两睥浮泛。其状如球。微有湿热。重则泪流。非干赤肿。清热是求。
此症谓目睥浮肿如球。而虚起也。目上无别病。久则始有赤丝乱脉之患。火甚重。皮或红。目不痛。湿痰
与火夹搏者。则有泪。有赤烂之疾。乃火在气分之虚症。不可误认为肿胀如杯血分之实病。以两手掌
擦热拭之少平。顷复如故可见其血不足。而虚火壅于气也。宜服洗∶
调脾清毒饮
天花粉 连翘 荆芥穗 甘草 黍粘子 桔梗 白茯苓 白术 苏薄荷 防风 广陈皮（各等分）
上锉剂。白水二钟。煎至八分。去滓。食前温服。
广大重明汤（见卷三）
按胎前产后。多因气血失和。以致燥火上攻。阴阳涩滞。或风邪乘虚。邪火侵淫。七情抑郁。六气引邪。不
必拘泥其翳膜红痛。胎前惟用安胎清火。产后惟用养荣散郁。二症须分有余不足。在气分者宜调之
散之。在血分者宜补之行之。自无变症矣。
妇人有孕号兼胎。都是三阳痞塞来。只是有余无不足。要分血气两家灾。
此症专言妇人有孕而目病也。其病多有余。要分在血在气分之不同。在气分则有如旋螺泛起。瞳神
散大等症。在血分则有如瘀血凝脂等症。盖其痞隔。阴阳涩滞。与常人病眼不同。为病每多危急。人不
知虑。屡见临重而措手不及。内伐又恐伤胎泄气。不伐又源不清。事在两难。善用内护外劫之治。则百
发百中矣。如治胎前目病。不厌疏利。但避硝黄等峻药。破血及泄小肠之剂勿用经云。有故无殒。亦无
殒也。或以白术黄芩固胎之药监制之药佐之。则无碍矣。宜服∶
保胎清火汤
黄芩（一钱二分） 砂仁 荆芥穗 当归身 白芍 连翘 生地黄 广陈皮（各一钱） 川芎（八分） 甘草（三
分）
上锉剂。白水二钟。煎至八分。去滓。食后温服。
简易知母饮（治妊娠心脾壅热。目赤咽膈渴苦。烦闷多惊。）
赤茯苓 黄芩 麦冬肉 知母 桑白皮 黄 细甘草（各等分）
上锉剂。白水二钟。煎热去滓。再入竹沥一小钟。碗内冲服。
天门冬饮子（治蕴热。忽然两目失明。内热烦燥。一应热症。）
羌活 白茯苓 人参（各八分） 天门冬（去心） 知母（盐水制） 茺蔚子（各一钱二分） 防风 五味子（各
五分）
上锉剂。白水二钟。煎至八分。去滓热服。
芎苏散（治孕妇外感风寒。浑身壮热。眼花头昏如旋。此盖为寒克于脾胃。伤于荣卫。或露背当风取凉。
致令眼疼头痛。憎寒发热。甚至心胸烦闷。大抵胎前二命所系。不可轻易妄投汤剂。感冒之初。止宜
芎苏表其邪气。其病自愈。）
紫苏 川芎 麦冬肉（去心） 白术 陈皮 干姜（炒黑） 白芍药（各一两） 甘草（五钱）
上为末。每服五钱。姜三片。葱头三段。水煎温服。
消风散（治孕妇头旋目昏。视物不见。腮项肿核。盖因胎气有伤。热毒上攻。太阳沉痛。呕吐。背项拘急。
致令眼昏生花。若加痰壅。危在片刻。急宜服之。）
石膏 防风 甘菊花 羌活 川芎 荆芥 羚羊角 当归 白芷 甘草 大豆黄卷（炒各等分）
上为细末。每服三钱。细茶调。食后服。
天冬饮子（治孕妇将临月。两目忽然不明。灯火不见。头痛目昏。腮项肿满。不能转颈。此症为怀孕多
居暖阁。或烘火过热。衣被卧褥。伏热在内。或服补药及热物太过。肝脏壅极。致令胎热。）
天门冬 知母 茺蔚子 防风 辽五味 茯苓 熟地黄 羌活 荆芥穗 川芎 白芍药 当归
上等分。锉剂。生姜三片。白水二钟。煎。食后服。
两脾（眼睑）浮肿泛光。其形状如同球体。轻微者伴有湿热，严重时会流泪。并非干涩、发红、肿胀，治疗应以清热为主。
此症是指眼睑浮肿如球状，且虚浮隆起。眼睛上部没有其他病变，时间久了才会出现赤丝乱脉的隐患。火邪严重时，眼皮可能发红，但眼睛不痛。若湿痰与火邪相互搏结，则会有流泪、眼缘溃烂的疾病。这是火邪在气分中的虚证，不可误认为是像杯口那样肿胀的血分实证。用两只手掌擦热后擦拭患处，症状稍缓解，片刻后又恢复原状，这可见血不足，而虚火壅塞于气分。适宜服用洗方：
调脾清毒饮
