香附子（炒） 甘草 苍术 茴香（各一两）
上为细末。每服三钱。盐汤调下。
第二十五问。目赤而不热痛者何也。答曰。此血实也。经属阳。络属阴。经主气。络主血。气盛则壅。血盛则肝实
也。应于目。故赤而不热痛。血实也。宜服当归散（方见十一问下）。
第二十六问。血侵睛者何也。答曰。此肝经虚热也。肝之外候。津液之府。道路宗脉之所聚也。邪热法于肝经，虚
则血流。走于两目。故赤而侵睛也。宜用连翘散（方见十二问下）、顺肝散（方见二问下）、秘传郁金散。
秘传郁金散方
郁金 大黄 朴硝（等分）
上三味为末。用桃条、生地黄自然汁调服。点瞳人。
第二十七问。目久昏如物遮者何也。答曰。此为实也。荣主血。卫主气。上为天。下为地。内经曰。清气为天。浊
气为地。清阳走腠理。浊阴走五脏。五脏者。应于心肝脾肺肾也。受卫之气。流于两目。故昏如物遮睛者。用猪苓汤（方
见十九问下）、连翘散（方见十二问下）。
第二十八问。目痛而憎寒者何也。答曰。此为虚也。卫为阴而无阳。荣为阳而无阴。经曰。荣者肝之司。卫者肾之
府。肾属北方。水为邪乘。一府荣邪。痛而憎寒也。用秘方蟹黄散。
秘方蟹黄散方
黄连 黄芩 蒲黄 郁金 栀子 秦皮 当归 滑石 白僵蚕 五倍子 薄荷 白杏仁（各五钱） 铜绿（一钱）
杏
仁（洗七枚去皮尖别研）
上 咀。每服三钱。水一钟半。煎至一钟。频频暖洗。如冷再暖。无时洗。
第二十九问。目痛而身热者何也。答曰。荣之实也。荣属阳而能发热。卫属阴而能发寒。荣卫乃阴阳之道路。在上
属心。在下属肝与肾。目痛而身热在心也。少阴君火之化。宜用秘方洗心散、菊花散。
秘方洗心散
荆芥 甘草 菊花 大黄 当归 芍药（各等分）
上 咀。每服三钱。水一钟半。煎至一钟。食后生姜薄荷少许同煎。去渣温服。
秘方菊花散
菊花 甘草 防风 荆芥 蝉蜕 大黄 石决明（各等分 ）
上七味为细末。每服三钱。水一钟调服。茶亦可。食后卧时服。
第三十问。目乍暗者何也。答曰。此乃荣卫俱虚也。荣卫者。阴阳之道路。心肝之宗源。荣卫流，则血气行。荣卫
相争而不及卫也。故目时复乍明乍暗。宜用活血煎（方见三问下）、艾煎丸（方见十问下）。
第三十一问。目患左赤而传右者何也。答曰。此乃阳经太旺也。阴中之阳心也。阳中之阴肝也。心中邪热。蕴积于
肝。肝交于心。邪传本源也。左目属太阳。右目属太阴。此乃太阳经之旺也。宜用洗心散（方见二十九问下）、三黄丸
（方
见四问下）。
第三十二问。目患右赤而传左者何也。答曰。此阳经太旺也。目有阳络有阳经。有阴络有阴经。阴经属血。如目赤
右传之于左。乃肝经邪热。经脉太旺也。宜用泻肺汤（方见六问下）。退赤散（方见二问下）。
第三十三问。目患左右相传者何也。答曰。此乃血之邪气攻冲。肺脏不足。为风邪所使。热气相争也。宜用密蒙花
散（方见七问下）、秘传珍珠膏。
秘传珍珠膏方
苍术（三两） 谷精草 甘草 木贼 川芎 荆芥 草决明 楮实子 羌活（各等分） 蝉蜕（一个）
上为末。炼蜜为丸桐子大。每服十丸。茶清送下。
第三十四问。目赤而痒涩者何也。答曰。此风邪攻冲也。肝者厥阴之经。而风邪内外相攻，风热相传。气血痞涩。
