论
东垣曰∶按阴阳应象论云∶诸脉者皆属于目。又曰∶目得血而能视。五脏六腑之精气，皆上注于目而为之睛，睛之
窠为眼，骨之精为瞳子，筋之精为黑眼，血之精为目窠之总络，气之精为白眼，肌肉之精则为约束，裹撷筋骨血气之精
而与脉并而为系，上属于脑，后出于项。是故瞳子黑眼法于阴，白眼赤脉法于阳，故阴阳合德而为睛明也。是以五脏、
六腑、十二经脉、三百六十五络，其血气皆禀受于脾土，而上贯于目而为明。故目者心之使也，心者神之舍也，故精神
乱而不守，卒然见非常之怪，若邪中其睛则精散，精散则视歧，视一物为两也。因事烦扰，饮食失节，劳役过度，致脾
胃虚弱，心火大旺，则百脉沸腾，血脉逆行，经曰天明则日月不明，邪害空窍是也。夫脾者诸阴之首，目者血脉之宗也，
故脾虚则五脏之精气皆失所司，不能归明于目矣。心者君火也，主藏神明，宜静而安，相火代行其令，相火乃包络之火，
主百脉皆荣于目。既劳役妄动，又因邪气所并而损血脉，是故诸病生焉。医目者若不先理脾胃及养血安神，乃治标不治
本，是不明主理者也，学人其可不用心乎。
脉法
左寸脉洪数，心火炎也。关弦而洪，肝火盛也。
右寸关俱弦洪，肝木挟相火之势而来，侮所不胜之金，而制己所胜之土也。
方法
丹溪曰∶目病属风热、血少、神劳、肾虚。
河间曰∶在腑则为表，当除风散热；在脏则为里，当养血安神。如暴失明，昏涩翳膜，眵泪斑入眼，皆风热也。一
云∶斑入眼，此肝气盛而发在表也，宜表散以去之。如昏弱不欲视物，内障见黑花，瞳子散大，皆里也，血少神劳肾虚
也，宜养血补水安肾以调之。
瞳子散大，皆辛热所为也，辛主散，热乘之，当除风热，凉血益血，以收耗散之气。芩、连苦寒，除邪气之盛为君，
当归身、生地黄养血凉血为臣，五味子酸温体浮，收瞳子散大，地骨皮、天门冬泻热补气，或用滋阴地黄丸最妙。
久病昏暗，以熟地黄、当归根为君，羌活、防风、甘菊花之类佐之。
暴发赤肿，以黄芩、防风为君以泻火，黄连当归为臣以养血，羌活、柴胡、升麻、白芷、甘草为使，白睛红加白豆
蔻少许。
又方 治血热壅痛，四物汤加草龙胆、防己、防风、羌活。一云，实热上冲眼痛，用黄连泻火，当归补血。
劳役，饮食不节，内障昏暗，蔓荆子汤
蔓荆子 人参 甘草（炙） 黄 黄柏 白芍药（酒炒，各一钱）
上细切，水煎服。
又方 治眼痛。用生地黄酒浸捣烂 眼上，又用草乌、南星、干姜、桂枝为末，醋调贴两足心，时用牛膝膏洗
眼。
肥人风热上壅，眼目疼痛。
防风 羌活 荆芥 酒芩（各二钱）
水煎服。
瘦人目痛，乃是血少兼热，须用养血药，少加风药。
当归 生地黄（酒洗） 玄参 防风 荆芥 菊花 川芎（各等分）
上细切，水煎服。
（以上丹溪方法凡十条）
滋阴地黄丸（东垣）
熟地黄（一两） 生地黄（一两五钱） 柴胡（八钱） 天门冬 炙甘草 枳壳 地骨皮 黄连 五味子（各三钱）
当归身（酒浸洗） 黄芩（各五钱） 人参（二钱）
上为细末，炼蜜为丸，如绿豆大，每服一百丸，茶清下。
秘传拨云退翳丸（又名神仙退云丸，秘传） 治一切内外障膜遮睛昏暗，大效。
栝蒌根 枳实 甘草（炙） 蔓荆子 薄荷（各五钱） 川芎 密蒙花 荆芥穗 地骨皮 甘菊花 白蒺藜 羌活
（各一两） 蛇蜕 蝉蜕 黄连（各三钱） 川椒（七钱五分，去目炒） 当归（一两五钱，酒浸焙） 草决明（五钱，
炒） 木贼（童便浸一宿，去节，焙干）
上为细末，炼蜜为丸，每两分作十丸，每服一丸，食后临卧服，日进三服。翳障，米饮下。睛暗，当归汤下。内障，
木香汤下。
退云丸有犀角五钱，干地黄一两，无蔓荆子、甘草、川椒。妇人，当归汤下。有气，木香汤下。
羊肝丸（局方） 治一切目疾，不问内外翳障青盲等证。
白乳羊肝（一具，以竹刀去膜） 黄连（一两） 甘菊花 防风 薄荷（去梗） 荆芥穗 羌活 当归 川芎（各
三钱）
上为细末，将羊肝蒸熟，同药末杵烂为丸，浆水下。
春雪膏（东垣）点赤眼效。
朴硝（不拘多少），置豆腐上蒸化，待流下以瓷器盛之。
烂翳验方
用茜草根烧灰，以灯心点之，须臾大痛，以百节草刮之。
神效明目汤（东垣） 治眼楞紧急，致倒睫拳毛，及上下睑皆赤烂，睛疼昏暗，昼则冷泪常流，夜则眼涩难开。
细辛（二分） 蔓荆子（五分） 防风（一钱） 葛根（一钱五分） 甘草（二钱） 一方加黄 （一钱）
上细切，作一服，水二盏，煎至一盏，去渣临卧温服。
明目细辛汤 治两目发赤微痛，羞明畏日，怯风寒，怕火光，眼睫成纽，眵糊多，隐涩难开，眉攒肿闷，鼻塞，
涕唾稠粘，大便微硬。
川芎（二分） 生地黄（酒浸洗） 蔓荆子（各三分） 当归身梢 白茯苓 本（各四分） 荆芥穗（五分） 防
风麻黄根 羌活（各八分） 细辛（少许） 红花（少许） 川椒（四粒） 桃仁（七个，去皮尖，细研）
上细切，作一服，水一盏半，煎至一盏，去渣临卧稍热服，忌酒、醋、湿面。
复明散（东垣） 治内障。
青皮（去穣，三分） 陈皮（去白） 川芎 苍术（各五分） 炙甘草 生地黄 连翘 柴胡（各一钱） 黄 （一
钱五分） 当归身（二钱）
上细切，作一服，水二盏，煎至一盏，去渣稍热服。忌酒、醋、湿面、辛热、大料物之类。
助阳和血汤（东垣） 治眼发之后，微有上热，白睛红，隐涩难开，睡多眵泪。
蔓荆子（一分） 香白芷（三分） 柴胡 黄 炙甘草 当归身（酒洗） 防风（各五分） 升麻（七分）
上细切，作一服，水一盏半，煎至一盏，去渣稍热服。
归葵汤（一名连翘饮子，东垣） 治目中溜火，恶日与火光，隐涩难开，小角紧，视物昏花，迎风有泪。
柴胡（三分） 生甘草 蔓荆子 连翘 生地黄 当归身 红葵花 人参（各四分五厘） 黄 酒黄芩 防风 羌
活（各七分半） 升麻（一钱）
上细切，作一服，水二盏，煎至一盏，去渣食后服。
救苦汤（东垣） 治眼暴发赤肿，睑高苦疼不可忍者。
桔梗 连翘 红花 细辛（各二分） 当归身（夏月减半） 甘草（炙，各一钱） 苍术 草龙胆（各一钱四分半）
羌活（太阳） 升麻（阳明） 柴胡（少阳） 防风 本 黄连（各二钱） 生地黄 黄柏 黄芩 知母（各三分） 川
芎（六分）
上细切，作一服，水二盏，煎至一盏，去渣食后服。若苦疼，则多用苦寒药，兼治本经之药，再行加减。如睛昏，
加知母、黄柏。
益阴肾气丸（东垣）此壮水之主，以镇阳光。
泽泻 茯神（各二钱五分） 生地黄（酒洗） 牧丹皮 山茱萸 当归梢（酒洗） 五味子 干山药 柴胡（各五
钱） 熟地黄（二两）
上为细末，勿犯铁器蒸捣，炼蜜丸如梧桐子大，每服五十丸，空心淡盐汤下。
当归龙胆汤（东垣） 治眼中白翳。
防风 石膏（各二分） 柴胡 羌活 五味子 升麻（各三分） 甘草 酒黄连 黄 （各四分半） 黄芩（酒炒）
黄柏（酒炒） 当归身（酒洗） 草龙胆（酒洗） 芍药（各七分五厘）
上细切，作一服，水二盏，煎至一盏，去渣入酒少许，热服。
泻阴火丸（一名连柏益阴丸，东垣）
石决明（三钱， ） 羌活 独活 当归梢 甘草 五味子 防风（各五钱） 草决明 条黄芩 黄连（酒炒） 黄
柏（盐酒炒） 知母（各二钱）
上为细末，炼蜜为丸，如绿豆大，每服五十丸，茶清下。
疗本滋肾丸（东垣）
黄柏（酒炒） 知母（酒炒）
各等分，为细末，滴水为丸，如梧桐子大，每服一百丸至一百五十丸，空心淡盐汤下。
加味滋肾丸（东垣）
肉桂（三分） 黄连（一钱） 姜黄（一钱） 苦参（三钱） 苦葶苈（酒洗炒） 石膏（觉肚冷勿用） 黄柏（酒
炒） 知母（去毛，酒炒，各五钱）
上为细末，面糊为丸，如梧桐子大，每服一百丸，白汤送下，空心服，以食压之。
退翳膏（东垣） 治黑白翳。
蕤仁 升麻（各三分） 连翘 防风 青皮（各四分） 甘草 柴胡（各五分） 当归身（六分） 荆芥穗（水半
盏浸） 生地黄（各一钱五分） 黄连（三钱）
上细末，水一碗，煎至半碗，去渣更上火煎半盏，入荆芥水二匙，入蜜少许，再上火熬匀，瓷器盛贮，频点之。
龙胆饮子（东垣） 治疳眼，流脓，生疳翳，湿热为病。
谷精草 川郁金 蛇蜕 炙甘草（各五分） 麻黄（一钱五分） 升麻（二钱） 青蛤粉 草龙胆 黄芩（炒） 羌