天花粉 连翘 荆芥穗 甘草 黍粘子（牛蒡子） 桔梗 白茯苓 白术 苏薄荷 防风 广陈皮（各等分）
以上药材切碎成剂。用水二钟，煎煮至八分满，去渣滓。饭前温服。
广大重明汤（见卷三）
按：胎前产后，多因气血失和，导致燥火上攻，阴阳涩滞；或风邪乘虚而入，邪火侵淫；或因七情抑郁，六气引邪入体。不必拘泥于是否有翳膜红痛的症状。胎前只需用安胎清火之法，产后只需用养荣散郁之法。这两种病症必须区分有余和不足。病在气分的宜调理疏散，病在血分的宜补益行血。自然就不会产生变症了。
妇人有孕号称兼胎，都是三阳经痞塞所致。只是表现为有余而无不足，但要分清是血家之灾还是气家之灾。
此症专门论述妇女怀孕期间的眼病。其病多属有余，要分辨是在气分还是在血分。在气分则有如旋螺泛起、瞳神散大等症状；在血分则有如瘀血凝脂等症状。大概因为痞隔阻滞，阴阳涩滞，与常人患眼病不同，致病往往多危急。人们不知考虑周全，屡见病情加重时措手不及。内服攻伐药又恐伤胎泄气，不攻伐又源头不清，事情处于两难境地。善于运用内护外劫的治疗方法，就能百发百中。如治疗胎前眼病，不厌烦疏利之法，只要避免使用硝黄等峻猛药物，破血及泄小肠的药剂不要使用。《内经》云：“有故无殒，亦无殒也。”或者以白术、黄芩等固胎的药物监制它，或用佐使之药辅助，就没有妨碍了。适宜服用：
保胎清火汤
黄芩（一钱二分） 砂仁 荆芥穗 当归身 白芍 连翘 生地黄 广陈皮（各一钱） 川芎（八分） 甘草（三分）
以上药材切碎成剂。用水二钟，煎煮至八分满，去渣滓。饭后温服。
简易知母饮（治疗妊娠心脾壅热，目赤咽膈渴苦，烦闷多惊。）
赤茯苓 黄芩 麦冬肉 知母 桑白皮 黄芪 细甘草（各等分）
以上药材切碎成剂。用水二钟，煎热去渣滓。再倒入竹沥一小钟，碗内冲服。
天门冬饮子（治疗蕴热，忽然两目失明，内热烦躁，一应热症。）
羌活 白茯苓 人参（各八分） 天门冬（去心） 知母（盐水制） 茺蔚子（各一钱二分） 防风 五味子（各五分）
以上药材切碎成剂。用水二钟，煎煮至八分满，去渣滓热服。
芎苏散（治疗孕妇外感风寒，浑身壮热，眼花头昏如旋转。这大概是寒邪克制脾胃，损伤营卫，或是露背当风取凉，致使眼疼头痛，憎寒发热，甚至心胸烦闷。大抵胎前关乎两条性命，不可轻易妄投汤剂。感冒之初，只宜用芎苏散表散其邪气，病自然会痊愈。）
紫苏 川芎 麦冬肉（去心） 白术 陈皮 干姜（炒黑） 白芍药（各一两） 甘草（五钱）
以上研为末。每次服用五钱，加生姜三片，葱头三段，水煎温服。
消风散（治疗孕妇头旋目昏，视物不见，腮项肿核。大概因胎气受伤，热毒上攻，太阳经沉痛，呕吐，背项拘急，致使眼昏生花。若加上痰壅，危在旦夕，急宜服用。）
石膏 防风 甘菊花 羌活 川芎 荆芥 羚羊角 当归 白芷 甘草 大豆黄卷（炒各等分）
以上研为细末。每次服用三钱，用细茶调服，饭后服用。
天冬饮子（治疗孕妇将临月，两目忽然不明，灯火不见，头痛目昏，腮项肿满，不能转颈。此症是因为怀孕多居暖阁，或烘火过热，衣被卧褥伏热在内，或服用补药及热物太过，肝脏壅极，致使胎热。）
天门冬 知母 茺蔚子 防风 辽五味 茯苓 熟地黄 羌活 荆芥穗 川芎 白芍药 当归
以上等分。切碎成剂。生姜三片，用水二钟，煎煮。饭后服用。
Both eyelids (Pi) are swollen and puffy. Their appearance is like a sphere. Mild cases involve damp-heat, while severe cases result in tearing. It is not dryness, redness, or swelling; the treatment should seek to clear heat.
