人之有五脏。犹天地之有五岳也。六腑者。犹天地之有四渎也。奇经者。犹四渎之外。别有江河也。奇经客
邪。非十二经之治也。十二经之外。别有治奇经之法也。缪刺论曰。邪客于足阳跷之脉。令人目痛。从内
始。启玄子王冰注曰。以其脉起于足。上行至头。而属目内 。故病令人目痛。从内 始也。针经曰。阴跷脉
入鼽。属目内 。合于太阳。阳跷而上行。故阳跷受邪者。内 即赤。生脉如缕。缕根生瘀肉。瘀肉生黄赤脂。
脂横侵黑睛。渐蚀神水。此阳跷为病之次第也。或兼锐 而病者。以其合于太阳故也。锐 者。手太阳小
肠之脉也。锐 之病。必轻于内 者。盖枝蔓所傅者少。而正受之者必多也。俗呼为攀睛。即其病也。还阴
救苦汤主之。拨云退翳丸主之。栀子胜奇散主之。万应蝉花散主之。磨障灵光膏主之。消翳复明膏主之。
朴硝黄连炉甘石泡散主之。病多药不能及者。宜治以手法。先用冷水洗。如针内障眼法。以左手按定。勿
令得动移。略施小眉刀尖。剔去脂肉。复以冷水洗净。仍作前药饵之。此治奇经客邪之法也。故并置其经络病始。
拨云退翳丸（治阳跷受邪。内 即生赤脉缕。缕根生瘀肉。瘀肉生黄赤脂。脂横侵黑睛。
渐蚀神水。锐 亦然。俗名攀睛。）
白蒺藜 川当归 川芎（各两半） 川椒（七钱） 甘菊花 地骨皮 荆芥（各八钱）
木贼（去节） 密蒙花 蔓荆子（各一两） 蛇蜕（炙） 甘草（各三钱） 天花粉（六钱） 楮桃仁
蝉蜕（去头足） 黄连 苏薄荷（各五钱）
上为细末。炼蜜成剂。每一两。作八丸。每服一丸。食后临睡细嚼。清茶下。
上方为奇经客邪而作也。八十一难经曰。阳跷脉者。起于踝中。循外踝上行入风池。风池者。脑户也。故
以川芎治风入脑。以菊花治四肢游风。一疗其上。一平其下。为君。蔓荆子。除手太阴之邪。蝉蜕、蛇蜕、木
贼草、密蒙花、除翳。为臣。薄荷叶、荆芥穗、白蒺藜、疗诸风者清其上也。楮桃仁、地骨皮、诸通小便者。利其
下也。为佐。黄连除胃中热。天花粉除肠中热。甘草和协百药。川椒皮利五脏明目。诸气所病处。血亦病。
故复以当归和血。为使也。
栀子胜奇散（治一切赤脉缕睛。风热痛痒。 肉攀睛。眵多泪涩。羞明怕日难开。）
白蒺藜（炒） 蝉蜕 谷精草 甘草 木贼草 黄芩 草决明
菊花 山栀子 川芎 荆芥穗 羌活 密蒙花 防风 蔓荆子（各等分）
上为细末。每服二钱。食远临睡。热茶清调下。
上方以蝉蜕之咸寒。草决明之咸苦寒为君。为味薄者通。通者通其经络也。川芎、荆芥穗之辛温。白蒺
藜、谷精草之苦辛温。菊花之苦甘平。防风之甘辛。为臣。为气辛者发热。发热者升其阳也。羌活之苦甘
温。密蒙花之甘微寒。甘草之甘平。蔓荆子之辛微寒。为佐。为气薄者发泄。发泄者。清利其诸关节也。以
木贼之甘微苦。山栀子、黄芩之微苦寒。为使。为味浓者泄。泄者攻其壅滞之有余也。
磨障灵光膏（治证同上）
炉甘石（另以黄连一两锉置水内烧炉甘石通红淬七次六两） 黄丹（水飞三两） 砂（另研）
白丁香（取末） 海螵蛸（取末） 轻粉（各一两） 川黄连（锉如豆大一两童便浸一宿晒为末）
麝香（另研） 乳香（各五钱） 当归身（二钱研末） 龙脑（少许）
先用好白沙蜜一十两。或银器。或砂锅内。熬五七沸。以净纸搭去蜡面。除黄丹外。下余药。用柳枝搅匀。
次下黄丹再搅。慢火徐徐搅至紫色。却将麝香、乳香、轻粉、 砂和匀。入上药内。以不粘手为度。急丸如
皂角子大。以纸裹之。每用一丸。新汲水化开。旋入龙脑少许。时时点翳上。
上方以黄连去邪热。主明目为君。以黄丹除毒除热。炉甘石疗湿收散为臣。以当归和血脉。麝香、乳香
诸香通气。轻粉杀疮为佐。以 砂之能消。海螵蛸之磨障翳。白丁香之消 肉。龙脑之散赤脉。去外障为使也。
消翳复明膏（治证同上）
海螵蛸（取末三钱） 黄丹（水飞四两） 诃子（八个去复选末） 白沙蜜（一斤） 青盐（另研一两）
先将蜜熬数沸。净纸搭去蜡面。却下黄丹。用棍搅匀。旋下余药。将至紫色取出。
龙胆草（二两） 黄连（十两） 杏仁（七十五个去皮尖） 木贼草（一两） 蕤仁（去壳皮五钱）
通将药入瓷器内。水一斗浸之。春秋五日。夏三日。冬十日。入锅内。文武火熬至小半升。滤去滓。重汤顿
成膏子。却入前药熬之。搅至紫色。入龙脑一钱。每用少许。点上。药干。净水化开用。
上方以黄连为君。为疗邪热也。蕤仁、杏仁、龙胆草为臣。为除赤痛。润燥解热毒也。黄丹、青盐、龙脑、白沙
蜜为佐。为收湿烂。益肾气。疗赤肿。和百药也。诃子、海螵蛸、木贼草为使。为涩则不移。消障磨翳也。
