经曰∶目者，五脏六腑之精，荣卫魂魄之所常营也，神气之所常主也。又曰∶诸脉者，皆属
于目。目得血而能视，五脏六腑精气，皆上注于目而为之精。故白睛属肺，黑睛属肝，瞳人
属肾，上下胞属脾，两 属心，而内 又属膀胱。五脏五色，各有所司，心主赤，赤甚心实
热也，用导赤散；赤微者，心虚热也，用生犀散。肝主青，青甚者，肝热也，用泻青丸；淡
青者，肝虚也，用地黄丸。脾主黄，黄甚者脾热也，用泻黄散；淡黄者，脾虚也，用异功散
。目无睛光，及白睛多黑睛少者，肝肾俱不足也，用地黄丸加鹿茸。昼视通明，夜视罔见者
，因禀阳气衰弱，遇夜阴盛，则阳愈衰，故不能视也，用冲和养胃汤。凡赤脉翳物，从上而
下者，属足太阳经，用东垣选奇汤；从下而上者，属足阳明经，用局方流气饮。盖翳膜者，
风热内蕴也，邪气未定，谓之热翳，而浮于外；邪气已定，谓之冰翳，而沉于内；邪气既深
，谓之陷翳，宜升发之，退翳之药佐之。若上眼皮下，出黑白翳者，属太阳寒水；从外至内
者，属少阳风热；从下至上绿色者，属足阳明，及肺肾合病也。疳眼者，因肝火湿热上冲，
脾气有亏，不能上升清气，故生白翳，睫闭不开，眵泪如糊，久而脓流，遂至损目，用益气
聪明汤、茯苓泻湿汤，及四味肥儿丸。目闭不开者，因乳食失节，或过服寒凉之药，使阳气
下陷，不能升举，故目不开，用柴胡复生汤。若胃气亏损，眼睫无力而不能开者，用补中益
气汤。暴赤肿痛者，肝火炽盛也，用龙胆泻肝汤。多泪羞明者，肝心积热也，用生犀散。亦
有肝肾虚热者，用地黄丸。风沿烂眼者，膈有积热也，用清胃散。时时作痒者，脓溃生虫也
，用点药紫苏膏。眼睫连札者，肝经风热也，用柴胡清肝散。若生下目黄壮热，大小便秘结
，乳食不思，面赤眼闭者，皆由在胎时，感母热毒所致，儿服泻黄散，母服地黄丸。若乳母
膏粱积热，致儿目黄者，令母服清胃散。若肢体面目爪甲皆黄，小便如屋尘色者，难治。又
有痘疹后，余毒未尽，上侵于目者，属肾肝虚也，用滋阴肾气丸。前症多宜审治其母，兼调
其儿。厥有未尽，悉详《原机启微》中，宜参考之。
治验
一女子年十四，因恚怒，先月经不行，寒热胁痛，后两目生翳青绿色，从外至内。余谓∶寒
热胁痛，足厥阴之症也。翳从外 起，足少阳之症也。左关脉弦数，按之而涩，肝惊风热兼
血滞也。遂以加味逍遥散加防风、龙胆草，四服而寒热胁痛顿减；用六味丸，月余而翳消。
一小儿十五岁，两目白翳，腹膈遍身似疥非疥，晡热口干，形体骨立，此肝疳之症也，用六
味肥儿丸而痊。后阴茎作痒，小便澄白，疮疥益 ，状如大风，用大芦荟四味肥儿丸，诸症
渐愈，又用大芜荑汤而痊。
一小儿白睛多，吐痰发搐，先用抑青丸，四服而痰搐止，后用地黄丸，年许而黑睛多。
一小儿白睛多，三岁不能行，语声不畅，两足非热则冷，大便不实，朝用补中益气汤加五味
子、干山药，以补脾肺，夕用地黄丸加五味子、牛膝、鹿茸，补肝肾，不三月而瘥。
一小儿眼白腿软，两足热，面似愁容，服地黄丸，两月余渐健。服年余，白睛渐黑，出痘无
一小儿雀盲眼札，服煮肝丸而目明，服四味肥儿丸，而目不札。
一小儿目无光芒，视物不了了，饮食少思，大便不调，服大芜荑汤、九味芦荟丸而愈。后饮
食停滞，妄用消导克伐之剂，目症仍作，至晚尤甚，用人参补胃汤渐愈，又用五味异功散、
四味肥儿丸而痊。
一小儿九岁，素有肝火，两目生翳。服芦荟、肥儿等丸随愈。至十四岁，后遇用心过度，饮
食不节，即夜视不明。用补中益气汤、人参补胃汤、四味肥儿丸而愈。
一小儿眼泡微肿，咳嗽恶心，小便泔白。余谓脾疳食积，以五味异功散为主，佐以四味肥儿
丸而愈。后不节饮食，夜视不明。余曰∶此脾胃复伤，须补养为主。不信。乃服峻厉之剂，
后变风症，竟不起。
一小儿因发热表散，出汗眼赤发搐。审其母，素有肝火发热。以异功散加柴胡、升麻，子母
并服稍愈，又用加味逍遥散，其热顿退，继用补中益气汤、六味地黄丸，子母寻瘥。
一小儿目赤作痛，切牙寒热。余谓肝经风热，用柴胡饮子一剂，而赤痛止。又用四物、参、
、白术、柴胡，而寒热退。又用补中益气汤而饮食加。
一小儿眼素白或青，患眼赤作痛，服降火之剂，眼如血贯，脉洪大或浮缓，按之皆微细。用
十全大补汤加柴胡、山栀数剂，外症渐退，而脉渐敛，又数剂而愈。
一小儿停食腹痛，服巴豆之药，更加目赤作痛，寒热往来，饮食少思，手足并冷，余用六君
、升麻、炮姜，诸症顿愈。惟寒热未已，用四君、柴胡、升麻而安。
一小儿眼赤痛，服大黄之药，更加寒热如疟。余谓脾胃复伤，用四君、升麻、柴胡、炮姜、
钩藤钩，而寒热愈。又用补中益气汤，间服而目疾痊。
一小儿因乳母恚怒患发热等症，儿患目痛，兼作呕吐，先用小柴胡汤，子母俱服顿安，但儿
晡热仍呕。以异功散加升麻、柴胡，治之而瘥。
一小儿生下目黄，三日面赤黄。一小儿旬日内目黄而渐至遍身。此二者，胎禀胃热，各用泻
黄散，一服皆愈。
一小儿旬日，面目青黄，此胃热胎黄也，用泻黄散，以乳调服少许，即愈。后复身黄吐舌，
仍用前散而安。
一小儿患目黄。知其乳母食郁身黄所致，以越鞠丸治母，泻黄散治子，并愈。
一小儿面青寒热，形气瘦弱，眼目生翳。用九味芦荟丸、五味异功散，目翳渐退，乃以四味
肥儿丸、五味异功散，而肌肉生。
一小儿眼每生翳，皆因乳母恚怒而作，用九味芦荟丸、柴胡栀子散，母子服之，并愈。
一小儿乳哺失节，服药过剂，腹胀少食，大便不调，两眼生花，服治眼之药，渐生浮翳，余
用异功散加当归、柴胡，饮食渐进，便利渐调，少佐以九味芦荟丸，其眼渐明，乃用人参补
胃汤、肥儿丸，而痊。
一小儿未周岁，目内有翳。余谓∶此禀母肝火所致。询其母果素多恚怒，现患瘰 目疾，自
乳其子。余用地黄丸治之，其母稍愈。后彼无此药，其子遂瞽。
一小儿十二岁，伤寒咳嗽发热，服发散之药，目渐不明，服降火等药，饮食日少，目渐生翳
，余谓中气虚，用人参补胃汤，饮食渐进，又用千金补肝丸，及熏眼之法而痊。
一女子十二岁，目生白翳，面黄浮肿，口干便泄，用四味肥儿丸而痊。
一小儿目羞明瘾涩，两足发热，大便不实，食少时咳，仍欲治肝祛风，余曰∶两足发热，小
便不调，肾肝虚也；大便不实，食少时咳，脾肺虚也。朝用补中益气汤，夕用六味地黄丸，
元气渐复，乃佐以四味肥儿丸，又月余而瘥。
一小儿目痛，恪服泻火治肝之药，反加羞明瘾涩，睡中惊悸悲啼。此肝经血虚，火动伤肺也
，用五味异功散加山栀，补脾肺清肺金；用地黄丸滋肾水生肝血而安。乃兼服四味肥儿丸而
一小儿目青发搐，直视叫哭，或用牛黄清心丸，加切牙顿闷，小便自遗。余谓∶肝经血气虚
甚也。用补中益气汤，及六味地黄丸，而痊。
一小儿发搐目札，属肝胆经风热，先用柴胡清肝散治其肝，后用地黄丸补其肾，而愈。
一小儿目痛兼痒，因膏粱积热，仍口渴饮冷便秘。先用泻青丸，疏导肝火；更用清胃散煎熟
，磨生犀角服之，以解食毒；又用四味肥儿丸，以治肝症而瘥。
一小儿目疾久不愈，用大芜荑汤五剂，蟾蜍丸数服，又用四味肥儿丸而愈。
一小儿十四岁，用功劳苦，半载后自汗盗汗，形体殊倦，朝用补中益气汤加五味子、蔓荆子
；夕用十全大补汤寻愈。毕姻后，因唾痰头晕，恪服清痰理气之药，忽目不能开，余用地黄
丸、十全大补汤，三月余而痊。
吴江史万湖之孙，自乳儿时，患目疾，年二十目札头摇，用金匮肾气丸，愈而复作，两目生
翳，用聪明益气汤并前丸，既愈而复发，形体消瘦，脉数洪大，用补中益气汤，及前丸而瘥。
一小儿因惊眼札或搐，先用加味小柴胡汤加芜荑、黄连，以清肝热，又用地黄丸，以滋肾生
一小儿两目连札，或色赤，或时拭眉，此肝经风热，欲作肝疳也。用四味肥儿丸加龙胆草而
一小儿白睛多，吐痰发搐，用地黄丸为主，佐以抑青丸而搐止。后用世传方地黄丸，而黑睛
一女子十四岁，两目作痛，或发痒，或头晕，或头痛，或两胁作痛，或寒热内热，口渴少食