This condition refers to the eyelids being swollen like a sphere and bulging vacuously. There are no other diseases in the upper part of the eye. Over time, there may be the hazard of chaotic red vessels. When fire is severe, the skin may turn red, but the eyes do not hurt. If damp-phlegm and fire clash and struggle with each other, there will be tearing and canthal ulceration. This is a deficiency syndrome where fire resides in the Qi level, and it must not be mistaken for an excess disease of the Blood level characterized by swelling like a cup. Rubbing the area with palms warmed by friction provides slight relief, but it returns to normal shortly after, which indicates insufficient Blood and stagnation of deficient fire in the Qi level. It is suitable to take the following wash prescription:
Tiaopi Qingdu Yin (Spleen-Regulating and Toxin-Clearing Decoction)
Trichosanthis Radix (Tianguahua), Forsythiae Fructus (Lianqiao), Schizonepetae Spica (Jingjie Sui), Glycyrrhizae Radix et Rhizoma (Gancao), Arctii Fructus (Shuniuzi), Platycodonis Radix (Jiegeng), Poria (Baifuling), Atractylodis Macrocephalae Rhizoma (Baizhu), Menthae Haplocalycis Herba (Subohhe), Saposhnikoviae Radix (Fangfeng), Citri Reticulatae Pericarpium (Guang Chenpi) (each in equal parts).
The above herbs are cut into pieces. Add two zhong of water, decoct until eight-tenths remain, remove the dregs, and take warm before meals.
Guangda Chongming Tang (See Volume 3)
Note: Before and after childbirth, disorders often arise from disharmony of Qi and Blood, leading to upward attack of dry-fire, stagnation of Yin and Yang, or wind pathogens taking advantage of deficiency to invade, with evil fire infiltrating. It may also result from depression of the Seven Emotions or the Six Qi drawing pathogens inward. One should not be rigidly confined to whether there are nebula membranes, redness, or pain. For conditions before childbirth, only An Tai (calming the fetus) and clearing fire methods should be used; for conditions after childbirth, only Yang Rong (nourishing blood/vitality) and dispersing depression methods should be used. These two types of conditions must be distinguished as excess or deficiency. Those in the Qi level should be regulated and dispersed; those in the Blood level should be tonified and moved. Thus, complications will naturally be avoided.
When a woman is pregnant, she is said to have both fetus and pregnancy, caused by obstruction in the three Yang meridians. It manifests as excess rather than deficiency, but one must distinguish whether the disaster lies in the Blood or the Qi.
This section specifically discusses eye diseases in pregnant women. The pathology is mostly excess, requiring differentiation between the Qi level and the Blood level. In the Qi level, symptoms such as rising spiral-like nebulae and dilation of the pupil may occur. In the Blood level, symptoms such as coagulated fat resembling blood stasis may appear. Generally, due to obstruction and stagnation of Yin and Yang, this differs from eye diseases in ordinary people, often posing critical danger. People fail to consider thoroughly, frequently encountering sudden worsening without preparedness. Internal purgation fears damaging the fetus and leaking Qi, while non-purgation fails to clear the source, placing the situation in a dilemma. Skillfully employing internal protection and external interception treatments ensures success. For treating eye diseases before childbirth, one need not dislike draining and unblocking methods, provided harsh drugs like Xiaoshi (Mirabilite) and Dahuang (Rhubarb) are avoided, and formulas that break Blood or drain the Small Intestine are not used. The Classic states: "If there is a cause, there is no destruction, nor destruction to the mother." Alternatively, using Fetal-Securing herbs like Baizhu (Atractylodis Macrocephalae Rhizoma) and Huangqin (Scutellariae Radix) to control it, or assisting with adjuvant herbs, causes no harm. It is suitable to take:
Baotai Qinghuo Tang (Fetus-Calming and Fire-Clearing Decoction)
Huangqin (1 qian 2 fen), Amomi Fructus Rotundus (Sharen), Schizonepetae Spica (Jingjie Sui), Angelicae Sinensis Radix (Danggui Shen), Paeoniae Radix Alba (Baishao), Forsythiae Fructus (Lianqiao), Rehmanniae Radix Recens (Sheng Dihuang), Citri Reticulatae Pericarpium (Guang Chenpi) (each 1 qian), Ligusticum Chuanxiong Rhizoma (Chuanxiong) (8 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen).
The above herbs are cut into pieces. Add two zhong of water, decoct until eight-tenths remain, remove the dregs, and take warm after meals.
