漏睛者。 头结聚生疮。流出脓汁。或如涎水粘睛。上下不痛。仍无翳膜。此因风湿停留睑
中所致。久而不治。致有乌珠坠落之患。
大 漏证 大 之间生一漏。时流血水。紫晕肿胀而痛。病在心火实毒。金花丸加羌活、蝎尾。
小 漏证 小 间生一漏。时流血色鲜红。病由心胞络而来。相火横行之候。导亦散加透风清热药。
阴漏证 不论何部生漏。但从黄昏至天晓。则痛胀流水。作青黑色。或腥臭不可闻。日间则
稍可。乃幽阴中有伏火为患。四物加细辛、香附、连翘之类。
阳漏证 不论何部生漏。但日间胀痛流水。其色黄赤。遇夜则稍可。乃阳络中有湿热留着所
致。人参漏芦散去当归。加羌、防、生甘草。
正漏证 生于风轮。或正中。或略偏。为肝肾风热伏陷所致。若初发破浅。则流出如痰白膏。
日久而深。则流出青黑膏汁。瞳神已损。急用泻肝药。如龙胆、羌活、生地、大黄之类下夺之。
偏漏证 生于气轮。痰湿流于肺经而成。较正漏为害稍迟。其流如稠粘白水。重则流脓。急
用泻肺药。如贝母、桔梗、桑皮、生甘草、黄芩、山栀之类凉解之。久而失治。水泄膏枯。目亦损矣。
外漏证 生于两睥之外。或流稠脓。或流臭水。胀痛则流出。不胀则略止。先与人参漏芦散。
后用千金托里散加葱白。
窍漏证 乃目傍窍中流出薄稠水。如脓腥臭。拭之即有。久则目亦模糊也。嗜燥耽酒。痰火
湿热者。每多患此。竹叶泻经汤、千金托里散。先后收功。久不治。亦有暗伤神水。耗损神膏之患。
漏睛证，是指眼角结聚生疮，流出脓汁，或者像涎水一样粘稠附着在眼睛上。上下眼睑不痛，也没有翳膜覆盖。这是由风湿之邪停留在眼睑中所导致的。如果长期不治疗，会导致黑眼球（乌珠）溃烂脱落的祸患。
大漏证：在大眦（内眼角）与目眶之间生出一个漏管，时常流出血水，周围有紫色晕圈，肿胀且疼痛。病机属于心火实毒。用金花丸加羌活、蝎尾治疗。
小漏证：在小眦（外眼角）附近生出一个漏管，时常流出鲜红色的血。病机由心包络传来，是相火横行的征候。用导赤散加透风清热的药物。
阴漏证：不论在哪个部位生漏，但从黄昏到天亮时，就会疼痛、肿胀、流水，颜色呈青黑色，或者有腥臭味难以忍受。白天则稍微好转。这是由于幽暗的阴分中有伏火为患。用四物汤加细辛、香附、连翘之类的药物。
阳漏证：不论在哪个部位生漏，但白天胀痛并流水，颜色黄赤，到了夜间则稍微好转。这是由于阳络中有湿热留滞所致。用人参漏芦散去当归，加羌活、防风、生甘草。
正漏证：生在黑睛（风轮），或者在正中，或者略微偏斜。这是由肝肾的风热伏陷所导致。如果是初发且病灶较浅，则流出像痰一样的白色膏状物。日久病深，则流出青黑色的膏汁。瞳神已经受损，急需使用泻肝药，如龙胆草、羌活、生地、大黄之类的药物来攻下泄热。
偏漏证：生在白睛（气轮）。这是痰湿流注于肺经而形成的。比正漏的危害稍缓一些。其分泌物像稠粘的白色水样，重则流脓。急需使用泻肺药，如贝母、桔梗、桑白皮、生甘草、黄芩、山栀之类的药物来凉解清热。如果日久失治，会导致水液泄漏、膏枯目损，眼睛也会受损。
外漏证：生在两睑（眼睑）之外。或者流出稠脓，或者流出臭水。肿胀疼痛时流出，不肿胀时略微停止。先用真人参漏芦散，后用千金托里散加葱白。
窍漏证：是从眼旁的孔窍中流出稀稠不均的水样液体，像脓一样腥臭，擦拭后马上又有。时间久了眼睛也会模糊。嗜好辛辣燥热食物和饮酒，体内有痰火湿热的人，常常多患此病。用竹叶泻经汤、千金托里散，先后服用以收功。如果长期不治疗，也有暗中损伤神水、耗损神膏的祸患。
Liu Qing (Leaking Pupil) syndrome refers to the accumulation and formation of sores at the canthus, discharging pus, or secreting viscous fluid resembling saliva that adheres to the eye. There is no pain in the upper or lower eyelids, nor is there any pannus (翳膜). This condition is caused by the retention of Wind-Dampness pathogens within the eyelids. If left untreated for a long time, it may lead to the ulceration and loss of the cornea (Wu Zhu, black pupil).
