柴胡 山栀 羌活 升麻 甘草 黄连 泽泻 赤茯苓 赤芍药 草决明 车前子 黄芩 竹叶
积热必溃，此方主之。
积者，重叠凝聚之谓，热则酝酿为邪毒矣。邪深不行，聚久不散，势不得不溃。其病瘾湿不自在，视物微昏，
内开窍如针孔，按之则沁沁脓出，本经谓之漏睛。治当先理清阳，故用柴胡、羌活、茯苓、甘草。次泄浊阴，
故用草决、升麻、车前、泽泻；总破其积者，必开必利，黄芩、黄连、大黄是也；除其热者，必苦必寒，赤芍、
山栀、竹叶是也。服后目虽稍瘥，转觉便秘烦冤，此火已下降，只以杏仁一两，大黄二两，山栀仁四两，蜜丸。
早晚服二三钱，当有效。盖杏仁微寒治烦，为烦为热之所致，山栀、大黄苦寒而利，治秘，为秘为积之不解。引
而伸之，不但漏睛，凡风毒、流毒皆为对症。
诗曰∶连草大黄竹叶青，升时遥望决睛明，条芩赤芍通山泽，谁向羌胡觅茯苓。
人参 百合 当归 地黄 柴胡 防风 羌活 细辛 本 红花 赤芍 大黄 黄连 黄芩
上方用当归、地黄、百合、人参，为损者温之，司培宗气也。用柴胡、防风、羌活、细辛、 本，为结者散
之，升发风邪也。用红花、赤芍、大黄、黄连、黄芩，为客者逐之，抑阳救阴也。强阳暴热，眼肿翳蚀，头痛如
破，此方主之。
诗曰∶三黄合本泛胡羌，人定风蓬不用防，何日当归杭芍地，红花摇落细辛香。
柴胡、山栀、羌活、升麻、甘草、黄连、泽泻、赤茯苓、赤芍药、草决明、车前子、黄芩、竹叶。
积热（体内长期郁积的热邪）必然导致溃烂，此方主治该证。
“积”，是指重叠凝聚的状态；热邪在此状态下酝酿成为邪毒。邪气深入且运行不畅，积聚日久不散，形势上不得不溃破。其病症表现为眼睑潮湿不适，视物轻微昏花，内眼角孔窍如针孔大小，按压时有脓液渗出，本经（《黄帝内经》等中医经典）称之为漏睛（慢性泪囊炎）。治疗应当先理清阳之气，所以使用柴胡、羌活、茯苓、甘草。其次泄除浊阴之邪，所以使用草决明、升麻、车前子、泽泻；总括起来破除积滞的，必须通利开窍，黄芩、黄连、大黄即是此类药物；清除热邪的，必须用苦寒之品，赤芍、山栀、竹叶即是此类药物。服药后眼睛虽然稍有好转，但转而感觉便秘烦闷冤屈，这是因为火邪已经下降，只需以杏仁一两、大黄二两、山栀仁四两，制成蜜丸。早晚服用二三钱，应当有效。因为杏仁微寒可治烦闷，这是由烦热所致；山栀、大黄苦寒而通利，可治便秘，这是由秘结和积滞未解所致。引申而言，不仅仅是漏睛，凡是风毒、流毒所致的眼病都适合此方对症使用。
诗曰：连草大黄竹叶青，升时遥望决睛明，条芩赤芍通山泽，谁向羌胡觅茯苓。
人参、百合、当归、地黄、柴胡、防风、羌活、细辛、藁本、红花、赤芍、大黄、黄连、黄芩。
上方使用当归、地黄、百合、人参，是为了对亏损者进行温补，以培补宗气（人体正气之本）。使用柴胡、防风、羌活、细辛、藁本，是为了对郁结者进行疏散，以升发并驱散风邪。使用红花、赤芍、大黄、黄连、黄芩，是为了驱逐客邪（外来致病因素），以抑制亢盛的阳热、救护阴液。强盛的阳热暴起，导致眼睑肿胀、翳膜侵蚀、头痛剧烈如破裂感，此方主治该证。
Chai Hu (Radix Bupleuri), Shan Zhi (Fructus Gardeniae), Qiang Huo (Rhizoma Notopterygii), Sheng Ma (Rhizoma Cimicifugae), Gan Cao (Radix Glycyrrhizae), Huang Lian (Rhizoma Coptidis), Ze Xie (Rhizoma Alismatis), Chi Fu Ling (Poria with Red Hosta Root), Chi Shao Yao (Radix Paeoniae Rubra), Cao Jue Ming (Semen Cassiae), Che Qian Zi (Semen Plantaginis), Huang Qin (Radix Scutellariae), Zhu Ye (Folium Bambusae).
