睑硬睛疼胞肿硬，瘀血翳膜目睛疼，膈中积热肝风盛，外涂 肿 瘀红，凉膈硝黄车
前黑，黄芩知母栀仁茺。
【注】睑硬睛疼，初患之时，时觉疼胀，久则睑胞肿硬，睛珠疼痛。此缘膈中积热，肝
经风毒，上冲于目。宜 洗去瘀，外涂 肿膏，内服凉膈散。
肿膏（方见卷末）
凉膈散方
芒硝 大黄 车前子（各一钱） 黑参（一钱半） 黄芩 知母 栀子（炒） 茺蔚子（各一钱）
上为粗末，以水二盏，煎至一盏，食后温服。
赤膜下垂覆睛瞳，赤膜从气下垂风，此属肝肺热冲眼，泪流痛痒如朱红，羚羊知母
黄芩黑，桔梗柴胡栀子茺。
【注】赤膜下垂，初患之时，气轮上边起赤膜一片，垂至风轮，下覆瞳仁。缘肝、肺
之热，冲于眼内，致生赤膜，泪流痛痒。宜服羚羊饮。
羚羊饮
羚羊角（镑，一钱五分） 知母 黄芩 黑参
桔梗 柴胡 栀子（炒，各一钱） 茺蔚子（二钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
黄膜一片气轮起，上冲风轮覆盖瞳，赤涩泪眵疼痛极，此因脾胃热风攻。通脾泻胃
黄芩黑，防军知母栀膏茺，立应白芷羊踯躅，鹅不食草麝归雄。
【注】黄膜上冲，自气轮而起，一片黄膜，从下直冲风轮，上掩瞳仁。乃脾胃风热，上
冲于眼，致生黄膜，泪流赤涩，疼痛极甚。宜通脾泻胃汤，外 立应散。
通脾泻胃汤方
黄芩（一钱五分） 黑参 防风 大黄 知母（炒） 栀子（炒，各一钱） 石膏（ ，二钱） 茺蔚子（二钱）
上为粗末，以水二盏，煎至一盏，食远去渣温服。
立应散方
白芷 羊踯躅花（减半） 鹅不食草（洗净晒干） 麝香（少许） 当归 雄黄（另研后入，各等分）
上为细末，每用少许，含水 鼻内，去尽浊涕泪出为度。
眼睑僵硬、眼球疼痛，胞睑肿胀且质地坚硬，这是瘀血形成的翳膜导致眼部疼痛。由于胸膈部位积热，肝经风邪亢盛，外部涂抹药物以消退肿胀和瘀血引起的红肿。方剂选用凉膈散，包含芒硝、大黄、车前子、黑参（玄参）、黄芩、知母、栀子仁、茺蔚子。
【注释】眼睑僵硬、眼球疼痛，在发病初期，时常感觉疼痛和胀满；日久则胞睑肿胀坚硬，眼球珠体疼痛。这是因为胸膈中积聚热邪，肝经的风毒之气上冲于目所致。适宜使用洗眼药去除瘀滞，外部涂抹消肿膏，内部服用凉膈散。
凉膈散方
芒硝、大黄、车前子（各一钱），黑参（一钱半），黄芩、知母、栀子（炒制）、茺蔚子（各一钱）。
将上述药材捣成粗末，用水两盏，煎煮至一盏，饭后温服。
赤膜下垂覆盖瞳孔，赤膜从气轮向下垂落，伴有风邪。这属于肝肺热邪上冲眼睛，表现为流泪、疼痛、瘙痒，颜色如朱砂般鲜红。方剂选用羚羊角、知母、黄芩、黑参（玄参）、桔梗、柴胡、栀子、茺蔚子。
【注释】赤膜下垂，在发病初期，气轮（白睛）上方出现一片赤膜，垂至风轮（黑睛），下方覆盖瞳仁。这是由于肝、肺的热邪，冲入眼内，导致生成赤膜，出现流泪、疼痛、瘙痒等症状。适宜服用羚羊饮。
羚羊饮方
羚羊角（镑片，一钱五分），知母、黄芩、黑参（玄参），桔梗、柴胡、栀子（炒制，各一钱），茺蔚子（二钱）。
将上述药材捣成粗末，用水两盏，煎煮至一盏，饭后去渣滓温服。
黄膜一片从气轮升起，向上冲至风轮并覆盖瞳孔，眼睛发红、干涩、流泪、分泌物多且疼痛剧烈，这是由于脾胃风热攻冲所致。方剂选用通脾泻胃汤，包含黄芩、黑参（玄参）、防风、大黄、知母、栀子、石膏、茺蔚子。另有立应散，包含白芷、羊踯躅花、鹅不食草、麝香、当归、雄黄。
【注释】黄膜上冲，从气轮开始，形成一片黄膜，从下方向上直冲风轮，上方掩盖瞳仁。这是脾胃的风热之邪，上冲于眼，导致生成黄膜，出现流泪、眼睛发红干涩，疼痛极其严重。适宜服用通脾泻胃汤，外部使用立应散。
通脾泻胃汤方
黄芩（一钱五分），黑参（玄参）、防风、大黄、知母（炒制）、栀子（炒制，各一钱），石膏（煅制，二钱），茺蔚子（二钱）。
将上述药材捣成粗末，用水两盏，煎煮至一盏，饭后远离食物时间去渣滓温服。
立应散方
白芷、羊踯躅花（用量减半）、鹅不食草（洗净晒干）、麝香（少许）、当归、雄黄（单独研磨后加入，各等分）。
将上述药材研成细末，每次取少量，含清水滴入鼻内，直到浊涕和眼泪排尽为止。
Eyelid stiffness and eye pain, with swollen and hard eyelids, indicate pain in the eyeball caused by blood stasis forming an nebula (corneal opacity). This is due to accumulated heat in the chest and diaphragm and hyperactive wind pathogen in the Liver channel. External application of ointment reduces swelling and redness from blood stasis. The internal formula is Liangge San (Cool the Diaphragm Powder), containing Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Cheqianzi (Plantaginis Semen), Heishen (Scrophulariae Radix, also known as Xuanshen), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Zhizi (Gardeniae Fructus), and Chongweizi (Leonuri Fructus).