活（各三钱）
上为细末，每服二钱，温茶清调下。
还睛紫金丹 治目眶岁久赤烂，俗呼为赤瞎是也，当以三棱针刺目眶外以泻湿热。如眼生倒睫拳毛，两目紧，
盖内伏火热而攻阴气，法当去其热内火邪，眼皮缓则毛立出，翳膜亦退，用手法攀出内睑向外，以针刺之出血。
白砂蜜（二十两） 炉甘石（二十两，火 七次，淬水内，连水浸半日。）黄丹（六两，水飞） 乌贼骨（二钱） 麝
香硼砂（各一钱，入盏内，放于瓶口上熏干） 白丁香（直者，五分） 轻粉（一字）
上将白砂蜜于砂石器内慢火熬，掠去沫，下甘石，次下丹，以柳枝搅，次下余药，以不粘手为度，作丸如鸡头实大，
每用一丸，温水化开洗之。
重明散（河间） 治一切风热内外障膜眼疾。
川独活 川羌活 川芎 吴射干 仙灵脾 防风 甘草 井泉石 苍术（各五钱） 丹参 白术 石决明 草决明
（各三钱）
上为细末，每服二钱，水一盏半，煎至一盏，温服，日三服。
石膏羌活散（河间） 治久患双目不明，远年近日内外翳障，风热昏暗，倒睫拳毛，一切眼疾头风，并皆治之。
羌活（治脑热头风） 密蒙花（治羞明怕日） 木贼（退翳障） 白芷（清利头目） 细辛 干菜子（二味起倒睫）
麻子（起拳毛） 川芎（治头风） 苍术（明目暖水脏） 黄芩（洗心退热） 甘菊花 荆芥穗（治目生疮） 石膏
（治头痛退热） 本（治偏头风，一方治顶痛） 甘草（解药毒）
上各等分，为细末，每服一钱至二钱，食后临卧用蜜水调下，茶清亦可，日进三服，服至十日渐明，二十日平安。
黄连膏（河间） 治一切眼目疼痛，瘀肉扳睛，风痒泪落不已。
黄连（半斤） 朴硝（一斗，以水淘净，阴干用） 白丁香（五升，以水一斗淘净，去土，研细用）
上量水入硝、香釜内，熬至七分淘出，令经宿，水面浮芽者取出挖干，以纸袋子盛，风中悬至风化，将黄连细末熬
清汁洒干，入风硝，更加猪、羊胆，和蜜令匀，点眼极妙。
涤昏膏（河间） 治一切风壅眼目，疼痛不可忍者。
白砂蜜（一斤） 黄连（一两） 没药（五钱） 黄丹（一两，炒紫色）
上以蜜同黄丹熬黑，以水二大盏，煎黄连成稠汁，去渣入前丹、蜜内，煎熬稠，更入没药末，同煎数沸，滤去渣，
洗眼甚妙。
金丝膏（河间） 治一切目疾昏暗，视物如丝罗所遮，或痒或痛。
宣黄连（半两，细切，水一盏浸一宿取汁，再添水浸渣，经半日许取汁，并放用） 山栀子（二钱，捶碎，入前黄
连汁内，加水同煎六、七十沸） 白砂蜜（一两） 白矾（一两） 井盐（一分，如无，以青盐代之）
上用银瓷器煎药十余沸，用上细片绢加纸数重再滤过，银罐子盛贮，时常点眼。
地芝丸（东垣） 治不能远视而能近视，以此除风热。
生地黄 天门冬（各四两） 枳壳（炒） 甘菊花（各二两）
上为末，炼蜜丸，茶、酒任下。
眼睫方（东垣，即倒睫拳毛也）
木鳖子（一个）
去壳为末，绵裹塞鼻中，左目塞右，右目塞左，一、二夜其睫自正。
点眼光明丹 治一切风热上壅，两目赤肿涩痛，风弦烂眼，及内外翳障等证。
白炉甘石（一两，以黄连五钱煎浓汁，滤去渣，用炭火 炉甘石通红，淬黄连汁内，如此者七次，研） 辰砂（一
钱） 硼砂（二钱） 轻粉（五分） 片脑（三分，多至五分） 麝香（一分）
如赤眼肿痛，加乳香、没药各五分。内外翳障，加珍珠五分，鸭嘴胆矾二分，熊胆二分。烂弦风眼，加铜青五分，
飞丹五分。或以诸药总合为一，治诸般眼疾。
上各研为极细末，一处和匀，再研一、二日无声，银瓶盛贮，密封口不可令泄气，点眼极妙。
（丹溪活套）云∶东垣谓目能远视而不能近视，火盛而水亏也，法当补肾，六味地黄丸主之。目能近视而不能远视，
有水而无火也，法当补心，定志丸加茯苓主之。又曰∶不能近视，晨服地黄丸，不能远视，卧服定志丸，是皆通手足少
阴经也。是以知不能近视者，肾水亏欠也，不能远视者，心血不足也。凡目暴发赤肿，宜用羌活、防风、柴胡、白芷、
论
李东垣说：根据《阴阳应象大论》记载：“所有的脉络都归属于眼睛。”又说：“眼睛得到血液的滋养才能看见。”五脏六腑的精气，都向上灌注到眼睛而形成眼珠。眼珠所在的窝叫做“眼”，骨骼的精气表现为瞳仁，筋的气血表现为黑眼球（虹膜），血液的气血表现为眼睑内的总络脉，气的精气表现为白眼珠（巩膜），肌肉的精气则形成约束眼睑的组织，这些组织包裹着筋骨气血的精微物质，并与经脉相连形成目系，向上连接大脑，向后出于颈部。因此，瞳仁和黑眼球效法阴，白眼珠和赤色血脉效法阳，所以阴阳和谐交融而使得眼睛明亮。正因为如此，五脏、六腑、十二经脉以及三百六十五络脉，它们的气血都禀受于脾土，然后向上贯通到眼睛从而产生视觉。所以说，眼睛是心神的外在表现，心是神志居住的处所。如果精神紊乱而不能守持，突然看到不寻常的怪异景象，或者邪气侵入眼睛，就会导致精气涣散；精气涣散就会出现视物重影，把一个物体看成两个。因为事务烦扰，饮食没有节制，过度劳累，导致脾胃虚弱，心火旺盛，那么全身血脉就会沸腾，血脉运行逆行。医经上说：“天若不明，则日月无光，邪气就会侵害空窍。”这就是说的这种情况。脾是诸阴之首，眼睛是血脉的宗汇之处，所以脾虚则五脏的精气都失去主宰，不能使眼睛恢复清明。心属于君火，主要功能是藏纳神志，应当保持安静安定；相火代行其职能，相火就是心包络之火，主管全身血脉都荣养于眼睛。既然因为劳累妄动，又因为邪气侵犯而损伤血脉，所以各种疾病就产生了。治疗眼病的人如果不先调理脾胃及养血安神，而是只治标不治本，这是不明白主要治理原则的人，学习中医的人怎么能不用心呢？
脉法
左手寸口脉洪大且数，说明心火炽盛。关部脉弦且洪大，说明肝火旺盛。
右手寸部和关部脉都呈现弦洪之象，这是肝木挟带相火的势头而来，欺侮它所不能胜的金（肺），并克制它所能胜的土（脾）。
方法
刘河间说：病在腑属于表证，应当祛除风邪、散发热邪；病在脏属于里证，应当养血安神。比如突然失明，眼睛昏涩有翳膜，眼屎多流泪，这些都是风热所致。另一种说法认为：斑入眼，这是肝气旺盛而在体表的表现，适宜用发散的方法去除。如果眼睛昏弱不想看东西，内障出现黑花，瞳仁散大，这都是里证，属于血少、神劳、肾虚，适宜养血、补水、安肾来调理。
瞳仁散大，都是辛热药物造成的。辛味主发散，热邪乘势而上，应当祛除风热，凉血益血，以收敛耗散之气。黄芩、黄连苦寒，作为君药清除盛行的邪气；当归身、生地黄养血凉血作为臣药；五味子酸温且质地轻浮，能收敛瞳仁散大；地骨皮、天门冬泻热补气，或者使用滋阴地黄丸最为巧妙。
久病导致视力昏暗，以熟地黄、当归身为君药，羌活、防风、甘菊花等作为佐药。
突发红肿，以黄芩、防风为君药以泻火，黄连、当归身为臣药以养血，羌活、柴胡、升麻、白芷、甘草为使药，如果白睛发红，加少许白豆蔻。
另一个方子：治疗血热壅滞疼痛，用四物汤加草龙胆、防己、防风、羌活。另一种说法：实热上冲导致眼痛，用黄连泻火，当归补血。
蔓荆子 人参 甘草（炙） 黄芪 黄柏 白芍药（酒炒，各一钱）
以上细切，水煎服。
另一个方子：治疗眼痛。用生地黄酒浸后捣烂敷在眼睛上，另外用草乌、南星、干姜、桂枝研成末，醋调匀贴敷在两足心，时常用药膏洗眼。
水煎服。
瘦人眼痛，乃是血少兼有热邪，必须使用养血药，少量加入祛风药。
当归 生地黄（酒洗） 玄参 防风 荆芥 菊花 川芎（各等分）
以上细切，水煎服。
（以上丹溪的方法共十条）
熟地黄（一两） 生地黄（一两五钱） 柴胡（八钱） 天门冬 炙甘草 枳壳 地骨皮 黄连 五味子（各三钱） 当归身（酒浸洗） 黄芩（各五钱） 人参（二钱）
以上研为细末，炼蜜制成丸药，如绿豆大小，每次服用一百丸，茶清送下。
秘传拨云退翳丸（又名神仙退云丸，秘传方） 治疗一切内外障膜遮蔽眼睛导致的昏暗，效果显著。
栝蒌根 枳实 甘草（炙） 蔓荆子 薄荷（各五钱） 川芎 密蒙花 荆芥穗 地骨皮 甘菊花 白蒺藜 羌活（各一两） 蛇蜕 蝉蜕 黄连（各三钱） 川椒（七钱五分，去目炒） 当归（一两五钱，酒浸焙） 草决明（五钱，炒） 木贼（童便浸泡一夜，去节，焙干）