，经候不调，此肝脾二经，气血虚而有热也。用补中益气汤、柴胡清肝散而愈。后左眉上结
一核，如豆许渐大如栗，腐而作痛，此肝经火燥而血病也，用加味逍遥散，月余腐肉自脱，
乃用八珍汤及前药而愈。
一小儿十三岁，目久痛，渐生青绿翳，后赤烂，左关脉弦数，用九味芦荟丸、加味逍遥散而
愈。毕姻后复发，用滋阴肾气丸为主，佐以加味逍遥散而痊。
一小儿十五岁，因大劳，目赤作痛，发热作渴，脉洪大而虚，用八珍汤加炒黑山栀，一剂诸
症顿退，又用补中益气汤而痊。后因梦遗，目仍赤痛，用六味地黄丸料加五味子，二剂而痛
止，又三十余剂而复明。
生犀散 治心经虚热。
生犀（取末二钱） 地骨皮 赤芍药 柴胡 干葛（各一两） 甘草（五钱）
上每服二钱，水煎。
生熟地黄散 治眼初患之时，因误筑到蹙，肝受惊风，致目肿赤痛痒。
生地黄（洗） 熟地黄（各一两） 麦门冬（五钱） 当归 甘草（炙） 枳壳（米泔水浸，面炒） 防风 杏仁
（汤泡去皮尖，用面炒赤色） 赤芍药（各二钱五分）
上每服一钱，黑豆七粒，水煎。
犀角饮 治脾火眼疼。
犀角（一两） 射干 草龙胆（炒） 黄芩（炒。各五钱） 人参（二两） 茯苓（二钱五分） 钩藤钩（七钱五
分）
上每服一钱，水煎。
牛黄丸 治肝受惊，遂致患目。
牛黄 白附子 肉桂 全蝎 芎 石膏（各三钱五分） 白芷 藿香（各五钱） 辰砂 麝香（各少
上各另为末，炼蜜丸，桐子大。每服三丸，临卧薄荷汤化下。乳母亦忌热物之类。
世传方地黄丸 治肾虚，目睛多白。
鹿茸（五钱） 泽泻 茯苓 山茱萸 熟地黄 牡丹皮 牛膝（各一两）
上为末，蜜丸，桐子大。每服二十丸，盐汤下。
罗氏煮肝丸 治疳眼翳膜羞明，大人雀目，甚效。
夜明砂 青蛤粉 谷精草（各一两）
上为末，每服二钱，以猪肝批开，摊药在内，麻缠定，米泔水半碗煮肝，熟取出汤，倾碗内
熏眼，候汤温，分肝三服，嚼吃，就用肝汤下，一日二服。
龙胆饮子 治疳眼流脓生翳，此湿热为病。
青蛤粉（五钱） 羌活 草龙胆（各三钱） 炒黄芩（二钱） 蛇蜕（五分） 麻黄（二钱五分） 谷精草（五分）
上为末，每服二钱，茶清调下。
东垣人参补胃汤 治劳役，饮食不节，内瘴眼痛，神效。
黄 根 人参（各一两） 炙甘草（八钱） 蔓荆子（一钱） 白芍药（炒） 黄柏（各三钱，酒拌炒四次）
上每服二三钱，水煎，稍热服，临卧三五服。
《千金方》治雀盲。
地肤子（五两） 决明子（一升）
上为末，以米饮和丸，每服二三十丸。
《世传方》治雀盲。
苍术（四两米泔浸切片，四两焙）
上为末，猪肝二两，批开掺药在内，用麻系定，粟米一合，水一碗，砂锅内煮熟，熏眼，候
效。
《圣惠方》治雀盲不计时月，用苍术一两，为末，每服一钱。
《本事方》治小儿赤热肿眼。
大黄 白矾（各等分）
上为末，冷水调作饼子贴眼，立效。
东垣广大重明汤 治两睑或两 赤烂，热肿疼痛，及眼胞痒极，抓之至破烂赤肿，眼楞生疮
涩难开。
草龙胆 防风 生甘草根 细辛苗叶（各一钱）
上水一碗半，煎龙胆至七分，入余药再煎，至半碗热洗，日五七次，洗毕合眼，须臾瘥。
东垣助阳和血补气汤 治发后热壅，白睛红多，眵泪瘾涩，此过服凉药，而真气不能通九窍
防风（七分） 黄 （一钱） 蔓荆子（三分） 白芷（二分） 升麻（七分） 甘草（炙） 柴胡 当归身（酒
洗。各
上 咀，都作一服，水一盏半煎至一盏，去渣热服。临卧，避风处睡，忌风寒及食冷物。
洁古方 治眼赤暴发肿。
防风 羌活 黄芩（炒） 黄连（炒。各等分）
上每服一钱，水煎服。如大便秘，加大黄二分，痛甚，加川归、地黄各二分。烦躁不得卧，
保命点眼药 除昏退翳，截赤定痛。
当归 黄连（各二钱） 防风（二钱五分） 细辛（五分） 甘草（一钱）
上水一大碗，文武火熬，滴水中不散为度，入熟蜜少许，点用。
千金补肝散 治目失明。
青羊肝（一，其去膜、薄切以新瓦炙干） 决明子 蓼香（一合，熬令香）
上为末，每服方寸匕，日二服，久而有验。
本事方 治太阳寒水陷，翳膜遮睛。
防风 白蒺藜（各一两） 羌活（一两半） 甘菊（三两）
《黄帝内经》说：眼睛，是五脏六腑精气的汇聚之处，也是营气、卫气、魂、神经常滋养和主管的部位。又说：所有的经脉，都归属于眼睛。眼睛得到血液的滋养才能看见事物，五脏六腑的精气，都向上灌注到眼睛而形成视觉功能。因此，白睛（眼白部分）属于肺，黑睛（角膜及虹膜部分）属于肝，瞳孔属于肾，上下眼睑属于脾，两眦（眼角）属于心，而内眦又属于膀胱。五脏对应五色，各有其主治范围：心主红色，红色深重的是心经实热证，用导赤散治疗；红色轻微的是心经虚热证，用生犀散治疗。肝主青色，青色深重的是肝热证，用泻青丸治疗；青色淡的是肝虚证，用地黄丸治疗。脾主黄色，黄色深重的是脾热证，用泻黄散治疗；黄色淡的是脾虚证，用异功散治疗。眼睛没有神采光泽，以及白睛多黑睛少的情况，是肝肾两脏都不足的表现，用地黄丸加鹿茸治疗。白天视力清晰，晚上视力模糊或看不见，是因为先天禀赋阳气衰弱，遇到夜晚阴气盛时，阳气更加衰弱，所以不能视物，用冲和养胃汤治疗。凡是出现赤脉和翳膜，从上向下发展的，属于足太阳膀胱经病变，用东垣选奇汤治疗；从下向上发展的，属于足阳明胃经病变，用局方流气饮治疗。大概翳膜的形成，是由于风热内蕴所致。邪气未定，称为热翳，浮于外部；邪气已定，称为冰翳，沉于内部；邪气既深，称为陷翳，宜用升发之法，并配合退翳药物辅助治疗。如果上眼皮下方出现黑白翳膜，属于太阳寒水证；从外向内发展的，属于少阳风热证；从下向上呈绿色的，属于足阳明胃经及肺肾合病。疳积眼症，是因为肝火湿热上冲，脾气亏损，不能上升清气，所以产生白翳，睫毛闭合不开，眼屎眼泪像糊状，时间久了流脓，导致眼睛受损，用益气聪明汤、茯苓泻湿汤，以及四味肥儿丸治疗。眼睛闭合无法睁开，是因为乳食不节制，或者过服寒凉药物，使阳气下陷，不能升举，所以眼睛睁不开，用柴胡复生汤治疗。如果是胃气亏损，眼睑无力而不能睁开，用补中益气汤治疗。突然红肿疼痛，是肝火炽盛的表现，用龙胆泻肝汤治疗。流泪怕光，是肝心积热的表现，用生犀散治疗。也有肝肾虚热的，用地黄丸治疗。风沿烂眼症，是膈间有积热，用清胃散治疗。时时发痒，是脓溃生虫，用点药紫苏膏治疗。眼睑抽搐拘急，是肝经风热，用柴胡清肝散治疗。如果出生后目黄壮热，大小便秘结，不吃奶，面红眼闭，这都是因为在母体时感受了母体的热毒所致，婴儿服用泻黄散，母亲服用地黄丸。如果乳母饮食厚味积热，导致婴儿目黄，让母亲服用清胃散。如果肢体面目爪甲都发黄，小便像屋尘颜色，难以治疗。又有痘疹之后，余毒未尽，向上侵犯眼睛的，属于肾肝虚证，用滋阴肾气丸治疗。上述病症大多应当仔细诊治其母亲，同时调理婴儿。其中未尽之意，详见《原机启微》一书，宜参考阅读。
治验案例：
一个十四岁的女子，因为愤怒，先出现月经不行，伴有寒热和胁痛，后来两眼生出青绿色翳膜，从外向内发展。我说：寒热胁痛，是足厥阴肝经的症状。翳膜从外眦起，是足少阳胆经的症状。左关脉弦数，按之涩滞，这是肝受惊风热兼血瘀阻滞。于是用加味逍遥散加防风、龙胆草，服用四剂后寒热胁痛顿时减轻；再用六味地黄丸，月余后翳膜消退。
一个十五岁的男孩，两眼白翳，腹部膈部遍身似疥非疥，午后发热口干，形体消瘦如骨立，这是肝疳的症状，用六味肥儿丸治愈。后来阴茎发痒，小便浑浊色白，疮疥加重，状如大风病，用大芦荟四味肥儿丸，诸症逐渐痊愈，后又用大芜荑汤治愈。
一个男孩白睛多，吐痰发搐，先用抑青丸，服用四剂后痰搐停止，后用地黄丸，约一年后黑睛增多。
一个男孩白睛多，三岁还不能行走，说话声音不畅，两脚不是热就是冷，大便不成形，早晨服用补中益气汤加五味子、干山药，以补脾肺；晚上服用地黄丸加五味子、牛膝、鹿茸，补肝肾，不到三个月就康复了。
