肝风积热者,肝家劳苦,七情郁结,二三年间来来往往,一发一歇,遂生翳膜,或聚或
散,赤涩泪出。此症多是夜勤灯光观书史,或雕画打银细巧之人,久累肝家,积热成风,肝
若受风,必有脑疼,不觉渐渐昏蒙。治法∶有翳者吹以丹药,内服泻肝省风之剂,除肝家之
风热,忌口将息,一年半载,病根除矣。其洗眼照根据疼痛肿涩洗眼之方,载在前症条下。
\r肝风积热图\p05-c20a48.bmp\r
问曰∶眼目连年歇发无时者何也?答曰∶肝经积热也。经云∶肝劳则气逆,肝宁则气顺
。气急则发,气顺则歇。治宜发时痛甚者服洗肝散、省风汤之类,常服此数方则能除此病也
,点用清凉散。
洗肝散 方在天行赤眼症内。
泻肝散 治肝经积热。
黑参 大黄 黄芩 知母 桔梗 芒硝
上各等分为末。每服二三钱,食后热水调下,日二次。
省风汤 治肝热火旺,瞳仁不清或细小,宜服。
防风 犀角 大黄 知母 玄参 黄芩 羚羊角(肝虚不用) 桔梗
上为末。每服二钱,水煎入灯心、竹叶,食后服。
坐起生花者,此是内障。此症肝血衰,肝、肾二经虚也。六阳不举,故久坐伤血,起则头
晕眼花,或前常见花发数般,或赤或黑或白,撩乱昏暗不明,良久乃定,瞳仁开大不清。此
症宜补肝肾,或明目固本丸。不治,患久变为青盲内障,变为五风,难治之症也。固本丸只
生熟二地黄、天门二冬,加人参也。
\r坐起生花图\p05-c20a49.bmp\r
问曰∶人之坐起眼前见花,数般茫茫如蝇翅者何也?答曰∶肝肾二经乏气也。经云∶肝
肾之气充则精彩光明,肝经之气乏则昏蒙眩晕。治法∶宜补肾丸、补肝重光散、还精丸、明目
固本丸、补肾明目丸,随人气体虚实加减用之。
补肾丸 治血气虚弱,变成内障,宜服。
磁石(火 醋淬七次,水飞过)三两 肉苁蓉(酒浸焙) 五味子 熟地黄(酒蒸焙) 枸杞
子菟丝子(洗净,酒浸,蒸另研,各二两) 楮实子 覆盆子(酒浸) 车前子(酒浸) 石斛(
去根,各一两) 沉香(另研,五钱) 黄柏(各二两) 青盐(另研,五钱) 或加知母
上炼蜜为丸,如桐子大。每服五十丸,空心盐汤下。
补肾明目丸 治肝肾血虚,视物不明,诸眼服凉药,表里愈后少神光。
羚羊角 生地黄 肉苁蓉 枸杞子 防风 草决明(各一两) 楮实子(五钱) 干菊花 羌活
当归(各二两) 羊子肝(四两,煮焙)
上为末,炼蜜丸,如梧桐子大。每服二十丸,空心盐汤送下,日午清茶下,临卧酒下,
不饮酒人参当归汤下。
明目固本丸 治心热,肾水不足用,少睛光,久服生精清心。
生地黄 熟地黄 天门冬 麦门冬 枸杞子 干菊花
上各研末,炼蜜为丸,如梧桐子大。每服三十丸,空心盐汤下。
肝风积热证,是由于肝脏劳损过度,七情(喜、怒、忧、思、悲、恐、惊)郁结所致。症状每隔两三年发作一次,时发时止,进而形成翳膜(角膜或晶状体上的混浊物),翳膜或聚或散,伴有眼睛红涩、流泪等症状。此症多见于夜间在灯光下勤奋读书看史的人,或是从事雕刻、打银等精细手工劳作的人。长期劳累导致肝脏受损,积热化风。肝脏一旦受风,必然引起头痛,不知不觉间视力逐渐昏蒙模糊。治疗方法:有翳膜者,用丹药吹入眼中;内服泻肝省风的药剂,以清除肝脏的风热。注意饮食禁忌并调养身体,经过一年半载的调理,病根即可去除。至于洗眼的方法,参照前文“疼痛肿涩”条目的洗眼方剂。
问:为什么眼睛常年间歇性发作,没有固定时间?答:这是肝经积热的缘故。医经说:肝脏劳损则气机逆乱,肝脏安宁则气机顺畅。气机急迫则发病,气机顺畅则停止。治疗适宜在发作且疼痛剧烈时服用洗肝散、省风汤之类的药物,经常服用这几首方剂就能消除此病,外用点药使用清凉散。
泻肝散 治疗肝经积热。
药材:黑参、大黄、黄芩、知母、桔梗、芒硝。
以上药材各等分研为细末。每次服用二三钱,饭后用热水调服,每日两次。
省风汤 治疗肝火旺盛,瞳仁不清或变小,适宜服用。
药材:防风、犀角、大黄、知母、玄参、黄芩、羚羊角(若肝虚则不用此药)、桔梗。
以上药材研为细末。每次服用二钱,加水煎煮,加入灯心草、竹叶,饭后服用。
坐起生花证,属于内障(眼底疾病)。此症是因为肝血衰少,肝、肾两经虚弱所致。六阳之气不能升举,所以久坐损伤血液,起身时头晕眼花。眼前常出现各种颜色的花朵影像,有的红、有的黑、有的白,眼花缭乱,昏暗不明,许久才能稳定,瞳仁开大且视物不清。此症适宜补益肝肾,可服用明目固本丸。若不治疗,患病日久会变为青盲内障(完全失明),甚至演变为五风内障,成为难治之症。固本丸仅由生地黄、熟地黄、天门冬、麦门冬组成,再加入人参。