以上研为细末，炼蜜制成丸药，每两药粉分成十丸，每次服用一丸，饭后临睡前服用，每天进服三次。如果有翳障，用米饮送下。如果眼睛昏暗，用当归汤送下。如果是内障，用木香汤送下。
退云丸含有犀角五钱，干地黄一两，没有蔓荆子、甘草、川椒。妇女患者，用当归汤送下。如果有气滞，用木香汤送下。
白乳羊肝（一个，用竹刀去掉筋膜） 黄连（一两） 甘菊花 防风 薄荷（去梗） 荆芥穗 羌活 当归 川芎（各三钱）
以上研为细末，将羊肝蒸熟，同药末一起捣烂制成丸药，浆水送下。
朴硝（不拘多少），放在豆腐上蒸化，待流下来后用瓷器盛装。
烂翳验方
用茜草根烧成灰，用灯心草蘸取点入眼中，片刻后会剧烈疼痛，然后用百节草刮除。
神效明目汤（李东垣方） 治疗眼睑紧急，导致倒睫拳毛，以及上下眼睑都红肿溃烂，眼睛疼痛昏暗，白天冷泪常流，晚上眼睛干涩难开。
细辛（二分） 蔓荆子（五分） 防风（一钱） 葛根（一钱五分） 甘草（二钱） 另一方加黄芪（一钱）
以上细切，作一服药量，用水两盏，煎至一盏，去渣滓，临睡前温服。
明目细辛汤 治疗双眼发红微痛，怕光亮畏日光，怯风寒，怕火光，眼睫毛结成纽状，眼屎糊多，隐涩难开，眉头肿胀闷痛，鼻塞，鼻涕唾液稠粘，大便微硬。
川芎（二分） 生地黄（酒浸洗） 蔓荆子（各三分） 当归身梢 白茯苓 藁本（各四分） 荆芥穗（五分） 防风 麻黄根 羌活（各八分） 细辛（少许） 红花（少许） 川椒（四粒） 桃仁（七个，去皮尖，细研）
以上细切，作一服药量，用水一盏半，煎至一盏，去渣滓，临睡前稍热服，忌酒、醋、湿面。
青皮（去瓤，三分） 陈皮（去白） 川芎 苍术（各五分） 炙甘草 生地黄 连翘 柴胡（各一钱） 黄芪（一钱五分） 当归身（二钱）
以上细切，作一服药量，用水两盏，煎至一盏，去渣滓，稍热服。忌酒、醋、湿面、辛辣热性食物、大料等。
助阳和血汤（李东垣方） 治疗眼睛发病之后，微有上部热感，白睛红，隐涩难开，嗜睡且眼屎多流泪。
蔓荆子（一分） 香白芷（三分） 柴胡 黄芪 炙甘草 当归身（酒洗） 防风（各五分） 升麻（七分）
以上细切，作一服药量，用水一盏半，煎至一盏，去渣滓，稍热服。
归葵汤（一名连翘饮子，李东垣方） 治疗眼中如火般灼热，恶见日光与火光，隐涩难开，眼角紧绷，视物昏花，迎风流泪。
柴胡（三分） 生甘草 蔓荆子 连翘 生地黄 当归身 红葵花 人参（各四分五厘） 黄芪 酒黄芩 防风 羌活（各七分半） 升麻（一钱）
以上细切，作一服药量，用水两盏，煎至一盏，去渣滓，饭后服。
救苦汤（李东垣方） 治疗眼睛突发红肿，眼睑高起痛苦不可忍受。
桔梗 连翘 红花 细辛（各二分） 当归身（夏季减半） 甘草（炙，各一钱） 苍术 草龙胆（各一钱四分半） 羌活（太阳经引经药） 升麻（阳明经引经药） 柴胡（少阳经引经药） 防风 藁本 黄连（各二钱） 生地黄 黄柏 黄芩 知母（各三分） 川芎（六分）
以上细切，作一服药量，用水两盏，煎至一盏，去渣滓，饭后服。如果痛苦剧烈，则多用苦寒药，兼治本经的药物，再进行加减。如果眼睛昏花，加知母、黄柏。
泽泻 茯神（各二钱五分） 生地黄（酒洗） 牡丹皮 山茱萸 当归梢（酒洗） 五味子 干山药 柴胡（各五钱） 熟地黄（二两）
以上研为细末，不要接触铁器蒸捣，炼蜜制成丸药，如梧桐子大小，每次服用五十丸，空腹淡盐汤送下。
防风 石膏（各二分） 柴胡 羌活 五味子 升麻（各三分） 甘草 酒黄连 黄芪（各四分半） 黄芩（酒炒） 黄柏（酒炒） 当归身（酒洗） 草龙胆（酒洗） 芍药（各七分五厘）
以上细切，作一服药量，用水两盏，煎至一盏，去渣滓，加入少许酒，热服。
石决明（三钱，煅） 羌活 独活 当归梢 甘草 五味子 防风（各五钱） 草决明 条黄芩 黄连（酒炒） 黄柏（盐酒炒） 知母（各二钱）
以上研为细末，炼蜜制成丸药，如绿豆大小，每次服用五十丸，茶清送下。
黄柏（酒炒） 知母（酒炒）
各等分，研为细末，滴水制成丸药，如梧桐子大小，每次服用一百丸至一百五十丸，空腹淡盐汤送下。
肉桂（三分） 黄连（一钱） 姜黄（一钱） 苦参（三钱） 苦葶苈（酒洗炒） 石膏（觉得肚子冷勿用） 黄柏（酒炒） 知母（去毛，酒炒，各五钱）
以上研为细末，面糊制成丸药，如梧桐子大小，每次服用一百丸，白开水送下，空腹服，以食物压住药力。
蕤仁 升麻（各三分） 连翘 防风 青皮（各四分） 甘草 柴胡（各五分） 当归身（六分） 荆芥穗（水半盏浸泡） 生地黄（各一钱五分） 黄连（三钱）
以上研为细末，用水一碗，煎至半碗，去渣滓，再次上火煎至半盏，加入荆芥水两匙，加入少许蜂蜜，再次上火熬匀，用瓷器盛装，频繁点眼。
谷精草 川郁金 蛇蜕 炙甘草（各五分） 麻黄（一钱五分） 升麻（二钱） 青蛤粉 草龙胆 黄芩（炒） 羌活（各三钱）
以上研为细末，每次服用二钱，温茶清调服。
还睛紫金丹 治疗眼眶多年红肿溃烂，俗称为赤瞎。应当用三棱针刺眼眶外部以泻湿热。如果眼睛长倒睫拳毛，两眼紧闭，这是因为内伏火热攻伐阴气，法当去除内火邪热，眼皮放松后睫毛自然竖起退出，翳膜也会消退。用手手法将内睑向外翻出，用针刺出血。
白砂蜜（二十两） 炉甘石（二十两，火煅七次，淬水内，连水浸泡半天。） 黄丹（六两，水飞） 乌贼骨（二钱） 麝香硼砂（各一钱，放入盏内，放在瓶口上熏干） 白丁香（直的，五分） 轻粉（一字）
先将白砂蜜在砂石器内慢火熬制，撇去泡沫，下入甘石，再下入黄丹，用柳枝搅拌，再下入其余药物，以不粘手为度，制成如鸡头实大小的丸药，每次用一丸，温水化开清洗眼睛。
川独活 川羌活 川芎 吴射干 仙灵脾 防风 甘草 井泉石 苍术（各五钱） 丹参 白术 石决明 草决明（各三钱）
以上研为细末，每次服用二钱，用水一盏半，煎至一盏，温服，每天三次。
石膏羌活散（刘河间方） 治疗长期患有双目不明，远年近日内外翳障，风热昏暗，倒睫拳毛，一切眼疾头风，都加以治疗。
羌活（治疗脑热头风） 密蒙花（治疗羞明怕日） 木贼（退翳障） 白芷（清利头目） 细辛 干菜子（这两味药引起倒睫） 麻子（引起拳毛） 川芎（治疗头风） 苍术（明目暖水脏） 黄芩（洗心退热） 甘菊花 荆芥穗（治疗目生疮） 石膏（治疗头痛退热） 藁本（治疗偏头风，一方治疗顶痛） 甘草（解药毒）
以上各等分，研为细末，每次服用一钱至二钱，饭后临睡前用蜜水调服，茶清也可以，每天进服三次，服用十天日渐明亮，二十天平安。
黄连膏（刘河间方） 治疗一切眼目疼痛，瘀肉攀睛，风痒泪落不止。
黄连（半斤） 朴硝（一斗，用水淘净，阴干使用） 白丁香（五升，用水一斗淘净，去土，研细使用）
以上根据水量，将硝、香放入釜内，熬至七分时淘出，放置过夜，水面浮起的芽取出挖干，用纸袋子盛装，在风中悬挂至风化，将黄连细末熬成的清汁洒干，加入风化的硝，再加猪、羊胆，和蜜令均匀，点眼极妙。
白砂蜜（一斤） 黄连（一两） 没药（五钱） 黄丹（一两，炒紫色）
以上用蜜同黄丹熬黑，用水两大盏，煎黄连成稠汁，去渣滓加入前面的丹、蜜内，煎熬至稠，再加入没药末，同煎几沸，滤去渣滓，洗眼甚妙。
金丝膏（刘河间方） 治疗一切目疾昏暗，视物如丝罗遮挡，或痒或痛。
宣黄连（半两，细切，水一盏浸泡一夜取汁，再添水浸渣，经过半天左右取汁，合并使用） 山栀子（二钱，捶碎，入前黄连汁内，加水同煎六、七十沸） 白砂蜜（一两） 白矾（一两） 井盐（一分，如无，以青盐替代）
以上用银瓷器煎药十余沸，用上细片绢加纸数重再过滤，银罐子盛装，时常点眼。
以上研为末，炼蜜制成丸药，茶、酒任送下。
木鳖子（一个）
去壳研为末，用棉布包裹塞入鼻孔中，左眼病塞右鼻，右眼病塞左鼻，一、两晚其睫毛自然端正。
点眼光明丹 治疗一切风热上壅，两目赤肿涩痛，风弦烂眼，及内外翳障等症状。
白炉甘石（一两，用黄连五钱煎浓汁，滤去渣滓，用炭火将炉甘石烧红，淬入黄连汁内，如此七次，研细） 辰砂（一钱） 硼砂（二钱） 轻粉（五分） 冰片（三分，多至五分） 麝香（一分）
