陈实功曰∶痘毒攻目，皆因长浆时，不曾用药攻浆，致浆不充满，以致回水，眼
胞红肿，不能开放，而毒火上炎，攻注两目。此时宜急以清毒保目汤连服二三剂，以
解上攻之毒火，不独可免目患，乃委而弃之曰∶眼中有痘，非所能医。遂使毒火亢
极，翳膜遮蔽瞳人，日夜啼叫，痛苦异常，虽性命苟延，而双目丧明，不过成一废人
耳。嗟！嗟！庸医误人，莫此为甚！善夫！聂清江先生曰∶此非有形之痘，乃无形之
火也。盖有形之痘，发于咽喉口舌者有之，
然外痘起胀，内痘亦起胀；外痘收靥，内痘亦收靥。惟入眼之毒，必作于收靥之时，
此以知其非有形也，明矣。故患此者，始宜用清毒保目汤解之于前，看有翳膜遮盖
黑白珠，或侵入瞳人，徐徐用清毒拨翳汤治之于后，或隔一日一剂，二日一剂，虽
三四月之久，尚保无虞。切不可过用寒凉，责效于数剂之间，计功于旬日之内，又不
可听庸伪眼药磨点，登时损坏，更不可因本家吝啬或贫乏，遂推诿不治，大伤阴德，
戒之，戒之。（《正宗》）
《秘笈》云∶此缘痘疹之后，余热未退，毒瓦斯上攻于目，或因气虚，痘不起，浆不
来，医者服以参 升托之剂，痘虽得痊，而热毒遂攻目中，致使睫闭不开，泪出肿痛，
羞明怕日，或生蟹睛、翳膜等证，先服消毒化 汤。（黄连、当归、连翘、白术、红花、陈皮、
苏木、柴胡、黄柏、川芎、防风、生地、升麻、干葛、麻黄、羌活、黄芩、 本、细辛、苍术、
吴茱萸，白水煎服。此方即稀痘丹。凡立春、立夏、立秋、立冬前一日，煎一剂，露一宿，如天
雨可将药放屋檐下露一宿，次日隔汤炖热。初生者，只服三五匙，周岁以外服半剂，三四岁者服
一剂，但能服过四次，可保永不出痘，纵出亦稀，此乃神应之方也。）或清凉散，大便如常去硝
黄，或用败毒散加连翘、牛蒡子。医者妄用去翳克伐之剂过多，其翳反浓，则难治
矣。若脾胃受伤，肚腹不调者，服补中益气汤、茯苓燥湿汤、人参启脾丸、石斛夜光丸，其患渐愈。
陈实功说：痘毒攻目，都是因为长浆的时候，没有用药促使脓浆生成，导致脓浆不饱满，从而引起回水（痘疹消退时的体液变化），眼睑红肿，无法睁开，致使毒火上炎，侵袭双眼。此时应当立即连续服用二三剂清毒保目汤，以解除上攻的毒火，这样不仅能避免眼部疾患，如果将其丢弃不管，说：“眼中有痘，不是我能医治的。”于是让毒火极度亢盛，翳膜遮蔽瞳孔，日夜啼哭，痛苦异常，虽然性命勉强维持，但双目失明，最终不过成为一个废人罢了。唉！庸医误人，没有比这更严重的了！聂清江先生说得好：“这不是有形的痘疮，而是无形的火邪。”大概有形的痘疮，发于咽喉口舌的确实存在，然而外部的痘疮起胀，内部的痘疮也会起胀；外部痘疮收靥（结痂脱落），内部痘疮也会收靥。只有侵入眼睛的毒邪，必定在收靥之时发作，由此可知它并非有形之物，这是很明显的。所以患此病的人，起初应当用清毒保目汤在前面解毒，观察是否有翳膜遮盖黑睛和白睛，或者侵入瞳孔，随后慢慢用清毒拨翳汤治疗，可以每隔一天服一剂，或两天服一剂，即使经过三四个月的时间，也能保证无虞。切不可过度使用寒凉药物，指望在几剂药之间见效，在十天之内立功，也不可以听信庸医伪制的点眼药粉磨碎点眼，以免立刻损坏视力，更不可以因为患者家属吝啬或贫穷，就推诿不治，严重损伤阴德，务必戒除，务必戒除。（出自《外科正宗》）
《秘笈》说：这是因为痘疹之后，余热未退，毒气上攻于眼睛，或者因为气虚，痘疮不起发，浆液不来，医生服用参芪升提托毒的药剂，痘疮虽然痊愈，但热毒便攻击眼中，导致眼睑闭合不开，流泪肿痛，羞明怕日，或者生蟹睛、翳膜等证候，先服用消毒化毒汤。（方剂组成：黄连、当归、连翘、白术、红花、陈皮、苏木、柴胡、黄柏、川芎、防风、生地、升麻、干葛、麻黄、羌活、黄芩、藁本、细辛、苍术、吴茱萸，用水煎服。此方即是稀痘丹。每逢立春、立夏、立秋、立冬前一天，煎煮一剂，露天放置一夜，如果下雨可将药放在屋檐下露置一夜，第二天隔水炖热。初生婴儿，只服三五匙，周岁以外服半剂，三四岁者服一剂，只要能服用四次，可以保证永远不出痘，即使出痘也很稀疏，这是神效的方子。）或者使用清凉散，如果大便正常则去掉硝黄，或者使用败毒散加连翘、牛蒡子。如果医生妄用去翳克伐的药物过多，其翳膜反而增厚，那就难以治疗了。如果脾胃受伤，腹部不调者，服用补中益气汤、茯苓燥湿汤、人参启脾丸、石斛夜光丸，病情会逐渐痊愈。
Chen Shigong stated: "Dacou Gongmu" (Poison from smallpox attacking the eyes) occurs because, during the stage of pustule formation, no medication was used to promote the filling of pus, resulting in incomplete pustules and subsequent regression of fluids. This leads to swelling and redness of the eyelids, inability to open the eyes, and the upward flare of toxic fire that attacks both eyes. At this time, it is imperative to administer Qingdu Baomu Tang (Clear Toxins and Protect Eyes Decoction) continuously for two or three doses to resolve the ascending toxic fire. Not only can eye complications be avoided, but if one neglects it, saying, 'There are pox in the eyes; I cannot treat this,' the toxic fire will become extremely hyperactive. Membranes will cover the pupils, causing day-and-night crying and extreme pain. Although life may be barely sustained, blindness results, leaving the patient a cripple. Alas! The error caused by mediocre physicians is most severe here. Mr. Nie Qingjiang said well: "This is not shaped pox, but formless fire." Generally, shaped pox affecting the throat, mouth, and tongue do exist; however, when external pox swell, internal pox also swell; when external pox crust over, internal pox also crust over. Only the poison entering the eyes manifests at the time of crusting, proving clearly that it is not shaped. Therefore, patients should initially use Qingdu Baomu Tang to resolve toxins beforehand. If membranes are observed covering