
情郁结不舒,毒蕴于肝肺者,血之室也,妇人以血为主,血伤则生肝风,黑仁风轮多生是翳,
甚至白陷钉入黄仁,引血相授,渐成大患,额头兼痛,用摩顶膏摩擦,封贴于额头处,用阴
二阳四丹吹点,或用青盐黄泥固济包,煨熟研末,以鸭毛点于鱼鳞中,日一次,又能除此翳
耳!问曰∶黑睛生白翳,凹入不平成陷者何也?答曰∶肝虚血衰也。故肝虚则受风,风甚则
作痛,血衰则成陷。治法∶点用珍珠二八丹之类。
\r白陷鱼鳞图\p05-c20a35.bmp\r
痛甚宜服∶
酒调散 方在前突起睛高症内。
没药散 方在血灌瞳仁症内。
羞明而不痛者宜服∶
蝉花散 密蒙花散 二方在两睑粘睛症内。
桑螵蛸酒调散 方在暴风客热症内。
(与枣花白陷同)
人之患眼生翳如萝卜花,或鱼鳞子,入陷如碎米者,此肝经热毒入脑,致眼中忽然肿痛
,赤涩泪出不明,头痛鼻塞,乃是肝风热极,脑中风热极致使然也。宜服泻肝散,加味修肝
散主之。
\r花翳白陷图\p05-c20a36.bmp\r
泻肝散
黑参 大黄 黄芩 知母 桔梗 车前子(各一两) 羌活 龙胆草 当归 芒硝
上为末等分。水煎服。
加味修肝散
羌活 防风 桑螵蛸 栀子 薄荷 当归 赤芍药 甘草 麻黄 连翘 菊花 木贼
白蒺藜 川芎 大黄 黄芩 荆芥(各一两)
上为末等分。水煎,入酒温服。
蝉花散
蝉蜕 菊花 蒺藜 蔓荆子 草决明 车前子 防风 黄芩 甘草
上等分。水煎服。
补肾丸 方在前蝇翅黑花症内。
密蒙花散 方在前两睑粘睛症内。
白陷鱼鳞:这是由肝经和肺经积热,热气充塞并上攻头部所致,导致黑睛(角膜)生出白色翳障,形状像鱼鳞铺砌一样,或者像枣花,中间有白色的凹陷。病情时发时止,有时发作有时聚集,伴有疼痛、流泪。然而妇女多患此病,为什么呢?因为妇女的苦乐并非完全由自己掌控,七情(喜、怒、忧、思、悲、恐、惊)郁结不畅,毒气蕴藏在肝肺之中,而肝肺是血液的居所。妇女以血为本,血受损则生肝风,黑仁(瞳孔及周围区域,属风轮)容易生成这种翳障。严重时,白色凹陷如钉状深入黄仁(虹膜),牵引血液相互传变,逐渐演变成大患,额头兼有疼痛。治疗可用摩顶膏摩擦并封贴于额头处;或用阴二阳四丹吹入眼中点治;或者用青盐和黄泥密封包裹,煨熟后研成粉末,用鸭毛蘸取药粉点在鱼鳞状的翳障中,每天一次,又能消除这种翳障!
问:黑睛生出白色翳障,凹陷不平形成陷窝的原因是什么?
答:这是因为肝虚血衰的缘故。所以肝虚则易受风邪侵袭,风邪盛则产生疼痛;血衰则形成凹陷。治疗方法:点用珍珠二八丹之类的药物。
如果疼痛剧烈,适宜服用:
酒调散(方剂见前文“突起睛高”症内)。
没药散(方剂见前文“血灌瞳仁”症内)。
如果畏光但不疼痛,适宜服用:
蝉花散、密蒙花散(两个方剂见前文“两睑粘睛”症内)。
桑螵蛸酒调散(方剂见前文“暴风客热”症内)。
(此症与枣花白陷相同)
人的眼睛患病,生出如萝卜花或鱼鳞子般的翳障,陷入如碎米状者,这是肝经的热毒侵入脑部,导致眼中突然肿痛,眼红干涩、流泪且视物不明,头痛鼻塞。这是由于肝风热极,脑中风热至极所致。适宜服用泻肝散,或以加味修肝散为主进行治疗。
泻肝散
组成:黑参、大黄、黄芩、知母、桔梗、车前子(各一两)、羌活、龙胆草、当归、芒硝。
制法用法:将上述药材研为细末,等分混合。用水煎煮后服用。
加味修肝散
组成:羌活、防风、桑螵蛸、栀子、薄荷、当归、赤芍药、甘草、麻黄、连翘、菊花、木贼、白蒺藜、川芎、大黄、黄芩、荆芥(各一两)。
制法用法:将上述药材研为细末,等分混合。用水煎煮,加入温酒送服。
Bai Xian Yu Lin (White Depression Fish-Scale): This condition is caused by accumulated heat in the Liver and Lung meridians, where heat fills and attacks upwards, resulting in a white nebula forming on the cornea (Hei Jing), resembling the arrangement of fish scales or a jujube flower, with a white depression in the center. The condition flares up and subsides intermittently, accompanied by pain and tearing. However, women are more prone to this disease. Why? Because women's suffering and joy are not entirely within their control; the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) become depressed and stagnant, causing toxic heat to accumulate in the Liver and Lungs. The Liver and Lungs are the chambers of blood. Women prioritize blood as their foundation; when blood is damaged, Liver Wind arises. The Black Pupil area (associated with the Wind Wheel) is prone to generating such nebulae. In severe cases, the white depression penetrates deeply into the Iris (Huang Ren) like a nail, drawing blood and causing mutual transmission, gradually developing into a major ailment, often accompanied by forehead pain. Treatment involves applying Mo Ding Gao (Scalp Rubbing Paste) for friction and patching on the forehead, or using Yin Er Yang Si Dan (Yin Two Yang Four Powder) insufflated into the eye. Alternatively, Qing Yan (Green Salt) and Huang Ni (Yellow Clay) can be sealed together, baked until cooked, ground into powder, and applied to the fish-scale-like nebula using a duck feather once daily, which can also eliminate the nebula!
