撞刺生翳遗刺痕，日久血瘀障翳生，赤脉涩疼经效散，柴军归芍草犀同。
【注】撞刺生翳之证，或被竹木签刺成疮，因治疗不净，留痕日久，瘀血凝积，遂生翳
膜，赤脉满目，涩痛泪出。宜用经效散，清热散瘀也。
经效散方
柴胡（二钱） 大黄（一钱） 当归尾（一钱） 赤芍药（一钱） 甘草梢（五分） 犀角（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
痛如针刺心火炽，睛珠如同针刺疼，头疼目眩眼系急，针后八正草栀灯，桑车 蓄
滑生地，竹叶生军瞿麦通。
【注】痛如针刺，乃心经毒火上炽，睛珠忽然极痛，犹如针刺，微带头疼目眩，眼系
紧急。先宜火针刺太阳穴，外散其邪；后服加味八正散，内泄其热也。
加味八正散方
甘草 栀子 灯心草 桑白皮 车前子 蓄 滑石 生地黄 苦竹叶 大黄 瞿麦 木通（各等分）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
眼痒皆因肝胆风，痒生 睑黑白睛。外用广大重明洗，内服荆防羌乌芎。
【注】眼痒之证，皆因肝、胆二经风邪冲发所致。或在睑边 内，甚则痒连睛珠，痒
极难忍。外以广大重明汤熏洗，内服驱风一字散，疏散风邪。
广大重明汤（方见卷末）
驱风一字散方
荆芥穗（五钱） 防风（二两五钱） 羌活（二两五钱） 川乌（炮，五钱） 川芎（五钱）
上为细末，令匀，每服二钱，食后薄荷汤调下。
撞刺生翳歌：因撞击或针刺导致角膜生出云翳，遗留有刺伤痕迹；日久形成血瘀，进而产生障翳。若见赤脉涩痛，宜用经效散治疗，方中包括柴胡、大黄、当归尾、赤芍药、甘草梢和犀角。
【注】所谓“撞刺生翳”之证，多因被竹木签等物刺伤成疮，因治疗不彻底，遗留疤痕日久，瘀血凝积，遂生成翳膜，表现为满眼赤脉，伴有涩痛及流泪。适宜使用经效散，以清热散瘀。
经效散方
柴胡（二钱） 大黄（一钱） 当归尾（一钱） 赤芍药（一钱） 甘草梢（五分） 犀角（一钱）
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
痛如针刺歌：疼痛如针刺感，乃心火炽盛所致；眼球如同被针刺般剧痛；伴有头痛、目眩及眼系紧急。针后服用加味八正散，方中包含车前子、萹蓄、滑石、生地黄、竹叶、大黄和瞿麦。
【注】疼痛如针刺，乃是心经毒火上炎，致使眼球忽然剧烈疼痛，犹如针刺，轻微伴有头痛、目眩及眼系紧急。先宜用火针刺太阳穴，以疏散外邪；随后服用加味八正散，以清泄内热。
加味八正散方
甘草 栀子 灯心草 桑白皮 车前子 萹蓄 滑石 生地黄 苦竹叶 大黄 瞿麦 木通（各等分）
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
眼痒歌：眼痒皆因肝胆风邪所致；瘙痒生于眼睑内外及黑白睛部位。外用广大重明汤清洗，内服荆防羌乌芎（即驱风一字散）。
【注】眼痒之证，皆因肝、胆二经受风邪冲发所致。或在眼睑边及睑内，甚则瘙痒牵连眼球，痒极难忍。外用广大重明汤熏洗，内服驱风一字散，以疏散风邪。
广大重明汤（方剂见卷末）
驱风一字散方
荆芥穗（五钱） 防风（二两五钱） 羌活（二两五钱） 川乌（炮制，五钱） 川芎（五钱）
以上药材研为细末，令其均匀，每次服用二钱，饭后用薄荷汤调服。
Song on Corneal Opacity Caused by Trauma: Corneal opacity arises from trauma or puncture, leaving behind marks of the injury; over time, blood stasis forms, leading to the development of visual obstructions. If red vessels and astringent pain are present, Jingxiao San (Classic Efficacy Powder) should be used, which contains Chai Hu (Bupleuri Radix), Da Huang (Rhei Radix et Rhizoma), Dang Gui Wei (Angelicae Sinensis Radix caudex), Chi Shao Yao (Paeoniae Radix Rubra), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma extremity), and Xi Jiao (Rhino Ceratosis).
