人之两目,至日落西之时,渐渐不见,亦系内障,俗谓之鸡蒙眼也。此乃肾之虚也。眼
虽属于窍门,乃归肾而为主,肾虚则眼目昏,或贪淫乐欲酒色过度,使肾脏衰惫,禀受天真
不全,精神短少,致瞳仁神肾水不清,故目之无光也。治之须有还睛补肾,看人老少虚实
,斟酌药饵以平之,饮食以补之,戒色断怒,使会阴水自然明矣。
\r黄昏不见图\p05-c20a50.bmp\r
还精补肾丸 治内障(方在目暗生花症内)。
补肾明目丸 治诸内障,欲变五风,变化视物不明。
川芎 当归 熟地黄 菊花 山药 知母 石菖蒲 黄柏 青盐 远志 白蒺藜 川巴
戟五味子 白芍药 桑螵蛸 茺蔚子 菟丝子 青葙子 密蒙花 枸杞子 肉苁蓉 石决
上为末,炼蜜为丸,如梧桐子大。每服四十丸,空心盐汤下。
十味还睛丸 治下元虚惫,一切内障。
防风 羌活 密蒙花 青葙子 川芎 蒺藜 甘草 白术 木贼 菟丝子(酒浸三宿,
生用,焙干)
上为末,炼蜜为丸,如梧桐子大。每服二十丸,空心盐汤下。
瞳仁干缺者,亦系内障,与外障无预,但因头疼痛而起,故列外障条中。按此症因夜卧
不得,肝脏魂肺藏魄,魂魄不安,精神不定而少卧劳伤于肝,故金井不圆,上下东西如锯齿
,HT 缺参差,久则渐渐细小,视物蒙蒙,难辨人物,相牵俱损。治法∶宜泻肝补
肾之剂,一本无 鸿飞内有,肾肝俱虚火旺也,用猪肝煮熟,露宿侵晨切薄,蘸夜明沙细嚼
,此药能通明益胆之功。瞳仁小者肝之实,瞳仁大者肝之虚,此症失于医治,久久瞳多锁紧
,如小针眼大,内结有云翳,或黄或青或白,阴看不大,阳看不小,遂成瞽疾耳!初起时眼
珠坠痛,大 微红,犹见三光者,治宜服五泻汤、省风汤同补肾丸,及补肾明目丸,久服效,
方俱在前。
\r瞳人干缺图\p05-c20a51.bmp\r
五泻汤 治瞳仁干缺火旺,及五脏虚火旺动,此药能泻火。
黄柏 知母 木通 栀子 生地黄 甘草 黑参 桔梗 黄芩 防风 热甚加羚羊角
犀角 黄连
上 咀。每服六七钱,用水煎,食后服。
人的双眼,到了太阳落山的时候,渐渐看不清东西,这也属于内障病,俗称“鸡蒙眼”。这是由于肾脏虚弱所致。眼睛虽然归属于窍道,但根本主宰在于肾,肾虚则导致眼目昏花。如果贪图淫欲、饮酒好色过度,致使肾脏衰败疲惫,先天禀受的真气不全,精神短少,导致瞳仁中的神水(肾水)不清澈,所以眼睛没有光泽。治疗时必须采用还睛补肾的方法,根据患者的老少虚实情况,斟酌用药来平衡调理,通过饮食进行补益,戒除色欲并控制愤怒,使会阴之水自然清明。
还精补肾丸:治疗内障(详细方剂见“目暗生花”病症条下)。
补肾明目丸:治疗各种内障,防止病情发展为五风内障,改善视物不明。
川芎、当归、熟地黄、菊花、山药、知母、石菖蒲、黄柏、青盐、远志、白蒺藜、川巴戟天、五味子、白芍药、桑螵蛸、茺蔚子、菟丝子、青葙子、密蒙花、枸杞子、肉苁蓉、石决明。
以上药物研为细末,用炼蜜制成丸药,大小如梧桐子。每次服用四十丸,空腹时用盐水汤送服。
十味还睛丸:治疗下元虚惫,以及一切内障。
防风、羌活、密蒙花、青葙子、川芎、蒺藜、甘草、白术、木贼、菟丝子(用酒浸泡三个夜晚,生用,焙干)。
以上药物研为细末,用炼蜜制成丸药,大小如梧桐子。每次服用二十丸,空腹时用盐水汤送服。
瞳仁干枯缺损的,也属于内障,与外障无关,但因为是由头痛引发的,所以列在外障条目中。按此症是因为夜间睡眠不足,肝脏所藏的魂和肺脏所藏的魄不安定,精神不集中且睡眠少,劳伤于肝,导致金井(瞳孔)不圆,上下左右边缘如锯齿状参差不齐,久而久之逐渐变小,视物模糊,难以分辨人物,相互牵连导致视力俱损。治疗方法:适宜使用泻肝补肾的方剂。另一版本记载在《鸿飞集》内有提到,认为肝肾俱虚且火旺,可用猪肝煮熟,露天放置过夜,清晨切成薄片,蘸取夜明沙细细咀嚼,此药具有通明益胆的功效。瞳仁缩小的是肝实证,瞳仁扩大的是肝虚证。此症若失于医治,时间久了瞳仁多会锁紧,如小针眼般大小,内部结有云翳,颜色或黄或青或白,阴处看不大明显,阳处看也不大清晰,最终形成盲疾!初起时眼珠坠痛,稍微发红,还能看见三光(日、月、星)的,治疗适宜服用五泻汤、省风汤配合补肾丸,以及补肾明目丸,长期服用有效,方剂都在前面。
五泻汤:治疗瞳仁干枯缺损火旺,以及五脏虚火妄动,此药能泻火。
黄柏、知母、木通、栀子、生地黄、甘草、黑参、桔梗、黄芩、防风。热势严重加羚羊角、犀角、黄连。
以上药物切碎。每次服用六七钱,用水煎煮,饭后服用。
