夫蟹目者。由脏腑壅滞。肝有积热。上冲于目。令目痛甚。当黑睛上生黑珠子。如蟹之
目。
类。益
治眼生蟹目黑睛。疼痛。宜服羚羊角散方。
羚羊角屑（一两半） 黄连（一两去须） 赤芍药（一两） 芦根（一两半锉） 木通
（一两半
锉）
微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入竹叶七片。煎至六分。去滓。食后温
服。
治眼生蟹目。宜服黄芩散方。
黄芩 栀子仁 黄连（去须） 葳蕤 川升麻 蕤仁（汤浸去赤皮） 甘草（炙微赤锉
各一
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。食后温服。临卧再服
之。
治蟹睛疼痛。泻肝补胆防风散。
防风（一两半去芦头） 远志（去心） 人参（去芦头） 桔梗（去芦头） 细辛 赤
芍药 羚
羊角
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。
治眼中生蟹目。及 肉。日夜难开。疼痛。宜点此方。
猪胆（干者如枣大） 杏仁（七枚汤浸去皮） 成炼朴硝（一钱） 龙脑（二钱）
上件药。先将杏仁入乳钵中研令细。次下诸药同研。以瓷盒盛。每以铜箸取如黍米大。
点目
夫人肝气虚。风邪入于目。而瞳子被风所射。睛不正则偏视。此患亦有从少而得之者。
亦有
治眼偏视。风邪攻肝。牵射瞳仁。致目不正。宜服独活散方。
独活 防风（去芦头） 羚羊角屑 酸枣仁（微炒） 茯神（以上各一两） 细辛 甘
菊花
蔓荆
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。忌毒
鱼肉
治风邪入目。致瞳子不正。眼常偏视。宜服甘菊花散。
甘菊花 赤箭 酸枣仁（微炒各一两） 旋复花 犀角屑 防风（去芦头） 白藓皮 白
芷
细
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服之。
治心肝藏风热。致眼偏视。宜服牛黄散方。
牛黄（一钱细研） 朱砂（一分细研） 龙脑（一钱细研） 甘草（一分炙微赤锉） 犀
角屑
甘菊
蔓荆
上件药。捣细罗为散。入研了药。同研令匀。每于食后。以竹叶汤。调下一钱。临卧再
服之
治眼偏视。宜服归睛散方。
防风（一两去芦头） 青葙子（一两） 细辛（半两） 决明子（一两） 独活（一两）
芎
（半两）
（一两汤浸
去赤皮）
（半两）
甘草（半
上件药。捣细罗为散。每于食后。以竹叶汤。调下一钱。临卧再服之。
治眼风邪所攻。瞳仁不正。顾视常偏。宜服羚羊角散方。
羚羊角屑（一两半） 犀角屑（一两） 龙胆（一分细研） 牛黄（一分细研） 朱砂
（半两细
研）
子玄
参人
草（半两
炙微赤
上件药。捣细罗为散。入研了药。更研令匀。每于食后。以竹沥汤。调下二钱。
治肝虚风邪所攻。致目偏视。宜服此槐子丸方。
槐子仁（二两） 覆盆子 酸枣仁（微炒） 柏子仁 车前子 蔓荆子 茺蔚子 牛蒡
子
（微炒）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每日空心。以温酒下三十丸。晚食前再服
之。
蟹目这种病症，是由于脏腑气机壅滞，肝脏积聚热邪，热气上冲于眼睛，导致眼部剧烈疼痛。在黑睛（角膜）上生出黑色的珠状物，形状像螃蟹的眼睛一样。
治疗眼睛长出蟹目、黑睛部位疼痛的方剂，适宜服用羚羊角散。
处方组成：羚羊角屑一两半，黄连一两（去须），赤芍药一两，芦根一两半（锉碎），木通一两半（微红，锉碎）。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，加入七片竹叶，煎煮至剩余六分水量，滤去药渣，饭后温服。
治疗眼睛长出蟹目的方剂，适宜服用黄芩散。