[Note] The condition of "corneal opacity caused by trauma" often results from wounds inflicted by bamboo or wooden splinters. Due to incomplete treatment, scars remain for a long time, causing blood stasis to accumulate and form opacities. This presents with red vessels throughout the eye, accompanied by astringent pain and tearing. Jingxiao San is suitable to clear heat and dissipate stasis.
Jingxiao San Formula
Chai Hu (2 qian) Da Huang (1 qian) Dang Gui Wei (1 qian) Chi Shao Yao (1 qian) Gan Cao Shao (0.5 qian) Xi Jiao (1 qian)
Grind the above ingredients into a coarse powder. Decoct with two cups of water until reduced to one cup. Strain and take warm after meals.
Song on Needle-like Pain: Needle-like pain indicates blazing Heart Fire; the eyeball feels as if pierced by a needle; accompanied by headache, vertigo, and tension in the eye meridians. After acupuncture, Jiawei Bazheng San (Modified Eight-Positive Powder) should be taken, containing Che Qian Zi (Plantaginis Semen), Bian Xu (Polygoni Avicularis Herba), Hua Shi (Talcum), Sheng Di Huang (Rehmanniae Radix Praeparata), Zhu Ye (Bambusae Folium), Da Huang (Rhei Radix et Rhizoma), and Qu Mai (Dianthi Herba).
[Note] Needle-like pain is caused by toxic fire blazing in the Heart meridian, resulting in sudden severe pain in the eyeball as if pierced, slightly accompanied by headache, vertigo, and tension in the eye meridians. Initially, fire needling at Taiyang (Ex-HN5) should be used to disperse external pathogens; subsequently, Jiawei Bazheng San should be taken to drain internal heat.
Jiawei Bazheng San Formula
Gan Cao (Licorice Root) Zhi Zi (Gardeniae Fructus) Deng Xin Cao (Junci Medullae) Sang Bai Pi (Mori Cortex) Che Qian Zi (Plantaginis Semen) Bian Xu (Polygoni Avicularis Herba) Hua Shi (Talcum) Sheng Di Huang (Rehmanniae Radix Praeparata) Ku Zhu Ye (Bambusae Folium) Da Huang (Rhei Radix et Rhizoma) Qu Mai (Dianthi Herba) Mu Tong (Akebiae Caulis) (equal parts)
Grind the above ingredients into a coarse powder. Decoct with two cups of water until reduced to one cup. Strain and take warm after meals.
Song on Itchy Eyes: Itchiness in the eyes is due to Wind pathogen in the Liver and Gallbladder; itching occurs in the eyelids and the sclera/cornea. Externally wash with Guangda Zhongming Tang (Broad and Heavy Brightening Decoction); internally take Jing Fang Qiang Wu Xiong (Jing Jie, Fang Feng, Qiang Huo, Chuan Wu, Chuan Xiong).
[Note] Itchiness in the eyes is caused by Wind pathogen attacking the Liver and Gallbladder meridians. It may occur at the eyelid margins or inside the eyelids, and in severe cases, the itch extends to the eyeball, becoming unbearable. Externally fumigate and wash with Guangda Zhongming Tang; internally take Qufeng Yizi San (Wind-Dispersing One-Character Powder) to disperse Wind pathogen.
Guangda Zhongming Tang (Formula see end of volume)
Qufeng Yizi San Formula
Jing Jie Sui (Schizonepetae Spica) Fang Feng (Saposhnikoviae Radix) Qiang Huo (Notopterygii Rhizoma et Radix) Chuan Wu (Aconiti Radix Preparata, processed) Chuan Xiong (Ligustici Chuanxiong Rhizoma) (5 qian each for Jing Jie Sui, Chuan Wu, Chuan Xiong; 2 liang 5 qian each for Fang Feng, Qiang Huo)
Grind the above ingredients into a fine powder, ensuring uniformity. Take 2 qian per dose, mixed with Bo He Tang (Mint Decoction) after meals.