The two eyes of a person, when the sun sets in the west, gradually lose vision. This also belongs to internal eye disorders (Nei Zhang), commonly known as "chicken cataract" (Ji Meng Yan). This condition is caused by Kidney deficiency. Although the eyes are classified as orifices, their root control lies with the Kidneys. When the Kidneys are deficient, the eyes become dim. If one indulges in lust, excessive alcohol consumption, and sexual activity, it causes the Kidneys to become weak and exhausted. The innate endowment of true Qi is incomplete, leading to a shortage of spirit and essence. Consequently, the Shen Shui (Divine Water, referring to the aqueous humor governed by Kidney water) within the pupil becomes turbid, resulting in a lack of luster in the eyes. Treatment requires methods to restore vision and tonify the Kidneys. One must assess the patient's age, constitution, and excess or deficiency patterns, carefully selecting herbal decoctions to balance the body, using diet for supplementation, abstaining from sexual desire, and controlling anger, so that the water at Huiyin naturally becomes clear.
Huanshen Bushen Wan (Restore Essence and Tonify Kidney Pill): Treats internal eye disorders (for the detailed formula, see the section on "Vision Obscured with Flowers").
Bushen Mingmu Wan (Tonify Kidney and Brighten Eyes Pill): Treats various internal eye disorders, aiming to prevent progression into the Five Wind internal disorders and to improve unclear vision.
Chuanxiong Radix Ligustici Chuanxiong, Danggui Radix Angelicae Sinensis, Shudihuang Radix Rehmanniae Preparata, Juhua Flos Chrysanthemi, Shanyao Rhizoma Dioscoreae Oppositae, Zhimu Cortex Anemarrhenae, Shichangpu Rhizoma Acori Tatarinowii, Huangbai Cortex Phellodendri, Qingyan Sal, Yuanzhi Radix Polygalae, Baijili Fructus Tribuli, Chuanbajitian Radix Morindae Officinalis, Wuweizi Fructus Schisandrae, Baishaoyao Radix Paeoniae Alba, Sangpiaoxiao Semen Mantidis, Congyingzi Fructus Ulmi Japonicae, Tusizi Semen Cuscutae, Qingxiangzi Fructus Celosiae, Mimenghua Flos Buddlejae, Gouqizi Fructus Lycii, Rongcongson Herba Cistanche, Shijueming Concha Arcae.