人的五脏，就像天地的五岳一样。六腑，就像天地的四条大河（四渎）。奇经八脉，就像四条大河之外，另有江河一样。奇经受邪气侵袭，不能按照十二正经的方法治疗。在十二正经之外，另有治疗奇经病证的方法。《素问·缪刺论》说：邪气侵犯足阳跷脉，使人眼睛疼痛，从内眼角开始。启玄子王冰注释说：因为这条经脉起于足部，上行至头部，并归属于目内眦，所以患病时使人眼睛疼痛，从内眼角开始。《针经》说：阴跷脉进入鼻窍，归属于目内眦，与太阳经相合；阳跷脉向上行走，所以阳跷脉受邪的人，内眼角就会发红，生出像丝线一样的赤脉，丝线的根部生出瘀肉，瘀肉生出黄红色的脂膜，脂膜横向侵入黑睛，逐渐侵蚀神水。这是阳跷脉发病的次第过程。或者兼有锐眦（外眼角）病变的，是因为它与太阳经相合的缘故。锐眦的病，一定比内眦的病轻，这是因为旁支蔓延的较少，而正受邪气的部位必然较多。俗称“攀睛”，就是这种病。用还阴救苦汤主治。用拨云退翳丸主治。用栀子胜奇散主治。用万应蝉花散主治。用磨障灵光膏主治。用消翳复明膏主治。用朴硝黄连炉甘石泡散主治。如果病情严重药物难以到达患处，适宜采用手法治疗。先用冷水清洗，如同针刺内障眼的方法，用左手按住固定，不要让它移动。稍微用小眉刀的尖端，剔除去除脂肉，再用冷水洗净，仍然服用前面的药物。这就是治疗奇经受邪的方法。所以一并列出其经络疾病的起始原因。
拨云退翳丸（治疗阳跷脉受邪，内眼角生出赤色丝脉，丝根生出瘀肉，瘀肉生出黄赤脂膜，脂膜横向侵入黑睛，逐渐侵蚀神水。外眼角病变也是如此。俗名攀睛。）
白蒺藜、川当归、川芎（各一两半）、川椒（七钱）、甘菊花、地骨皮、荆芥（各八钱）、木贼（去节）、密蒙花、蔓荆子（各一两）、蛇蜕（炙）、甘草（各三钱）、天花粉（六钱）、楮桃仁、蝉蜕（去头足）、黄连、苏薄荷（各五钱）。
以上药物研成细末，用炼蜜制成丸剂。每一两药粉做成八丸。每次服用一丸，饭后临睡前细细咀嚼，清茶送服。
上方是为奇经受邪而设立的。《难经·八十一难》说：阳跷脉，起于踝中，沿外踝上行进入风池穴。风池穴，就是脑户穴所在。所以用川芎治疗风邪入脑，用菊花治疗四肢游走之风。一治其上，一平其下，作为君药。蔓荆子，祛除手太阴肺经的邪气。蝉蜕、蛇蜕、木贼草、密蒙花，祛除翳障，作为臣药。薄荷叶、荆芥穗、白蒺藜，治疗各种风邪以清利上部。楮桃仁、地骨皮，通利小便以清利下部，作为佐药。黄连清除胃中热邪，天花粉清除肠中热邪，甘草调和诸药，川椒皮利五脏明目。凡是气机病变的地方，血也会病变，所以再用当归调和血液，作为使药。
栀子胜奇散（治疗一切赤色丝脉侵睛，风热引起的疼痛瘙痒，胬肉攀睛，眼屎多流泪涩滞，畏光怕日难以睁开。）
白蒺藜（炒）、蝉蜕、谷精草、甘草、木贼草、黄芩、草决明、菊花、山栀子、川芎、荆芥穗、羌活、密蒙花、防风、蔓荆子（各等分）。
以上药物研成细末。每次服用二钱，饭后及临睡前，用热茶调服。
上方以蝉蜕的咸寒之性，草决明的咸苦寒之性为君药。因为味道薄的能通达，通达即是通达经络。川芎、荆芥穗的辛温，白蒺藜、谷精草的苦辛温，菊花的苦甘平，防风的甘辛，作为臣药。因为气味辛的能发热，发热即是升发阳气。羌活的苦甘温，密蒙花的甘微寒，甘草的甘平，蔓荆子的辛微寒，作为佐药。因为气味薄的能发泄，发泄即是清利各个关节。以木贼的甘微苦，山栀子、黄芩的微苦寒，作为使药。因为味道浓的能泄降，泄降即是攻逐壅滞的有余之邪。
磨障灵光膏（治疗症状同上）
炉甘石（另取黄连一两切碎放入水中，烧红炉甘石后淬入水中七次，共六两）、黄丹（水飞法处理三两）、硇砂（另研）、白丁香（取末）、海螵蛸（取末）、轻粉（各一两）、川黄连（切碎如豆大一两，童便浸泡一夜晒干研末）、麝香（另研）、乳香（各五钱）、当归身（二钱研末）、龙脑（少许）。
先用优质白沙蜜十两，在银器或砂锅内，熬煮五到七沸，用净纸滤去蜡面。除去黄丹外，加入其余药物，用柳枝搅拌均匀。然后加入黄丹再次搅拌，用慢火徐徐搅拌至紫色。再将麝香、乳香、轻粉、硇砂混合均匀，加入上述药液中，以不粘手为度。迅速制成如皂角子大小的丸剂，用纸包裹。每次取一丸，用新汲水化开，随即加入少许龙脑，时时点涂于翳障上。
上方以黄连去除邪热，主要起到明目的作用，作为君药。以黄丹去除毒热，炉甘石治疗湿症收敛散结，作为臣药。以当归和血脉，麝香、乳香等香气通行气机，轻粉杀灭疮毒，作为佐药。以硇砂的消融能力，海螵蛸的磨除翳障能力，白丁香的消除胬肉能力，龙脑的消散赤脉能力，去除外障，作为使药。