问:人坐下或站起时眼前看见花朵,多种颜色茫茫一片如蝇翅般的是什么原因?答:这是肝、肾两经气虚的缘故。医经说:肝、肾之气充盈则目光精彩明亮,肝经之气匮乏则昏蒙眩晕。治疗方法:适宜服用补肾丸、补肝重光散、还精丸、明目固本丸、补肾明目丸,根据人体气血的虚实情况加减使用。
补肾丸 治疗气血虚弱,演变为内障,适宜服用。
药材:磁石(火烧后醋淬七次,水飞处理)三两、肉苁蓉(酒浸焙干)、五味子、熟地黄(酒蒸焙干)、枸杞子、菟丝子(洗净,酒浸,蒸后另研,各二两)、楮实子、覆盆子(酒浸)、车前子(酒浸)、石斛(去根,各一两)、沉香(另研,五钱)、黄柏(各二两)、青盐(另研,五钱),也可加知母。
以上药材炼蜜制成丸药,大小如梧桐子。每次服用五十丸,空腹时用盐汤送服。
补肾明目丸 治疗肝肾血虚,视物不明,各类眼病服用凉药后,表里症状虽愈但神光仍弱的情况。
药材:羚羊角、生地黄、肉苁蓉、枸杞子、防风、草决明(各一两)、楮实子(五钱)、干菊花、羌活、当归(各二两)、羊子肝(四两,煮熟焙干)。
以上药材研为细末,炼蜜制成丸药,大小如梧桐子。每次服用二十丸,空腹时用盐汤送服,中午用清茶送服,临睡前用酒送服,不饮酒的人用人参当归汤送服。
明目固本丸 治疗心热,肾水不足引起的症状,表现为眼神光彩不足,久服可生精清心。
药材:生地黄、熟地黄、天门冬、麦门冬、枸杞子、干菊花。
以上药材分别研为细末,炼蜜制成丸药,大小如梧桐子。每次服用三十丸,空腹时用盐汤送服。
Liver Wind Accumulated Heat Syndrome is caused by liver fatigue and overwork, along with the stagnation of the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright). The symptoms recur intermittently every two or three years, eventually leading to the formation of Yi Mo (corneal or lens opacity), which may gather or scatter, accompanied by redness, dryness, and tearing. This condition is common in those who study diligently under lamplight at night or engage in delicate crafts such as carving and silversmithing. Long-term labor damages the Liver, causing accumulated heat to transform into Wind. Once the Liver is affected by Wind, it inevitably causes headache, and vision gradually becomes dim and blurred. Treatment method: For cases with opacity, apply medicinal powder via insufflation; internally administer formulas that purge the Liver and dispel Wind to clear Liver wind-heat. Observe dietary restrictions and rest. After one and a half to two years of conditioning, the root cause of the disease will be eliminated. For eye washing methods, refer to the eye-washing formula for "pain, swelling, and dryness" listed in previous sections.
