钉翳根深睛内生，硬似钉头极痛疼，赤涩羞明时泪出，肝心毒热上冲瞳，除热饮子
知母桔，硝黄茺蔚黑芩风。
【注】钉翳根深者，睛中翳黑，硬如钉子之形，其证疼痛赤涩，泪出羞明。此乃肝、心
毒热，上攻睛瞳。宜服除热饮子，清泻其毒热也。
除热饮子
知母（二钱） 桔梗（二钱） 芒硝（一钱） 大黄（一钱） 茺蔚子（一钱） 黑参（二钱） 黄芩
（二钱） 防风（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
风牵 僻睑痒赤，阳明风热刺睛明，内服排风蝎味蛇，天麻白芍桔防风。
【注】风牵 僻之证，睑皮痒赤，时时口眼相牵而动，此乃阳明风热上壅所致。宜先
用针刺睛明穴，外泄其邪，后服排风散，内疏其风。
排风散方
干蝎 五味子 乌蛇（各一钱） 天麻（二钱） 细辛 白芍药（炒） 桔梗（各一钱） 防风（二钱）
上为细末，令匀，食后，米饮调下三钱。
冰瑕翳深色微青，横贯乌睛珠痒疼，泪眵赤脉缘肝热，石燕丹宜外点灵，内服茺蔚
硝黄细，元芍知母壳防风。
【注】冰瑕翳深之证，翳色青白如冰，横贯乌睛，其证或痒或疼，发歇无时，眵粘泪
出，白睛赤脉，此乃肝经之热。宜外点石燕丹，内服茺蔚散。
石燕丹（方见卷末）
茺蔚散方
茺蔚子（二钱） 芒硝（一钱） 大黄（一钱） 细辛（五分） 黑参（一钱） 赤芍药（一钱五分）
知母（一钱） 枳壳（一钱） 防风（二钱）
上为粗末，以水二盏，煎至一盏，食远温服。
钉翳根深歌
钉翳根深生于眼内，翳状坚硬如同钉头，疼痛剧烈，眼睛红赤干涩，畏光流泪。这是肝、心毒热上冲至瞳孔所致。应服用除热饮子，方中包含知母、桔梗、芒硝、大黄、茺蔚子、黑参、黄芩、防风。
【注】所谓钉翳根深，是指眼中翳障色黑，质地坚硬如钉子形状，症状表现为疼痛、红赤、干涩、流泪及畏光。此乃肝、心二经的毒热之邪，向上攻冲眼部瞳孔。适宜服用除热饮子，以清泻其中的毒热。
除热饮子
知母（二钱） 桔梗（二钱） 芒硝（一钱） 大黄（一钱） 茺蔚子（一钱） 黑参（二钱） 黄芩（二钱） 防风（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。
风牵僻歌
风牵僻导致眼睑瘙痒红赤，针刺阳明经的风池穴和睛明穴以清热刺邪，内服排风散，方中含全蝎、五味子、乌梢蛇、天麻、白芍、桔梗、防风。
【注】风牵僻的症状，表现为眼睑皮肤瘙痒红赤，时常出现口眼歪斜牵引抽动，这是阳明经风热之邪上壅所致。适宜先用针刺睛明穴，从外部泄出邪气，随后服用排风散，从内部疏解风邪。
排风散方
干全蝎 五味子 乌梢蛇（各一钱） 天麻（二钱） 细辛 白芍药（炒） 桔梗（各一钱） 防风（二钱）
以上药材研为细末，混合均匀，饭后用米汤调服三钱。
冰瑕翳深歌
冰瑕翳颜色较深且微呈青色，横贯黑眼球，伴有痒痛感，流泪且有分泌物，赤脉环绕边缘，病机在于肝热。外用石燕丹点眼宜灵验，内服茺蔚散，方中含茺蔚子、芒硝、大黄、细辛、元参、白芍、知母、枳壳、防风。
【注】冰瑕翳深的症状，翳色青白如冰，横贯黑眼球，症状或痒或痛，发作间歇无定时，眼屎粘稠流泪，白眼球上有赤脉，此乃肝经之热所致。适宜外用石燕丹点眼，内服茺蔚散。
石燕丹（方剂见卷末）
茺蔚散方
茺蔚子（二钱） 芒硝（一钱） 大黄（一钱） 细辛（五分） 黑参（一钱） 赤芍药（一钱五分） 知母（一钱） 枳壳（一钱） 防风（二钱）
以上药材研为粗末，用水两盏，煎煮至一盏，饭后再服，温服。
Song of Deep-rooted Nail-like Pterygium (Ding Yi Gen Shen Ge)
Deep-rooted nail-like pterygium arises within the eye; its hardness resembles a nail head, causing severe pain. The eyes are red and dry, with photophobia and tearing. This is caused by toxic heat from the Liver and Heart rushing upward to the pupil. One should consume Chu Re Yin Zi (Clear Heat Decoction), which contains Zhi Mu (Anemarrhenae Rhizoma), Jie Geng (Platycodonis Radix), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma), Chong Wei Zi (Leonuri Fructus), Hei Shen (Scrophulariae Radix), Huang Qin (Scutellariae Radix), and Fang Feng (Saposhnikoviae Radix).