消翳复明膏（治疗症状同上）
海螵蛸（取末三钱）、黄丹（水飞四两）、诃子（八个去核选末）、白沙蜜（一斤）、青盐（另研一两）。
先将蜂蜜熬煮数沸，用净纸滤去蜡面，然后加入黄丹，用棍棒搅拌均匀，随即加入其余药物。熬至紫色时取出。
龙胆草（二两）、黄连（十两）、杏仁（七十五个去皮尖）、木贼草（一两）、蕤仁（去壳皮五钱）。
将所有药物放入瓷器内，用水一斗浸泡。春秋季五天，夏季三天，冬季十天。放入锅中，用文武火熬至剩余小半升，滤去药渣。再隔水炖煮成膏状，然后加入前面的药物继续熬制，搅拌至紫色，加入龙脑一钱。每次取少许点涂。药干后，用清水化开使用。
上方以黄连为君药，因为它是治疗邪热的。蕤仁、杏仁、龙胆草为臣药，因为它们是消除赤痛、润燥解热毒的。黄丹、青盐、龙脑、白沙蜜为佐药，因为它们是收湿敛疮、益肾气、治疗赤肿、调和百药的。诃子、海螵蛸、木贼草为使药，因为涩味能使药力停留不移，具有消除障蔽、磨除翳障的作用。
The five Zang organs of the human body are like the Five Sacred Mountains (Wuyue) of heaven and earth. The six Fu organs are like the Four Great Rivers (Sidu) of heaven and earth. The Eight Extraordinary Vessels (Qijing) are like other rivers and streams beyond the four great rivers. When pathogenic factors invade the extraordinary vessels, they cannot be treated according to the methods for the twelve regular meridians. Beyond the twelve regular meridians, there are specific methods for treating diseases of the extraordinary vessels. *Suwen: Miao Ci Lun* states: "When pathogenic factors invade the Foot Yang Qiao Mai, it causes eye pain, starting from the inner canthus." Wang Bing, known as Qixuanzi, annotated: "Because this meridian originates at the foot, ascends to the head, and connects to the inner canthus, disease manifests as eye pain starting from the inner canthus." *Zhenjing* states: "The Yin Qiao Mai enters the nasal cavity, connects to the inner canthus, and merges with the Taiyang meridian; the Yang Qiao Mai ascends. Therefore, when the Yang Qiao Mai is invaded by pathogens, the inner canthus becomes red, generating red veins like threads. At the root of these threads, stasis flesh grows; from the stasis flesh, yellow-red lipid membranes emerge. These membranes horizontally invade the cornea (Heijing), gradually eroding the Shen Shui (aqueous