如果是赤眼肿痛，加乳香、没药各五分。如果是内外翳障，加珍珠五分，鸭嘴胆矾二分，熊胆二分。如果是烂弦风眼，加铜青五分，飞丹五分。或者将所有药物合为一处，治疗各种眼疾。
以上各研为极细末，一处混合均匀，再研磨一、两天无声响，用银瓶盛装，密封口不可漏气，点眼极妙。
（丹溪活套）中说：李东垣认为眼睛能远视而不能近视，是火盛而水亏，法当补肾，以六味地黄丸为主治。眼睛能近视而不能远视，是有水而无火，法当补心，以定志丸加茯苓为主治。又说：不能近视，早晨服用地黄丸，不能远视，晚上服用定志丸，这都是通手足少阴经的方法。因此知道不能近视的是肾水亏欠，不能远视的是心血不足。凡是眼睛突发红肿，适宜用羌活、防风、柴胡、白芷、
Treatise
Li Dongyuan stated: According to the *Treatise on Yin and Yang Corresponding to Phenomena* (*Yin Yang Ying Xiang Lun*), "All meridians belong to the eyes." It also states, "The eyes can see when they receive blood nourishment." The essence of the five zang organs and six fu organs all ascend and pour into the eyes to form the eyeballs. The cavity where the eyeball resides is called the "eye" (Yan). The essence of bone manifests as the pupil; the essence of sinew manifests as the black eye (iris); the essence of blood manifests as the general network within the eyelids; the essence of qi manifests as the white eye (sclera); and the essence of muscle forms the constraints that bind the eyelids. These structures envelop the essences of sinew, bone, blood, and qi, merging with the meridians to form the optic nerve system, which ascends to connect with the brain and emerges posteriorly from the neck. Therefore, the pupil and the black eye follow the principles of Yin, while the white eye and red vessels follow the principles of Yang. Thus, the harmony of Yin and Yang results in clear vision. Consequently, the qi and blood of the five zang organs, six fu organs, twelve regular meridians, and three hundred and sixty-five collaterals are all derived from Spleen Earth and ascend through to the eyes to produce clarity of vision. Hence, the eyes are the emissaries of the Heart, and the Heart is the residence of Shen (Spirit). If spirit becomes disordered and cannot remain steadfast, sudden perception of extraordinary phenomena may occur. If pathogenic factors invade the eyes, Jing (Essence) will scatter; once Jing scatters, diplopia occurs, where one object is seen as two. Due to mental distress, irregular diet, and excessive labor, the Spleen and Stomach become weak, and Heart Fire flares up vigorously. This causes the blood vessels to boil and blood flow to reverse. As the classics state, "If Heaven is not bright, the sun and moon lose their light, and pathogenic factors harm the orifices." This refers to the situation described. The Spleen is the head of all Yin organs, and the eyes are the congregation of blood vessels. Therefore, when the Spleen is deficient, the essence of the five zang organs loses its direction and cannot restore clarity to the eyes. The Heart belongs to Ministerial Fire (Jun Huo), primarily responsible for storing Shen, and should remain quiet and peaceful. Ministerial Fire (Xiang Huo) acts on its behalf; this fire is located in the Pericardium and governs the nourishment of all blood vessels by the eyes. Since labor and reckless activity, combined with pathogenic invasion, damage the blood vessels, various diseases arise. Those treating eye diseases who do not first regulate the Spleen and Stomach and nourish blood to calm the Spirit, but instead treat only symptoms without addressing the root, fail to understand the primary principles of treatment. Students of medicine must pay close attention to this.