一个男孩眼白发黄腿软，两脚发热，面色像忧愁的样子，服用地黄丸，两个多月后逐渐健壮。服用一年多，白睛逐渐变黑，出痘疹时……（原文此处似有缺漏，依文意推测为顺利度过或无碍）。
一个男孩雀盲（夜盲）且眼睑抽搐，服用煮肝丸后视力明亮，服用四味肥儿丸后眼睑不再抽搐。
一个男孩眼睛没有光芒，视物模糊不清，饮食减少思虑，大便不调，服用大芜荑汤、九味芦荟丸后痊愈。后来饮食停滞，妄用消导克伐的药物，眼症再次发作，到了晚上尤其严重，用人参补胃汤逐渐好转，又用五味异功散、四味肥儿丸治愈。
一个男孩九岁，素有肝火，两眼生翳。服用芦荟、肥儿等丸药随即好转。到十四岁时，后因用心过度，饮食不节，即出现夜间视力不明。用补中益气汤、人参补胃汤、四味肥儿丸治愈。
一个男孩眼睑微肿，咳嗽恶心，小便浑浊如米泔水。我认为这是脾疳食积，以五味异功散为主，佐以四味肥儿丸治愈。后来不节制饮食，夜间视力不明。我说：这是脾胃再次受伤，必须以此为主进行补养。他不听。于是服用峻烈猛烈的药物，后来变成风症，最终未能挽回生命。
一个男孩因发热使用发散药物，出汗后眼红发搐。询问其母亲，素来有肝火发热。用异功散加柴胡、升麻，母子同服稍有好转，又用加味逍遥散，热势顿时减退，继用补中益气汤、六味地黄丸，母子很快康复。
一个男孩眼睛红肿疼痛，咬牙寒热。我认为这是肝经风热，用柴胡饮子一剂，红肿疼痛停止。又用四物汤、人参、白术、柴胡，寒热退去。又用补中益气汤食欲增加。
一个男孩眼睛素来白或青，患眼红肿疼痛，服用降火药物，眼睛像被血贯穿一样，脉象洪大或浮缓，按之皆微细。用十全大补汤加柴胡、山栀数剂，外在症状逐渐消退，脉象逐渐收敛，又数剂后痊愈。
一个男孩停食腹痛，服用巴豆类药物，更加眼红疼痛，寒热往来，饮食减少，手脚冰凉，我用六君子汤、升麻、炮姜，诸症顿时痊愈。只有寒热未止，用四君子汤、柴胡、升麻而安定。
一个男孩眼红疼痛，服用大黄类药物，更加寒热如疟疾。我认为脾胃再次受伤，用四君子汤、升麻、柴胡、炮姜、钩藤钩，寒热痊愈。又用补中益气汤，间隔服用而眼疾痊愈。
一个男孩因母亲愤怒患发热等症状，婴儿患眼痛，兼作呕吐，先用小柴胡汤，母子俱服顿时安宁，但婴儿午后仍发热呕吐。用异功散加升麻、柴胡，治疗而痊愈。
一个男孩出生后面目发黄，三天后面赤黄。一个男孩十天内目黄而逐渐至遍身。这两者，都是胎禀胃热，各用泻黄散，一服皆愈。
一个男孩十天大，面目青黄，这是胃热胎黄，用泻黄散，用乳汁调服少许，立即痊愈。后来再次全身发黄吐舌，仍用前散而平安。
一个男孩患目黄。知道是乳母饮食郁结导致身黄所致，用越鞠丸治疗母亲，泻黄散治疗孩子，一同痊愈。
一个男孩面青寒热，形体瘦弱，眼目生翳。用九味芦荟丸、五味异功散，目翳逐渐消退，乃用四味肥儿丸、五味异功散，肌肉生长。
一个男孩眼睛经常生翳，都是因为母亲愤怒而发作，用九味芦荟丸、柴胡栀子散，母子服用，一同痊愈。
一个男孩乳哺不节制，服药过量，腹胀少食，大便不调，两眼生花，服用治眼药，逐渐生成浮翳，我用异功散加当归、柴胡，饮食逐渐进步，二便逐渐调和，稍佐以九味芦荟丸，眼睛逐渐明亮，乃用人参补胃汤、肥儿丸，而痊愈。
一个男孩不满周岁，目内有翳。我说：这是禀受母亲的肝火所致。询问其母亲果然素来多怒，现患瘰疬眼疾，亲自哺乳儿子。我用地黄丸治疗他，母亲稍好。后来他们没有这个药，孩子遂致失明。
一个男孩十二岁，伤寒咳嗽发热，服用发散药物，眼睛逐渐不明，服用降火等药，饮食日渐减少，眼睛逐渐生翳，我认为中气虚，用人参补胃汤，饮食逐渐进步，又用千金补肝丸，及熏眼的方法而痊愈。
一个十二岁的女子，眼睛生白翳，面黄浮肿，口干便泄，用四味肥儿丸治愈。
一个男孩眼睛怕光涩滞，两脚发热，大便不成形，食少时常咳，仍想治肝祛风，我说：两脚发热，小便不调，是肾肝虚；大便不成形，食少时常咳，是脾肺虚。早晨服用补中益气汤，晚上服用六味地黄丸，元气逐渐恢复，乃佐以四味肥儿丸，又月余而痊愈。
一个男孩眼痛，严格服用泻火治肝的药物，反而加重怕光涩滞，睡中惊悸悲啼。这是肝经血虚，火动伤肺，用五味异功散加山栀，补脾肺清肺金；用地黄丸滋肾水生肝血而安定。乃兼服四味肥儿丸而痊愈。
一个男孩眼睛发青发搐，直视叫哭，有人用牛黄清心丸，加上咬牙切齿顿闷，小便自遗。我说：这是肝经血气非常虚弱。用补中益气汤，及六味地黄丸，而痊愈。
一个男孩发搐眼睑抽搐，属肝胆经风热，先用柴胡清肝散治其肝，后用地黄丸补其肾，而痊愈。
一个男孩眼痛兼痒，因为膏粱积热，仍口渴饮冷便秘。先用泻青丸，疏导肝火；更用清胃散煎熟，磨生犀角服用，以解食毒；又用四味肥儿丸，以治肝症而痊愈。
一个男孩眼疾久不愈，用大芜荑汤五剂，蟾蜍丸数服，又用四味肥儿丸而痊愈。
一个男孩十四岁，用功劳苦，半年后自汗盗汗，身体极度疲倦，早晨服用补中益气汤加五味子、蔓荆子；晚上服用十全大补汤很快痊愈。结婚后，因唾痰头晕，严格服用清痰理气的药物，忽然眼睛不能睁开，我用地黄丸、十全大补汤，三月余而痊愈。
吴江史万湖的孙子，从吃奶时患眼疾，二十岁时眼睑抽搐头摇，用金匮肾气丸，好了又发作，两眼生翳，用聪明益气汤并前丸，好了又复发，形体消瘦，脉数洪大，用补中益气汤，及前丸而痊愈。
一个男孩因惊吓眼睑抽搐或发搐，先用加味小柴胡汤加芜荑、黄连，以清肝热，又用地黄丸，以滋肾生……（原文此处似有缺漏，依文意推测为肝血）。
一个男孩两眼连札，或色赤，或时拭眉，这是肝经风热，欲作肝疳。用四味肥儿丸加龙胆草而……（原文此处似有缺漏，依文意推测为痊愈）。
一个男孩白睛多，吐痰发搐，用地黄丸为主，佐以抑青丸而搐止。后用世传方地黄丸，而黑睛……（原文此处似有缺漏，依文意推测为增多/正常）。
一个女子十四岁，两眼作痛，或发痒，或头晕，或头痛，或两胁作痛，或寒热内热，口渴少食，经候不调，这是肝脾二经，气血虚而有热。用补中益气汤、柴胡清肝散而痊愈。后来左眉上结一核，如豆许渐大如栗，腐而作痛，这是肝经火燥而血病，用加味逍遥散，月余腐肉自脱，乃用八珍汤及前药而痊愈。
一个男孩十三岁，眼睛久痛，渐生青绿翳，后赤烂，左关脉弦数，用九味芦荟丸、加味逍遥散而痊愈。结婚后复发，用滋阴肾气丸为主，佐以加味逍遥散而痊愈。
一个男孩十五岁，因大劳，目赤作痛，发热作渴，脉洪大而虚，用八珍汤加炒黑山栀，一剂诸症顿退，又用补中益气汤而痊愈。后因梦遗，目仍赤痛，用六味地黄丸料加五味子，二剂而痛止，又三十余剂而复明。
生犀散 治疗心经虚热。
生犀（取末二钱） 地骨皮 赤芍药 柴胡 干葛（各一两） 甘草（五钱）
以上每服二钱，水煎。
生熟地黄散 治疗眼初患之时，因误筑到蹙（外力撞击挤压），肝受惊风，致目肿赤痛痒。
生地黄（洗） 熟地黄（各一两） 麦门冬（五钱） 当归 甘草（炙） 枳壳（米泔水浸，面炒） 防风 杏仁（汤泡去皮尖，用面炒赤色） 赤芍药（各二钱五分）
以上每服一钱，黑豆七粒，水煎。
犀角饮 治疗脾火眼疼。
犀角（一两） 射干 草龙胆（炒） 黄芩（炒。各五钱） 人参（二两） 茯苓（二钱五分） 钩藤钩（七钱五分）
以上每服一钱，水煎。
牛黄丸 治疗肝受惊，遂致患目。
牛黄 白附子 肉桂 全蝎 川芎 石膏（各三钱五分） 白芷 藿香（各五钱） 辰砂 麝香（各少许）
以上各另为末，炼蜜丸，桐子大。每服三丸，临卧薄荷汤化下。乳母亦忌热物之类。
世传方地黄丸 治疗肾虚，目睛多白。
鹿茸（五钱） 泽泻 茯苓 山茱萸 熟地黄 牡丹皮 牛膝（各一两）
以上为末，蜜丸，桐子大。每服二十丸，盐汤下。
罗氏煮肝丸 治疗疳眼翳膜羞明，大人雀目，甚效。
