胎患小儿未出胎，热冲儿脑目生灾。护睛木香芩细射，川大黄与黑参偕。
【注】胎患内障，儿在母腹之时，缘食辛辣过多，致热气内冲儿脑，及至生后，眼成内障。宜用护睛丸。
护睛丸方
木香（五钱） 黄芩（五钱） 细辛（三钱） 射干（五钱） 大黄（五钱） 黑参（一两）
上为细末，炼蜜为丸，如桐子大，空心茶清服十丸。
外障暴赤血灌瞳，硬睛赤垂与黄冲，蟹睛旋螺并 肉，鸡冠蚬肉祟疼同。突睛漏睛
连鹘眼，拳毛倒睫胞凝逢， 赤花陷及黑钉， 僻冰瑕粘睛并。玉翳水轮逆顺障，睑出风粟
又混睛，撞破撞刺及针刺，眼痒泪出疮痍生。客热伤寒并肝热，因他痰核天水行，青盲赤
烂疮病，转关生赘疳眼名。小儿通睛恙虽小，还有眯目证为轻，此为外障四十八，熟
读方知各证情。
【注】外障者，或因内热，或因外邪，或内外合邪，致生目赤肿痛翳膜等证也。暴者，
暴赤生翳也。血灌瞳者，血灌瞳仁也。硬睛者，睑硬睛疼也。赤垂者，赤膜下垂也。黄
冲者，黄膜上冲也。蟹睛者，形如蟹睛而疼痛也。旋螺者，形如旋螺尖起也。 肉者，
肉攀睛也， 疼者，神 疼痛也。突睛者，突起睛高也。漏睛者，漏睛脓出也。鹘眼者，鹘
眼凝睛也。胞凝者，胞肉胶凝也。 赤者，两 赤脉也。花陷者，花翳白陷也。黑者，黑
翳如珠也。钉者，钉翳根深也。 僻者，风牵 僻也。冰瑕者，冰瑕翳深也。粘睛者，两睑
粘睛也。玉翳者，玉翳浮满也。水轮者，膜入水轮也。逆顺者，逆顺生翳也。撞破者，被
物撞破也。撞刺者，撞刺生翳也。针刺者，痛如针刺也。泪出者，冲风泪出也。疮痍者，风
赤疮痍也。客热者，暴风客热也。伤寒者，伤寒热病后患目也。肝热者，肝虚积热也。因
他者，因他病后生翳也。痰核者，睥生痰核也。天水者，天水行后赤眼也。赤烂者，胎
风赤烂也。 疮者， 疮入眼也。转关者，辘轳转关也，生赘者，睑中生赘也。此外障四
十八证之总名，读者诚能熟习玩味，自因病而各得其情矣。
胎患小儿在出生之前，母体热气上冲胎儿脑部，导致眼睛发生病变。治疗宜用护睛丸，药物包括木香、黄芩、细辛、射干、川大黄和黑参。
【注】胎患内障，是指婴儿在母腹中时，因母亲食用过多辛辣食物，致使热气内冲胎儿脑部，出生后眼睛形成内障。适宜使用护睛丸。
护睛丸方剂组成：
木香（五钱） 黄芩（五钱） 细辛（三钱） 射干（五钱） 大黄（五钱） 黑参（一两）
将上述药材研成细末，用炼蜜制成如梧桐子大小的药丸，空腹时用茶送服十丸。
外障暴赤血灌瞳仁，硬睛、赤垂与黄膜上冲，蟹睛、旋螺并胬肉攀睛，鸡冠蚬肉等证疼痛相同。突睛、漏睛连鹘眼凝睛，拳毛倒睫与胞肉胶凝相逢，赤脉花陷及黑翳如珠，风牵偏斜、冰瑕翳深、粘睛并见。玉翳浮满、水轮膜入、逆顺生翳，睑出风粟又混睛障，撞破、撞刺及针刺样痛，眼痒泪出疮痍生。客热、伤寒及肝热，因他病痰核天水行，青盲赤烂疮病，转关生赘疳眼名。小儿通睛恙虽小，还有眯目证为轻，此为外障四十八种总名，熟读方能知晓各证病情。
【注】外障，或因内热，或因外邪，或内外合邪，导致产生目赤肿痛翳膜等症状。暴者，指暴赤生翳。血灌瞳者，指血灌瞳仁。硬睛者，指眼睑坚硬眼球疼痛。赤垂者，指赤膜下垂。黄冲者，指黄膜上冲。蟹睛者，指形状像蟹眼且疼痛。旋螺者，指形状像旋转的螺尖突起。胬肉者，指胬肉攀睛。神珠疼痛者，指神珠疼痛。突睛者，指眼球突起高耸。漏睛者，指漏睛脓出。鹘眼者，指鹘眼凝睛。胞凝者，指胞肉胶凝。两眦赤脉者，指两眼眼角红赤血脉。花陷者，指花翳白陷。黑者，指黑翳如珠。钉者，指标翳根深。风牵偏斜者，指风牵偏斜。冰瑕者，指冰瑕翳深。粘睛者，指两眼睑粘连。玉翳者，指玉翳浮满。水轮者，指膜入水轮。逆顺者，指逆顺生翳。撞破者，指被物撞破。撞刺者，指撞刺生翳。针刺者，指痛如针刺。泪出者，指冲风泪出。疮痍者，指风赤疮痍。客热者，指暴风客热。伤寒者，指伤寒热病后患目疾。肝热者，指肝虚积热。因他者，指因其他疾病后生翳。痰核者，指脾生痰核。天水者，指天水行后赤眼。赤烂者，指胎风赤烂。疳疮者，指疳疮入眼。转关者，指辘轳转关。生赘者，指眼睑中生赘。这是外障四十八证的总名称，读者若能熟练研习玩味，自然能因病而掌握各证详情。
Infants with congenital cataracts suffer from eye disorders before birth due to maternal heat rushing up to the fetal brain. Treatment should employ Hu Jing Wan (Protect the Eye Pill), comprising Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Shegan (Belamcandae Rhizoma), Dahuang (Rhei Radix et Rhizoma), and Heishen (Ginseng Radix Rubra).
