小儿生赘生睑内，初小渐大隐摩瞳，赤涩泪多脾胃热，钩割 洗去瘀红，清胃散用车
前子，膏军柴桔黑芩风。
【注】小儿生赘之证，生于眼胞之内，初起如麻子，久则渐长如豆，隐摩瞳仁，赤涩
泪出。此乃脾胃积热上壅所致。先用手法或钩割或 洗，散去外瘀；后用清胃散，清其内热。
清胃散方
车前子 石膏 大黄 柴胡 桔梗 黑参 黄芩 防风（各一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
小儿疳眼肝脾病，肿疼涩泪翳遮瞳，咬甲揉鼻合面卧，肥儿神麦荑连同。
【注】小儿疳眼者，初因饮食伤脾，久则肝热上冲，肿痛难开，隐涩泪多，渐生白膜，
云翳遮睛，外则 眉咬甲揉鼻，喜合面而卧，不喜抬头。宜用四味肥儿丸，久服即效。
四味肥儿丸方
神曲（炒） 麦芽（炒） 芜荑 黄连（炒，各等分）
上为细末，令匀，水糊为丸，桐子大，每服一钱，空心白汤送下。
小儿通睛因惊振，看东反西视斜偏，牛黄珠麝竺金黛，地龙苏附珀油蚕。
【注】小儿通睛之证，或因惊恐，或缘击振，致双目睛通，瞻视偏斜，看东反西，视
左反右。急用牛黄丸，疏风镇惊，久则即成
难治之证。
牛黄丸方
牛黄（三钱） 珍珠（三钱） 麝香（少许） 天竺黄（三钱） 金铂（为衣，量加） 青黛（三钱）
地龙（三钱） 苏合油（五钱） 白附子（炮，三钱） 琥珀（三钱） 香油（五钱） 僵蚕（三钱）
以上九味，各另研极细，共为一处，用细甘草梢一两煎汁，次入苏合油香油兑均，和
药为丸，黄豆大，金铂为衣，薄荷汤化下一丸。忌一切酒面、辛热、生痰等物。
小儿眼内长出赘生物，起初较小，逐渐增大并摩擦瞳孔，伴有眼部发红、干涩及流泪过多，这是脾胃有热的表现。治疗时先用钩割或清洗的方法去除瘀滞的红肿，随后使用清胃散，方中包含车前子、大黄、柴胡、桔梗、黑参（玄参）、黄芩和防风。
【注】小儿眼内生赘的病症，发生在眼睑内部，初起时像麻子一样小，时间久了逐渐长大如豆子大小，隐蔽地摩擦瞳仁，导致眼睛发红、干涩、流泪。这是由于脾胃积热向上壅塞所致。先用手法，或者钩割或者清洗，散去外部的瘀血；后用清胃散，清除内部的积热。
清胃散方剂组成：
车前子、石膏、大黄、柴胡、桔梗、黑参、黄芩、防风（各一钱）
以上药材研成粗末，用水两盏，煎煮至一盏，饭后去渣温服。
小儿疳眼病源于肝脾失调，表现为眼部肿胀、疼痛、干涩、流泪，且有翳膜遮挡瞳孔，伴有咬指甲、揉鼻子、喜欢趴着睡等症状。治疗宜用肥儿丸，包含神曲、麦芽、芜荑等成分。
【注】小儿疳眼病，起初是因为饮食损伤脾胃，日久则肝热上冲，导致眼睛肿痛难以睁开，隐痛干涩且流泪多，逐渐生出白膜，云翳遮蔽眼球，外部症状包括皱眉、咬指甲、揉鼻子，喜欢趴着睡觉，不喜欢抬头。适宜服用四味肥儿丸，长期服用即可见效。
四味肥儿丸方剂组成：
神曲（炒制）、麦芽（炒制）、芜荑、黄连（炒制，各等分）
以上药材研成细末，混合均匀，用水糊制作成丸药，大小如梧桐子，每次服用一钱，空腹时用白开水送服。
小儿通睛症是由于受惊震动所致，表现为看东边却向西看，视线斜偏。治疗需用牛黄丸，方中包含牛黄、珍珠、麝香、天竺黄、金箔、青黛、地龙、苏合油、附子、琥珀、香油和僵蚕。
【注】小儿通睛的病症，可能是因为惊恐，也可能是因为击打震动，导致双眼眼球向内对视，注视方向偏斜，看东边反而看向西边，看左边反而看向右边。急需使用牛黄丸，以疏风镇惊，若拖延不治则容易变成难治之证。
牛黄丸方剂组成：
牛黄（三钱）、珍珠（三钱）、麝香（少许）、天竺黄（三钱）、金铂（作为包衣，适量添加）、青黛（三钱）、地龙（三钱）、苏合油（五钱）、白附子（炮制，三钱）、琥珀（三钱）、香油（五钱）、僵蚕（三钱）
以上九味药材，分别单独研磨成极细粉末，混合在一起，用细甘草梢一两煎煮成的汁液，再加入苏合油和香油搅拌均匀，调和药粉制成丸药，大小如黄豆，用金铂作为包衣，用薄荷汤化开一丸服用。忌食一切酒类、面食、辛辣温热及生痰的食物。
Pediatric eyelid growths originate inside the eyelids; initially small, they gradually enlarge and obscurely rub against the pupil. Redness, dryness, and excessive tearing indicate Spleen-Stomach Heat (Pi Wei Re). Treatment involves hook-cutting or washing to remove stasis and redness, followed by Qingwei San (Clear Stomach Powder) containing Cheqianzi (Plantago Seed), Dajun (Rhubarb), Chaihu (Bupleurum Root), Jiegeng (Platycodon Root), Heiqin (Scrophularia Root), Huangqin (Scutellaria Root), and Feng (Saposhnikovia Root).
