条文：瞳人干缺瞳形缺，左右上下不成圆，色白脑脂流下患，色黑肝胆热虚愆。
色白泻肝苓地骨，麦知芍蔚黑参添；色黑镇肝山药丸，参苓石决细车前。
方剂：瞳缺泻肝汤方
黄芩一钱 地骨皮一钱 麦门冬一钱 知母一钱 赤芍药一钱半 茺蔚子
一钱半 黑参一钱右为粗末，以水二盏，煎至一盏，食后，去渣温服。
瞳缺镇肝丸方
干山药二两 五味子五钱 人参 茯苓 石决明各一两半 细辛五钱 车
前子一两右为细末，炼蜜为丸，如桐子大，空心米汤送下二钱。
【注】[1]瞳人干缺内障，初患之时，忽因疼痛难忍，细看瞳人现出缺形，或左
或右，或上或下，缺而不圆，瞳人之色，黑白不定。
[2]色白乃脑脂流下为患，宜服泻肝汤；色黑则胆热肝虚，宜服镇肝丸。
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条文：椒疮风粟睑胞生，多泪难睁摩涩疼，脾经风热粟黄软，脾经湿热椒硬红。
□洗后用清脾饮，知母翘军生地风，黄芩元粉黄连桔，陈皮荆芥黑参灵。
方剂：除风清脾饮
知母 连翘 大黄 生地黄 防风 黄芩 元明粉 黄连 桔梗 陈皮
荆芥穗 黑参各等分
右为粗末，以水二盏，煎至一盏，去渣食远温服。
【注】[1]椒疮风粟之证，或起于睑边，或生于胞内，眦泪多难睁，沙涩摩睛疼
痛。
[2]粟疮如粟，其形黄软，属脾经风热而成；椒疮如椒，其形红硬，属脾
经湿热而成。
[3]并宜□洗出血，服除风清脾饮，椒疮倍芩连生地，风粟倍荆芥防风。
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条文：瞳孔形态干枯残缺，左右上下均不呈圆形。若瞳色发白，是脑脂流下所致之患；若瞳色发黑，则是肝胆热盛兼有虚损的过失。
瞳色发白者，宜用泻肝汤（清泻肝火之方剂），药用黄芩、地骨皮、麦门冬、知母、赤芍药、茺蔚子、黑参；瞳色发黑者，宜用镇肝丸（平抑肝阳之方剂），药用山药、五味子、人参、茯苓、石决明、细辛、车前子。
方剂：瞳缺泻肝汤方
黄芩一钱，地骨皮一钱，麦门冬一钱，知母一钱，赤芍药一钱半，茺蔚子一钱半，黑参一钱。以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
瞳缺镇肝丸方
干山药二两，五味子五钱，人参、茯苓、石决明各一两半，细辛五钱，车前子一两。以上药材研为细末，用炼蜜制成丸药，大小如梧桐子大，空腹时用米汤送服二钱。
【注】[1] 瞳人干缺内障（一种内障眼病，初起时突然疼痛难忍，仔细观看瞳孔出现缺损形状，或左或右，或上或下，缺损而不圆，瞳孔颜色黑白不定）。
[2] 瞳色发白乃是脑脂流下造成的危害，适宜服用泻肝汤；瞳色发黑则是胆热肝虚，适宜服用镇肝丸。
条文：椒疮（眼睑生颗粒如辣椒状的眼病）和风粟（眼睑生颗粒如粟米状的眼病）生于眼睑胞睑部位，多泪且难以睁开，摩擦眼球时有涩痛感。脾经风热所致的粟疮，颗粒黄色且柔软；脾经湿热所致的椒疮，颗粒红色且坚硬。
□洗（一种眼部清洗疗法）之后使用清脾饮，药用知母、连翘、大黄、生地黄、防风、黄芩、元明粉、黄连、桔梗、陈皮、荆芥穗、黑参。
方剂：除风清脾饮
知母、连翘、大黄、生地黄、防风、黄芩、元明粉、黄连、桔梗、陈皮、荆芥穗、黑参，各等分。
以上药材研为粗末，用水两盏，煎煮至一盏，去渣后在远离进食时间温服。
【注】[1] 椒疮和风粟的证候，有的起于眼睑边缘，有的生于胞睑内部，眼角流泪多且难以睁开，沙涩感及摩擦眼球时疼痛。
[2] 粟疮形状如粟米，颜色黄而质地软，属于脾经风热所致；椒疮形状如辣椒，颜色红而质地硬，属于脾经湿热所致。
[3] 均适宜进行□洗出血治疗，并服用除风清脾饮。其中椒疮需加倍使用黄芩、黄连、生地黄；风粟需加倍使用荆芥、防风。
Clause: The pupil exhibits dryness and irregularity, lacking a round shape on the left, right, upper, or lower sides. If the pupil color is white, it indicates pathology caused by the downward flow of brain fluid (Nao Zhi); if the pupil color is black, it signifies an imbalance characterized by excess heat in the Gallbladder and deficiency in the Liver.
