（灌木）散肝风热
蕤核（专入肝。）眼科药也。凡眼多因风热乘肝。以致血虚而目不得明。故病必见上
下眼胞风
肿弦烂。左右 热障 。（仁斋曰。拘急牵飕。瞳青胞白。痒而清泪。不赤不痛。是为风眼
。乌轮突起。胞硬红肿。眵泪湿浆。里热刺痛。是为热眼。眼浑而泪。胞肿而软。上壅
。酸
涩微赤。是为气眼。风与热并。则痒而浮赤。风与气搏。则痒涩皆沉。血热交聚。故生淫肤
粟肉红缕偷针之类。气血不至。故有眇视胞垂雀眼盲障之形。淡紫而隐红者为虚热。鲜红而
妒赤者为实热。两 呈露生 肉者。此心热血旺。白睛红膜如伞纸者。此气滞血凝。热滞则
瞳人内涌。白睛带赤。冷症则瞳仁青绿。白睛枯槁。眼热经久。复为风热所乘。则赤烂。
眼中不赤。但为痰饮则作疼。肝气不顺而挟热。所以羞明。热气蓄聚而伤饱。所以胞合。白
睛带赤或红筋者。其热在肺。上胞下胞或目唇间如疮点者。其热属脾。翳起肺家受热。翳如
碎米状者易散。翳如梅花者难消。）得此温能散风。（气不甚温。）寒能胜热。甘能补血。俾
火退泪止。而目疾瘳矣。赤筋在翳膜外者。得此则宜。（拨云膏取下翳膜。蕤仁去油五分。
青盐一分。猪 子五钱。共捣二千下如泥。 收点之。又方。蕤仁二两。去油。入白蓬砂一
钱。麝香二分。研匀收。去翳妙不可言。）汤浸。去皮尖。劈作两片。芒硝木通通草同煎一
伏时。取出研膏入药。
（灌木类植物）具有疏散肝经风热的功效。
蕤核（专门入肝经），是眼科常用药物。
大凡眼疾多因风热之邪侵袭肝脏，导致血虚从而使眼睛视物不明。
因此病症必然表现为上下眼睑风肿、弦烂（眼睑边缘溃烂）、左右眼热障（眼部红肿涩痛）。
（仁斋说：拘急牵拉感，瞳孔青黑而眼睑色白，瘙痒且流出清泪，不红不痛，这称为风眼；乌轮（黑眼球）突起，眼睑坚硬红肿，眼屎泪水湿浊，内部灼热刺痛，这称为热眼；眼睛浑浊流泪，眼睑肿胀柔软，上部壅塞，酸涩微红，这称为气眼；风与热并见，则瘙痒且浮赤；风与气相搏，则痒涩感深沉；血热交聚，所以产生淫肤粟肉、红缕、偷针（麦粒肿）之类的病变；气血不能到达，所以有眇视（视力减退）、胞垂（眼睑下垂）、雀眼（夜盲症）、盲障等形态；颜色淡紫而隐现红色的属于虚热；颜色鲜红而嫉妒般深红的属于实热；两目黑睛周围露出增生肉芽的，这是心热血旺所致；白睛上的红膜像伞纸一样的，这是气滞血凝所致；热邪阻滞则瞳孔向内涌出，白睛带红色；冷症则瞳孔呈青绿色，白睛枯槁无神；眼热经久不愈，再次被风热所乘，则出现赤烂；眼中不红，但如果因为痰饮则会产生疼痛；肝气不顺且挟带热邪，所以畏光羞明；热气蓄积聚拢且损伤脾胃饱食功能，所以眼睑闭合困难；白睛带赤或出现红筋的，其热在肺经；上眼睑和下眼睑或眼唇之间出现如疮点状的，其热属脾经；翳膜起于肺家受热；翳膜如碎米状者容易消散；翳膜如梅花状者难以消除。）
凭借此药性温能疏散风邪（药气不是特别温热），性寒能胜除热邪，味甘能补益血液，使得火退泪止，从而眼疾痊愈。
如果赤筋在翳膜之外，使用此药适宜。
（拨云膏取下翳膜的方子：蕤仁去油五分，青盐一分，猪羊子五钱，共同捣两千下成泥状，收藏后点眼。又一方：蕤仁二两，去油，加入白蓬砂一钱，麝香二分，研磨均匀收藏，去除翳膜效果妙不可言。）
用汤水浸泡，去掉皮和尖，劈成两片，与芒硝、木通、通草一同煎煮一个时辰（伏时），取出研磨成膏加入药中。
(Shrub) Disperses wind-heat of the Liver.
Rui He (specifically enters the Liver meridian), is a drug for ophthalmology.
Generally, eye diseases are often caused by wind-heat pathogens invading the Liver, leading to blood deficiency and resulting in unclear vision.
Therefore, the symptoms must manifest as wind-swelling and eczema of the upper and lower eyelids, and heat obstruction in the left and right eyes.
(Ren Zhai said: Tension and pulling sensations, with blue-green pupils and white eyelids, itching with clear tears, without redness or pain, is called Wind Eye; protrusion of the black eyeball, hard and swollen-red eyelids, purulent discharge and wet tears, internal burning pain, is called Heat Eye; turbid eyes with tearing, soft and swollen eyelids, upper congestion, sourness, astringency, and slight redness, is called Qi Eye; when wind and heat combine, there is itching and floating redness; when wind and qi contend, the itching and astringency are deep; when blood-heat gathers, lesions such as skin overgrowth, millet-like bumps, red threads, and hordeolum (stye) arise; when qi and blood do not reach, conditions such as dim vision, ptosis, nyctalopia, and visual obstruction occur; pale purple with hidden red indicates deficient heat; bright red with jealous intensity indicates excess heat; exposed fleshy growths around the cornea indicate excessive heart fire and blood abundance; red membranes on the sclera resembling umbrella paper indicate qi stagnation and blood coagulation; heat stagnation causes the pupil to bulge inward with a reddish sclera; cold syndromes cause greenish-blue pupils and a withered sclera; prolonged eye heat combined with subsequent wind-heat invasion leads to redness and eczema; absence of redness in the eye but presence of pain indicates phlegm-fluid retention; liver qi stagnation with accompanying heat causes photophobia; accumulation of heat damaging fullness after eating causes difficulty in closing eyelids; reddish sclera or red veins indicate heat in the Lung; ulcer-like spots on the upper/lower eyelids or between the eye and lips indicate heat in the Spleen; nebula arising from lung heat; nebula resembling broken rice grains is easy to dissipate; nebula resembling plum blossoms is difficult to eliminate.)
Its warmth can disperse wind (the qi is not excessively warm); its coldness can overcome heat; its sweetness can nourish blood, thereby reducing fire and stopping tears, curing the eye disease.
If red veins are outside the nebula membrane, this herb is suitable.
(Di Yun Gao formula to remove nebula: Rui Ren [Prunus mume seed] 5 fen, de-oiled; Qing Yan [Halite] 1 fen; Zhu Zi [Pig testis/seed] 5 qian. Pound together two thousand times until paste-like, store, and apply to the eye. Another prescription: Rui Ren 2 liang, de-oiled; Bai Peng Sha [Borax] 1 qian; She Xiang [Musk] 2 fen. Grind uniformly, store. Extraordinary effect in removing nebula.)
Soak in decoction, remove skin and tips, split into two pieces. Decoct together with Mang Xiao [Mirabilite], Mu Tong [Akebia Caulis], and Tong Cao [Tetrapanacis Medulla] for one fu shi (approx. 2 hours). Remove, grind into paste, and add to medicine.