[Note] The condition of pediatric eyelid growths occurs within the eyelids. Initially resembling a hemp seed, it gradually grows to the size of a bean over time, obscuring and rubbing against the pupil, causing redness, dryness, and tearing. This is caused by accumulated Heat in the Spleen and Stomach obstructing upwards. First, use manual techniques, either hook-cutting or washing, to dissipate external blood stasis; then use Qingwei San (Clear Stomach Powder) to clear internal Heat.
Formula: Qingwei San (Clear Stomach Powder)
Cheqianzi (Plantaginis Semen), Shigao (Gypsum Fibrosum), Dahuang (Rhei Radix et Rhizoma), Chaihu (Bupleuri Radix), Jiegeng (Platycodi Radix), Shenjin (Scrophulariae Radix), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix) (each 1 qian).
Grind into coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Pediatric Gan Eye (Malnutrition Eye) stems from Liver-Spleen pathology, presenting with swelling, pain, dryness, tearing, and nebula covering the pupil. Symptoms include nail-biting, nose-rubbing, and prone sleeping. Treatment uses Fei'er Wan (Fetus-Enriching Pill), incorporating Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), and Tiyi (Meliosmae Fructus).
[Note] Pediatric Gan Eye (Malnutrition Eye) initially arises from dietary injury to the Spleen. Over time, Liver Heat rushes upward, causing severe swelling and pain that makes opening the eyes difficult, along with dull pain, dryness, and excessive tearing. A white membrane gradually forms, with nebula obscuring the cornea. External signs include frowning, nail-biting, nose-rubbing, a preference for prone sleeping, and reluctance to lift the head. Siwei Fei'er Wan (Four-Ingredient Fetus-Enriching Pill) is suitable; long-term administration yields efficacy.
Formula: Siwei Fei'er Wan (Four-Ingredient Fetus-Enriching Pill)
Shenqu (Fermented Mass of Medicinal Substances) (stir-fried), Maiya (Germinated Barley Fruit) (stir-fried), Wuyi (Meliosmae Fructus), Huanglian (Coptidis Rhizoma) (stir-fried) (equal parts).
Grind into fine powder, mix evenly, bind with water paste to form pills the size of tung tree seeds. Take 1 qian per dose, administered on an empty stomach with plain boiled water.
Pediatric strabismus (Tongjing) results from fright and shock, characterized by looking east but seeing west, and oblique gaze. Niu Huang Wan (Calculus Bovis Pill) is used, containing Niuhuang (Calculus Bovis), Zhenzhu (Margarita), Shexiang (Moschus), Tianzhuhuang (Calami Tuber), Jinbo (Laminam Aurum), Qingdai (Indigo Naturalis), Dilong (Pheretima), Suheyou (Styrax), Fuzi (Aconiti Lateralis Radix Praeparata), Hupo (Electrum), Xiangyou (Sesamum Oleum), and Jiangcan (Bombyx Batryticatus).
[Note] The condition of pediatric strabismus may be due to fright or physical shock, causing both eyeballs to turn inward, with deviated gaze—looking east but seeing west, looking left but seeing right. Urgently use Niu Huang Wan (Calculus Bovis Pill) to dispel Wind and calm fright; if neglected, it becomes difficult to treat.
Formula: Niu Huang Wan (Calculus Bovis Pill)
Niuhuang (Calculus Bovis) (3 qian), Zhenzhu (Margarita) (3 qian), Shexiang (Moschus) (a small amount), Tianzhug Huang (Calami Tuber) (3 qian), Jinbo (Laminam Aurum) (as coating, appropriate amount), Qingdai (Indigo Naturalis) (3 qian), Dilong (Pheretima) (3 qian), Suheyou (Styrax) (5 qian), Baifuzi (Typhonii Rhizoma) (processed, 3 qian), Hupo (Electrum) (3 qian), Xiangyou (Sesamum Oleum) (5 qian), Jiangcan (Bombyx Batryticatus) (3 qian).
The above nine ingredients are each ground separately into extremely fine powder and mixed together. Decoct 1 liang of fine Licorice Root tip (Gancao Gao) in water, add Suheyou (Styrax) and Sesame Oil, mix evenly, and combine with the medicinal powder to form pills the size of soybeans. Coat with Laminam Aurum (Gold Leaf). Dissolve one pill in Mint Decoction (Bohe Tang) for administration. Avoid all alcohol, wheat products, spicy and hot foods, and phlegm-producing substances.