时复气邪相动。是作痒且涩。宜用二处膏（方见十三问下）。
第三十五问。目之两睑赤烂者何也。答曰。此乃风湿气使之也。目者精华之宫。魂魄之所聚，血脉之源。阴阳之首。
经络之源。风邪客于腠理。湿气相争。停于两睑。目时赤烂。湿之故也。宜用洗心散（方见二十九问下）、艾煎丸（方
见
十问下）、二处膏（方见十三问下）。
第三十六问。目晴通黄者何也。答曰。此乃酒之毒也。或渴之时。饮酒如浆。或好酒侵入四肢。随入经络。流注往
来上下。致使血潮于目。酒之湿热流注于目。使目俱黄也。宜用局方三黄丸（方见四问下）。
第三十七问。目不能远视者何也。答曰。此乃荣伤于五脏六腑之间。目者肝之外使。风邪客之。使精华之府衰弱。
肝气不足。则不能远视也。宜用蝉花散（方见十二问下）、羊肝丸（方见七问下）。
第三十八问。目患每年常发者何也。答曰。此证随天地同。少阳旺复得甲子。阳明旺复得甲子。太阳旺复得甲子。
太阴旺复得甲子。六十日。三百六十日。其气一周。今太阳受病。复得来年六十日而当发。宜令泻之。如太阳受病。只
泻太阳经膀胱是也。
第三十九问。目中拳毛倒睫者何也。答曰。脾之损也。脾之主肌肉。肌肉消瘦。则饮食不能进。外感风邪。克于
腠理。故毒生于目也。宜用局方省风汤、猪苓汤（方见九问下）。
局方省风汤方
防风（去苗） 南星（各四两生用） 半夏（白好者生用浸洗之） 甘草 黄芩（各二两）
上 咀。每服四钱。水二钟。生姜十片。煎至一钟。去渣温服。不拘时服。
第四十问。目中漏睛脓出何也。答曰。此乃五脏冷热相攻。肾败也。宜服宝光散。
宝光散方
大黄 龙胆 赤芍药 川芎 白芷 牛蒡子 防风 防己
黄芩 当归 甘草 栀子 生地黄 细辛 羌活 荆芥（各等分）
上 咀。用水一钟半。煎至一钟。去渣食后温服。
第四十一问。目中 肉侵睛者何也。答曰。此脾之实也。脾者仓廪之官。肌肉之府。毒瓦斯攻冲。风邪之气冲肺。肺
受脾邪。传之于目。故 肉侵睛也。宜用羊肝丸（方见七问下）、三黄丸（方见四问下）、拨云散（方见二问下）、局方
紫
金膏。
局方紫金膏方
朱砂（另研） 乳香（另研） 硼砂（另研） 赤芍药 当归（各二两洗） 雄黄（二钱水飞） 麝香（半两另研）
黄连（五钱）
上为细末。入研药内拌匀。再擂。炼蜜为丸皂角子大。每用一丸。安于净盏内。沸汤泡开。于无风处洗眼。药冷闭
目少时。候三两时再煨令热。根据前洗之。一帖可洗三五次。不可犯铜铁器内洗。如暴赤眼及瞳者。不可洗之。
第四十二问。目数赤点者何也。答曰。风邪伤肝。主风目胡则伤目昏赤肌肉虚热则邪气肝之故目病积年不瘥也。用
宜省风汤（方见四问下）、活血煎（方见三问下）、牡丹煎丸。
牡丹煎丸方
延胡索 砂仁（各半两） 赤芍药 牡丹皮（各一两） 山茱萸 干姜（各半两炮） 龙骨（细研） 熟地黄（酒
浸） 槟榔 羌活（各三两） 五味子 人参 白芷 当归（酒浸） 干山药 肉桂（去皮） 白茯苓 白术
本 附子（炮去皮脐） 木香 牛膝（酒浸） 荜茇（各一两水泡） 石斛（三两酒浸）
上为细末。炼蜜为丸如桐子大。每服二十丸。温酒或醋汤空心下。日进三服。孕妇不可服。
