条文：睥生痰核痰火结，核形如豆坚不疼，失治成瘿流脓血，防风散结芷芩风，
黑桔前胡陈赤芍，浙贝苍术花粉同。
方剂：防风散结汤方
白芷 黄芩 防风 黑参 桔梗 前胡 陈皮 赤芍药 浙贝母 苍术
天花粉各八分
右为粗末，以水二盏，煎至一盏，食后去渣温服。
【注】[1]睥生痰核之证，因痰火结聚而成，生于胞外，皮内核形如豆，坚硬不
疼，宜用防风散结汤，化痰散热。
[2]若久而不治，渐长为瘿，破则成漏，为难治矣。
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条文：头响如雷又似风，雷头风热毒冲瞳，脑汁下注瞳色变，瞳人大小目昏蒙。
泻肝芩梗硝黄黑，羌活车归知母龙，虚者磁石丸姜附，味黑丹皮磁石同。
方剂：泻肝散方
黄芩 桔梗 芒硝 大黄 黑参 羌活 车前子 当归 知母各一钱 龙
胆草五分
右为粗末，以水二盏，煎至一盏，食后去渣温服。
磁石丸方
干姜一两 附子（炮）五钱 五味子半两 黑参一两 牡丹皮一两 磁石
（烧红，醋淬三次）一两
右为细末，炼密为丸，如桐子大，食前，茶清送下一钱。
【注】[1]雷头风内障，初患之时，头面多受冷热，毒气冲入头中，致头内响声
如风如雷，头旋发热，日久冲入眼内，脑汁下注，瞳人变色，瞳或大
小不定。
[2]实者宜服泻肝散；虚者宜服磁石丸。
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条文：脾部发生痰核，是痰火凝结所致。结节形状像豆子一样坚硬但不疼痛。如果延误治疗，会发展成瘿病（甲状腺肿或颈部肿块），甚至流脓出血。治疗可用防风散结汤，药物包括白芷、黄芩、防风、黑参（玄参）、桔梗、前胡、陈皮、赤芍药、浙贝母、苍术和天花粉。
方剂：防风散结汤方
白芷、黄芩、防风、黑参（玄参）、桔梗、前胡、陈皮、赤芍药、浙贝母、苍术、天花粉，各八分。
以上药材捣成粗末，用水两盏，煎煮至一盏，饭后去渣温服。
【注】[1] 脾生痰核的病症，是由于痰火结聚而成，生于眼睑之外，皮下有核状物，形如豆粒，质地坚硬且不疼痛，适宜使用防风散结汤，以化痰清热。
[2] 如果长期不治疗，逐渐长大成为瘿病，破溃后形成漏管，这就难以治愈了。
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条文：头部响声如同雷声又似风声，这是雷头风的热毒上冲眼睛。脑液下注导致瞳孔颜色改变，瞳孔大小不一，视力昏蒙。实证宜用泻肝散，药物包括黄芩、桔梗、芒硝、大黄、黑参（玄参）、羌活、车前子、当归、知母、龙胆草。虚证宜用磁石丸，药物包括干姜、附子、五味子、黑参（玄参）、牡丹皮、磁石。
方剂：泻肝散方
黄芩、桔梗、芒硝、大黄、黑参（玄参）、羌活、车前子、当归、知母各一钱，龙胆草五分。
以上药材捣成粗末，用水两盏，煎煮至一盏，饭后去渣温服。
磁石丸方
干姜一两，附子（炮制）五钱，五味子半两，黑参（玄参）一两，牡丹皮一两，磁石（烧红后用醋淬炼三次）一两。
以上药材研为细末，用蜂蜜炼制为丸，如梧桐子大，饭前用清茶送服一钱。
【注】[1] 雷头风内障，在初发病时，头面部多受冷热邪气侵袭，毒气冲入头部，导致头部内部响声如风如雷，伴有头晕发热。日久毒气冲入眼内，脑液下注，导致瞳孔变色，瞳孔大小不定。
[2] 实证适宜服用泻肝散；虚证适宜服用磁石丸。
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Translation:
The text describes the formation of phlegm nodules (Phlegm Nodules) on the eyelids, caused by the accumulation of phlegm and fire. The nodules are bean-shaped, hard, and painless. If left untreated, they may develop into goiter (Goiter) or fistulas with pus and blood discharge. The treatment involves Fangfeng Sanjie Tang (Wind-Dispersing Nodule-Resolving Decoction), containing Bai Zhi (Angelicae Dahuricae Radix), Huang Qin (Scutellariae Radix), Fang Feng (Saposhnikoviae Radix), Hei Shen (Scrophulariae Radix, also known as Xuan Shen), Jie Geng (Platycodonis Radix), Qian Hu (Peucedani Radix), Chen Pi (Citri Reticulatae Pericarpium), Chi Shao Yao (Paeoniae Radix Rubra), Zhe Bei Mu (Fritillariae Thunbergii Bulbus), Cang Zhu (Atractylodis Rhizoma), and Tian Hua Fen (Trichosanthis Radix).
