肉攀睛大 起，初侵风轮久掩瞳，或痒或疼渐积浓，赤烂多年肺热壅。初起紫金
膏点效，久宜钩割熨烙攻，内服除风汤蔚桔，细辛连味大黄风。
【注】 肉攀睛之证，起于大 ，初则渐侵风轮，久则掩过瞳仁，或痒或痛，渐渐积
浓。此证多因赤烂年久，或肺经风热壅盛所致。初起可点紫金膏， 瘀自退；久则坚韧
难消，必须钩割熨烙后，服除风汤。
除风汤方
茺蔚子（一钱） 桔梗（一钱） 细辛（五分） 黄连（一钱） 五味子（五分） 大黄（一钱） 防风（一钱）
上为末，以水二盏，煎至一盏，食后去渣温服。
紫金膏（方见卷末）
鸡冠蚬肉内 生，胃心积热共肝风，或青或赤如鸡蚬，轻侵风轮重掩瞳。钩割后服
抽风桔，硝黄车黑细芩风，茺蔚丸芩石决黑，军苓山药地黄茺。
【注】鸡冠蚬肉之证，起于睥 之内，或青或赤，如鸡冠蚬肉之形，渐渐而长，从大 侵及风轮，
久则掩及全目。此乃脾胃积热，肝风上冲所致。先宜用手法钩割后，服抽风汤或茺蔚丸。
抽风汤方
桔梗（一钱） 芒硝（一钱五分） 大黄（一钱） 车前子（一钱） 黑参（一钱五分） 细辛（一钱）
黄芩（一钱五分） 防风（二钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
茺蔚丸方
黄芩（一两） 石决明（ ，一两） 黑参（一两） 大黄（一两） 茯苓（一两） 山药（炒，二两）
生地黄（一两五钱） 茺蔚子（二两）
上为细末，炼蜜为丸，桐子大，空心茶清下三钱。
肉攀睛症，起始于大眦（内眼角），初期逐渐侵犯风轮（黑眼球），日久则遮蔽瞳仁（瞳孔）。症状表现为或痒或痛，渐渐积聚脓液。若因赤烂（眼睑红肿溃烂）多年导致肺热壅盛所致，初起时点用紫金膏有效；病程长久者，适宜采用钩割、熨烙等手术方法攻治，内服除风汤，方中包含茺蔚子、桔梗、细辛、黄连、五味子、大黄、防风。
【注】肉攀睛这一病症，起始于大眦，起初逐渐侵犯风轮，日久则遮蔽超过瞳仁，或者痒或者痛，渐渐积聚脓液。此证多因赤烂年久不愈，或肺经风热壅盛所致。初起可点用紫金膏，瘀血自退；日久则组织坚韧难以消散，必须经过钩割、熨烙处理后，再服用除风汤。
除风汤方
茺蔚子（一钱） 桔梗（一钱） 细辛（五分） 黄连（一钱） 五味子（五分） 大黄（一钱） 防风（一钱）
以上药材研为末，用水两盏，煎煮至一盏，饭后去渣温服。
紫金膏（方剂见本书卷末）
鸡冠蚬肉症，生于脾睑（眼睑）之内，由胃心积热与肝风共同作用所致，颜色或青或赤，形状如鸡冠和蚬肉，轻者仅侵犯风轮，重者遮蔽瞳仁。钩割手术后服用抽风桔梗汤，方中含芒硝、大黄、车前子、黑参、细辛、黄芩、防风；或服用茺蔚丸，方中含黄芩、石决明、黑参、大黄、茯苓、山药、生地黄、茺蔚子。
【注】鸡冠蚬肉这一病症，起始于脾睑之内，颜色或青或赤，形状如同鸡冠和蚬肉，逐渐生长，从大眦侵犯及于风轮，日久则遮蔽整个眼睛。这是由于脾胃积热，肝风上冲所致。先宜采用手法钩割后，服用抽风汤或茺蔚丸。
抽风汤方
桔梗（一钱） 芒硝（一钱五分） 大黄（一钱） 车前子（一钱） 黑参（一钱五分） 细辛（一钱）
黄芩（一钱五分） 防风（二钱）
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
茺蔚丸方
黄芩（一两） 石决明（煅，一两） 黑参（一两） 大黄（一两） 茯苓（一两） 山药（炒，二两）
生地黄（一两五钱） 茺蔚子（二两）
以上药材研为细末，用炼蜜制成丸药，大小如梧桐子，空腹时用茶清送服三钱。
Mei Pan Jing (Pterygium) begins at the inner canthus. Initially, it gradually invades the Feng Lun (cornea), and over time covers the Tong Ren (pupil). Symptoms include itching or pain, with gradual accumulation of pus. If caused by chronic Chi Lan (blepharitis) leading to Lung Heat congestion, applying Zijin Gao (Purple Gold Ointment) is effective in the early stage; for long-standing cases, surgical methods such as hooking, cutting, cauterization, and moxibustion are appropriate, accompanied by internal administration of Chufeng Tang (Wind-Expelling Decoction) containing Chongweizi (Chenopodii Semen), Jiegeng (Platycodonis Radix), Xixin (Asari Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Wuweizi (Schisandrae Fructus), Dahuang (Rhei Radix et Rhizoma), and Fangfeng (Saposhnikoviae Radix).