Jianyi Zhimu Yin (Simple Anemarrhena Decoction - Treats Heart and Spleen Heat Stagnation during Pregnancy, Red Eyes, Throat/Thorax Thirst and Bitterness, Restlessness and Frequent Startles.)
Zhu Fu Ling (Red Poria), Huangqin (Scutellariae Radix), Ophiopogonis Tuber (Maidong Rou), Anemarrhenae Rhizoma (Zhimu), Morus Alba Cortex (Sangbaipi), Astragali Membranaceus (Huangqi), Gancao (Fine Licorice) (each in equal parts).
The above herbs are cut into pieces. Add two zhong of water, decoct hot, remove dregs. Then add one small zhong of Bamboo Juice (Zhuli), mix in a bowl, and take.
Tianmendong Yinzi (Asparagus Decoction - Treats Accumulated Heat, Sudden Blindness in Both Eyes, Internal Heat and Irritability, All Heat Syndromes.)
Notopterygii Rhizoma et Radix (Qianghuo), Poria (Baifuling), Ginseng Radix (Renshen) (each 8 fen), Asparagi Tuber (Tianmendong, dehearted), Anemarrhenae Rhizoma (Zhimu, processed with salt water), Leonuri Fructus (Chongweizi) (each 1 qian 2 fen), Saposhnikoviae Radix (Fangfeng), Schisandrae Fructus (Wuweizi) (each 5 fen).
The above herbs are cut into pieces. Add two zhong of water, decoct until eight-tenths remain, remove dregs, and take hot.
Xiongsu San (Ligusticum and Perilla Powder - Treats Pregnant Women with External Wind-Cold Invasion, High Fever, Dizziness and Blurred Vision as if spinning. This is likely due to Cold overcoming the Spleen and Stomach, damaging Ying and Wei, or exposing the back to wind for cooling, causing eye and head pain, aversion to cold and fever, even chest irritability. Generally, before childbirth, two lives are at stake; one must not casually administer decoctions. At the initial stage of cold, only Xiongsu San should be used to release the pathogen externally, and the illness will heal itself.)
Perillae Folium (Zisu), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Ophiopogonis Tuber (Maidong Rou, dehearted), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi), Zingiberis Rhizoma Ustus (Ganjiang, stir-fried black), Paeoniae Radix Alba (Baishaoyao) (each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (5 qian).
Grind into powder. Take 5 qian per dose, with 3 slices of ginger and 3 stalks of green onion head, decoct in water and take warm.
Xiaofeng San (Wind-Dispersing Powder - Treats Pregnant Women with Vertigo and Blurred Vision, Inability to See, Swollen Glands in Cheeks and Neck. Likely due to injured fetal Qi, Heat-Toxin attacking upward, Sun-Yang meridian deep pain, vomiting, stiffness of back and neck, causing blurred vision and visual spots. If accompanied by Phlegm obstruction, it is critical and imminent; take urgently.)
Gypsum Fibrosum (Shigao), Saposhnikoviae Radix (Fangfeng), Chrysanthemi Flos (Gan Juhua), Notopterygii Rhizoma et Radix (Qianghuo), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Schizonepetae Spica (Jingjie), Saiga Tataricae Cornu (Lingyangjiao), Angelicae Sinensis Radix (Danggui), Angelicae Dahuricae Radix (Baizhi), Glycyrrhizae Radix et Rhizoma (Gancao), Sojae Semen Praeparatum (Dadou Huangjuan, stir-fried) (each in equal parts).
Grind into fine powder. Take 3 qian per dose, mixed with fine tea, take after meals.
Tiandong Yinzi (Asparagus Decoction - Treats Pregnant Women near Term, Sudden Loss of Vision in Both Eyes, Cannot See Light, Headache and Blurred Vision, Swollen Cheeks and Neck, Inability to Turn Neck. This condition arises because pregnant women often stay in warm rooms, or overheat themselves, trapping heat in bedding/clothing, or take too many tonifying/hot medicines, causing extreme Liver stagnation and resulting in Fetal Heat.)
Asparagi Tuber (Tiandong), Anemarrhenae Rhizoma (Zhimu), Leonuri Fructus (Chongweizi), Saposhnikoviae Radix (Fangfeng), Schisandrae Chinensis Fructus (Liaowumei), Poria (Fuling), Rehmanniae Radix Preparata (Shudihuang), Notopterygii Rhizoma et Radix (Qianghuo), Schizonepetae Spica (Jingjie Sui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishaoyao), Angelicae Sinensis Radix (Danggui).
Equal parts. Cut into pieces. Add 3 slices of fresh ginger and two zhong of water, decoct. Take after meals.