目有日夜疼痛者何也？答曰∶阳毒之气盛也。经云∶静则血气衰，注于阳道，寒邪克之，故日夜作疼。宜服
拨云丸。
拨云丸
白蒺藜（炒去角） 羌活 独活 防风 生地黄 荆芥 当归 蛇蜕 金银花 蝉蜕 赤芍 甘草
水煎服。
目有日中痛者何故？答曰∶阳气盛也。经云∶阴静则阳盛。阳火盛则旺于日中，见阳气则痛，故知阴虚也。
宜服洗心散。（方见二问、五问。二问五问方各不同，余以病轻者服二问方，重者服五问方，似有区别）
目有浮眵白膜者何也？答曰∶肺金受热也。血盛则热，气盛则寒，肺气盛则生膜，白乃肺之根也。肺受风邪，
浮散于目，故有白膜遮之也。宜点虎液膏，服四顺饮。（四顺饮未立方，盖即十四问四顺清凉散也，存疑）
目有旋螺突出者何也？答曰∶是积也。积乃脏腑之流毒，攻于外，发于目，血结于肝，木之积也。宜服蝉蜕
无比散，点推云散。（方见十四问）
蝉蜕无比散
蝉蜕（去头足，一两） 蛇蜕（微炒，一两） 羌活（三两） 当归（酒洗，三两） 川芎（盐酒炙，三两）
石决明（盐水炼，三两） 防风（四两） 苍术（米泔浸，二两） 茯苓（四两） 赤芍（二两） 炙甘草（四两）
白蒺藜（炒去刺，八两）
共为末，食后服三钱，米汤调下，忌生冷油面等物。
眼睛在白天和晚上都疼痛，是什么原因呢？回答说：这是阳毒之气旺盛所致。医经说：人体静止时气血衰弱，邪气注入阳经，寒邪克制它，所以白天黑夜都会疼痛。适宜服用拨云丸。
拨云丸
白蒺藜（炒制去刺） 羌活 独活 防风 生地黄 荆芥 当归 蛇蜕 金银花 蝉蜕 赤芍 甘草
用水煎煮后服用。
眼睛只在中午疼痛，是什么缘故呢？回答说：这是阳气旺盛所致。医经说：阴主静则阳偏盛。阳火旺盛则在中午时分最烈，遇到阳气就疼痛，因此可知是阴虚。
适宜服用洗心散。（方剂见第二问、第五问。第二问和第五问的方子各不相同，我根据病情轻者服用第二问的方子，重者服用第五问的方子，似乎有所区别）
眼睛有浑浊分泌物和白膜是怎么回事呢？回答说：这是肺金受热所致。血盛则产生热，气盛则产生寒，肺气旺盛则生成白膜，白色乃是肺的本色。肺受到风邪侵袭，风邪浮散于眼部，所以有白膜遮蔽眼睛。适宜点用虎液膏，服用四顺饮。（四顺饮未列出具体方剂，大概即第十四问中的四顺清凉散，存疑待考）
眼睛有旋螺状物突出是怎么回事呢？回答说：这是积聚之症。积是脏腑流注的毒气，攻冲于体表，发于眼部，血液结聚于肝脏，属于木行（肝）的积聚。适宜服用蝉蜕无比散，点用推云散。（方剂见第十四问）
蝉蜕无比散
蝉蜕（去掉头足，一两） 蛇蜕（微炒，一两） 羌活（三两） 当归（酒洗，三两） 川芎（盐酒炙，三两）
石决明（盐水炼，三两） 防风（四两） 苍术（米泔水浸泡，二两） 茯苓（四两） 赤芍（二两） 炙甘草（四两）
白蒺藜（炒制去刺，八两）
共同研为细末，饭后服用三钱，用米汤调服，忌食生冷、油腻及面食等物品。
What is the reason for eye pain occurring both day and night? The answer is: It is caused by the excess of Yang-toxic Qi. The Classics state: "When the body is at rest, Blood and Qi decline; pathogenic factors enter the Yang meridians, and Cold Evil attacks them, thus causing pain throughout the day and night." It is appropriate to administer Bo Yun Wan (Cloud-Pushing Pill).
Bo Yun Wan (Cloud-Pushing Pill)
Tribuli Fructus (Stir-fried, thorns removed), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Saposhnikoviae Radix (Fangfeng), Rehmanniae Radix Recens (Sheng Dihuang), Schizonepetae Spica (Jingjie), Angelicae Sinensis Radix (Danggui), Ophistogermi Periostracum (Shetui), Lonicerae Japonicae Flos (Jinyinhua), Cicadae Periostracum (Chantui), Paeoniae Radix Rubra (Chishao), Glycyrrhizae Radix et Rhizoma (Gancao)
Decoct in water and take orally.
What is the reason for eye pain occurring only at noon? The answer is: It is caused by the excess of Yang Qi. The Classics state: "Yin governs stillness, therefore Yang becomes excessive." When Yang-Fire is excessive, it peaks at noon; encountering Yang Qi causes pain, thus indicating Yin deficiency.
It is appropriate to administer Xi Xin San (Heart-Washing Powder). (The formula is seen in Question 2 and Question 5. The formulas for Question 2 and Question 5 are different; I recommend those with mild conditions take the formula from Question 2, and those with severe conditions take the formula from Question 5, suggesting a distinction.)
What is the cause of turbid discharge and a white membrane on the eye? The answer is: It is caused by Heat affecting Lung Metal. Excess Blood generates Heat, while Excess Qi generates Cold. When Lung Qi is excessive, a membrane forms; white is the root color of the Lung. When the Lung is invaded by Wind Evil, the pathogen floats and scatters into the eyes, resulting in a white membrane obscuring vision. It is appropriate to apply Hu Ye Gao (Tiger Liquid Ointment) and take Si Shun Yin (Four-Harmony Decoction). (Si Shun Yin is not prescribed here; it is likely Si Shun Qing Liang San [Four-Harmony Cooling Clearing Decoction] from Question 14; this remains in doubt.)
What is the cause of a spiral-shaped protrusion on the eye? The answer is: It is an accumulation (Ji). Accumulation is the toxic flow from the Zang-Fu organs that attacks the exterior and manifests in the eyes. Blood coagulates in the Liver, representing an accumulation of Wood (Liver element). It is appropriate to administer Chan Tui Wu Bi San (Cicada Slough Peerless Powder) and apply Tui Yun San (Cloud-Pushing Powder). (The formula is seen in Question 14.)
Chan Tui Wu Bi San (Cicada Slough Peerless Powder)
Cicadae Periostracum (Remove head and feet, 1 liang), Ophistogermi Periostracum (Lightly stir-fried, 1 liang), Notopterygii Rhizoma et Radix (3 liang), Angelicae Sinensis Radix (Washed with wine, 3 liang), Ligustici Chuanxiong Rhizoma (Processed with salt and wine, 3 liang)
Haliotidis Concha (Shijueming) (Refined with salt water, 3 liang), Saposhnikoviae Radix (4 liang), Atractylodis Rhizoma (Cangzhu) (Soaked in rice wash water, 2 liang), Poria (Fuling) (4 liang), Paeoniae Radix Rubra (2 liang), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao) (4 liang)
Tribuli Fructus (Stir-fried, thorns removed, 8 liang)
Grind all ingredients into fine powder. Take 3 qian after meals, mixed with rice soup. Avoid raw, cold, greasy foods, and wheat products.