For white-colored pupils, employ Xie Gan Tang (Coptis Decoction to Drain the Liver), comprising Huang Qin (Scutellariae Radix), Di Gu Pi (Lycii Cortex), Mai Men Dong (Ophiopogonis Tuber), Zhi Mu (Anemarrhenae Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Chong Wei Zi (Leonuri Fructus), and Hei Shen (Polygoni Multiflori Radix Praeparata). For black-colored pupils, employ Zhen Gan Wan (Pill to Calm the Liver), comprising Shan Yao (Dioscoreae Rhizoma), Wu Wei Zi (Schisandrae Fructus), Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Shi Jue Ming (Haliotidis Concha), Xi Xin (Asari Radix et Rhizoma), and Che Qian Zi (Plantaginis Semen).
Formula: Tong Que Xie Gan Tang Formula
Huang Qin (Scutellariae Radix) 1 qian, Di Gu Pi (Lycii Cortex) 1 qian, Mai Men Dong (Ophiopogonis Tuber) 1 qian, Zhi Mu (Anemarrhenae Rhizoma) 1 qian, Chi Shao Yao (Paeoniae Radix Rubra) 1.5 qian, Chong Wei Zi (Leonuri Fructus) 1.5 qian, Hei Shen (Polygoni Multiflori Radix Praeparata) 1 qian. Grind these herbs into coarse powder. Add two units of water, decoct until one unit remains. Strain and take warm after meals.
Tong Que Zhen Gan Wan Formula
Gan Shan Yao (Dioscoreae Rhizoma) 2 liang, Wu Wei Zi (Schisandrae Fructus) 5 qian, Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Shi Jue Ming (Haliotidis Concha) each 1.5 liang, Xi Xin (Asari Radix et Rhizoma) 5 qian, Che Qian Zi (Plantaginis Semen) 1 liang. Grind these herbs into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 2 qian on an empty stomach, delivered with rice soup.
Note: [1] Tong Ren Gan Que Nei Zhang (Internal Cataract with Dry and Irregular Pupil): At the onset, sudden unbearable pain occurs. Upon close inspection, the pupil appears irregular, either on the left, right, upper, or lower side, incomplete and not round. The pupil's color may be white or black.
[2] A white pupil color indicates harm caused by the downward flow of brain fluid; it is appropriate to take Xie Gan Tang. A black pupil color indicates Gallbladder heat and Liver deficiency; it is appropriate to take Zhen Gan Wan.
Clause: Jiao Chuang (Pepper Granuloma) and Feng Su (Millet Granule) arise in the eyelids (Jian Bao). There is excessive tearing, difficulty opening the eyes, and painful friction/abrasion. Millet granules caused by Wind-Heat in the Spleen Meridian are yellow and soft; Pepper granules caused by Damp-Heat in the Spleen Meridian are red and hard.
After performing [Qing] washing (a specific eye cleansing therapy), use Qing Pi Yin (Clear the Spleen Drink), comprising Zhi Mu (Anemarrhenae Rhizoma), Lian Qiao (Forsythiae Fructus), Da Huang (Rhei Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Yuan Ming Fen (Mirabilite), Huang Lian (Coptidis Rhizoma), Jie Geng (Platycodonis Radix), Chen Pi (Citri Reticulatae Pericarpium), Jing Jie Sui (Schizonepetae Spica), and Hei Shen (Polygoni Multiflori Radix Praeparata).
Formula: Chu Feng Qing Pi Yin
Zhi Mu (Anemarrhenae Rhizoma), Lian Qiao (Forsythiae Fructus), Da Huang (Rhei Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Yuan Ming Fen (Mirabilite), Huang Lian (Coptidis Rhizoma), Jie Geng (Platycodonis Radix), Chen Pi (Citri Reticulatae Pericarpium), Jing Jie Sui (Schizonepetae Spica), Hei Shen (Polygoni Multiflori Radix Praeparata), all in equal proportions.
Grind these herbs into coarse powder. Add two units of water, decoct until one unit remains. Strain and take warm at a time distant from meals.
Note: [1] The manifestations of Jiao Chuang and Feng Su may originate at the eyelid margins or within the palpebral conjunctiva. There is excessive tearing from the canthi, difficulty opening the eyes, a gritty sensation, and pain upon rubbing the eyeball.
[2] Su Chuang (Millet Granuloma) resembles millet grains, is yellow and soft, and is caused by Wind-Heat in the Spleen Meridian. Jiao Chuang (Pepper Granuloma) resembles pepper grains, is red and hard, and is caused by Damp-Heat in the Spleen Meridian.
[3] Both conditions are suitable for [Qing] washing to induce bleeding, followed by administration of Chu Feng Qing Pi Yin. For Jiao Chuang, increase the dosage of Huang Qin, Huang Lian, and Sheng Di Huang. For Feng Su, increase the dosage of Jing Jie and Fang Feng.