humor). This is the sequence of pathology in Yang Qiao Mai diseases." If the outer canthus (Ruican) is also involved, it is because it merges with the Taiyang meridian. Diseases of the outer canthus are necessarily milder than those of the inner canthus, because the spread to branches is less, while the primary site of invasion bears more severity. Commonly called "Panning" (pterygium-like growth), this refers to such diseases. They are primarily treated with *Huanyin Jiuku Tang* (Return-Yin Rescue-Bitter Decoction), *Boyun Tuiyi Wan* (Cloud-Pushing Cataract-Dispelling Pill), *Zhizi Shengqi San* (Gardenia Victory-Wonder Powder), *Wanying Chanhua San* (Universal Cicada-Flower Powder), *Mozhang Lingguang Gao* (Obstacle-Grinding Spiritual-Light Ointment), *Xiaoyi Fuming Gao* (Cataract-Dissolving Vision-Recovering Ointment), or *Piaoxiao Huanglian Luganshi Paosan* (Saltpeter-Coptis-Lodolite Soaked Powder). When the disease is severe and medicines cannot reach the affected area, manual therapy is appropriate. First, wash with cold water, similar to the method for puncturing cataracts. With the left hand, press firmly to prevent movement. Slightly use the tip of a small eyebrow knife to scrape off the lipid tissue. Wash clean with cold water again, and continue administering the aforementioned herbal medicines. This is the method for treating pathogenic invasion of the extraordinary vessels. Thus, the origin of their meridian diseases is listed together.
**Boyun Tuiyi Wan** (Treats Yang Qiao Mai pathogenic invasion, where the inner canthus generates red thread-like veins, roots generate stasis flesh, stasis flesh generates yellow-red lipid membranes, membranes horizontally invade the cornea, gradually eroding the aqueous humor. The same applies to the outer canthus. Commonly named Panning.)