夜明砂 青蛤粉 谷精草（各一两）
以上为末，每服二钱，以猪肝批开，摊药在内，麻缠定，米泔水半碗煮肝，熟取出汤，倾碗内熏眼，候汤温，分肝三服，嚼吃，就用肝汤下，一日二服。
龙胆饮子 治疗疳眼流脓生翳，此湿热为病。
青蛤粉（五钱） 羌活 草龙胆（各三钱） 炒黄芩（二钱） 蛇蜕（五分） 麻黄（二钱五分） 谷精草（五分）
以上为末，每服二钱，茶清调下。
东垣人参补胃汤 治疗劳役，饮食不节，内障眼痛，神效。
黄芪 葛根 人参（各一两） 炙甘草（八钱） 蔓荆子（一钱） 白芍药（炒） 黄柏（各三钱，酒拌炒四次）
以上每服二三钱，水煎，稍热服，临卧三五服。
《千金方》治疗雀盲。
地肤子（五两） 决明子（一升）
以上为末，以米饮和丸，每服二三十丸。
《世传方》治疗雀盲。
苍术（四两米泔浸切片，四两焙）
以上为末，猪肝二两，批开掺药在内，用麻系定，粟米一合，水一碗，砂锅内煮熟，熏眼，候效。
《本事方》治疗小儿赤热肿眼。
大黄 白矾（各等分）
以上为末，冷水调作饼子贴眼，立效。
东垣广大重明汤 治疗两睑或两眦赤烂，热肿疼痛，及眼胞痒极，抓之至破烂赤肿，眼楞生疮涩难开。
草龙胆 防风 生甘草根 细辛苗叶（各一钱）
以上水一碗半，煎龙胆至七分，入余药再煎，至半碗热洗，日五七次，洗毕合眼，须臾瘥。
东垣助阳和血补气汤 治疗发后热壅，白睛红多，眵泪瘾涩，此过服凉药，而真气不能通九窍。
防风（七分） 黄芪（一钱） 蔓荆子（三分） 白芷（二分） 升麻（七分） 甘草（炙） 柴胡 当归身（酒洗。各……）
以上切碎，都作一服，水一盏半煎至一盏，去渣热服。临卧，避风处睡，忌风寒及食冷物。
洁古方 治疗眼赤暴发肿。
防风 羌活 黄芩（炒） 黄连（炒。各等分）
以上每服一钱，水煎服。如大便秘，加大黄二分，痛甚，加川归、地黄各二分。烦躁不得卧，……（原文此处似有缺漏）。
保命点眼药 除昏退翳，截赤定痛。
当归 黄连（各二钱） 防风（二钱五分） 细辛（五分） 甘草（一钱）
以上水一大碗，文武火熬，滴水中不散为度，入熟蜜少许，点用。
千金补肝散 治疗目失明。
青羊肝（一，其去膜、薄切以新瓦炙干） 决明子 蓼香（一合，熬令香）
以上为末，每服方寸匕，日二服，久而有验。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The eyes are the gathering place of the essence of the five zang organs and six fu organs, and they are constantly nourished by Ying Qi (Nutritive Energy), Wei Qi (Defensive Energy), Hun (Ethereal Soul), and Shen (Spirit). It further states that all meridians belong to the eyes. The eyes can see only when nourished by blood; the essence of the five zang organs and six fu organs all ascend to the eyes to form visual function. Therefore, the sclera (white part of the eye) belongs to the Lung, the cornea and iris (black part of the eye) belong to the Liver, the pupil belongs to the Kidney, the upper and lower eyelids belong to the Spleen, the two canthi (corners of the eyes) belong to the Heart, and the inner canthus also belongs to the Bladder. The five zang organs correspond to five colors, each having its specific domain: The Heart governs red; a deep red indicates Excess Heat in the Heart, treated with Dao Chi San (Guide Out the Red Powder); a slight red indicates Deficient Heat in the Heart, treated with Sheng Xi San (Fresh Rhinoceros Horn Powder). The Liver governs green/blue; a deep green/blue indicates Liver Heat, treated with Xie Qing Wan (Drain the Green Pill); a pale green/blue indicates Liver Deficiency, treated with Di Huang Wan (Rehmannia Pill). The Spleen governs yellow; a deep yellow indicates Spleen Heat, treated with Xie Huang San (Drain the Yellow Powder); a pale yellow indicates Spleen Deficiency, treated with Yi Gong San (Yi Gong Powder). If the eyes lack luster and the sclera is prominent while the cornea is small, it indicates insufficiency of both the Liver and Kidney, treated with Di Huang Wan (Rehmannia Pill) plus Lu Rong (Deer Antler). Clear vision during the day but blurred or absent vision at night is due to weak congenital Yang Qi; when Yin Qi dominates at night, Yang Qi becomes even weaker, causing inability to see, treated with Chong He Yang Wei Tang (Harmonize and Nourish Stomach Decoction). Any red vessels and pterygium/membranes developing from top to bottom belong to the Foot Taiyang Bladder Meridian, treated with Dong Yuan Xuan Qi Tang (Dong Yuan's Select Extraordinary Decoction); those