Pulse Diagnosis
A surging and rapid pulse at the left Cun position indicates blazing Heart Fire. A wiry and surging pulse at the Guan position indicates flourishing Liver Fire.
Wiry and surging pulses at both the right Cun and Guan positions indicate Liver Wood carrying the momentum of Ministerial Fire, insulting the Metal it cannot overcome (Lung) and controlling the Earth it overcomes (Spleen).
Methods
Zhu Danxi stated: Eye diseases belong to Wind-Heat, Blood Deficiency, Mental Fatigue, and Kidney Deficiency.
Liu Wansu stated: When the disease is in the Fu organs, it is a Exterior syndrome, requiring the expulsion of Wind and dispersion of Heat. When the disease is in the Zang organs, it is an Interior syndrome, requiring nourishment of Blood and calming of the Spirit. For example, sudden blindness, dullness and dryness with nebulae, excessive discharge and tearing, all indicate Wind-Heat. Another view holds that spots entering the eye indicate flourishing Liver Qi manifesting in the Exterior, suitable for dispersing methods to remove them. If the eyes are dull and weak, unwilling to look at objects, with internal cataracts showing black flies and dilated pupils, these are Interior syndromes indicating Blood Deficiency, Mental Fatigue, and Kidney Deficiency, suitable for nourishing Blood, replenishing Water, and anchoring the Kidney for regulation.
Dilated pupils are caused by acrid and hot substances. Acridity promotes dispersion, and Heat exacerbates it. One should expel Wind-Heat, cool the Blood, and benefit the Blood to收 (gather) the scattered Qi. Huang Qin (Scutellaria Root) and Lian Lian (Coptis Rhizome) are bitter and cold, serving as the Sovereign drug to eliminate rampant pathogenic factors. Dang Gui Shen (Angelica Sinensis Root Body) and Sheng Di Huang (Rehmannia Root) nourish and cool the Blood, serving as the Minister drugs. Wu Wei Zi (Schisandra Fruit) is sour and warm with a floating nature, capable of contracting dilated pupils. Di Gu Pi (Lycium Bark) and Tian Men Dong (Asparagus Tuber) drain Heat and benefit Qi. Alternatively, Zi Yin Di Huang Wan (Nourishing Yin Rehmannia Pill) is most excellent.
For chronic dullness and dimness, Shu Di Huang (Prepared Rehmannia Root) and Dang Gui Gen (Angelica Sinensis Root Base) serve as Sovereign drugs, assisted by Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root), and Gan Ju Hua (Chrysanthemum Flower).
For acute onset of redness and swelling, Huang Qin (Scutellaria Root) and Fang Feng (Saposhnikovia Root) serve as Sovereign drugs to drain Fire; Lian Lian (Coptis Rhizome) and Dang Gui Shen (Angelica Sinensis Root Body) serve as Minister drugs to nourish Blood. Qiang Huo (Notopterygium Rhizome), Chai Hu (Bupleurum Root), Sheng Ma (Cimicifuga Rhizome), Bai Zhi (Angelica Dahurica Root), and Gan Cao (Licorice Root) serve as Envoys. Add a small amount of Bai Dou Kou (Black Cardamom Seed) if the sclera is red.
Another prescription: Treat pain due to Blood Heat stagnation using Si Wu Tang (Four Substances Decoction) plus Cao Long Dan (Gentiana Scabra Root), Fang Ji (Stephania Root), Fang Feng (Saposhnikovia Root), and Qiang Huo (Notopterygium Rhizome). Another view: For severe Heat rushing upward causing eye pain, use Lian Lian (Coptis Rhizome) to drain Fire and Dang Gui (Angelica Sinensis) to tonify Blood.
For internal cataracts and dimness due to labor and irregular diet, use Man Jing Zi Tang (Vitex Decoction).
Man Jing Zi (Vitex Fruit), Ren Shen (Ginseng Root), Gan Cao (Licorice Root, honey-fried), Huang Qi (Astragalus Root), Huang Bo (Phellodendron Bark), Bai Shao Yao (White Peony Root, wine-fried), each 1 qian.
Finely chop, decoct in water, and take orally.
Another prescription: Treat eye pain. Soak Sheng Di Huang (Rehmannia Root) in wine, crush, and apply to the eyes. Also, make a powder from Cao Wu (Aconitum Carmichaelii Lateral Root), Nan Xing (Pinellia Tuber), Gan Jiang (Dried Ginger), and Gui Zhi (Cinnamon Twig), mix with vinegar, and apply to the soles of both feet. Frequently wash the eyes with Niu Xi Gao (Achyranthes Ointment).
For obese individuals with Wind-Heat congestion ascending, causing eye pain:
Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Jing Jie (Schizonepeta Spike), Jiu Qin (Scutellaria Root fried with wine), each 2 qian.
Decoct in water and take orally.
For thin individuals with eye pain, this is due to Blood Deficiency combined with Heat. One must use Blood-nourishing herbs, adding a small amount of Wind-dispersing herbs.
Dang Gui (Angelica Sinensis), Sheng Di Huang (Rehmannia Root, washed with wine), Xuan Shen (Scrophularia Root), Fang Feng (Saposhnikovia Root), Jing Jie (Schizonepeta Spike), Ju Hua (Chrysanthemum Flower), Chuan Xiong (Ligusticum Rhizome), equal parts.
Finely chop, decoct in water, and take orally.
(Above are ten methods from Danxi.)
Zi Yin Di Huang Wan (Nourishing Yin Rehmannia Pill) (Formula by Li Dongyuan)
Shu Di Huang (Prepared Rehmannia Root, 1 liang), Sheng Di Huang (Rehmannia Root, 1.5 liang), Chai Hu (Bupleurum Root, 8 qian), Tian Men Dong (Asparagus Tuber), Zhi Gan Cao (Honey-fried Licorice Root), Zhi Ke (Aurantii Fructus), Di Gu Pi (Lycium Bark), Lian Lian (Coptis Rhizome), Wu Wei Zi (Schisandra Fruit), each 3 qian. Dang Gui Shen (Angelica Sinensis Root Body, soaked in wine and washed), Huang Qin (Scutellaria Root), each 5 qian. Ren Shen (Ginseng Root, 2 qian).
Grind into fine powder, make pills with refined honey, size of mung beans. Take 100 pills per dose, washed down with tea liquor.
Mi Chuan Bo Yun Tui Yi Wan (Secretly Transmitted Cloud-Pushing Nebula-Removing Pill) (Also known as Shen Xian Tui Yun Wan, Secret Formula). Treats all types of internal and external nebulae obscuring the eyes causing dimness. Highly effective.