*Baijili* (Tribuli Fructus), *Chuan Danggui* (Angelicae Sinensis Radix), *Chuanxiong* (Ligustici Chuanxiong Rhizoma) (each 1.5 liang), *Chuanjiao* (Zanthoxyli Pericarpium) (7 qian), *Gan Juhua* (Dendranthema Flos), *Digupi* (Phellodendri Cortex), *Jingjie* (Schizonepetae Spica) (each 8 qian), *Muzei* (Equiseti Herba, nodes removed), *Mimenghua* (Myopsidis Flos), *Manjingzi* (Viticis Semen) (each 1 liang), *Shetui* (Bombyx Batryticatus, roasted), *Gancao* (Glycyrrhizae Radix et Rhizoma) (each 3 qian), *Tianhuafen* (Trichosanthis Radix) (6 qian), *Chu Tao Ren* (Pruni Persicae Semen), *Chantui* (Cryptotympanae Perga, heads and feet removed), *Huanglian* (Coptidis Rhizoma), *Su Bohe* (Menthae Haplocalycis Herba) (each 5 qian).
Grind all into fine powder. Form pills with refined honey. Each liang of powder makes eight pills. Take one pill per dose, chew thoroughly after meals and before sleep, swallow with clear tea.
The above formula was created for pathogenic invasion of the extraordinary vessels. *Nanjing Chapter 81* states: "The Yang Qiao Mai originates at the ankle, follows the lateral malleolus upward into Fengchi (GB20). Fengchi corresponds to Naohu (DU16). Therefore, *Chuanxiong* is used to treat wind entering the brain, and *Juhua* is used to treat wandering wind in the four limbs. One treats the upper part, one calms the lower part, serving as the Sovereign drug (*Jun*). *Manjingzi* eliminates pathogenic factors of the Hand-Taiyin Lung Meridian. *Chantui*, *Shetui*, *Muzei Cao*, and *Mimenghua* eliminate nebulae/cataracts, serving as Ministers (*Chen*). *Bohe Ye*, *Jingjie Sui*, and *Baijili* treat various winds to clear the upper region. *Chu Taoren* and *Digupi* promote urination to clear the lower region, serving as Assistants (*Zuo*). *Huanglian* clears heat in the Stomach, *Tianhuafen* clears heat in the Intestines, *Gancao* harmonizes all herbs, and *Chuanjiao Pi* benefits the five Zang organs and brightens the eyes. Wherever Qi pathology exists, Blood pathology also exists; therefore, *Danggui* is added to harmonize the Blood, serving as an Envoy (*Shi*)."
**Zhizi Shengqi San** (Treats all conditions of red veins invading the eyeball, pain and itching due to Wind-Heat, pterygium growing over the cornea, excessive discharge, tearing, sensitivity to light, fear of sun, difficulty opening eyes.)
*Baijili* (stir-fried), *Chantui*, *Gu Jingcao* (Caryopsidis Semen), *Gancao*, *Muzei Cao*, *Huangqin* (Scutellariae Radix), *Caojueming* (Casuarinae Fructus), *Juhua*, *Shanzhizi* (Gardeniae Fructus), *Chuanxiong*, *Jingjie Sui*, *Qianghuo* (Notopterygii Rhizoma et Radix), *Mimenghua*, *Fangfeng* (Saposhnikoviae Radix), *Manjingzi* (equal parts).
Grind all into fine powder. Take 2 qian per dose. Mix with hot clear tea and take after meals and before sleep.
In the above formula, the salty-cold nature of *Chantui* and the salty-bitter-cold nature of *Caojueming* serve as the Sovereign drugs. Substances with thin flavors penetrate and unblock; unblocking refers to unblocking the meridians. The acrid-warm nature of *Chuanxiong* and *Jingjie Sui*, the bitter-acrid-warm nature of *Baijili* and *Gu Jingcao*, the bitter-sweet-ping nature of *Juhua*, and the sweet-acrid nature of *Fangfeng* serve as Ministers. Acrid aromas induce warmth/ascending; inducing warmth refers to raising Yang Qi. The bitter-sweet-warm nature of *Qianghuo*, the sweet-mild-cold nature of *Mimenghua*, the sweet-ping nature of *Gancao*, and the sweet-mild-cold nature of *Manjingzi* serve as Assistants. Thin aromas vent and release; venting refers to clearing and benefiting the joints. The sweet-mild-bitter nature of *Muzei*, and the mild-bitter-cold nature of *Shanzhizi* and *Huangqin* serve as Envoys. Dense flavors purge; purging refers to attacking excess stagnation.