developing from bottom to top belong to the Foot Yangming Stomach Meridian, treated with Ju Fang Liu Qi Yin (Bureau Formula Flowing Qi Drink). Generally, membranes arise from internal accumulation of Wind-Heat. When the pathogenic factor is unsettled, it is called Re Yi (Heat Membrane), floating externally; when settled, it is called Bing Yi (Ice Membrane), sinking internally; when deeply entrenched, it is called Xian Yi (Sunken Membrane), requiring ascending and dispersing methods assisted by membrane-dispelling herbs. If black-and-white membranes appear under the upper eyelid, it belongs to Taiyang Cold-Water syndrome; those developing from outside to inside belong to Shaoyang Wind-Heat syndrome; those developing from bottom to top in green color belong to the Foot Yangming Stomach Meridian and combined Lung-Kidney disease. Gan Eye Syndrome (Malnutrition Eye Disease) occurs due to Liver Fire and Damp-Heat rushing upward, coupled with Spleen Qi deficiency failing to raise clear Qi, leading to white membranes, closed eyelids, sticky discharge like paste, and eventually pus flow damaging the eyes, treated with Yi Qi Cong Ming Tang (Boost Qi and Brighten Eyes Decoction), Fu Ling Xie Shi Tang (Poria Draining Dampness Decoction), and Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill). Eyes unable to open due to irregular breastfeeding/diet or excessive intake of cold-cooling medicines causing Yang Qi to sink and fail to rise, are treated with Chai Hu Fu Sheng Tang (Bupleurum Reviving Life Decoction). If stomach Qi is deficient causing eyelid weakness preventing opening, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) is used. Sudden redness, swelling, and pain indicate blazing Liver Fire, treated with Long Dan Xie Gan Tang (Gentian Draining Liver Decoction). Tearing and photophobia indicate accumulated Heat in the Liver and Heart, treated with Sheng Xi San (Fresh Rhinoceros Horn Powder). Cases of Deficient Heat in Liver and Kidney are treated with Di Huang Wan (Rehmannia Pill). Marginal blepharitis with ulceration indicates accumulated Heat in the diaphragm, treated with Qing Wei San (Clear Stomach Powder). Intermittent itching indicates pus erosion and parasites, treated with Zi Su Gao (Perilla Ointment) for application. Eyelid spasms indicate Wind-Heat in the Liver Meridian, treated with Chai Hu Qing Gan San (Bupleurum Clearing Liver Powder). Neonatal jaundice with high fever, constipation, anorexia, flushed face, and closed eyes results from maternal heat toxins contracted in utero; the infant takes Xie Huang San (Drain the Yellow Powder), and the mother takes Di Huang Wan (Rehmannia Pill). If the nursing mother has accumulated heat from rich food causing infant jaundice, the mother takes Qing Wei San (Clear Stomach Powder). Jaundice of limbs, face, nails, and urine resembling dust water is difficult to treat. Post-varicella residual toxins invading the eyes indicate Liver-Kidney Deficiency, treated with Zi Yin Shen Qi Wan (Nourish Yin Kidney Qi Pill). These conditions often require treating the mother while regulating the child. For further details, refer to *Yuan Ji Qi Wei*.