the cornea (black pearl) and sclera (white pearl), or invading the pupil, subsequently treat slowly with Qingdu Boyi Tang (Clear Toxins and Dispel Membranes Decoction). One dose can be given every other day or every two days. Even after three or four months, safety can be ensured. One must absolutely avoid excessive use of cold-natured herbs, expecting effects within a few doses or success within ten days. Nor should one heed mediocre practitioners using false eye powders that cause immediate damage. Furthermore, one must not shirk treatment due to the family's stinginess or poverty, as this severely harms accumulated virtue. Guard against this, guard against this. (From *Zhengzong*)
*Miji* states: "This arises from residual heat remaining after variola (smallpox/variolae), with toxic vapors attacking the eyes, or due to Qi deficiency where pox fail to erupt and pus fails to form. Physicians administering tonifying and lifting agents containing Ginseng and Astragalus may cure the pox, but the heat-toxin then attacks the eyes, causing eyelids to remain closed, tearing, swelling, pain, photophobia, or conditions such as crab-eye (corneal protrusion) and membranes. Initially, administer Xiaodu Huadu Tang (Disinfect and Transform Toxins Decoction). [Ingredients: Coptidis Rhizoma (Huanglian), Angelicae Sinensis Radix (Danggui), Forsythiae Fructus (Lianqiao), Atractylodis Macrocephalae Rhizoma (Baizhu), Carthami Flos (Honghua), Citri Reticulatae Pericarpium (Chenpi), Sappan Lignum (Sumu), Bupleuri Radix (Chaihu), Phellodendri Cortex (Huangbai), Chuanxiong Rhizoma (Chuanxiong), Saposhnikoviae Radix (Fangfeng), Rehmanniae Radix (Shengdi), Cimicifugae Rhizoma (Shengma), Puerariae Radix (Gan Ge), Ephedrae Herba (Mahuang), Notopterygii Rhizoma et Radix (Qianghuo), Scutellariae Radix (Huangqin), Ligustici Wallichii Rhizoma (Gaoben), Asari Radix et Rhizoma (Xixin), Atractylodis Rhizoma (Cangzhu), Evodiae Fructus (Wuzhuyu). Decoct in water. This formula is also known as Xidou Dan (Pox-Thinning Elixir). On the day before Start of Spring, Start of Summer, Start of Autumn, and Start of Winter, decoct one dose and expose it overnight to the dew. If raining, place under the eaves overnight. Heat on the second day via steaming. For newborns, take 3-5 spoons; for those over one year old, take half a dose; for 3-4 year olds, take one full dose. If taken four times, one can ensure permanent immunity from smallpox; even if contracted, the eruption will be sparse. This is a miraculous formula.] Alternatively, use Qingliang San (Cooling Powder); if bowel movements are normal, remove Mirabilite (Xiaoshi) and Rheum Palmatum (Dahuang); or use Baidu San (Defeat Toxin Powder) added with Forsythiae Fructus (Lianqiao) and Arctii Fructus (Niubangzi). If physicians recklessly use too many membrane-dispelling and draining formulas, the membranes may thicken, making it difficult to treat. If the Spleen and Stomach are injured and abdominal regulation is impaired, administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), Fuling Zaoshi Tang (Poria Damp-Drying Decoction), Renshen Qipi Wan (Ginspen Spleen-Enlightening Pill), or Shihu Yeguang Wan (Dendrobium Night-Shining Pill), and the condition will gradually improve.