[Note] The condition of Mei Pan Jing (Pterygium) originates at the inner canthus. Initially, it gradually encroaches upon the Feng Lun (cornea); later, it extends beyond the Tong Ren (pupil). It may present with itching or pain, and gradually accumulates purulent discharge. This condition is mostly caused by prolonged Chi Lan (blepharitis) or excessive Wind-Heat congesting the Lung Meridian. In the initial stage, Zijin Gao (Purple Gold Ointment) can be applied, causing blood stasis to resolve spontaneously. When the tissue becomes tough and difficult to dissolve after a long duration, surgical hooking and cutting followed by cauterization are required, after which Chufeng Tang (Wind-Expelling Decoction) should be taken.
Chufeng Tang (Wind-Expelling Decoction) Formula:
Chongweizi (Chenopodii Semen) (1 qian)
Jiegeng (Platycodonis Radix) (1 qian)
Xixin (Asari Radix et Rhizoma) (5 fen)
Huanglian (Coptidis Rhizoma) (1 qian)
Wuweizi (Schisandrae Fructus) (5 fen)
Dahuang (Rhei Radix et Rhizoma) (1 qian)
Fangfeng (Saposhnikoviae Radix) (1 qian)
Grind the above ingredients into powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Zijin Gao (Purple Gold Ointment) (See formula at the end of this volume)
Ji Guan Xian Rou (Comb-like Pterygium) grows inside the Pi Jian (eyelids). It results from accumulated Heat in the Stomach and Heart combined with Liver Wind. Its color may be green or red, resembling the comb of a rooster or the flesh of a clam. Mild cases invade the Feng Lun (cornea); severe cases cover the Tong Ren (pupil). After surgical hooking and cutting, administer Choufeng Jie Tang (Wind-Drawing Platycodon Decoction) containing Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Cheqianzi (Plantaginis Semen), Heishen (Polygonati Rhizoma), Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), and Fangfeng (Saposhnikoviae Radix); or administer Chongwei Wan (Chenopodium Pill) containing Huangqin (Scutellariae Radix), Shijueming (Concha Arcae), Heishen (Polygonati Rhizoma), Dahuang (Rhei Radix et Rhizoma), Fuling (Poria), Shanyao (Dioscoreae Rhizoma), Shengdihuang (Rehmanniae Radix Recens), and Chongweizi (Chenopodii Semen).
[Note] The condition of Ji Guan Xian Rou (Comb-like Pterygium) originates within the Pi Jian (eyelids). It may appear green or red, resembling the shape of a rooster's comb or clam flesh. It grows gradually, invading from the inner canthus to the Feng Lun (cornea), and eventually covers the entire eye. This is caused by accumulated Heat in the Spleen and Stomach with Liver Wind rushing upward. Initially, manual surgical hooking and cutting should be performed, followed by the administration of Choufeng Tang (Wind-Drawing Decoction) or Chongwei Wan (Chenopodium Pill).
Choufeng Tang (Wind-Drawing Decoction) Formula:
Jiegeng (Platycodonis Radix) (1 qian)
Mangxiao (Natrii Sulfas) (1.5 qian)
Dahuang (Rhei Radix et Rhizoma) (1 qian)
Cheqianzi (Plantaginis Semen) (1 qian)
Heishen (Polygonati Rhizoma) (1.5 qian)
Xixin (Asari Radix et Rhizoma) (1 qian)
Huangqin (Scutellariae Radix) (1.5 qian)
Fangfeng (Saposhnikoviae Radix) (2 qian)
Grind the above ingredients into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Chongwei Wan (Chenopodium Pill) Formula:
Huangqin (Scutellariae Radix) (1 liang)
Shijueming (Concha Arcae) [calcined] (1 liang)
Heishen (Polygonati Rhizoma) (1 liang)
Dahuang (Rhei Radix et Rhizoma) (1 liang)
Fuling (Poria) (1 liang)
Shanyao (Dioscoreae Rhizoma) [stir-fried] (2 liang)
Shengdihuang (Rehmanniae Radix Recens) (1.5 liang)
Chongweizi (Chenopodii Semen) (2 liang)
Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 3 qian on an empty stomach, washed down with clear tea.