Clinical Cases:
A fourteen-year-old girl, after anger, first experienced amenorrhea, alternating chills and fever, and hypochondriac pain, followed by green-blue membranes growing in both eyes from outside to inside. I stated: Alternating chills, fever, and hypochondriac pain are symptoms of the Foot Jueyin Liver Meridian. Membranes starting from the outer canthus are symptoms of the Foot Shaoyang Gallbladder Meridian. The left Guan pulse was wiry and rapid, rough upon pressure, indicating Liver wind-heat with blood stasis. I prescribed Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) plus Fang Feng (Saposhnikovia Root) and Long Dan Cao (Gentian Root). After four doses, chills, fever, and pain subsided significantly. Then Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) was used, and the membranes disappeared after over a month.
A fifteen-year-old boy had white membranes in both eyes, skin lesions resembling scabies on the abdomen and body, afternoon fever, dry mouth, and emaciation. This was Liver Gan Syndrome. Liu Wei Fei Er Wan (Six-Ingredient Fattening Child Pill) cured him. Later, penile itching, cloudy white urine, and worsening skin lesions resembling leprosy occurred. Da Lu Hui Si Wei Fei Er Wan (Large Aloe Four-Ingredient Fattening Child Pill) gradually healed the symptoms, followed by Da Wu Yi Tang (Large Wormwood Decoction) for complete recovery.
A boy with prominent sclera, phlegm, and convulsions was first treated with Yi Qing Wan (Suppress Green Pill); phlegm and convulsions stopped after four doses. Subsequently, Di Huang Wan (Rehmannia Pill) was used, and after about a year, the cornea became more prominent.
A boy with prominent sclera could not walk at age three, had poor speech, alternating hot/cold feet, and loose stools. Morning: Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Wu Wei Zi (Schisandra) and Shan Yao (Dioscorea) to tonify Spleen and Lung. Evening: Di Huang Wan (Rehmannia Pill) plus Wu Wei Zi, Niu Xi (Achyranthes), and Lu Rong (Deer Antler) to tonify Liver and Kidney. Recovery occurred within three months.
A boy with yellowish sclera, soft legs, hot feet, and a sorrowful expression took Di Huang Wan (Rehmannia Pill). After two months, he improved. After over a year, the sclera darkened, and he survived chickenpox without issue.
A boy with nyctalopia (night blindness) and eyelid spasms took Zhu Gan Wan (Boiled Liver Pill) for vision and Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) to stop spasms.
A boy with dull eyes, blurred vision, poor appetite, and irregular bowels took Da Wu Yi Tang (Large Wormwood Decoction) and Jiu Wei Lu Hui Wan (Nine-Ingredient Aloe Pill) and recovered. Later, food stagnation led to the misuse of draining/purgative herbs, causing eye symptoms to worsen at night. Ren Shen Bu Wei Tang (Ginseng Tonifying Stomach Decoction) helped, followed by Wu Wei Yi Gong San (Five-Ingredient Yi Gong Powder) and Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) for cure.
A nine-year-old boy with chronic Liver Fire developed eye membranes. Lu Hui (Aloe) and Fei Er Wan (Fattening Child Pill) provided temporary relief. At fourteen, mental overwork and irregular diet caused night blindness. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), Ren Shen Bu Wei Tang (Ginseng Tonifying Stomach Decoction), and Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) cured him.
A boy with swollen eyelids, cough, nausea, and cloudy urine had Spleen Gan and food stagnation. Wu Wei Yi Gong San (Five-Ingredient Yi Gong Powder) as main formula with Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) cured him. Later, dietary indiscretion caused night blindness. I advised Spleen-Stomach tonification, but he refused and took harsh purgatives, developing Wind syndrome and dying.
A boy had red eyes and convulsions after sweating from fever-releasing drugs. His mother had chronic Liver Fire. Yi Gong San (Yi Gong Powder) plus Chai Hu (Bupleurum) and Sheng Ma (Cimicifuga) was taken by both mother and son, improving slightly. Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) reduced fever. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) led to full recovery.
A boy with red painful eyes, teeth grinding, and chills/fever had Liver Wind-Heat. Chai Hu Yin Zi (Bupleurum Drink) stopped pain in one dose. Si Wu Tang (Four Substance Decoction) plus Ren Shen (Ginseng), Bai Zhu (Atractylodes), and Chai Hu (Bupleurum) resolved chills/fever. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) improved appetite.
A boy with normally white/blue eyes developed red painful eyes. Cooling herbs made eyes look blood-filled; pulse was large/superficial but weak upon pressure. Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) plus Chai Hu (Bupleurum) and Shan Zhi (Gardenia) for several doses reduced external symptoms and normalized pulse, curing him.
A boy with food stagnation and abdominal pain took Ba Dou (Croton Seed), worsening eye redness/pain, chills/fever, anorexia, and cold extremities. Liu Jun Zi Tang (Six Gentlemen Decoction) plus Sheng Ma (Cimicifuga) and Pao Jiang (Prepared Ginger) cured symptoms. Persistent chills/fever were resolved with Si Jun Zi Tang (Four Gentlemen Decoction), Chai Hu (Bupleurum), and Sheng Ma (Cimicifuga).
A boy taking Da Huang (Rhubarb) for eye pain developed malaria-like chills/fever. Spleen-Stomach injury was treated with Si Jun Zi Tang (Four Gentlemen Decoction), Sheng Ma (Cimicifuga), Chai Hu (Bupleurum), Pao Jiang (Prepared Ginger), and Gou Teng Hook (Uncaria). Chills/fever resolved. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) intermittently cured the eye disease.
A boy whose mother had anger-induced fever developed eye pain and vomiting. Xiao Chai Hu Tang (Minor Bupleurum Decoction) taken by both brought immediate relief, but afternoon fever/vomiting persisted. Yi Gong San (Yi Gong Powder) plus Sheng Ma (Cimicifuga) and Chai Hu (Bupleurum) cured him.
Two infants had neonatal jaundice (one facial red-yellow after three days, one spreading to body within ten days). Both were fetal Stomach Heat, cured by one dose of Xie Huang San (Drain the Yellow Powder).
A ten-day-old boy with blue-yellow face/eyes had Stomach Heat fetal jaundice. Xie Huang San (Drain the Yellow Powder) mixed with breast milk cured him. Recurrent jaundice/tongue protrusion was also resolved by this formula.
A boy with eye jaundice caused by mother's food stagnation was treated with Yue Ju Wan (Resolve Depression Pill) for the mother and Xie Huang San (Drain the Yellow Powder) for the child; both recovered.
A boy with blue face, chills/fever, emaciation, and eye membranes took Jiu Wei Lu Hui Wan (Nine-Ingredient Aloe Pill) and Wu Wei Yi Gong San (Five-Ingredient Yi Gong Powder). Membranes receded, then Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) and Wu Wei Yi Gong San (Five-Ingredient Yi Gong Powder) restored flesh.
A boy with recurrent eye membranes triggered by maternal anger took Jiu Wei Lu Hui Wan (Nine-Ingredient Aloe Pill) and Chai Hu Zhi Zi San (Bupleurum Gardenia Powder); mother and son recovered together.
A boy with irregular feeding and overdose of medicine had bloating, anorexia, irregular bowels, and visual disturbances. Eye medications caused floating membranes. Yi Gong San (Yi Gong Powder) plus Dang Gui (Angelica) and Chai Hu (Bupleurum) improved diet/bowels. Jiu Wei Lu Hui Wan (Nine-Ingredient Aloe Pill) aided vision. Ren Shen Bu Wei Tang (Ginseng Tonifying Stomach Decoction) and Fei Er Wan (Fattening Child Pill) completed the cure.