[Note] "Deep-rooted nail-like pterygium" refers to a black opacity in the eye that is hard like a nail. The symptoms include pain, redness, dryness, tearing, and photophobia. This condition results from toxic heat in the Liver and Heart meridians attacking the eye's pupil. It is appropriate to take Chu Re Yin Zi (Clear Heat Decoction) to clear and purge the toxic heat.
Chu Re Yin Zi (Clear Heat Decoction)
Zhi Mu (Anemarrhenae Rhizoma) (2 qian) Jie Geng (Platycodonis Radix) (2 qian) Mang Xiao (Natrii Sulfas) (1 qian) Da Huang (Rhei Radix et Rhizoma) (1 qian) Chong Wei Zi (Leonuri Fructus) (1 qian) Hei Shen (Scrophulariae Radix) (2 qian) Huang Qin (Scutellariae Radix) (2 qian) Fang Feng (Saposhnikoviae Radix) (1 qian)
Grind the above ingredients into a coarse powder. Add two cups of water, decoct until one cup remains, remove the dregs after meals, and take warm.
Song of Wind-Induced Facial Paralysis (Feng Qian Pi Ge)
Wind-induced facial paralysis causes itching and redness of the eyelids. Acupuncture at Feng Chi (GB20) and Jing Ming (BL1) of the Yangming meridian clears heat and expels wind. Internally, take Pai Feng San (Expel Wind Powder), which contains Quan Xie (Scorpio), Wu Wei Zi (Schisandrae Chinensis Fructus), Wu She (Zaocys), Tian Ma (Gastrodiae Rhizoma), Bai Shao (Paeoniae Radix Alba), Jie Geng (Platycodonis Radix), and Fang Feng (Saposhnikoviae Radix).
[Note] The syndrome of wind-induced facial paralysis presents with itching and redness of the eyelid skin, and frequent pulling or twitching of the mouth and eyes. This is caused by the accumulation of wind-heat in the Yangming meridian. It is appropriate to first needle the Jing Ming (BL1) acupoint to externally drain the pathogenic factor, followed by taking Pai Feng San (Expel Wind Powder) to internally disperse the wind.
Pai Feng San (Expel Wind Powder) Formula
Gan Xie (Scorpio) Wu Wei Zi (Schisandrae Chinensis Fructus) Wu She (Zaocys) (each 1 qian) Tian Ma (Gastrodiae Rhizoma) (2 qian) Xi Xin (Asari Radix et Rhizoma) Bai Shao Yao (Paeoniae Radix Alba, stir-fried) Jie Geng (Platycodonis Radix) (each 1 qian) Fang Feng (Saposhnikoviae Radix) (2 qian)
Grind the above ingredients into a fine powder and mix evenly. After meals, take 3 qian mixed with rice water.
Song of Deep Ice-Glaze Cataract (Bing Xia Yi Shen Ge)
The deep ice-glaze cataract has a dark, slightly bluish color, traversing horizontally across the cornea, accompanied by itching and pain. Tearing and discharge occur, with red vessels surrounding the edge, indicating Liver heat. Applying Shi Yan Dan (Swallowstone Pill) externally is effective; internally, take Chong Wei San (Leonuri Fructus Powder), which contains Chong Wei Zi (Leonuri Fructus), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma), Yuan Shen (Scrophulariae Radix), Bai Shao (Paeoniae Radix Alba), Zhi Mu (Anemarrhenae Rhizoma), Zhi Ke (Aurantii Fructus Immaturus), and Fang Feng (Saposhnikoviae Radix).
[Note] The syndrome of deep ice-glaze cataract features an opacity white and blue like ice, traversing the cornea horizontally. Symptoms may include itching or pain, occurring intermittently without fixed timing. There is sticky discharge and tearing, with red vessels on the sclera. This is due to heat in the Liver meridian. It is appropriate to apply Shi Yan Dan (Swallowstone Pill) externally and take Chong Wei San (Leonuri Fructus Powder) internally.
Shi Yan Dan (Swallowstone Pill) (Formula see end of volume)
Chong Wei San (Leonuri Fructus Powder) Formula
Chong Wei Zi (Leonuri Fructus) (2 qian) Mang Xiao (Natrii Sulfas) (1 qian) Da Huang (Rhei Radix et Rhizoma) (1 qian) Xi Xin (Asari Radix et Rhizoma) (5 fen) Hei Shen (Scrophulariae Radix) (1 qian) Chi Shao Yao (Paeoniae Radix Rubra) (1.5 qian) Zhi Mu (Anemarrhenae Rhizoma) (1 qian) Zhi Ke (Aurantii Fructus Immaturus) (1 qian) Fang Feng (Saposhnikoviae Radix) (2 qian)
Grind the above ingredients into a coarse powder. Add two cups of water, decoct until one cup remains, and take warm well after meals.