处方组成：黄芩，栀子仁，黄连（去须），葳蕤，川升麻，蕤仁（热水浸泡后去掉红色表皮），甘草（炙烤至微红并锉碎），以上各一两。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用四钱，用水一中盏，煎煮至剩余六分水量，滤去药渣，饭后温服。临睡前再服用一次。
治疗蟹睛疼痛的方剂，名为泻肝补胆防风散。
处方组成：防风一两半（去芦头），远志（去心），人参（去芦头），桔梗（去芦头），细辛，赤芍药，羚羊角。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分水量，滤去药渣，每次在饭后温服。
治疗眼中生出蟹目，以及胬肉（翼状胬肉）生长，日夜难以睁开，伴有疼痛的症状，适宜点用此方。
处方组成：干猪胆（大小如枣），杏仁七枚（热水浸泡后去皮），成炼朴硝一钱，龙脑二钱。
制法与用法：先将杏仁放入乳钵中研磨细腻，然后加入其他药物一同研磨。装入瓷盒中保存。每次用铜箸取如黍米大小的药量，点入眼中。
人的肝脏之气虚弱，风邪侵入眼睛，瞳孔受到风邪侵袭，眼球转动不端正，从而导致视物偏斜（眼位不正）。这种病症也有自幼年时期就患上的。
治疗眼睛视物偏斜，因风邪侵袭肝脏，牵引波及瞳仁，导致眼球位置不正的方剂，适宜服用独活散。
处方组成：独活，防风（去芦头），羚羊角屑，酸枣仁（微炒），茯神（以上各一两），细辛，甘菊花，蔓荆子。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分水量，滤去药渣，每次在饭后温服。忌食有毒食物及鱼肉。
治疗风邪侵入眼睛，导致瞳孔位置不正，眼睛经常偏斜视物的方剂，适宜服用甘菊花散。
处方组成：甘菊花，赤箭（天麻），酸枣仁（微炒，各一两），旋复花，犀角屑，防风（去芦头），白鲜皮，白芷，细辛。
制法与用法：将上述药物捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分水量，滤去药渣，每次在饭后温服。
治疗心肝两脏蕴藏风热，导致眼睛视物偏斜的方剂，适宜服用牛黄散。
处方组成：牛黄一钱（细研），朱砂一分（细研），龙脑一钱（细研），甘草一分（炙烤至微红并锉碎），犀角屑，甘菊花，蔓荆子。
制法与用法：将上述药物捣碎并过细筛制成散剂，加入已研磨好的药物，共同研磨均匀。每次在饭后，用竹叶汤调服一钱，临睡前再服用一次。
治疗眼睛视物偏斜的方剂，适宜服用归睛散。
处方组成：防风一两（去芦头），青葙子一两，细辛半两，决明子一两，独活一两，川芎半两，薏苡仁一两（热水浸泡后去掉红色表皮），甘草半两。
制法与用法：将上述药物捣碎并过细筛制成散剂。每次在饭后，用竹叶汤调服一钱，临睡前再服用一次。
治疗眼睛受风邪侵袭，瞳仁位置不正，注视时常偏向一侧的方剂，适宜服用羚羊角散。
处方组成：羚羊角屑一两半，犀角屑一两，龙胆一分（细研），牛黄一分（细研），朱砂半两（细研），玄参，人参，甘草半两（炙烤至微红）。
制法与用法：将上述药物捣碎并过细筛制成散剂，加入已研磨好的药物，再次研磨均匀。每次在饭后，用竹沥汤调服二钱。
治疗因肝脏虚弱、风邪侵袭导致眼睛视物偏斜的方剂，适宜服用槐子丸。
处方组成：槐子仁二两，覆盆子，酸枣仁（微炒），柏子仁，车前子，蔓荆子，茺蔚子，牛蒡子（微炒）。
制法与用法：将上述药物捣碎过筛制成粉末，用炼蜜调和制成丸药，大小如梧桐子。每天空腹时，用温酒送服三十丸，晚饭前再服用一次。
Crab-eye (Xie Mu) is a condition caused by the stagnation of Qi in the Zang-Fu organs, where accumulated heat in the Liver rises to attack the eyes. This results in severe eye pain and the formation of black nodules on the cornea (Heijing), resembling the eyes of a crab.