An infant under one year old had eye membranes caused by maternal Liver Fire (mother had angry temperament and scrofula). Di Huang Wan (Rehmannia Pill) helped the mother. Lack of medication led to the child's blindness.
A twelve-year-old boy with typhoid cough/fever took releasing drugs, blurring vision. Cooling herbs reduced appetite and caused membranes. Mid-Qi deficiency was treated with Ren Shen Bu Wei Tang (Ginseng Tonifying Stomach Decoction). Qian Jin Bu Gan Wan (Thousand Gold Liver Tonifying Pill) and fumigation cured him.
A twelve-year-old girl with white membranes, sallow edematous face, dry mouth, and diarrhea was cured by Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill).
A boy with photophobia, gritty eyes, hot feet, loose stools, and occasional cough was initially treated for Liver/Wind. I diagnosed Kidney-Liver Deficiency (hot feet, urinary issues) and Spleen-Lung Deficiency (loose stools, cough). Morning: Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). Evening: Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill). Yuan Qi recovered, supplemented by Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill), curing him in a month.
A boy with eye pain took harsh cooling/Liver-draining herbs, worsening photophobia and causing nocturnal fright/crying. Liver Blood Deficiency with Fire injuring Lung. Wu Wei Yi Gong San (Five-Ingredient Yi Gong Powder) plus Shan Zhi (Gardenia) tonified Spleen/Lung and cleared Lung Metal. Di Huang Wan (Rehmannia Pill) nourished Kidney Water to generate Liver Blood. Combined with Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill), he recovered.
A boy with blue eyes, convulsions, staring, crying, teeth grinding, and enuresis after using Niu Huang Qing Xin Wan (Calculus Bovis Clearing Heart Pill) had severe Liver Blood/Qi Deficiency. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) cured him.
A boy with convulsions and eyelid spasms had Liver/Gallbladder Wind-Heat. Chai Hu Qing Gan San (Bupleurum Clearing Liver Powder) treated the Liver; Di Huang Wan (Rehmannia Pill) tonified the Kidney; he recovered.
A boy with itchy/painful eyes, thirst, cold drinks, and constipation due to rich food heat. Xie Qing Wan (Drain the Green Pill) guided out Liver Fire. Qing Wei San (Clear Stomach Powder) with ground Sheng Xi Jiao (Fresh Rhinoceros Horn) cleared food toxicity. Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) cured the Liver condition.
A chronic eye case took Da Wu Yi Tang (Large Wormwood Decoction) for five doses and Chan Chu Wan (Toad Pill) several times, then Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) for cure.
A fourteen-year-old boy taking Gong Lao Ku (Arctostaphylos) for six months developed spontaneous/night sweats and fatigue. Morning: Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Wu Wei Zi (Schisandra) and Man Jing Zi (Vernonia). Evening: Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) quickly cured him. Post-marriage, phlegm/dizziness from harsh phlegm-resolving drugs caused inability to open eyes. Di Huang Wan (Rehmannia Pill) and Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) cured him in three months.
Shi Wanhu’s grandson in Wujiang had eye issues since infancy. At twenty, eyelid spasms and head shaking occurred. Jin Kui Shen Qi Wan (Golden Cabinet Kidney Qi Pill) worked but relapsed with membranes. Cong Ming Yi Qi Tang (Brighten Eyes Boost Qi Decoction) plus previous pill worked but relapsed again with emaciation and rapid large pulse. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus previous pill cured him.
A boy with fright-induced spasms took Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) plus Wu Yi (Wormwood) and Huang Lian (Coptis) to clear Liver Heat, then Di Huang Wan (Rehmannia Pill) to nourish Kidney... [Text incomplete].
A boy with eyelid spasms, redness, or eyebrow wiping had Liver Wind-Heat progressing to Liver Gan. Si Wei Fei Er Wan (Four-Ingredient Fattening Child Pill) plus Long Dan Cao (Gentian Root)... [Text incomplete].
A boy with prominent sclera, phlegm, and convulsions took Di Huang Wan (Rehmannia Pill) as main formula with Yi Qing Wan (Suppress Green Pill) to stop convulsions. Later, Shi Chuan Fang Di Huang Wan (World-Transmitted Rehmannia Pill)... [Text incomplete].
A fourteen-year-old girl with eye pain, itching, dizziness, headache, hypochondriac pain, chills/internal heat, thirst, anorexia, and irregular menstruation had Liver-Spleen Qi/Blood Deficiency with Heat. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Chai Hu Qing Gan San (Bupleurum Clearing Liver Powder) cured her. Later, a nodule above the left eyebrow grew, ulcerated, and hurt (Liver Fire/Dryness/Blood disorder). Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) shed necrotic tissue in a month; Ba Zhen Tang (Eight Treasures Decoction) plus previous herbs cured her.
A thirteen-year-old boy with chronic eye pain developed green-blue membranes, then red ulceration. Left Guan pulse wiry/rapid. Jiu Wei Lu Hui Wan (Nine-Ingredient Aloe Pill) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) cured him. Relapse post-marriage treated with Zi Yin Shen Qi Wan (Nourish Yin Kidney Qi Pill) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Pill).
A fifteen-year-old boy with overexertion had red painful eyes, fever/thirst, and large empty pulse. Ba Zhen Tang (Eight Treasures Decoction) plus fried Shan Zhi (Gardenia) relieved symptoms in one dose; Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) cured him. Post-emission recurrence treated with Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) plus Wu Wei Zi (Schisandra); pain stopped in two doses, vision restored in thirty doses.
Formulas:
Sheng Xi San (Fresh Rhinoceros Horn Powder): Treats Heart Deficient Heat. Ingredients: Sheng Xi (Rhino Horn powder, 2 qian), Di Gu Pi (Lycium Bark), Chi Shao Yao (Red Peony Root), Chai Hu (Bupleurum Root), Gan Ge (Kudzu Root) (each 1 liang), Gan Cao (Licorice Root) (5 qian). Dosage: 2 qian per dose, decocted in water.
Sheng Shu Di Huang San (Raw and Cooked Rehmannia Powder): Treats initial eye inflammation from trauma causing Liver wind shock, resulting in swollen red painful/itchy eyes. Ingredients: Sheng Di Huang (Raw Rehmannia Root), Shu Di Huang (Cooked Rehmannia Root) (each 1 liang), Mai Men Dong (Ophiopogon Tuber) (5 qian), Dang Gui (Angelica Sinensis), Gan Cao (Licorice Root, honey-fried), Zhi Ke (Aurantii Fructus, soaked in rice water, flour-fried), Fang Feng (Saposhnikovia Root), Xing Ren (Apricot Seed, boiled, peeled, tip removed, flour-fried until red), Chi Shao Yao (Red Peony Root) (each 2.5 qian). Dosage: 1 qian per dose with 7 black beans, decocted in water.
Xi Jiao Yin (Rhinoceros Horn Drink): Treats Spleen Fire eye pain. Ingredients: Xi Jiao (Rhinoceros Horn) (1 liang), She Gan (Belamcanda Rhizome), Cao Long Dan (Gentiana Root, stir-fried), Huang Qin (Scutellaria Root, stir-fried) (each 5 qian), Ren Shen (Ginseng Root) (2 liang), Fu Ling (Poria) (2.5 qian), Gou Teng Gou (Uncaria Ramulus cum Uncis) (7.5 qian). Dosage: 1 qian per dose, decocted in water.
