突起睛高,险峻厉害之症也,同前旋螺尖大不祥矣,皆因五脏毒风所蕴,热极充眼者,
内属五脏,外属五轮,五脏之气,毒攻五轮之瞳。初起麻木疼痛,汪汪泪出,病势汹涌,卒
暴之变莫测,非精于龙木之奥旨,不能措手。谚云∶眼不医不瞎,正此也。苟非其人,殆有
甚焉,非徒无益而反害之。治法∶扬汤止沸,莫若去薪息火,急投酒调散、酒煎散,宣退五
脏之毒热,捣葱艾熨五轮之突起,消除疼痛,洗以白芷、细辛、当归、苍术、麻黄、防风、
羌活,未可与点药,宜忌口荤腥,将息避风,治法稍迟,或控脓,或突出一寸高者,至此之际
,须锋针针出恶水,疼痛方止,睛高取平耳!无尤之效也。
\r突起睛高图\p05-c20a33.bmp\r
酒调散
当归 甘草 赤芍药 菊花 羌活 桑螵蛸 茺蔚子 防风 荆芥 木贼
上各等分。水煎,食后加酒三盏温服。
硬睑硬睛者,胞睑睛珠俱木,痛涩难运,膈间积热,肝风上壅,气血凝滞,睛睑坚硬,
血旺气虚之人,或饮酒大肠坚结,多受是症,先患一眼,后乃相牵俱损,渐生翳膜。治法∶
初发时宜摩风膏,摩去风邪,散运血气,或煎生地黄、当归、川芎、赤芍、白芷、羌活熏洗
,日三度,宜泻肝膈之热,点以时药,若积年久,睑有瘀血,宜 洗,黑睛有翳有膜,
可吹可点。问曰∶眼患经久,睑胞睛珠俱木不运者何也?答曰∶血气受邪,凝闭不行故也。
治法∶宜 洗,服用当归活血煎、助阳和血汤,点用重药加辛热姜粉之类。
\r硬睑硬睛图\p05-c20a34.bmp\r
当归活血汤 方在前两睑粘睛症内。
助阳和血汤 方在前伤寒热病症内。
突起睛高,是一种险峻且严重的病症,与前述的旋螺尖大一样,属于不祥之兆。这都是因为五脏蕴积毒风,热邪极盛而充塞于眼部所致。在体内归属于五脏,在体表归属于五轮(指眼部的肉轮、血轮、气轮、风轮、水轮),五脏之气受毒邪侵袭,攻冲至五轮的瞳孔部位。初起时出现麻木和疼痛,泪水汪汪流出,病势汹涌澎湃,突发性的变化难以预测。如果不是精通《龙木论》深奥旨意的人,无法着手治疗。俗话说:“眼睛不医治不会瞎”,正是说的这种情况。如果遇不到合适的大夫,病情恐怕会更加严重,不仅无益反而有害。治疗方法:扬汤止沸,不如抽去柴薪以熄灭火源,应紧急投用酒调散、酒煎散,以宣散退除五脏的毒热;捣碎葱白和艾叶熨敷五轮突起之处,以消除疼痛;用白芷、细辛、当归、苍术、麻黄、防风、羌活煎汤清洗,此时不可使用点眼药,应当忌食荤腥食物,调养身体并避风。如果治疗稍微迟缓,或者导致化脓,或者眼球突出一寸高,到了这种地步,必须用锋针刺破排出恶水,疼痛才能停止,使高突的眼球恢复平坦!这是没有过失的疗效。
酒调散
当归、甘草、赤芍药、菊花、羌活、桑螵蛸、茺蔚子、防风、荆芥、木贼。
以上药材各取等分。用水煎煮,饭后加入三盏酒温服。
硬睑硬睛,是指胞睑(眼睑)和睛珠(眼球)都感觉麻木,疼痛且干涩,难以转动。这是由于膈间积热,肝风上壅,导致气血凝滞,使得眼睛和眼睑变得坚硬。血旺气虚之人,或者饮酒后大肠干燥结滞者,多患此症。通常先患一只眼,随后牵连另一只眼共同受损,逐渐生出翳膜。治疗方法:初发时宜用摩风膏,按摩以去除风邪,疏散运行血气;或者煎煮生地黄、当归、川芎、赤芍、白芷、羌活进行熏洗,每日三次,应当泻除肝膈的热邪,并用当时适宜的药物点眼。如果病程长年日久,眼睑有瘀血,宜用特定药物清洗,黑睛上有翳膜,可采用吹药或点药的方法。问:眼睛患病经久不愈,眼睑和眼球都麻木不能转动的原因是什么?答:是因为血气受到邪气侵袭,凝闭不通的缘故。治疗方法:宜用特定药物清洗,服用当归活血煎、助阳和血汤,点眼时使用重药并加入辛热的姜粉之类。
Sudden protrusion of the eyeball is a perilous and severe syndrome, similar to the previously described "spiral screw tip enlargement," both being inauspicious signs. This is caused by the accumulation of toxic wind in the five Zang organs, with extreme heat filling the eyes. Internally, it relates to the five Zang organs; externally, it corresponds to the Five Wheels (the flesh wheel, blood wheel, qi wheel, wind wheel, and water wheel of the eye). The Qi of the five Zang organs, attacked by toxins, assaults the pupils within the five wheels. Initially, there is numbness and pain, with excessive tearing. The disease progresses violently, and sudden changes are unpredictable. Only those proficient in the profound principles of *Longmu Lun* (Dragon Tree Treatise) can manage this condition. As the proverb says: "Eyes will not go blind if untreated," which refers precisely to this situation. If treated improperly, the condition may worsen significantly, causing harm rather than benefit. Treatment method: To stop boiling soup by stirring it is inferior to removing the firewood to extinguish the fire. Urgently administer Jiu Tiao San (Wine-Adjusted Powder) or Jiu Jian San (Wine-Decoction Powder) to disperse and retreat the toxic heat of the five Zang organs. Crush scallion white and mugwort leaves to apply hot compresses to the protruding areas of the five wheels to alleviate pain. Wash the eyes with decoctions of Bai Zhi (Angelicae