For treating crab-eye with pain in the cornea, Lingyangjiao San (Antelope Horn Powder) is indicated.
Ingredients: Lingyangjiao Xie (Horn of Saiga Antelope, 1.5 liang), Huanglian (Rhizoma Coptidis, 1 liang, remove stamens), Chishao Yao (Radix Paeoniae Rubra, 1 liang), Lugeng (Radix Phragmitis, 1.5 liang, sliced), Mutong (Caulis Akebiae, 1.5 liang, slightly red, sliced).
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Take 3 qian per dose. Add 7 leaves of Zhuye (Leaf of Bambusa textilis) to one zhan of water, decoct until the volume reduces to 6 fen. Strain and take warm after meals.
For treating crab-eye, Huangqin San (Scutellaria Powder) is indicated.
Ingredients: Huangqin (Radix Scutellariae), Zhizi Ren (Semen Gardeniae), Huanglian (Rhizoma Coptidis, remove stamens), Weirui (Rhizoma Polygonati Odorati), Chuanshengma (Radix Cimicifugae), Ruiren (Semen Pruni Armeniacae, soaked in hot water, remove red skin), Gancao (Radix Glycyrrhizae, roasted until slightly red and sliced), each 1 liang.
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Take 4 qian per dose. Decoct one zhan of water until the volume reduces to 6 fen. Strain and take warm after meals. Take another dose before retiring for the night.
To treat pain from crab-eye, Xiaogan Budan Fangfeng San (Liver-Draining, Gallbladder-Nourishing Saposhnikovia Powder) is indicated.
Ingredients: Fangfeng (Radix Saposhnikoviae, 1.5 liang, remove rhizome), Yuanzhi (Radix Polygalae, remove heart), Renshen (Radix Ginseng, remove rhizome), Jiegeng (Radix Platycodonis), Xixin (Herba Asari), Chishao Yao (Radix Paeoniae Rubra), Lingyangjiao (Horn of Saiga Antelope).
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Take 3 qian per dose. Decoct one zhan of water until the volume reduces to 6 fen. Strain and take warm after meals.
For treating crab-eye and pterygium (Rou) growth in the eye, causing difficulty opening the eyes day and night accompanied by pain, apply this external formula.
Ingredients: Zhu Dan (Gallus Sus Domesticus, dried, size of a date), Xingren (Semen Pruni Armeniacae, 7 seeds, soaked in hot water, remove skin), Chenglian Pianxiao (Refined Natrii Sulfas, 1 qian), Longnao (Borneolum Syntheticum, 2 qian).
Preparation and Administration: First, grind Xingren finely in a mortar. Then add the other herbs and grind together. Store in a porcelain box. Use copper chopsticks to take an amount the size of millet grains and instill into the eyes.
When the Liver Qi is deficient, wind-pathogens enter the eyes. The pupils are affected by the wind, causing misalignment of the eyeballs and resulting in strabismus (Pianshi). Some cases may present since childhood.
For treating strabismus caused by wind-pathogens attacking the Liver, affecting the pupils and causing misalignment of the eyes, Duohuo San (Angelica Pubescens Powder) is indicated.
Ingredients: Duohuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae, remove rhizome), Lingyangjiao Xie (Horn of Saiga Antelope), Suanzaoren (Semen Ziziphi Spinosae, lightly stir-fried), Fushen (Poria with Hostwood, each 1 liang), Xixin (Herba Asari), Gan Juhua (Flos Chrysanthemi), Manjingzi (Fructus Viticis).
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Take 3 qian per dose. Decoct one zhan of water until the volume reduces to 6 fen. Strain and take warm after meals. Avoid toxic foods and fish/meat.