Q: Why do eye symptoms recur intermittently throughout the year without a fixed time? A: This is due to accumulated heat in the Liver Meridian. The Classics state: When the Liver is fatigued, Qi rebels; when the Liver is tranquil, Qi flows smoothly. When Qi is urgent, the disease manifests; when Qi is smooth, the disease subsides. Treatment should involve administering Xi Gan San (Wash Liver Powder) or Sheng Feng Tang (Dispel Wind Decoction) during attacks with severe pain. Regularly taking these formulas can eliminate this disease. Topically, use Dian Yong Liang Qing San (Cooling Clearing Eye Drops).
Xi Gan San (Wash Liver Powder): See the section on Tian Xing Chi Yan (Epidemic Red Eye).
Xie Gan San (Purge Liver Powder): Treats accumulated heat in the Liver Meridian.
Ingredients: Hei Shen (Black Ginseng/Scrophularia), Da Huang (Rhubarb Root and Rhizome), Huang Qin (Scutellaria Root), Zhi Mu (Anemarrhena Rhizome), Jie Geng (Platycodon Root), Mang Xiao (Mirabilite).
All ingredients are ground into equal parts into fine powder. Take 2-3 qian per dose, mixed with hot water after meals, twice daily.
Sheng Feng Tang (Dispel Wind Decoction): Treats excessive Liver fire and heat, where the pupil is unclear or small. Suitable for consumption.
Ingredients: Fang Feng (Saposhnikovia Root), Xi Jiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Da Huang (Rhubarb Root and Rhizome), Zhi Mu (Anemarrhena Rhizome), Xuan Shen (Scrophularia Root), Huang Qin (Scutellaria Root), Ling Yang Jiao (Antelope Horn - *Do not use if Liver Blood is deficient*), Jie Geng (Platycodon Root).
Grind all ingredients into powder. Take 2 qian per dose, decocted in water with Deng Xin Cao (Juncus Effusus Stem) and Zhu Ye (Bamboo Leaf), taken after meals.
Zuo Qi Sheng Hua (Seeing Flowers Upon Sitting and Rising) Syndrome belongs to Nei Zhang (Internal Cataract). This syndrome is caused by deficiency of Liver Blood and weakness of the Liver and Kidney meridians. The Six Yang Qi fail to rise. Therefore, prolonged sitting damages Blood; upon rising, dizziness and blurred vision occur. One may see various colored flowers before the eyes—red, black, or white—causing visual confusion and dimness, which stabilizes only after a long time. The pupil appears dilated and vision is unclear. This syndrome requires tonifying the Liver and Kidney, such as using Ming Mu Gu Ben Wan (Brighten Eyes and Solidify Root Pill). If untreated, prolonged illness may lead to Qing Mang Nei Zhang (Green Blindness Internal Cataract) or evolve into Wu Feng Nei Zhang (Five Winds Internal Cataract), becoming a difficult-to-treat condition. Gu Ben Wan consists of Sheng Di Huang (Rehmannia Root), Shu Di Huang (Prepared Rehmannia Root), Tian Men Dong (Asparagus Tuber), Mai Men Dong (Ophiopogon Tuber), with added Ren Shen (Ginseng Root).