Dahuricae Radix), Xi Xin (Asari Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Cang Zhu (Atractylodis Rhizoma), Ma Huang (Ephedrae Herba), Fang Feng (Saposhnikoviae Radix), and Qiang Huo (Notopterygii Rhizoma et Radix). At this stage, do not use eye drops. One should avoid meat and fish, rest properly, and avoid wind. If treatment is delayed, leading to suppuration or the eyeball protruding more than one cun high, at this critical juncture, one must puncture with a sharp needle to drain foul fluid; only then will the pain cease, and the protruding eyeball return to its normal position. This yields an effect without fault.
Jiu Tiao San (Wine-Adjusted Powder)
Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Ju Hua (Chrysanthemi Flos), Qiang Huo (Notopterygii Rhizoma et Radix), Sang Piao Xiao (Mantis Oötheca), Chong Wei Zi (Leonuri Fructus), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Mu Zei (Equiseti Herba).
Take equal parts of each. Decoct in water, and after meals, take warm with three cups of wine added.
Hard eyelids and hard eyeballs refer to a state where the eyelids and eyeballs are both numb, painful, dry, and difficult to move. This results from accumulated heat in the diaphragm region, upward congestion of Liver Wind, and stagnation of Qi and Blood, causing hardness in the eyes and eyelids. Individuals with abundant Blood and deficient Qi, or those who consume alcohol leading to dry stool constipation, are prone to this syndrome. It typically affects one eye first, then spreads to the other, gradually forming nebulae (opacities). Treatment method: At the onset, apply Mo Feng Gao (Wind-Rubbing Ointment) to massage away Wind pathogens and disperse circulating Qi and Blood. Alternatively, decoct Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chi Shao (Paeoniae Radix Rubra), Bai Zhi (Angelicae Dahuricae Radix), and Qiang Huo (Notopterygii Rhizoma et Radix) for fumigation and washing, three times daily. One should clear Heat from the Liver and diaphragm and use appropriate eye drops. If the condition persists for years, with blood stasis in the eyelids, specific washes are indicated. For opacities on the Black Cornea (Cornea), insufflation powders or eye drops may be used. Question: Why do eyelids and eyeballs become numb and immobile after prolonged eye disease? Answer: Because Qi and Blood have been invaded by pathogens, becoming stagnant and blocked. Treatment method: Use specific washes, administer Dang Gui Huo Xue Jian (Dang Gui Blood-Invigorating Decoction) and Zhu Yang He Xue Tang (Yang-Assisting and Blood-Harmonizing Decoction), and use potent eye drops mixed with pungent and hot ginger powder.
Dang Gui Huo Xue Tang (Dang Gui Blood-Invigorating Decoction) - Formula found under the section "Two Eyelids Adhering to Eyeball."
Zhu Yang He Xue Tang (Yang-Assisting and Blood-Harmonizing Decoction) - Formula found under the section "Shanghan Heat Syndrome."