For treating wind-pathogens entering the eyes, causing pupil misalignment and frequent strabismus, Gan Juhua San (Chrysanthemum Powder) is indicated.
Ingredients: Gan Juhua (Flos Chrysanthemi), Chijian (Rhizoma Gastrodiae), Suanzaoren (Semen Ziziphi Spinosae, lightly stir-fried, each 1 liang), Xuanjinhua (Flos Inulae), Xijiao Xie (Horn of Rhinoceros), Fangfeng (Radix Saposhnikoviae, remove rhizome), Baixianpi (Cortex Dictamni), Baizhi (Radix Angelicae Dahuricae), Xixin (Herba Asari).
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Take 3 qian per dose. Decoct one zhan of water until the volume reduces to 6 fen. Strain and take warm after meals.
For treating strabismus caused by wind-heat in the Heart and Liver, Niuhuang San (Calculus Bovis Powder) is indicated.
Ingredients: Niuhuang (Calculus Bovis, 1 qian, finely ground), Zhusha (Cinnabar, 1 fen, finely ground), Longnao (Borneolum Syntheticum, 1 qian, finely ground), Gancao (Radix Glycyrrhizae, 1 fen, roasted until slightly red and sliced), Xijiao Xie (Horn of Rhinoceros), Gan Juhua (Flos Chrysanthemi), Manjingzi (Fructus Viticis).
Preparation and Administration: The above herbs are finely ground and sieved. Mix with the previously ground ingredients evenly. Take 1 qian after meals, mixed with Zhuye Tang (Decoction of Bamboo Leaves). Take another dose before retiring for the night.
For treating strabismus, Guijing San (Restoring Vision Powder) is indicated.
Ingredients: Fangfeng (Radix Saposhnikoviae, 1 liang, remove rhizome), Qingxiangzi (Semen Celosiae), Xixin (Herba Asari, half liang), Juemingzi (Semen Cassiae), Duohuo (Radix Angelicae Pubescentis, 1 liang), Xiong (Radix Ligustici Chuanxiong, half liang), Yiyiren (Semen Coicis, 1 liang, soaked in hot water, remove red skin), Gancao (Radix Glycyrrhizae, half liang).
Preparation and Administration: The above herbs are finely ground and sieved to make a powder. Take 1 qian after meals, mixed with Zhuye Tang (Decoction of Bamboo Leaves). Take another dose before retiring for the night.
For treating strabismus caused by wind-pathogens attacking the eyes, leading to pupil misalignment and gaze deviation, Lingyangjiao San (Antelope Horn Powder) is indicated.
Ingredients: Lingyangjiao Xie (Horn of Saiga Antelope, 1.5 liang), Xijiao Xie (Horn of Rhinoceros, 1 liang), Longdan (Radix Gentianae, 1 fen, finely ground), Niuhuang (Calculus Bovis, 1 fen, finely ground), Zhusha (Cinnabar, half liang, finely ground), Xuanshen (Radix Scrophulariae), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, half liang, roasted until slightly red).
Preparation and Administration: The above herbs are finely ground and sieved. Mix with the previously ground ingredients and grind evenly. Take 2 qian after meals, mixed with Zhuli Tang (Decoction of Bamboo Juice).
For treating strabismus caused by Liver deficiency and wind-pathogen attack, Huaizi Wan (Sophora Pill) is indicated.
Ingredients: Huaizi Ren (Semen Sophorae Flavescentis, 2 liang), Fupenzi (Fructus Rubi), Suanzaoren (Semen Ziziphi Spinosae, lightly stir-fried), Baizi Ren (Semen Platycladi), Cheqianzi (Semen Plantaginis), Manjingzi (Fructus Viticis), Chongweizi (Semen Leucospermi), Niubangzi (Fructus Arctii, lightly stir-fried).
Preparation and Administration: The above herbs are ground into powder and mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills with warm wine on an empty stomach in the morning, and again before dinner.