Niu Huang Wan (Calculus Bovis Pill): Treats eye disease from Liver shock. Ingredients: Niu Huang (Calculus Bovis), Bai Fu Zi (Typhonii Rhizoma), Rou Gui (Cinnamon Bark), Quan Xie (Scorpio), Xiong (Ligusticum Rhizome), Shi Gao (Gypsum Fibrosum) (each 3.5 qian), Bai Zhi (Angelica Dahurica Root), Huo Xiang (Pogostemon Herb) (each 5 qian), Chen Sha (Cinnabar), She Xiang (Musk) (small amounts). Preparation: Powders separately, honey pills, size of paulownia seeds. Dosage: 3 pills before sleep, dissolved in Mint Tea. Nursing mothers avoid hot foods.
Shi Chuan Fang Di Huang Wan (World-Transmitted Rehmannia Pill): Treats Kidney Deficiency with prominent sclera. Ingredients: Lu Rong (Deer Antler) (5 qian), Ze Xie (Alisma Rhizome), Fu Ling (Poria), Shan Zhu Yu (Cornus Fruit), Shu Di Huang (Cooked Rehmannia Root), Mu Dan Pi (Moutan Cortex), Niu Xi (Achyranthes Root) (each 1 liang). Preparation: Powder, honey pills, size of paulownia seeds. Dosage: 20 pills with salt water.
Luo Shi Zhu Gan Wan (Master Luo’s Boiled Liver Pill): Treats Gan eye membranes, photophobia, and adult nyctalopia. Ingredients: Ye Ming Sha (Crepuscular Sand), Qing Ge Fen (Green Clam Powder), Gu Jing Cao (Evodia Flower) (each 1 liang). Preparation: Powder, 2 qian per dose. Spread on sliced pig liver, tie with hemp, boil in half bowl rice water. Steam eyes with hot broth. When warm, divide liver into three portions, chew and swallow with broth. Twice daily.
Long Dan Yin Zi (Gentian Drink): Treats Gan eye pus/membranes (Damp-Heat). Ingredients: Qing Ge Fen (Green Clam Powder) (5 qian), Qiang Huo (Notopterygium Rhizome), Cao Long Dan (Gentiana Root) (each 3 qian), Chao Huang Qin (Stir-fried Scutellaria Root) (2 qian), She Tui (Snake Molt) (0.5 qian), Ma Huang (Ephedra Stem) (2.5 qian), Gu Jing Cao (Evodia Flower) (0.5 qian). Preparation: Powder, 2 qian per dose, mixed with tea liquor.
Dong Yuan Ren Shen Bu Wei Tang (Dong Yuan’s Ginseng Tonifying Stomach Decoction): Treats fatigue, irregular diet, internal obstruction eye pain. Ingredients: Huang Qi (Astragalus Root), Ge Gen (Kudzu Root), Ren Shen (Ginseng Root) (each 1 liang), Zhi Gan Cao (Honey-fried Licorice Root) (8 qian), Man Jing Zi (Vernonia Fruit) (1 qian), Bai Shao Yao (White Peony Root, stir-fried), Huang Bo (Phellodendron Bark, wine-mixed stir-fried 4 times) (each 3 qian). Dosage: 2-3 qian per dose, decocted, taken warm, 3-5 doses before sleep.
*Qian Jin Fang* (Thousand Gold Formulas) for Nyctalopia: Di Fu Zi (Kochia Fruit) (5 liang), Jue Ming Zi (Cassia Seed) (1 sheng). Preparation: Powder, rice drink pills. Dosage: 20-30 pills per dose.
*Shi Chuan Fang* (World-Transmitted Formula) for Nyctalopia: Cang Zhu (Atractylodes Rhizome, 4 liang soaked in rice water/sliced, 4 liang baked). Preparation: Powder, mix with 2 liang pig liver, tie with hemp, cook with millet and water in clay pot. Steam eyes.
*Sheng Hui Fang* (Holy Grace Formulas) for Nyctalopia: Cang Zhu (Atractylodes Rhizome) 1 liang, powder. Dosage: 1 qian per dose.
*Benshi Fang* (Essential Prescriptions) for Pediatric Red Hot Swollen Eyes: Da Huang (Rhubarb Root), Bai Fan (Alumen) (equal parts). Preparation: Powder, mix with cold water into cakes, apply to eyes. Immediate effect.
Dong Yuan Guang Da Zhong Ming Tang (Dong Yuan’s Broad and Heavy Brightening Decoction): Treats eyelid/canthus redness/ulceration, heat swelling/pain, extreme itching, scratching damage, crusty hard-to-open eyes. Ingredients: Cao Long Dan (Gentiana Root), Fang Feng (Saposhnikovia Root), Sheng Gan Cao Gen (Raw Licorice Root), Xi Xin Miao Ye (Asarum Sprouts/Leaves) (each 1 qian). Preparation: 1.5 bowls water, boil Gentian to 0.7 bowl, add remaining herbs, boil to 0.5 bowl. Wash eyes hotly 5-7 times daily. Close eyes after washing; quick recovery.
Dong Yuan Zhu Yang He Xue Bu Qi Tang (Dong Yuan’s Yang-Assisting, Blood-Harmonizing, Qi-Tonifying Decoction): Treats post-fever heat congestion, red sclera, sticky tearing/grittiness from excessive cooling drugs blocking Nine Orifices. Ingredients: Fang Feng (Saposhnikovia Root) (0.7 qian), Huang Qi (Astragalus Root) (1 qian), Man Jing Zi (Vernonia Fruit) (0.3 qian), Bai Zhi (Angelica Dahurica Root) (0.2 qian), Sheng Ma (Cimicifuga Rhizome) (0.7 qian), Zhi Gan Cao (Honey-fried Licorice Root), Chai Hu (Bupleurum Root), Dang Gui Shen (Angelica Sinensis Root Tip, wine-washed) (amounts unspecified in text snippet, implied equal/small). Preparation: Cut, one dose, 1.5 bowls water boiled to 1 bowl. Strain, take hot. Sleep in wind-free area before bed. Avoid wind/cold and cold foods.
Jie Gu Fang (Jie Gu’s Formula) for Sudden Red Swollen Eyes: Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Huang Qin (Scutellaria Root, stir-fried), Huang Lian (Coptis Rhizome, stir-fried) (equal parts). Dosage: 1 qian per dose, decocted. Add Da Huang (Rhubarb) 0.2 qian for constipation; add Chuan Gui (Sichuan Angelica) and Di Huang (Rehmannia) 0.2 qian each for severe pain. Restlessness/inability to sleep... [Text incomplete].
Bao Ming Dian Yan Yao (Life-Preserving Eye-Dropping Medicine): Clears dimness, dispels membranes, stops redness/pain. Ingredients: Dang Gui (Angelica Sinensis), Huang Lian (Coptis Rhizome) (each 2 qian), Fang Feng (Saposhnikovia Root) (2.5 qian), Xi Xin (Asarum Root) (0.5 qian), Gan Cao (Licorice Root) (1 qian). Preparation: 1 large bowl water, simmer until drops do not disperse in water. Add small amount of cooked honey. Use for dropping.
Qian Jin Bu Gan San (Thousand Gold Liver Tonifying Powder): Treats blindness. Ingredients: Qing Yang Gan (Black Sheep Liver, 1, remove membrane, slice thin, dry on new tile), Jue Ming Zi (Cassia Seed), Liao Xiang (Polygonum Aviculare, 1 he, roasted fragrant). Preparation: Powder. Dosage: 1 cun bi per dose, twice daily. Effective over time.
Benshi Fang (Essential Prescriptions) for Taiyang Cold-Water sinking, membranes covering pupils: Fang Feng (Saposhnikovia Root), Bai Ji Li (Tribulus Fruit) (each 1 liang), Qiang Huo (Notopterygium Rhizome) (1.5 liang), Gan Ju (Chrysanthemum Flower) (3 liang).