Q: What is the reason for seeing multicolored, fly-wing-like spots before the eyes when sitting or standing? A: This is due to Qi deficiency in the Liver and Kidney meridians. The Classics state: When Liver and Kidney Qi is abundant, vision is bright and clear; when Liver Meridian Qi is deficient, vision becomes dim and dizzy. Treatment method: Administer Bu Shen Wan (Tonify Kidney Pill), Bu Gan Chong Guang San (Supplement Liver and Restore Light Powder), Huan Jing Wan (Return Essence Pill), Ming Mu Gu Ben Wan (Brighten Eyes and Solidify Root Pill), or Bu Shen Ming Mu Wan (Tonify Kidney and Brighten Eyes Pill), adjusting according to the patient's Qi and Blood deficiency or excess.
Bu Shen Wan (Tonify Kidney Pill): Treats Qi and Blood deficiency transforming into internal cataract. Suitable for consumption.
Ingredients: Ci Shi (Magnetite, calcined in vinegar seven times and washed with water) 3 liang, Rou Cong Rong (Cistanche Stem), Wu Wei Zi (Schisandra Fruit), Shu Di Huang (Prepared Rehmannia Root), Gou Qi Zi (Goji Berry), Tu Si Zi (Cuscuta Seed, cleaned, soaked in wine, steamed and separately ground) 2 liang each, Chu Shi Zi (Eucommia Bark/Fruit), Fu Pen Zi (Rubus Fruit, soaked in wine), Che Qian Zi (Plantago Seed, soaked in wine), Shi Hu (Dendrobium Stem, roots removed) 1 liang each, Chen Xiang (Aquilaria Wood, separately ground) 5 qian, Huang Bo (Phellodendron Bark) 2 liang, Qing Yan (Blue Salt, separately ground) 5 qian. Zhi Mu (Anemarrhena Rhizome) may be added.
Process with refined honey to make pills the size of paulownia seeds. Take 50 pills per dose, with salt water on an empty stomach.
Bu Shen Ming Mu Wan (Tonify Kidney and Brighten Eyes Pill): Treats Liver and Kidney Blood deficiency causing unclear vision, or cases where external and internal symptoms have resolved after using cooling medicines but spiritual light remains weak.
Ingredients: Ling Yang Jiao (Antelope Horn), Sheng Di Huang (Rehmannia Root), Rou Cong Rong (Cistanche Stem), Gou Qi Zi (Goji Berry), Fang Feng (Saposhnikovia Root), Cao Jue Ming (Cassia Seed) 1 liang each, Chu Shi Zi (Eucommia Bark/Fruit) 5 qian, Gan Ju Hua (Chrysanthemum Flower), Qiang Huo (Notopterygium Rhizome), Dang Gui (Angelica Sinensis Root) 2 liang each, Yang Zi Gan (Sheep Liver) 4 liang (cooked and dried).
Grind all ingredients into powder, process with refined honey to make pills the size of paulownia seeds. Take 20 pills per dose, with salt water on an empty stomach, clear tea at noon, and wine before bed. For those who do not drink alcohol, use Ren Shen Dang Gui Tang (Ginseng and Angelica Decoction).
Ming Mu Gu Ben Wan (Brighten Eyes and Solidify Root Pill): Treats Heart heat and insufficient Kidney Water, manifesting as lack of visual brilliance. Long-term use generates essence and clears the Heart.
Ingredients: Sheng Di Huang (Rehmannia Root), Shu Di Huang (Prepared Rehmannia Root), Tian Men Dong (Asparagus Tuber), Mai Men Dong (Ophiopogon Tuber), Gou Qi Zi (Goji Berry), Gan Ju Hua (Chrysanthemum Flower).
Grind each ingredient into powder separately, process with refined honey to make pills the size of paulownia seeds. Take 30 pills per dose, with salt water on an empty stomach.