风牵出睑者,脾胃受风,壅毒出胞睑之间,睑受风而皮紧,脾受风则肉壅,此皮紧肉壅
,风牵出睑,泪出汪汪,无分四季,此土陷不能堤水也。水渍于睑,湿烂之状。治法∶先用
摩风膏刮散脾外风邪,涂以白敛膏消散风毒,翻转睑皮,烙三五度无妨。此症一年半载
易治,若年久肉坚难治,若眼有红筋,贯上黑睛,有翳有膜,吹以丹药。痒塌洗以碧天丹药。
此症大抵眼弦之病也。此症大风 HT 之人,面部所牵多受此病症,难以调治,故名风
\r风牵出睑图\p05-c20a23.bmp\r
问曰∶下睑翻出久不收,泪出汪汪者何也?答曰∶脾经受风邪所伤,致土壤不能堤水也
。治法∶肉坚浓者用火烙三五度,至皮转为度,服用夜光柳红丸,外用摩风膏摩擦之,点用
重药少加凉。
夜光柳红丸 治风邪伤胞睑,致风牵出睑不收,宜服。
人参 川芎 荆芥 白芷 川乌(火煨) 南星 石膏(各二两) 石决明 草乌(去火温炮
,少用) 本 雄黄 细辛 当归 蒲黄 苍术(浸炒) 防风 薄荷 藿香 全蝎(各二两)
何首乌(一两) 羌活(三两) 甘松(二两)
上为末,炼蜜为丸。每服三十丸,茶清下。
摩风膏 治胞睑受风,或疼痛,诸痛处可摩可贴。
木香 当归 白芷 防风 细辛 本 黑附子 没药 骨碎补(各一两) 川乌 赤芍药
肉桂(各一两) 猪脂 牛酥 鹅脂(各四两)
上为末,香油八两,浸一日,次一日沙锅内熬,入牛酥鹅脂同熬成,以手摩擦按有疮处
,或半身不遂,用砂弓刮之,使风气散去。
风牵出睑(眼睑被风邪牵引而外翻)这一病症,是由于脾胃受到风邪侵袭,导致壅滞的毒邪积聚在胞睑之间。眼睑受风则皮肤紧绷,脾脏受风则肌肉壅肿。这种皮肤紧绷、肌肉壅肿的情况,使得风邪牵引眼睑外翻,泪水汪汪流出,不分四季皆然。这是因为脾土虚弱下陷,无法像堤坝一样约束水液。水液浸渍于眼睑,呈现出湿烂的状态。治疗方法:先用摩风膏刮散脾经外部的风邪,再涂抹白敛膏以消散风毒。翻转眼睑皮肤,进行烙治三五次也无妨。此症若在一两年内,容易治疗;若病程长久,肌肉坚硬则难治。如果眼中出现红筋,贯穿至黑睛(角膜),伴有翳膜,可用丹药吹入眼中。若眼痒且眼睑下垂松弛,用碧天丹药清洗。此症大体属于眼弦(眼睑边缘)的疾病。患有大风病(麻风等严重风疾)的人,面部受牵拉多会患上此症,难以调理治疗,因此命名为“风牵出睑”。
问:下眼睑长期外翻不能收回,泪水汪汪的原因是什么?答:这是脾经受风邪损伤所致,导致脾土(比喻为土壤)无法约束水液。治疗方法:对于肌肉坚厚者,用火烙法治疗三五次,直到皮肤状态转变为适宜程度为止。内服夜光柳红丸,外用摩风膏摩擦患处,点眼药时选用重药但少量加入凉性药物。
夜光柳红丸:治疗风邪损伤胞睑,导致风邪牵引眼睑外翻不能收回,适宜服用。
药材组成:人参、川芎、荆芥、白芷、川乌(火煨)、南星、石膏(各二两)、石决明、草乌(去火温炮,少用)、藁本、雄黄、细辛、当归、蒲黄、苍术(浸炒)、防风、薄荷、藿香、全蝎(各二两)、何首乌(一两)、羌活(三两)、甘松(二两)。
制法与用法:以上药材研为细末,用炼蜜制成丸剂。每次服用三十丸,用清茶送服。
摩风膏:治疗胞睑受风,或出现疼痛症状,各种疼痛部位均可按摩或贴敷。
药材组成:木香、当归、白芷、防风、细辛、藁本、黑附子、没药、骨碎补(各一两)、川乌、赤芍药、肉桂(各一两)、猪脂、牛酥、鹅脂(各四两)。
制法与用法:以上药材研为细末,用香油八两浸泡一天,次日放入沙锅中熬煮,加入牛酥和鹅脂一同熬成膏状。用手摩擦按压有疮疡的部位,或者用于半身不遂患者,用砂弓刮拭,使风气散去。
Fengqian Chujian (Eyelid Eversion Induced by Wind) refers to a condition where the spleen and stomach are invaded by wind pathogenic factors, causing stagnant toxins to accumulate between the eyelids. When the eyelids are affected by wind, the skin becomes tight; when the spleen is affected, the flesh becomes swollen. This combination of tight skin and swollen flesh leads to the wind pulling the eyelid outward, resulting in profuse tearing regardless of the season. This occurs because the Earth element (Spleen) sinks and fails to act as a dike to contain water. Water infiltrates the eyelids, leading to a moist and ulcerated appearance. Treatment method: First, use Mofeng Gao (Wind-Expelling Ointment) to scrape away the wind evil outside the spleen channel, then apply Bailian Gao (White Coptis Ointment) to dissipate wind toxins. Turn over the eyelid skin and perform cauterization three to five times, which is acceptable. This condition is easy to treat if it has persisted for one or two years; however, if it has lasted for many years and the flesh becomes hard, it is difficult to treat. If red blood vessels appear in the eye, penetrating into the cornea (Heijing), accompanied by nebulae and membranes, administer medicinal powders by insufflation. For itching and sagging eyelids, wash with Bitian Danyao (Blue Sky Mineral Pill). This condition generally belongs to diseases of the eyelid margin (Yanxian). Individuals suffering from severe wind diseases (such as leprosy) often have their facial features pulled, making them susceptible to this condition, which is difficult to regulate and treat, hence the name "Fengqian Chujian".