第四十三问。两眼非时肿赤者何也，答曰。此风肿也。目乃肝之候。肝虚不足。冷热相争。邪主于目及睑。结而邪
热不散。因风而发。眼肿故也。宜用洗肝散（方见二十一问下）、秘方犀角消毒饮子。
秘方犀角消毒饮方
防风 荆芥穗 鼠粘子 甘草（各等分）
上 咀。每服三钱。水一盏。煎至七分，去渣温服。不拘时候。
第四十四问。眼珠脱出者何也。答曰。此脏腑阴阳不和也。目者阴阳之精。魂魄之宗。肝之候。阴阳不和。蕴积生
热痰饮。五脏之中攻冲于目。故使眼疼甚，则珠脱出者。宜用救睛丸（方见十九问下）。
第四十五问。目常见黑花者何也。答曰。肝虚之故也。目者肝之候。脏腑之精华。气血津液之宗。气血不足。虚不
能荣于神。目常昏暗。时时见如黑绵羊胎毛。宜服羊肝丸（方见七问下）。
第四十六问。目中瘀肉血潮于睛者何也。答曰。此厥阴旺也。肝之脉。起于大指聚毛之际云云。肝上连目系。本经
血气大旺。风热攻盛。或赤或白。或往或来。皆于血所使也。宜用退赤散（方见二问下）、椒红丸。
椒红丸方
沉香 莪术 诃黎勒（去核） 椒红（微炒去汗） 丁香 高良姜 麻油（各五钱炒） 附子（炮去皮） 当归（酒
浸） 白术（各一两） 麝香 肉豆蔻（炮各一钱）
上为细末。入麝香令匀。酒煮糊为丸如桐子大。每服三十丸。温酒下无时。
第四十七问。目涩者何也。答曰。此乃动脏腑也。或啼哭泣出太过。冷泪不止。液通开而不闭。液道枯干。脏腑邪
热传于卫。真气不荣于目。故目涩也。根据用羊肝丸（方见七问下）、三黄丸（方见四问下）、二处膏（方见十三问下）。
第四十八问。凡大病后。目昏昏者何也。答曰，五脏不调。阴阳之闭塞。血气不牢。神光则落落昏溃。乃血气虚极
也。宜用黄 丸（方见三问下）。
第四十九问，阳毒病后目微昏者何也。答曰。下元极虚也。五脏为阴，六腑为阳。六经宣利。即脏腑虚弱。脾胃不
和，肌肉未复。劳动血气。肝脏虚弱。肝气内虚，以攻双目微昏也。宜用黄 丸（方见三问下）、椒红丸（方见四十六
问
下）、秘方柴胡汤。
秘方柴胡汤方
柴胡 胡黄连 黄连 浓朴 半夏（各等分）
上为末。每服二钱。水一钟半。煎至一钟。食后服。
第五十问。阴毒病后目微昏者何也。答曰。或服毒热药。或针或灸。火气 痛。风邪冲击。新病后起早。肝气大盛。
风火相并。故目昏也。宜用三黄丸（方见四问下）、菊花散（方见四问下）。
第五十一问。遇水目昏者何也。答曰。此冷气攻肝。水者先入两足令肿也。而足经足经少阴肾之井穴名曰涌泉。
乃肾经所起。水入膀胱。真荣被伤。上攻于肝。水气侵及于足。邪气攻冲。故目昏也。宜用猪苓汤（方见九问下
）、艾煎丸（方见十问下）。
第五十二问。孕妇目昏者何也。答曰。此血气之候。妊孕少血气。胎气不荣于肝。肝气不足。故昏也。宜用椒红丸
（方见四十六问下）、牡丹煎丸（方见四十二问下）、羊肝丸（方见七问下）。
第五十三问。妇人产后目睛昏者何也。
答曰。此乃五脏之虚也。妇人妊孕时。当出血一斗三升。肌肉气宽缓。骨节筋脉其神气已虚。五脏不牢。六腑未安。自
赖五脏六腑为根。根乏则苗衰。故目昏也。宜用椒红丸（方见四十六问下）、菊花散（方见二十九问下）、活血煎（方见