**Mozhang Lingguang Gao** (Indications same as above)
*Luganshi* (Calamina), processed separately: place 1 liang of chopped *Huanglian* in water, heat *Luganshi* until red-hot, quench seven times (total 6 liang), *Huangdan* (Lithargyrum, water-ground, 3 liang), *Naosha* (Ammonium Chloride, ground separately), *Baixingding* (Streptopeliae Faeces, taken as powder), *Haipiaoxiao* (Sepiae Endoconcha, taken as powder), *Qingfen* (Calomelas, each 1 liang), *Chuan Huanglian* (Coptidis Rhizoma, chopped bean-sized, 1 liang, soaked in child's urine overnight, dried, and powdered), *Shexiang* (Moschus, ground separately), *Ruxiang* (Olibanum, each 5 qian), *Danggui Shen* (Angelicae Sinensis Radix, 2 qian, powdered), *Longnao* (Borneolum Syntheticum, a small amount).
First, take 10 liang of high-quality white beeswax honey. In a silver vessel or clay pot, boil five to seven times. Filter off the wax surface with clean paper. Excluding *Huangdan*, add the remaining herbs. Stir evenly with a willow branch. Then add *Huangdan* and stir again. Slowly stir over low fire until purple. Mix *Shexiang*, *Ruxiang*, *Qingfen*, and *Naosha* evenly, then incorporate into the above mixture. Stop stirring when it does not stick to hands. Quickly form pills the size of soap beans. Wrap in paper. Use one pill per application. Dissolve in fresh well water, add a little *Longnao*, and apply frequently to the nebula.
In the above formula, *Huanglian* removes pathogenic heat and primarily brightens the eyes, serving as the Sovereign drug. *Huangdan* removes toxicity and heat; *Luganshi* treats dampness and promotes drying/dispersal, serving as Ministers. *Danggui* harmonizes blood vessels; *Shexiang* and *Ruxiang* (aromatics) promote Qi circulation; *Qingfen* kills sores/toxins, serving as Assistants. *Naosha* dissolves obstructions; *Haipiaoxiao* grinds away nebulae; *Baixingding* eliminates fleshy growths; *Longnao* dissipates red veins and removes external obstructions, serving as Envoys.
**Xiaoyi Fuming Gao** (Indications same as above)
*Haipiaoxiao* (taken as powder, 3 qian), *Huangdan* (water-ground, 4 liang), *Hezi* (Terminalia Chebula Retusa, 8 fruits, de-seeded and powdered), *Baisha Mi* (White Beeswax Honey, 1 jin), *Qingyan* (Green Salt, ground separately, 1 liang).
First, boil the honey several times. Filter off the wax surface with clean paper. Then add *Huangdan*. Stir evenly with a stick. Immediately add the remaining herbs. Remove when turned purple.
*Longdan Cao* (Gentianae Radix, 2 liang), *Huanglian* (10 liang), *Xingren* (Armeniacae Semen Amarum, 75 pieces, peeled and deseeded), *Muzei Cao* (1 liang), *Riren* (Prini Fructus, shelled and peeled, 5 qian).
Place all herbs in a porcelain vessel and soak in one dou (approx. 10 liters) of water. Soak for five days in spring/autumn, three days in summer, ten days in winter. Place in a pot and decoct with moderate heat until reduced to slightly less than half a sheng (approx. 0.5 liters). Filter out the dregs. Further concentrate via double-boiling to form an ointment. Then add the previously prepared ingredients and continue boiling/stirring until purple. Add 1 qian of *Longnao*. Apply a small amount topically. When dry, dissolve in clean water for use.
In the above formula, *Huanglian* serves as the Sovereign drug because it treats pathogenic heat. *Riren*, *Xingren*, and *Longdan Cao* serve as Ministers because they eliminate redness/pain, moisten dryness, and resolve heat-toxicity. *Huangdan*, *Qingyan*, *Longnao*, and *Baisha Mi* serve as Assistants because they absorb dampness/drain sores, benefit Kidney Qi, treat redness/swelling, and harmonize all herbs. *Hezi*, *Haipiaoxiao*, and *Muzei Cao* serve as Envoys because astringency keeps the medicine in place, facilitating the elimination of obstructions and grinding of nebulae.