暴赤生翳心肝病，风热上壅痛难当，赤肿热泪羞明痒，最宜 洗出血良。初起先用芦
根饮，黑连硝黄芩与防，去翳镇肝 石决，辛薯参苓车味羌。
【注】暴赤生翳，其证赤肿生翳，痒痛难当，时流热泪羞明，乃心、肝二经风热，上
壅攻目所致。宜 洗出血，服芦根饮子，清其内热，后服镇肝丸。 音廉。 者，或以针锋
微刺之，或以灯心草微刮之也。
芦根饮子
芦根（一钱） 黑参（一钱五分） 黄连（一钱） 芒硝（一钱） 大黄（一钱） 黄芩（一钱五分）
防风（一钱）
上为粗末，以水二盏，煎至一盏，食后，去渣温服。
镇肝丸方
本（一两五钱） 石决明（ ，二两） 细辛（三钱） 山药（炒） 人参 茯苓 车前子（各一两）
五味子（三钱） 羌活（一两）
上罗为细末，炼蜜为丸，如桐子大，空心茶清送下三钱。
血灌瞳仁目睛痛，犹如血灌色相同，胆汁肝血因热耗，血为火迫灌睛瞳。急用止痛
没药散，硝黄血竭引茶清，痛止大黄当归散，贼芩栀子菊苏红。
【注】血灌瞳仁，目睛疼痛，瞳仁如血灌红色。缘肝血热耗，胆汁皆亏，血因火迫，灌
入瞳中。宜服止痛没药散，止疼后，服大黄当归散。
止痛没药散方
没药（二两） 芒硝（一两半） 大黄（一两半） 血竭（一两）
上捣筛为细末，食后热茶清调下一钱。
大黄当归散方
大黄（一两） 当归（二钱） 木贼（一两） 黄芩（一两） 栀子（五钱） 菊花（三钱） 苏木（五钱）
红花（八钱）
上为细末令匀，每服二钱，食远茶清调下。
暴赤生翳（急性红眼伴角膜混浊）源于心、肝二经病变，风热之邪上壅头部，导致疼痛剧烈难忍。眼部红肿、热泪盈眶、畏光、瘙痒，最适宜使用洗出血良方进行清洗。疾病初起时，先服用芦根饮（Reed Rhizome Decoction），方中含有黑参（Black Ginseng）、黄连（Coptis Rhizome）、芒硝（Mirabilite）、大黄（Rhubarb Root and Rhizome）、黄芩（Scutellaria Root）和防风（Saposhnikovia Root）。去除翳膜并平抑肝阳，可选用镇肝丸（Liver-Calming Pill），方中含有石决明（Abalone Shell）、辛夷（Magnolia Flower）、山药（Chinese Yam）、人参（Ginseng Root）、茯苓（Poria）、车前子（Plantago Seed）、五味子（Schisandra Fruit）和羌活（Notopterygium Root）。
【注】暴赤生翳的证候表现为眼睛红肿、生翳，瘙痒和疼痛难以忍受，时常流出热泪且畏光，这是由心、肝两经的风热之邪上壅攻冲目窍所致。适宜使用洗出血良方清洗，随后服用芦根饮子以清除内部热邪，之后再服用镇肝丸。“洗”字读音同“廉”。所谓“洗”，是指用针尖轻微刺破患处，或用灯心草轻轻刮拭患处。
芦根饮子方：
芦根（一钱）、黑参（一钱五分）、黄连（一钱）、芒硝（一钱）、大黄（一钱）、黄芩（一钱五分）、防风（一钱）。
以上药材捣成粗末，用水两盏，煎煮至一盏，饭后去渣温服。
镇肝丸方：
本（一两五钱，此处疑为“木贼”或特定草药，原文作“本”，暂保留原意或指代不明草药，结合上下文及常见方剂可能指代某味药，但依原文提取）、石决明（二两）、细辛（三钱）、山药（炒制）、人参、茯苓、车前子（各一两）、五味子（三钱）、羌活（一两）。
以上研罗为细末，用炼蜜制成丸剂，大小如梧桐子大，空腹时用茶清送服三钱。
血灌瞳仁（前房积血）导致眼球疼痛，犹如血液灌注其中，颜色相同。因热邪耗伤胆汁和肝血，血液被火邪逼迫而灌注入瞳孔区域。急需使用止痛没药散（Myrrh Pain-Relieving Powder），方中含有硝黄（芒硝与大黄）和血竭（Dragon's Blood），引药以茶清送下。疼痛停止后，服用大黄当归散（Rhubarb and Angelica Decoction），方中含有贼芩（黄芩）、栀子（Gardenia Fruit）、菊花（Chrysanthemum Flower）、苏木（Sappan Wood）和红（红花 Safflower）。
【注】血灌瞳仁的证候表现为眼球疼痛，瞳孔区域呈现如血液灌注般的红色。原因是肝血因热而耗损，胆汁亏损，血液因火邪逼迫，灌入瞳中。适宜服用止痛没药散，疼痛止住后，再服用大黄当归散。
止痛没药散方：
没药（Myrrh, 二两）、芒硝（一两半）、大黄（一两半）、血竭（一两）。
以上捣碎筛细为粉末，饭后用热茶清调服一钱。
大黄当归散方：
大黄（一两）、当归（Angelica Sinensis Root, 二钱）、木贼（Equisetum Hiemale Stem, 一两）、黄芩（一两）、栀子（五钱）、菊花（三钱）、苏木（五钱）、红花（八钱）。
以上研为细末使其均匀，每次服用二钱，饭后较远时间用茶清调服。
Baochi Shengyi (Acute Red Eye with Corneal Opacity) originates from disorders of the Heart and Liver meridians. Wind-Heat pathogenic factors ascend and obstruct, causing severe and unbearable pain. The eyes are red and swollen, with hot tears flowing, photophobia, and itching. It is most suitable to use Xichuxueliang (Blood-Washing Good Remedy) for washing. In the initial stage, first administer Lugenyin (Reed Rhizome Decoction), which contains Heishen (Black Ginseng), Huanglian (Coptis Rhizome), Mangxiao (Mirabilite), Dahuang (Rhubarb Root and Rhizome), Huangqin (Scutellaria Root), and Fangfeng (Saposhnikovia Root). To remove opacity and calm the Liver, Zhen Gan Wan (Liver-Calming Pill) can be used, containing Shijueming (Abalone Shell), Xinyi (Magnolia Flower), Shanyao (Chinese Yam), Renshen (Ginseng Root), Fuling (Poria), Cheqianzi (Plantago Seed), Wuweizi (Schisandra Fruit), and Qianghuo (Notopterygium Root).