Da Liu Zheng (Large Leaking Syndrome): A fistula forms between the inner canthus (Da Zi) and the orbital rim, intermittently discharging bloody fluid. The surrounding area presents with purple discoloration, swelling, and pain. The pathogenesis involves Excess-Toxicity of Heart-Fire. Treatment utilizes Jin Hua Wan (Golden Flower Pill) augmented with Qiang Huo (Notopterygii Rhizoma et Radix) and Xie Wei (Scorpio).
Xiao Liu Zheng (Small Leaking Syndrome): A fistula forms near the outer canthus (Xiao Zi), intermittently discharging bright red blood. The pathology originates from the Pericardium Collateral, manifesting as rampant Phase Fire (Xiang Huo). Treatment employs Dao Chi San (Guide Out Red Powder) augmented with herbs that dispel Wind and clear Heat.
Yin Liu Zheng (Yin Leaking Syndrome): Regardless of the location of the fistula, pain, swelling, and discharge occur from dusk until dawn. The discharge is bluish-black or has an unbearable fishy odor. Symptoms alleviate slightly during the day. This is caused by latent Fire hidden within the Yin aspects. Treatment utilizes Si Wu Tang (Four Substances Decoction) augmented with Xi Xin (Asari Radix), Xiang Fu (Cyperi Rhizoma), Lian Qiao (Forsythiae Fructus), and similar herbs.
Yang Liu Zheng (Yang Leaking Syndrome): Regardless of the location of the fistula, distending pain and discharge occur during the day, with yellowish-red discharge color, alleviating slightly at night. This results from Damp-Heat stagnation in the Yang collaterals. Treatment uses Ren Shen Lou Lu San (Ginseng and Rhapontic Rhizome Powder) without Dang Gui, augmented with Qiang Huo, Fang Feng (Saposhnikoviae Radix), and Sheng Gan Cao (Raw Licorice Root).
Zheng Liu Zheng (Regular Leaking Syndrome): Occurs on the Cornea (Feng Lun), either centrally or slightly eccentric. It is caused by latent Wind-Heat sinking into the Liver and Kidney. If initially superficial, the discharge resembles white, phlegm-like paste. If chronic and deep, the discharge becomes bluish-black paste. The pupil spirit (Tong Shen) is damaged; urgent treatment requires Liver-draining herbs such as Long Dan Cao (Gentianae Radix), Qiang Huo, Sheng Di Huang (Rehmanniae Radix), and Da Huang (Rhei Radix et Rhizoma) to purge downward.
Pian Liu Zheng (Eccentric Leaking Syndrome): Occurs on the Sclera (Qi Lun). It is formed by Phlegm-Dampness flowing into the Lung Meridian. Its harm is slightly slower than Zheng Liu Zheng. The discharge is thick, viscous, and white-water-like; in severe cases, pus is discharged. Urgent treatment requires Lung-draining herbs such as Bei Mu (Fritillariae Bulbus), Jie Geng (Platycodonis Radix), Sang Bai Pi (Mori Cortex), Sheng Gan Cao, Huang Qin (Scutellariae Radix), and Shan Zhi (Gardeniae Fructus) to cool and resolve. If neglected for a long time, water leakage and depletion of ocular essence occur, damaging the eye.
Wai Liu Zheng (External Leaking Syndrome): Occurs outside the eyelids. Discharge may be thick pus or foul-smelling fluid. Discharge occurs with swelling and pain, and stops slightly when not swollen. Initially treated with Ren Shen Lou Lu San, followed by Qian Jin Tuo Li San (Thousand Gold Formula to Support the Interior) augmented with Cong Bai (Allii Fistulosi Bulbus).
Qiao Liu Zheng (Orifice Leaking Syndrome): Thin or viscous fluid flows from the orifices beside the eye, resembling smelly pus; wiping it away leads to immediate reaccumulation. Over time, vision becomes blurred. Individuals who indulge in spicy, dry foods and alcohol, and have internal Phlegm-Fire and Damp-Heat, are prone to this condition. Zhu Ye Xie Jing Tang (Bamboo Leaf Decoction to Drain the Eye Meridian) and Qian Jin Tuo Li San are used sequentially to achieve recovery. If untreated for a long time, there is a risk of secretly damaging Shen Shui (Divine Water) and depleting Shen Gao (Divine Paste).