Gua Lou Gen (Trichosanthes Root), Zhi Shi (Immature Bitter Orange), Zhi Gan Cao (Honey-fried Licorice Root), Man Jing Zi (Vitex Fruit), Bo He (Mint Herb), each 5 qian. Chuan Xiong (Ligusticum Rhizome), Mi Meng Hua (Euphrasia Seed), Jing Jie Sui (Schizonepeta Spike), Di Gu Pi (Lycium Bark), Gan Ju Hua (Chrysanthemum Flower), Bai Ji Li (Tribulus Fruit), Qiang Huo (Notopterygium Rhizome), each 1 liang. She Tui (Snake Slough), Chan Tui (Cicada Slough), Lian Lian (Coptis Rhizome), each 3 qian. Chuan Jiao (Sichuan Pepper, 7.5 qian, remove seeds and stir-fry). Dang Gui (Angelica Sinensis Root, 1.5 liang, soak in wine and bake). Cao Jue Ming (Cassia Seed, 5 qian, stir-fry). Mu Zei (Equisetum Hiemale, soak in child's urine overnight, remove joints, bake dry).
Grind into fine powder, make pills with refined honey. Divide each liang of powder into ten pills. Take one pill per dose after meals and before bed, three times daily. For nebulae, wash down with rice drink. For dim eyes, wash down with Dang Gui Tang (Angelica Decoction). For internal cataracts, wash down with Mu Xiang Tang (Costus Decoction).
Tui Yun Wan contains Xi Jiao (Rhinoceros Horn, 5 qian) and Gan Di Huang (Dry Rehmannia Root, 1 liang), but lacks Man Jing Zi, Gan Cao, and Chuan Jiao. For women, wash down with Dang Gui Tang. For Qi stagnation, wash down with Mu Xiang Tang.
Yang Gan Wan (Sheep Liver Pill) (Jufang/Standardized Formulary). Treats all eye diseases, regardless of internal or external nebulae, Qing Mang (blindness), etc.
Bai Ru Yang Gan (White Milk Sheep Liver, one piece, remove membrane with bamboo knife), Lian Lian (Coptis Rhizome, 1 liang), Gan Ju Hua (Chrysanthemum Flower), Fang Feng (Saposhnikovia Root), Bo He (Mint Herb, remove stems), Jing Jie Sui (Schizonepeta Spike), Qiang Huo (Notopterygium Rhizome), Dang Gui (Angelica Sinensis), Chuan Xiong (Ligusticum Rhizome), each 3 qian.
Grind into fine powder. Steam the sheep liver until cooked, mash together with the powder to form pills. Wash down with grain water.
Chun Xue Gao (Spring Snow Ointment) (Formula by Li Dongyuan). Effective for red eyes.
Pu Xiao (Mirabilite, any amount). Place on tofu and steam until melted. Collect the liquid in a porcelain vessel.
Lan Yi Yan Fang (Verified Prescription for Ulcerating Nebulae)
Burn Qian Cao Gen (Rubia Root) to ash. Apply with a rush stem to the eye. After a moment of severe pain, scrape with Bai Jie Cao (Centipeda Herb).
Shen Xiao Ming Mu Tang (Divine Effect Brightening Eyes Decoction) (Formula by Li Dongyuan). Treats tight eyelids causing inverted eyelashes and curled hairs, redness and ulceration of upper and lower eyelids, eye pain and dimness, constant cold tears during the day, and dryness making eyes difficult to open at night.
Xi Xin (Asarum Root, 2 fen), Man Jing Zi (Vitex Fruit, 5 fen), Fang Feng (Saposhnikovia Root, 1 qian), Ge Gen (Kudzu Root, 1.5 qian), Gan Cao (Licorice Root, 2 qian). Another formula adds Huang Qi (Astragalus Root, 1 qian).
Finely chop. Prepare as one dose. Decoct in two zhan of water until one zhan remains. Strain and take warm before bed.
Ming Mu Xi Xin Tang (Brightening Eyes Asarum Decoction). Treats redness and slight pain in both eyes, photophobia, fear of wind and cold, fear of light, eyelashes matting together, excessive sticky discharge, difficulty opening eyes due to grittiness, swelling and oppression at the brow, nasal congestion, thick sputum, and slightly hard stool.
Chuan Xiong (Ligusticum Rhizome, 2 fen), Sheng Di Huang (Rehmannia Root, wine-soaked and washed), Man Jing Zi (Vitex Fruit), each 3 fen. Dang Gui Shen Shao (Angelica Sinensis Root Tip), Bai Fu Ling (Poria), Ben Cao (Ligusticum Chuanxiong Rhizome), each 4 fen. Jing Jie Sui (Schizonepeta Spike, 5 fen). Fang Feng (Saposhnikovia Root), Ma Huang Gen (Ephedra Root), Qiang Huo (Notopterygium Rhizome), each 8 fen. Xi Xin (Asarum Root, a little), Hong Hua (Safflower), Chuan Jiao (Sichuan Pepper, 4 grains), Tao Ren (Peach Kernel, seven pieces, peel and remove tips, finely grind), each a little.
Finely chop. Prepare as one dose. Decoct in one and a half zhan of water until one zhan remains. Strain and take slightly warm before bed. Avoid alcohol, vinegar, and damp noodles.
Fu Ming San (Restore Vision Powder) (Formula by Li Dongyuan). Treats internal cataracts.
Qing Pi (Citrus Peel, remove pith, 3 fen), Chen Pi (Aged Tangerine Peel, remove white pith), Chuan Xiong (Ligusticum Rhizome), Cang Zhu (Atractylodes Rhizome), each 5 fen. Zhi Gan Cao (Honey-fried Licorice Root), Sheng Di Huang (Rehmannia Root), Lian Qiao (Forsythia Fruit), Chai Hu (Bupleurum Root), each 1 qian. Huang Qi (Astragalus Root, 1.5 qian), Dang Gui Shen (Angelica Sinensis Root Body, 2 qian).
Finely chop. Prepare as one dose. Decoct in two zhan of water until one zhan remains. Strain and take slightly warm. Avoid alcohol, vinegar, damp noodles, spicy/hot foods, and strong spices.
Zhu Yang He Xue Tang (Assist Yang and Harmonize Blood Decoction) (Formula by Li Dongyuan). Treats post-onset eye inflammation with slight upper heat, red sclera, grittiness making eyes difficult to open, lethargy, and excessive discharge/tearing.
Man Jing Zi (Vitex Fruit, 1 fen), Xiang Bai Zhi (Aromatic Angelica Dahurica Root, 3 fen). Chai Hu (Bupleurum Root), Huang Qi (Astragalus Root), Zhi Gan Cao (Honey-fried Licorice Root), Dang Gui Shen (Angelica Sinensis Root Body, wine-washed), Fang Feng (Saposhnikovia Root), each 5 fen. Sheng Ma (Cimicifuga Rhizome, 7 fen).
Finely chop. Prepare as one dose. Decoct in one and a half zhan of water until one zhan remains. Strain and take slightly warm.
Gui Kui Tang (Roselle Decoction) (Also named Lian Qiao Yin Zi, Formula by Li Dongyuan). Treats "flowing fire" in the eyes, aversion to sunlight and artificial light, grittiness making eyes difficult to open, tightness at the corners, blurred vision, and tearing in the wind.
Chai Hu (Bupleurum Root, 3 fen). Sheng Gan Cao (Raw Licorice Root), Man Jing Zi (Vitex Fruit), Lian Qiao (Forsythia Fruit), Sheng Di Huang (Rehmannia Root), Dang Gui Shen (Angelica Sinensis Root Body), Hong Kui Hua (Red Hibiscus Flower), Ren Shen (Ginseng Root), each 4.5 fen. Huang Qi (Astragalus Root), Jiu Huang Qin (Scutellaria Root fried with wine), Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), each 7.5 fen. Sheng Ma (Cimicifuga Rhizome, 1 qian).
Finely chop. Prepare as one dose. Decoct in two zhan of water until one zhan remains. Strain and take after meals.
Jiu Ku Tang (Relieve Suffering Decoction) (Formula by Li Dongyuan). Treats acute onset of redness and swelling, high eyelids with unbearable pain.