三问下）。
第五十四问。初生小儿未经两月目烂者何也。答曰。此胎热也。小儿初生之时。浴汤已冷。秽浊浴之未尽。拭之未
干。两月胞睑之间。感于外风。以致赤烂也。宜用连翘散（方见十二问下）。
第五十五问。小儿出疮疹。初发于目中者何也。答曰。子在母腹中。饮其血气。其胎胞秽浊。以生故发疮于目。宜
用犀角消毒饮（方见四十三问下）、密蒙花散（方见七问下）。
第五十六问。小儿眼中生白者何也。答曰。此肺壅痰实热。热伤于肝。肝属于木。木者清秀之物也。痰实热气攻冲。
灌注瞳人。瞳人损动。黑睛白交。散漫于两间为障也。宜用救睛丸（方见十九问下）、柴胡汤（方见四十九问下）、顺肝
散（方见二问下）、琥珀膏（方见十九问下）。
第五十七问。小儿睛生翳障者何也。答曰。脏腑之间。精华之气。小儿纯阳。感于风热。内有热痰。散于肝经。冲
攻于目。
故以交变。变生翳障。宜用蝉花散（方见十二问下）、菊花散（方见二十九问下）。
第五十八问。小儿雀目者何也。答曰。小儿蕴积于热，风邪客于肝经。肝血凝滞不散。阴阳不和。荣卫不通。使目
夜昏。有如雀目也。宜用三黄丸（方见四问下）、复明散。
复明散方
苍术（一两去皮） 谷精草（一两） 地肤子 决明子 黄芩（各半两）
上 咀。每服五钱。入荆芥少许。水一盏。煎至七分。去渣。食后服。
第五十九问。小儿目患青盲者何也。答曰。脏腑虚弱也。因伤冷物至极。气不能宣通。赤而不痛。全无障翳。致使
白日视物不见也。宜用蟹黄散（方见二十八问下）、菊花散（方见二十九问下）、犀角消毒饮（方见四十三问下）。
第六十问。目中生疮者何也。答曰。此风邪客于腠理。风血散传。盖因浴洗之时。拭之未干。秽污侵溃。受风即发
如粟米之状。连眶赤烂。遂成疮疾。名宿 风。宜用省风汤（方见三十九问下）、局方三白散。
局方三白散方
白牵牛（二两） 桑白皮（微炒） 木通 陈皮（各半两去白）
上为细末。每服三钱。空心煎生姜汤调下。
第六十一问。目患睑生粟者何也。答曰。脾肺受邪也。脾者肌肉之府。腑者皮毛之源。邪气相搏。肝经虚弱。风盛。
即发于两目睑之间。状如粟米之形。遂成此症也。宜用省风汤（方见三十九问下）。
第六十二问。目患青盲翳者何也。答曰。肝乃木之原。津液之道路。五脏风热甚。发于目睑如粟米之状。是以如此
也。宜用省风汤（方见三十九问下）。
香附子（炒制）一两，甘草一两，苍术一两，茴香（各一两）。
以上药物研成细末。每次服用三钱。用盐汤调服。
第二十五问：眼睛发红但不感到灼热疼痛，是什么原因？
回答：这是血实证。经脉属阳，络脉属阴。经脉主管气，络脉主管血。气盛则壅滞，血盛则肝脏充实。反映在眼睛上，所以发红但不感到灼热疼痛。这是血实证。适宜服用当归散（方剂见第十一问下）。
第二十六问：血液侵入眼珠是怎么回事？
回答：这是肝经虚热证。肝开窍于目，是津液汇聚的府库，也是宗脉聚集的道路。邪热侵袭肝经，导致正气虚弱而血流异常，流注到双眼。所以眼睛发红并侵入眼珠。适宜使用连翘散（方剂见第十二问下）、顺肝散（方剂见第二问下）、秘传郁金散。
秘传郁金散方
郁金、大黄、朴硝（等分）。