Question: What is the reason for the black cornea developing a white nebula that is concave and uneven, forming depressions?
Answer: This is due to Liver deficiency and Blood decline. Therefore, Liver deficiency allows Wind pathogen invasion; excessive Wind causes pain. Blood decline leads to the formation of depressions. Treatment method: Instill medicines such as Zhen Zhu Er Ba Dan (Pearl Two Eight Powder).
If pain is severe, it is suitable to take:
Jiu Tiao San (Wine-Adjusted Powder) (Formula found under the symptom "Tu Qi Jing Gao" / Protruding Eye Highness).
Mo Yao San (Myrrh Powder) (Formula found under the symptom "Xue Guan Tong Ren" / Blood Pouring into the Pupil).
If there is photophobia but no pain, it is suitable to take:
Chan Hua San (Cicada Flower Powder) and Mi Meng Hua San (Buddleja Powder) (Both formulas found under the symptom "Liang Jian Nian Jing" / Eyelids Adhering).
Sang Piao Xiao Jiu Tiao San (Mantis Egg Case Wine-Adjusted Powder) (Formula found under the symptom "Bao Feng Ke Re" / Violent Wind Guest Heat).
(This condition is identical to Zao Hua Bai Xian / Jujube Flower White Depression).
When a person suffers from eye nebulae resembling radish flowers or fish scale seeds, sinking in like broken rice grains, this indicates that heat-toxin from the Liver meridian has entered the brain, causing sudden swelling and pain in the eyes, redness, dryness, tearing, blurred vision, headache, and nasal congestion. This is caused by extreme Liver Wind-Heat and extreme Brain Wind-Heat. It is suitable to take Xie Gan San (Liver-Draining Powder), primarily treating with Jia Wei Xiu Gan San (Modified Liver-Nourishing Powder).
Xie Gan San (Liver-Draining Powder)
Ingredients: Hei Shen (Black Ginseng/Adenophora), Da Huang (Rhubarb), Huang Qin (Scutellaria), Zhi Mu (Anemarrhena), Jie Geng (Platycodon), Che Qian Zi (Plantago Seed) (each 1 liang); Qiang Huo (Notopterygium), Long Dan Cao (Gentian), Dang Gui (Angelica Sinensis), Mang Xiao (Mirabilite).
Preparation: Grind all ingredients into fine powder and mix equally. Decoct in water and take orally.
Jia Wei Xiu Gan San (Modified Liver-Nourishing Powder)
Ingredients: Qiang Huo (Notopterygium), Fang Feng (Saposhnikovia), Sang Piao Xiao (Mantis Egg Case), Zhi Zi (Gardenia), Bo He (Mint), Dang Gui (Angelica Sinensis), Chi Shao Yao (Red Peony Root), Gan Cao (Licorice), Ma Huang (Ephedra), Lian Qiao (Forsythia), Ju Hua (Chrysanthemum), Mu Zei (Equisetum), Bai Ji Li (Tribulus), Chuan Xiong (Ligusticum), Da Huang (Rhubarb), Huang Qin (Scutellaria), Jing Jie (Schizonepeta) (each 1 liang).
Preparation: Grind all ingredients into fine powder and mix equally. Decoct in water, add warm wine, and take orally.
Chan Hua San (Cicada Flower Powder)
Ingredients: Chan Tui (Cicada Slough), Ju Hua (Chrysanthemum), Ji Li (Tribulus), Man Jing Zi (Vitality Fruit), Cao Jue Ming (Cassia Seed), Che Qian Zi (Plantago Seed), Fang Feng (Saposhnikovia), Huang Qin (Scutellaria), Gan Cao (Licorice).
Preparation: Mix equal parts. Decoct in water and take orally.
Bu Shen Wan (Kidney-Nourishing Pill) (Formula found under the symptom "Ying Chi Hei Hua" / Fly-Wing Black Flower).
Mi Meng Hua San (Buddleja Powder) (Formula found under the symptom "Liang Jian Nian Jing" / Eyelids Adhering).