Jie Geng (Platycodon Root), Lian Qiao (Forsythia Fruit), Hong Hua (Safflower), Xi Xin (Asarum Root), each 2 fen. Dang Gui Shen (Angelica Sinensis Root Body, halve in summer), Zhi Gan Cao (Honey-fried Licorice Root), each 1 qian. Cang Zhu (Atractylodes Rhizome), Cao Long Dan (Gentiana Scabra Root), each 1.45 qian. Qiang Huo (Notopterygium Rhizome, Taiyang meridian guide), Sheng Ma (Cimicifuga Rhizome, Yangming meridian guide), Chai Hu (Bupleurum Root, Shaoyang meridian guide), Fang Feng (Saposhnikovia Root), Ben Cao (Ligusticum Chuanxiong Rhizome), Lian Lian (Coptis Rhizome), each 2 qian. Sheng Di Huang (Rehmannia Root), Huang Bo (Phellodendron Bark), Huang Qin (Scutellaria Root), Zhi Mu (Anemarrhena Rhizome), each 3 fen. Chuan Xiong (Ligusticum Rhizome, 6 fen).
Finely chop. Prepare as one dose. Decoct in two zhan of water until one zhan remains. Strain and take after meals. If pain is severe, increase bitter-cold herbs and add herbs targeting the affected meridian, then adjust. If eyes are dim, add Zhi Mu (Anemarrhena Rhizome) and Huang Bo (Phellodendron Bark).
Yi Yin Shen Qi Wan (Benefit Yin Kidney Qi Pill) (Formula by Li Dongyuan). This strengthens the Master of Water to suppress Solar Flare (deficient fire).
Ze Xie (Alisma Rhizome), Fu Shen (Poria with Hostwood), each 2.5 qian. Sheng Di Huang (Rehmannia Root, wine-washed), Mu Dan Pi (Moutan Cortex), Shan Zhu Yu (Cornus Fruit), Dang Gui Shao (Angelica Sinensis Root Tip, wine-washed), Wu Wei Zi (Schisandra Fruit), Gan Shan Yao (Chinese Yam), Chai Hu (Bupleurum Root), each 5 qian. Shu Di Huang (Prepared Rehmannia Root, 2 liang).
Grind into fine powder. Do not touch iron tools during steaming/grinding. Make pills with refined honey, size of paulownia seeds. Take 50 pills per dose on an empty stomach with light salt water.
Dang Gui Long Dan Tang (Angelica Gentiana Decoction) (Formula by Li Dongyuan). Treats white nebulae in the eyes.
Fang Feng (Saposhnikovia Root), Shi Gao (Gypsum Fibrosum), each 2 fen. Chai Hu (Bupleurum Root), Qiang Huo (Notopterygium Rhizome), Wu Wei Zi (Schisandra Fruit), Sheng Ma (Cimicifuga Rhizome), each 3 fen. Gan Cao (Licorice Root), Jiu Huang Lian (Coptis Rhizome fried with wine), Huang Qi (Astragalus Root), each 4.5 fen. Huang Qin (Scutellaria Root, wine-fried), Huang Bo (Phellodendron Bark, wine-fried), Dang Gui Shen (Angelica Sinensis Root Body, wine-washed), Cao Long Dan (Gentiana Scabra Root, wine-washed), Shao Yao (Peony Root), each 7.5 fen.
Finely chop. Prepare as one dose. Decoct in two zhan of water until one zhan remains. Strain, add a little wine, and take warm.
Xie Yin Huo Wan (Drain Yin Fire Pill) (Also named Lian Bai Yi Yin Wan, Formula by Li Dongyuan)
Shi Jue Ming (Haliotidis Concha, 3 qian, calcined). Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens Root), Dang Gui Shao (Angelica Sinensis Root Tip), Gan Cao (Licorice Root), Wu Wei Zi (Schisandra Fruit), Fang Feng (Saposhnikovia Root), each 5 qian. Cao Jue Ming (Cassia Seed), Tiao Huang Qin (Scutellaria Root), Lian Lian (Coptis Rhizome, wine-fried), Huang Bo (Phellodendron Bark, salt-wine fried), Zhi Mu (Anemarrhena Rhizome), each 2 qian.
Grind into fine powder. Make pills with refined honey, size of mung beans. Take 50 pills per dose, washed down with tea liquor.
Liao Ben Zi Shen Wan (Treat Root Nourish Kidney Pill) (Formula by Li Dongyuan)
Huang Bo (Phellodendron Bark, wine-fried), Zhi Mu (Anemarrhena Rhizome, wine-fried).
Equal parts. Grind into fine powder. Make pills with drops of water, size of paulownia seeds. Take 100-150 pills per dose on an empty stomach with light salt water.
Jia Wei Zi Shen Wan (Modified Nourish Kidney Pill) (Formula by Li Dongyuan)
Rou Gui (Cinnamon Bark, 3 fen), Lian Lian (Coptis Rhizome, 1 qian), Jiang Huang (Turmeric Rhizome, 1 qian), Ku Shen (Sophora Root, 3 qian), Ku Ting Li (Descurainia Seed, wine-washed and fried), Shi Gao (Gypsum Fibrosum, do not use if feeling cold in the abdomen), Huang Bo (Phellodendron Bark, wine-fried), Zhi Mu (Anemarrhena Rhizome, de-haired and wine-fried), each 5 qian.
Grind into fine powder. Make pills with flour paste, size of paulownia seeds. Take 100 pills per dose with plain warm water, on an empty stomach, covered by food.
Tui Yi Gao (Nebula-Removing Ointment) (Formula by Li Dongyuan). Treats black and white nebulae.
Rui Ren (Buckthorn Seed), Sheng Ma (Cimicifuga Rhizome), each 3 fen. Lian Qiao (Forsythia Fruit), Fang Feng (Saposhnikovia Root), Qing Pi (Citrus Peel), each 4 fen. Gan Cao (Licorice Root), Chai Hu (Bupleurum Root), each 5 fen. Dang Gui Shen (Angelica Sinensis Root Body, 6 fen). Jing Jie Sui (Schizonepeta Spike, soak in half zhan of water). Sheng Di Huang (Rehmannia Root), each 1.5 qian. Lian Lian (Coptis Rhizome, 3 qian).
Grind into fine powder. Decoct in one bowl of water until half a bowl remains. Strain. Return to heat and simmer until half a zhan remains. Add two spoons of Jing Jie water and a little honey. Simmer evenly. Store in porcelain. Apply frequently to the eyes.
Long Dan Yin Zi (Gentiana Drink) (Formula by Li Dongyuan). Treats Gan Eye (malnutrition-related eye disease) with pus discharge, Gan nebulae, caused by Damp-Heat.
Gu Jing Cao (Evodia Fruit), Chuan Yu Jin (Curcuma Root), She Tui (Snake Slough), Zhi Gan Cao (Honey-fried Licorice Root), each 5 fen. Ma Huang (Ephedra Herb, 1.5 qian). Sheng Ma (Cimicifuga Rhizome, 2 qian). Qing Ge Fen (Clam Shell Powder), Cao Long Dan (Gentiana Scabra Root), Huang Qin (Scutellaria Root, fried), Qiang Huo (Notopterygium Rhizome), each 3 qian.
Grind into fine powder. Take 2 qian per dose, mixed with warm tea liquor.
Huan Jing Zi Jin Dan (Restore Clarity Purple Gold Pill). Treats long-standing redness and ulceration of the eye orbit, commonly called Chi Xia (Red Blindness). Puncture the outer eye orbit with a three-edged needle to drain Damp-Heat. If inverted eyelashes and curled hairs appear, and eyes are tightly shut, this is due to latent internal Heat attacking Yin Qi. The method is to remove the internal Heat and pathogenic factors. Once the eyelid relaxes, the hairs will stand out, and the nebulae will recede. Use manual manipulation to evert the inner eyelid and puncture with a needle to bleed.
Bai Sha Mi (White Sand Honey, 20 liang). Lu Gan Shi (Calamine, 20 liang, calcined seven times, quenched in water, soaked in water for half a day). Huang Dan (Lead Tetroxide, 6 liang, water-pulverized). Wu Zei Gu (Cuttlefish Bone, 2 qian). She Xiang Peng Sha (Musk and Borax, each 1 qian, placed in a cup and dried by fumes from a bottle mouth). Bai Ding Xiang (White Sparrow Droppings, straight ones, 5 fen). Qing Fen (Calomel, one character).