Grind the above herbs into fine powder, mix with refined honey to make pills, sized like wutong tree seeds. Take 40 pills per dose, administered on an empty stomach with salted water.
Shiwei Huanjing Wan (Ten-Ingredient Vision Restoring Pill): Treats deficiency and exhaustion of the lower origin, and all types of internal eye disorders.
Fangfeng Radix Saposhnikoviae, Qianghuo Rhizoma et Radix Notopterygii, Mimenghua Flos Buddlejae, Qingxiangzi Fructus Celosiae, Chuanxiong Radix Ligustici Chuanxiong, Jili Fructus Tribuli, Gancao Radix et Rhizoma Glycyrrhizae, Baizhu Rhizoma Atractylodis Macrocephalae, Muzei Ramulus Tamarisci, Tusizi Semen Cuscutae (soaked in wine for three nights, used raw, baked dry).
Grind the above herbs into fine powder, mix with refined honey to make pills, sized like wutong tree seeds. Take 20 pills per dose, administered on an empty stomach with salted water.
Dryness and deficiency of the pupil also belong to internal eye disorders and are unrelated to external eye disorders (Wai Zhang). However, because it arises from headache, it is listed under the external disorder section. According to this syndrome, it is caused by inability to sleep at night. The Hun (Ethereal Soul) stored in the Liver and the Po (Corporeal Soul) stored in the Lungs become unsettled; the spirit is unstable, and there is little sleep, leading to labor injury of the Liver. Thus, the Jin Jing (Golden Well, referring to the pupil) becomes irregular, with edges resembling saw teeth, uneven and jagged. Over time, it gradually shrinks, vision becomes blurry, making it difficult to distinguish people and objects, leading to mutual deterioration of vision. Treatment method: Suitable to use formulas that drain the Liver and tonify the Kidneys. Another version recorded in *Hongfei Ji* states that both Liver and Kidney are deficient with hyperactive fire. It suggests cooking pork liver, leaving it exposed overnight, slicing it thinly in the early morning, dipping it in Ye Mingsha (Stercoris Apiae, Bee Droppings), and chewing it finely. This medicine has the function of clearing brightness and benefiting the Gallbladder. A small pupil indicates Liver excess; a large pupil indicates Liver deficiency. If this condition is left untreated for a long time, the pupil often locks tight, becoming as small as a pinhole, with cloudiness forming inside, which may be yellow, green, or white. It appears not very distinct in shade and not very clear in sunlight, eventually leading to blindness! In the initial stage, if the eyeball feels heavy and painful, slightly red, but still able to see the Three Lights (Sun, Moon, Stars), treatment should include taking Wuxie Tang (Five Draining Decoction) and Shengfeng Tang (Wind-Prohibiting Decoction) combined with Bushen Wan (Kidney-Tonifying Pill), as well as Bushen Mingmu Wan. Long-term use yields good results. These formulas are provided earlier.
Wuxie Tang (Five Draining Decoction): Treats dryness and deficiency of the pupil with hyperactive fire, as well as hyperactive fire from deficiency in the Five Zang organs. This medicine can drain fire.
Huangbai Cortex Phellodendri, Zhimu Cortex Anemarrhenae, Mutong Caulis Akebiae, Zhizi Fructus Gardeniae, Shengdihuang Radix Rehmanniae, Gancao Radix et Rhizoma Glycyrrhizae, Heishen (Black Ginseng, likely referring to prepared Panax ginseng or similar dark-colored ginseng), Jiegeng Radix Platycodi, Huangqin Radix Scutellariae, Fangfeng Radix Saposhnikoviae. If heat is severe, add Lingyangjiao Cornu Saigae Tataricae, Xijiao Cornu Rhinocerotis, and Huanglian Rhizoma Coptidis.
Cut the above herbs into small pieces. Take 6-7 qian (approx. 18-21 grams) per dose, decoct with water, and take after meals.