Question: Why does the lower eyelid evert for a long time without retracting, accompanied by profuse tearing? Answer: This is caused by damage to the Spleen channel from wind pathogenic factors, resulting in the failure of the "soil" (Spleen Earth) to control water. Treatment method: For cases with thick and hard flesh, use fire cauterization three to five times until the skin condition improves. Internally, take Yeguang Liuhong Wan (Night-Luminous Willow-Red Pill); externally, rub Mofeng Gao on the area. For eye drops, use potent medicines but add a small amount of cooling agents.
Yeguang Liuhong Wan: Treats wind pathogenic factors damaging the eyelids, causing wind-induced eyelid eversion that cannot retract. It is suitable for oral administration.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Chuanxiong Rhizoma (Chuanxiong), Jingjie (Schizonepetae Herba), Baizhi (Angelicae Dahuricae Radix), Chuanwu (Aconiti Radix, fire-roasted), Nanxing (Pinelliae Rhizoma preparatum), Shigao (Gypsum Fibrosum) (each 2 liang), Shijueming (Haliotidis Concha), Caowu (Aconiti Kusnezoffii Radix, processed to remove heat and warm, used sparingly), Bencao (Ligustici Rhizoma et Radix), Xionghuang (Realgar), Xixin (Asari Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Puhuang (Pollinis Typhae), Cangzhu (Atractylodis Rhizoma, soaked and stir-fried), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Huoxiang (Pogostemonis Herba), Quanxie (Scorpio) (each 2 liang), Heshouwu (Polygoni Multiflori Radix) (1 liang), Qianghuo (Notopterygii Rhizoma et Radix) (3 liang), Gangsong (Nardostachyos Radix et Rhizoma) (2 liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey to form pills. Take 30 pills per dose, washed down with clear tea.
Mofeng Gao: Treats wind invasion of the eyelids, or pain; applicable for massage or application to various painful areas.
Ingredients: Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Bencao (Ligustici Rhizoma et Radix), Heifuzi (Aconiti Lateralis Radix Preparata), Moyao (Myrrha), Gusuibu (Drynariae Rhizoma) (each 1 liang), Chuanwu (Aconiti Radix), Chishao (Paeoniae Radix Rubra), Rougui (Cinnamomi Cortex) (each 1 liang), Zhizhi (Porcine Adipose), Niusu (Bovini Medulla Ossis), Eshi (Anseris Adipose) (each 4 liang).
Preparation and Administration: Grind the above ingredients into powder, soak in 8 liang of sesame oil for one day. On the second day, boil in a clay pot, adding Niusu and Eshi, and continue boiling until the ointment forms. Massage and press onto ulcerated areas with hands. For hemiplegia, use a sand bow to scrape the area to disperse wind qi.