Slowly boil the White Sand Honey in a stone pot, skim off foam. Add Calamine, then Lead Tetroxide. Stir with a willow branch. Add remaining ingredients until non-sticky. Form pills the size of corn kernels. Use one pill per application, dissolve in warm water, and wash the eyes.
Zhong Ming San (Double Clarity Powder) (Formula by Liu Wansu). Treats all Wind-Heat internal and external nebulae eye diseases.
Chuan Du Huo (Angelica Pubescens Root), Chuan Qiang Huo (Notopterygium Rhizome), Chuan Xiong (Ligusticum Rhizome), Wu She Ye (Belamcanda Rhizome), Xian Ling Pi (Epimedium Leaf), Fang Feng (Saposhnikovia Root), Gan Cao (Licorice Root), Jing Quan Shi (Well Spring Stone), Cang Zhu (Atractylodes Rhizome), each 5 qian. Dan Shen (Salvia Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Shi Jue Ming (Haliotidis Concha), Cao Jue Ming (Cassia Seed), each 3 qian.
Grind into fine powder. Take 2 qian per dose. Decoct in one and a half zhan of water until one zhan remains. Take warm, three times daily.
Shi Gao Qiang Huo San (Gypsum and Notopterygium Powder) (Formula by Liu Wansu). Treats long-term unclear vision, old and recent internal/external nebulae, Wind-Heat dimness, inverted eyelashes, curled hairs, all eye diseases, and headaches.
Qiang Huo (Notopterygium Rhizome, treats Brain Heat and headache), Mi Meng Hua (Euphrasia Seed, treats photophobia), Mu Zei (Equisetum Hiemale, removes nebulae), Bai Zhi (Angelica Dahurica Root, clears head and eyes), Xi Xin (Asarum Root), Gan Cai Zi (Brassica Seed, these two raise inverted eyelashes), Ma Zi (Hemp Seed, raises curled hairs), Chuan Xiong (Ligusticum Rhizome, treats headache), Cang Zhu (Atractylodes Rhizome, brightens eyes and warms Water Organ), Huang Qin (Scutellaria Root, cleans Heart and drains Heat), Gan Ju Hua (Chrysanthemum Flower), Jing Jie Sui (Schizonepeta Spike, treats eye sores), Shi Gao (Gypsum Fibrosum, treats headache and drains Heat), Ben Cao (Ligusticum Chuanxiong Rhizome, treats hemi-cephalgia, another formula treats vertex pain), Gan Cao (Licorice Root, resolves drug toxicity).
Equal parts. Grind into fine powder. Take 1-2 qian per dose after meals and before bed, mixed with honey water or tea liquor. Three times daily. Vision improves after ten days; peace returns after twenty days.
Huang Lian Gao (Coptis Ointment) (Formula by Liu Wansu). Treats all eye pain, fleshy growths invading the cornea, wind-induced itching and continuous tearing.
Huang Lian (Coptis Rhizome, 0.5 jin). Pu Xiao (Mirabilite, 1 dou, washed clean with water, dried in shade). Bai Ding Xiang (White Sparrow Droppings, 5 sheng, washed clean with one dou of water, remove dirt, finely ground).
Add appropriate amount of water to the pot with Mirabilite and Droppings. Boil until three-quarters full, then strain. Let stand overnight. Remove the floating sprouts from the surface, squeeze dry, place in a paper bag, and hang in the wind until weathered. Boil Coptis Rhizome in clear juice, sprinkle onto the weathered Mirabilite powder. Add pig and sheep bile. Mix evenly with honey. Apply to eyes; extremely effective.
Di Hun Gao (Clearing Dimness Ointment) (Formula by Liu Wansu). Treats all Wind-Congestion eye diseases with unbearable pain.
Bai Sha Mi (White Sand Honey, 1 jin). Huang Lian (Coptis Rhizome, 1 liang). Mo Yao (Myrrh, 5 qian). Huang Dan (Lead Tetroxide, 1 liang, stir-fried to purple).
Boil honey and Lead Tetroxide until black. Decoct Huang Lian (Coptis Rhizome) in two large zhan of water into a thick juice. Strain and add to the previous mixture of lead and honey. Simmer until thick. Add Mo Yao (Myrrh) powder. Simmer briefly. Strain. Excellent for washing eyes.
Jin Si Gao (Golden Thread Ointment) (Formula by Liu Wansu). Treats all eye dimness, vision obscured like silk gauze, or itching/pain.
Xuan Huang Lian (Coptis Rhizome, 0.5 liang, finely chopped, soak in one zhan of water overnight for juice. Add more water to dregs, soak for half a day for juice. Combine juices). Shan Zhi Zi (Gardenia Fruit, 2 qian, crushed, add to Coptis juice, add water, boil 60-70 times). Bai Sha Mi (White Sand Honey, 1 liang). Bai Fan (Alumen, 1 liang). Jing Yan (Well Salt, 1 fen, substitute with Qing Yan/Green Salt if unavailable).
Decoct medicines in silver/ceramic ware for over ten boils. Filter through fine silk cloth layered with paper multiple times. Store in silver jar. Apply to eyes frequently.
Di Zhi Wan (Eucommia Pill) (Formula by Li Dongyuan). Treats inability to see far but ability to see near. Removes Wind-Heat.
Sheng Di Huang (Rehmannia Root), Tian Men Dong (Asparagus Tuber), each 4 liang. Zhi Ke (Aurantii Fructus, fried), Gan Ju Hua (Chrysanthemum Flower), each 2 liang.
Grind into powder. Make pills with refined honey. Take with tea or wine as desired.
Yan Jie Fang (Eyelash Prescription) (Formula by Li Dongyuan, i.e., for inverted eyelashes and curled hairs)
Mu Bie Zi (Momordica Seed, one piece).
Remove shell, grind into powder. Wrap in cotton and insert into nostrils. For left eye, insert into right nostril; for right eye, insert into left nostril. Eyelashes will correct naturally in one or two nights.
Dian Yan Guang Ming Dan (Eye-Dropping Brightness Pill). Treats all Wind-Heat congestion causing red, swollen, gritty, painful eyes, wind-margin ulcerative eyes, and internal/external nebulae.
Bai Lu Gan Shi (White Calamine, 1 liang, decoct with 5 qian Huang Lian (Coptis Rhizome) in thick juice, strain. Calcine Calamine red over charcoal, quench in Coptis juice. Repeat seven times, then grind). Chen Sha (Cinnabar, 1 qian). Peng Sha (Borax, 2 qian). Qing Fen (Calomel, 5 fen). Pian Nao (Borneol, 3 fen, up to 5 fen). She Xiang (Musk, 1 fen).
For red/swollen/painful eyes, add Ru Xiang (Frankincense) and Mo Yao (Myrrh), 5 fen each. For internal/external nebulae, add Zhen Zhu (Pearl, 5 fen), Ya Zui Dan Fan (Duck-Bill Alum, 2 fen), Xiong Dan (Bear Bile, 2 fen). For wind-margin ulcerative eyes, add Tong Qing (Malachite, 5 fen), Fei Dan (Sublimated Arsenic, 5 fen). Or combine all medicines to treat various eye diseases.
Grind each into ultra-fine powder. Mix thoroughly. Grind again for one or two days until silent. Store in silver bottle, seal tightly to prevent leakage. Excellent for dropping into eyes.
(Danxi Huo Tao) states: Li Dongyuan believed that the ability to see far but not near is due to Excess Fire and Deficient Water; the method is to tonify the Kidney, using Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill). The ability to see near but not far is due to having Water but lacking Fire; the method is to tonify the Heart, using Ding Zhi Wan (Stabilize Spirit Pill) plus Fu Ling (Poria). He also said: For inability to see near, take Di Huang Wan (Rehmannia Pill) in the morning; for inability to see far, take Ding Zhi Wan (Stabilize Spirit Pill) before bed. These all communicate with the Hand and Foot Shaoyin meridians. Thus, inability to see near is due to Kidney Water deficiency; inability to see far is due to Heart Blood insufficiency. For acute onset of eye redness and swelling, suitable herbs include Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root), Chai Hu (Bupleurum Root), Bai Zhi (Angelica Dahurica Root)...