[Note] Baochi Shengyi presents with symptoms of redness, swelling, corneal opacity, unbearable itching and pain, frequent hot tears, and photophobia. This is caused by Wind-Heat in the Heart and Liver meridians ascending and attacking the eyes. It is appropriate to wash with Xichuxueliang, then take Lugenyin Zi to clear internal heat, followed by Zhen Gan Wan. The character "Xi" (Wash) is pronounced like "Lian". "Xi" refers to slightly pricking the affected area with a needle tip or gently scraping it with a rush pith.
Lugenyin Zi Formula:
Lugen (Reed Rhizome, 1 qian), Heishen (Black Ginseng, 1.5 qian), Huanglian (Coptis Rhizome, 1 qian), Mangxiao (Mirabilite, 1 qian), Dahuang (Rhubarb Root and Rhizome, 1 qian), Huangqin (Scutellaria Root, 1.5 qian), Fangfeng (Saposhnikovia Root, 1 qian).
Grind the above into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Zhen Gan Wan Formula:
Ben (1.5 liang - *Note: Original text says 'Ben', likely a typo or specific local herb, kept as literal*), Shijueming (Abalone Shell, 2 liang), Xixin (Asarum Root, 3 qian), Shanyao (Chinese Yam, stir-fried), Renshen (Ginseng Root), Fuling (Poria), Cheqianzi (Plantago Seed, each 1 liang), Wuweizi (Schisandra Fruit, 3 qian), Qianghuo (Notopterygium Root, 1 liang).
Sieve into fine powder. Make pills with refined honey, size of tung tree seeds. Take 3 qian on an empty stomach with clear tea.
Xueguan Tongren (Hyphema/Blood in Pupil) causes eye pain, resembling blood filling the eye, with identical coloration. Due to heat consuming bile and liver blood, blood is forced by fire to pour into the pupil area. Urgently use Zhengtong Moyao San (Myrrh Pain-Relieving Powder), containing Xiaohuang (Mirabilite and Rhubarb) and Xuexie (Dragon's Blood), guided by clear tea. After pain subsides, take Dahuang Danggui San (Rhubarb and Angelica Decoction), containing Zeiqin (Huangqin/Scutellaria), Zhizi (Gardenia Fruit), Juhua (Chrysanthemum Flower), Sumu (Sappan Wood), and Hong (Honghua/Safflower).
[Note] Xueguan Tongren presents with eye pain and a pupil area appearing red as if filled with blood. The cause is consumption of liver blood due to heat and deficiency of bile; blood is forced by fire to enter the pupil. It is appropriate to take Zhengtong Moyao San. After pain stops, take Dahuang Danggui San.
Zhengtong Moyao San Formula:
Moyao (Myrrh, 2 liang), Mangxiao (Mirabilite, 1.5 liang), Dahuang (Rhubarb Root and Rhizome, 1.5 liang), Xuexie (Dragon's Blood, 1 liang).
Pound and sieve into fine powder. Take 1 qian mixed with hot clear tea after meals.
Dahuang Danggui San Formula:
Dahuang (Rhubarb Root and Rhizome, 1 liang), Danggui (Angelica Sinensis Root, 2 qian), Muzei (Equisetum Hiemale Stem, 1 liang), Huangqin (Scutellaria Root, 1 liang), Zhizi (Gardenia Fruit, 5 qian), Juhua (Chrysanthemum Flower, 3 qian), Sumu (Sappan Wood, 5 qian), Honghua (Safflower, 8 qian).
Grind into uniform fine powder. Take 2 qian each time, mixed with clear tea taken well after meals.