Formula: Fangfeng Sanjie Tang (Wind-Dispersing Nodule-Resolving Decoction)
Bai Zhi (Angelicae Dahuricae Radix), Huang Qin (Scutellariae Radix), Fang Feng (Saposhnikoviae Radix), Hei Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix), Qian Hu (Peucedani Radix), Chen Pi (Citri Reticulatae Pericarpium), Chi Shao Yao (Paeoniae Radix Rubra), Zhe Bei Mu (Fritillariae Thunbergii Bulbus), Cang Zhu (Atractylodis Rhizoma), Tian Hua Fen (Trichosanthis Radix), each 8 fen.
Crush these herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Note: [1] The condition of phlegm nodules on the eyelid is caused by the aggregation of phlegm and fire. It appears outside the eye socket, presenting as a subcutaneous nodule bean-sized, hard, and painless. Fangfeng Sanjie Tang (Wind-Dispersing Nodule-Resolving Decoction) should be used to resolve phlegm and clear heat.
[2] If untreated for a long time, it may gradually enlarge into a goiter (Goiter). Once ulcerated, it forms a fistula, which is difficult to cure.
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The text describes Lei Tou Feng (Thunderhead Wind), characterized by roaring sounds in the head like thunder and wind. Heat-toxin rises to the eyes, causing changes in pupil color due to the downward flow of brain fluid. The pupils may vary in size, leading to blurred vision. For excess patterns, Xie Gan San (Liver-Draining Powder) is indicated, containing Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma), Hei Shen (Scrophulariae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Che Qian Zi (Plantaginis Semen), Dang Gui (Angelicae Sinensis Radix), Zhi Mu (Anemarrhenae Rhizoma), and Long Dan Cao (Gentianae Radix). For deficiency patterns, Cishi Wan (Magnet Pill) is indicated, containing Gan Jiang (Zingiberis Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata), Wu Wei Zi (Schisandrae Chinensis Fructus), Hei Shen (Scrophulariae Radix), Mu Dan Pi (Moutan Cortex), and Ci Shi (Magnetitum).
Formula: Xie Gan San (Liver-Draining Powder)
Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma), Hei Shen (Scrophulariae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Che Qian Zi (Plantaginis Semen), Dang Gui (Angelicae Sinensis Radix), Zhi Mu (Anemarrhenae Rhizoma), each 1 qian; Long Dan Cao (Gentianae Radix) 5 fen.
Crush these herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Cishi Wan (Magnet Pill) Formula
Gan Jiang (Zingiberis Rhizoma) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata, processed) 5 qian, Wu Wei Zi (Schisandrae Chinensis Fructus) half liang, Hei Shen (Scrophulariae Radix) 1 liang, Mu Dan Pi (Moutan Cortex) 1 liang, Ci Shi (Magnetitum, calcined red and quenched in vinegar three times) 1 liang.
Grind these herbs into fine powder. Mix with refined honey to form pills the size of tung seeds. Take 1 qian before meals, washed down with clear tea.
Note: [1] Lei Tou Feng (Thunderhead Wind) affecting the interior of the eye initially presents with exposure to cold or heat on the head and face. Toxic qi rushes into the head, causing internal roaring sounds like wind and thunder, accompanied by dizziness and fever. Over time, the toxin affects the eyes, brain fluid flows downward, causing discoloration of the pupil and irregular pupil size.
[2] Excess patterns should be treated with Xie Gan San (Liver-Draining Powder); deficiency patterns should be treated with Cishi Wan (Magnet Pill).
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