[Note] Congenital cataract refers to a condition where, while in the womb, the fetus is affected by excessive intake of spicy foods by the mother, causing internal heat to rush to the fetal brain. After birth, the infant develops cataracts. The appropriate treatment is Hu Jing Wan (Protect the Eye Pill).
Formula for Hu Jing Wan (Protect the Eye Pill):
Muxiang (Aucklandiae Radix) (5 qian), Huangqin (Scutellariae Radix) (5 qian), Xixin (Asari Radix et Rhizoma) (3 qian), Shegan (Belamcandae Rhizoma) (5 qian), Dahuang (Rhei Radix et Rhizoma) (5 qian), Heishen (Ginseng Radix Rubra) (1 liang).
Grind the above herbs into a fine powder, mix with refined honey to form pills the size of tung tree seeds. Take ten pills on an empty stomach with clear tea.
External obstructions include sudden redness with blood flooding the pupil, hard eyeball, prolapse of red membrane, and upward rush of yellow membrane; crab-eye, spiral-shell protrusion, and pterygium; chicken-comb and clam-flesh lesions presenting with similar pain; proptosis, leaking tear duct connected to haw-eye fixation; inverted eyelashes and adhesion of palpebral flesh; red veins, white depression of corneal opacity, black pearl-like opacity; wind-drawn deviation, deep ice-flake opacity, and adherent eyelids; jade-opacity floating full, membrane entering the water wheel (lens/iris complex), counter-clockwise or clockwise opacity growth; wind-grain granules on eyelids and turbid cornea; injuries from blunt force, puncture wounds, and needle-like pain; itchy eyes with tearing and dermatitis; external heat, cold damage, and liver heat; sequelae from other diseases involving phlegm nodules and Tian Shui Xing (a specific disease); green blindness, red rot, ulcerative diseases, rolling pivot obstruction, growths, and trachoma. Although strabismus in children is minor, squinting is lighter still. These constitute the forty-eight general names of external obstructions; thorough study reveals the nature of each syndrome.
[Note] External obstructions arise from internal heat, external pathogens, or a combination of both, leading to symptoms such as redness, swelling, pain, and opacities of the eye. "Sudden" refers to sudden redness with opacity. "Blood flooding the pupil" refers to blood flooding the pupil. "Hard eyeball" refers to hard eyelids and painful eyeballs. "Red prolapse" refers to the downward prolapse of red membranes. "Yellow rush" refers to the upward rush of yellow membranes. "Crab-eye" refers to a shape resembling a crab's eye accompanied by pain. "Spiral-shell" refers to a sharp protrusion resembling a spiral shell. "Pterygium" refers to fleshy tissue growing over the cornea. "Shen Zhu pain" refers to pain in the Shen Zhu (divine pearl/core of the eye). "Proptosis" refers to high protrusion of the eyeball. "Leaking tear duct" refers to purulent discharge from the lacrimal sac. "Haw-eye" refers to haw-eye fixation (strabismus with fixed gaze). "Palpebral adhesion" refers to the adhesion of palpebral flesh. "Bilateral canthal redness" refers to red vessels in both canthi. "White depression" refers to white depression of corneal opacity. "Black" refers to black opacities like pearls. "Nail" refers to deeply rooted opacities. "Wind-drawn deviation" refers to facial paralysis affecting the eye. "Ice-flake" refers to deep ice-flake opacities. "Adherent eyelids" refers to adhesion between the two eyelids. "Jade-opacity" refers to jade-opacity floating fully across the cornea. "Water wheel" refers to membranes entering the water wheel (internal eye structures). "Counter/Clockwise" refers to the direction of opacity growth. "Blunt injury" refers to rupture caused by objects. "Puncture injury" refers to opacities caused by puncture. "Needle-stick" refers to pain resembling needle pricks. "Tearing" refers to tearing induced by wind. "Dermatitis" refers to wind-red dermatitis. "External heat" refers to sudden wind-external heat. "Cold damage" refers to eye disorders following cold damage febrile diseases. "Liver heat" refers to accumulated heat due to liver deficiency. "Other causes" refers to opacities arising after other diseases. "Phlegm nodule" refers to phlegm nodules forming in the spleen/stye area. "Tian Shui Xing" refers to red eyes following Tian Shui Xing disease. "Red rot" refers to fetal wind red rot. "Trachoma ulcer" refers to trachoma ulcers entering the eye. "Rolling pivot" refers to rolling pivot obstruction (ophthalmoplegia). "Growth" refers to growths forming on the eyelids. These are the general names for the forty-eight syndromes of external obstructions; readers who diligently study and ponder them will naturally understand the specifics of each syndrome according to the disease.