[Note] Eyelid stiffness and eye pain: at the onset, there is often a sensation of pain and distension; over time, the eyelids become swollen and hard, and the eyeball hurts. This originates from accumulated heat in the diaphragm and wind-toxin in the Liver channel rushing upward to the eyes. It is appropriate to use an eye wash to remove blood stasis, apply external ointment for swelling, and internally administer Liangge San.
Liangge San Formula
Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Cheqianzi (Plantaginis Semen) (each 1 qian); Heishen (Scrophulariae Radix) (1.5 qian); Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Zhizi (Gardeniae Fructus, stir-fried), Chongweizi (Leonuri Fructus) (each 1 qian).
Grind into coarse powder. Decoct with two cups of water until reduced to one cup. Take warm after meals.
Red membrane drooping covers the pupil. The red membrane descends from the Qi wheel (sclera/conjunctiva) accompanied by wind. This belongs to heat rushing to the eyes from the Liver and Lungs, manifesting as tearing, pain, itching, and a vermilion-red color. The formula includes Lingyangjiao (Capris Cornu), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Heishen (Scrophulariae Radix), Jiegeng (Platycodonis Radix), Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), and Chongweizi (Leonuri Fructus).
[Note] Red membrane drooping: at the onset, a patch of red membrane appears on the upper part of the Qi wheel (conjunctiva/sclera), droops down to the Feng wheel (cornea/iris), and covers the pupil below. This is caused by heat from the Liver and Lungs rushing into the eyes, generating the red membrane, leading to tearing, pain, and itching. It is appropriate to take Lingyang Yin.
Lingyang Yin Formula
Lingyangjiao (Capris Cornu, sliced) (1.5 qian); Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Heishen (Scrophulariae Radix); Jiegeng (Platycodonis Radix), Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus, stir-fried) (each 1 qian); Chongweizi (Leonuri Fructus) (2 qian).
Grind into coarse powder. Decoct with two cups of water until reduced to one cup. Strain and take warm after meals.
A sheet of yellow membrane arises from the Qi wheel, rushes upward to cover the Feng wheel and pupil. The eyes are red, dry, tearing, with discharge, and severe pain. This is due to wind-heat attacking from the Spleen and Stomach. The formula is Tongpi Xiewei Tang (Unblock the Spleen and Drain the Stomach Decoction), containing Huangqin (Scutellariae Radix), Heishen (Scrophulariae Radix), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma), Zhizi (Gardeniae Fructus), Shigao (Gypsum Fibrosum), and Chongweizi (Leonuri Fructus). There is also Liying San (Instant Response Powder), containing Baizhi (Angelicae Dahuricae Radix), Yangzhizhu (Daphnes Genkwa Flower), Ebusicao (Centipedae Herba), Shexiang (Moschus), Danggui (Angelicae Sinensis Radix), and Xionghuang (Realgar).
[Note] Yellow membrane rushing upward: starting from the Qi wheel, a sheet of yellow membrane rushes directly upward from below to the Feng wheel, covering the pupil above. This is wind-heat from the Spleen and Stomach rushing upward to the eyes, causing the yellow membrane, tearing, redness, dryness, and extreme pain. It is appropriate to take Tongpi Xiewei Tang and externally apply Liying San.
Tongpi Xiewei Tang Formula
Huangqin (Scutellariae Radix) (1.5 qian); Heishen (Scrophulariae Radix), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma, stir-fried), Zhizi (Gardeniae Fructus, stir-fried) (each 1 qian); Shigao (Gypsum Fibrosum, calcined) (2 qian); Chongweizi (Leonuri Fructus) (2 qian).
Grind into coarse powder. Decoct with two cups of water until reduced to one cup. Strain and take warm after meals, away from food intake.
Liying San Formula
Baizhi (Angelicae Dahuricae Radix), Yangzhizhu (Daphnes Genkwa Flower, reduce dose by half), Ebusicao (Centipedae Herba, washed and sun-dried), Shexiang (Moschus, a small amount), Danggui (Angelicae Sinensis Radix), Xionghuang (Realgar, separately ground and added) (equal parts).
Grind into fine powder. Use a small amount each time, hold clear water in the mouth, and drip into the nose. Continue until turbid nasal discharge and tears are completely expelled.