Ji Re (accumulated heat) inevitably leads to ulceration; this formula is indicated for such conditions.
"Ji" refers to a state of overlapping and coalescence; when heat ferments within this state, it transforms into pathogenic toxins. When pathogens are deep-seated and their movement is obstructed, prolonged accumulation that fails to dissipate inevitably leads to rupture. The symptoms include dampness and discomfort in the eyelids, slight blurring of vision, and an opening at the inner canthus resembling a pinhole, from which pus exudes upon pressure. This classic text refers to it as Lou Jing (chronic dacryocystitis). Treatment should first clarify the clear yang qi; therefore, Chai Hu, Qiang Huo, Fu Ling, and Gan Cao are used. Secondly, turbid yin should be drained; thus, Cao Jue Ming, Sheng Ma, Che Qian Zi, and Ze Xie are employed. To generally break up the accumulation, one must open orifices and promote drainage; Huang Qin, Huang Lian, and Da Huang serve this purpose. To eliminate heat, bitter-cold herbs are necessary; Chi Shao Yao, Shan Zhi, and Zhu Ye fulfill this role. After taking the medicine, although the eyes may improve slightly, constipation and a sense of vexatious oppression may arise; this indicates that the fire has descended. One should then prepare pills using 1 liang of Xing Ren (Semen Armeniacae Amarum), 2 liang of Da Huang (Radix et Rhizoma Rhei), and 4 liang of Shan Zhi Ren (Semen Gardeniae), made with honey. Take 2-3 qian morning and evening; effectiveness is expected. Xing Ren is slightly cold and treats vexation caused by heat; Shan Zhi and Da Huang are bitter-cold and purgative, treating constipation caused by unresolved stagnation and accumulation. By extension, this formula is not only suitable for Lou Jing but also for any eye disease caused by wind-toxin or flowing-toxin.
Poem:
Lian Cao Da Huang Zhu Ye Qing,
Sheng Shi Yao Wang Jue Jing Ming,
Tiao Qin Chi Shao Tong Shan Ze,
Shui Xiang Qiang Hu Mi Fu Ling.
Ren Shen (Radix Ginseng), Bai He (Bulbus Lilii), Dang Gui (Radix Angelicae Sinensis), Di Huang (Radix Rehmanniae), Chai Hu (Radix Bupleuri), Fang Feng (Radix Saposhnikoviae), Qiang Huo (Rhizoma Notopterygii), Xi Xin (Herba Asari), Ben Cao (Radix Ligustici Wallichii), Hong Hua (Flos Carthami), Chi Shao (Radix Paeoniae Rubra), Da Huang (Radix et Rhizoma Rhei), Huang Lian (Rhizoma Coptidis), Huang Qin (Radix Scutellariae).
The upper formula uses Dang Gui, Di Huang, Bai He, and Ren Shen to warm those who are deficient, thereby cultivating the Zong Qi (pectoral qi). It employs Chai Hu, Fang Feng, Qiang Huo, Xi Xin, and Ben Cao to disperse those who are knotted, thereby ascending and dispersing wind pathogens. It utilizes Hong Hua, Chi Shao, Da Huang, Huang Lian, and Huang Qin to expel guest pathogens, thereby suppressing hyperactive yang and saving yin. For conditions where strong yang and sudden heat cause eyelid swelling, corneal erosion, and severe headache as if bursting, this formula is indicated.
Poem:
San Huang He Ben Fan Hu Qiang,
Ren Ding Feng Peng Bu Yong Fang,
He Ri Dang Gui Hang Shao Di,
Hong Hua Yao Luo Xi Xin Xiang.