将这三味药研成粉末。用桃枝和生地黄的自然汁调服，并滴入瞳仁中。
第二十七问：眼睛长久昏花，好像有东西遮挡视线，是怎么回事？
回答：这是实证。营气主血，卫气主气。上面为天，下面为地。《内经》说：清气为天，浊气为地。清阳之气走窜腠理，浊阴之气走注五脏。五脏对应心、肝、脾、肺、肾。受到卫气的流注，运行到双眼。所以眼睛昏花，好像有东西遮挡视线。使用猪苓汤（方剂见第十九问下）、连翘散（方剂见第十二问下）。
第二十八问：眼睛疼痛且怕冷，是怎么回事？
回答：这是虚证。卫气属阴而无阳，营气属阳而无阴。经书说：营气由肝脏所司管，卫气是肾脏的府库。肾属北方，水行受邪气乘袭。一府的营卫受邪，导致疼痛且怕冷。使用秘方蟹黄散。
秘方蟹黄散方
黄连五钱，黄芩五钱，蒲黄五钱，郁金五钱，栀子五钱，秦皮五钱，当归五钱，滑石五钱，白僵蚕五钱，五倍子五钱，薄荷五钱，白杏仁五钱（各五钱），铜绿一钱，杏仁七枚（洗净去皮尖，单独研磨）。
将药材切碎。每次服用三钱。加水一钟半，煎煮至一钟。频繁温热清洗眼睛。如果变冷再加热，随时可以清洗。
第二十九问：眼睛疼痛且身体发热，是怎么回事？
回答：这是营气实证。营气属阳能引起发热，卫气属阴能引起发寒。营卫是阴阳运行的道路。在上部属于心，在下部属于肝与肾。眼睛疼痛且身体发热，病位在心。这是少阴君火的气化作用。适宜使用秘方洗心散、菊花散。
秘方洗心散
荆芥、甘草、菊花、大黄、当归、芍药（各等分）。
将药材切碎。每次服用三钱。加水一钟半，煎煮至一钟。饭后加入少许生姜和薄荷同煎。去渣温服。
秘方菊花散
菊花、甘草、防风、荆芥、蝉蜕、大黄、石决明（各等分）。
将以上七味药研成细末。每次服用三钱。用水一钟调服。也可以用茶调服。饭后或睡觉前服用。
第三十问：眼睛突然变暗，是怎么回事？
回答：这是营卫俱虚证。营卫是阴阳运行的道路，是心肝的根本来源。营卫流通，则气血运行。营卫相互争斗而不能到达卫分。所以眼睛时而明亮时而突然变暗。适宜使用活血煎（方剂见第三问下）、艾煎丸（方剂见第十问下）。
第三十一问：左眼发红并传染到右眼，是怎么回事？
回答：这是阳经太旺证。阴中之阳是心，阳中之阴是肝。心中邪热，蕴积在肝脏。肝气交于心，邪气传向本源。左眼属太阳经，右眼属太阴经。这是太阳经气太旺。适宜使用洗心散（方剂见第二十九问下）、三黄丸（方剂见第四问下）。
第三十二问：右眼发红并传染到左眼，是怎么回事？
回答：这也是阳经太旺证。眼睛有阳络和阳经，也有阴络和阴经。阴经属血。如果眼睛从右红传到左，是肝经邪热，经脉太旺。适宜使用泻肺汤（方剂见第六问下）、退赤散（方剂见第二问下）。
第三十三问：左右眼睛互相传染发红，是怎么回事？
回答：这是血的邪气攻冲，肺脏不足，被风邪驱使，热气相互争斗。适宜使用密蒙花散（方剂见第七问下）、秘传珍珠膏。
秘传珍珠膏方
苍术三两，谷精草、甘草、木贼、川芎、荆芥、草决明、楮实子、羌活（各等分），蝉蜕一个。
研成粉末。用炼蜜制成梧桐子大小的丸药。每次服用十丸。用茶清送服。
第三十四问：眼睛发红且痒涩，是怎么回事？
回答：这是风邪攻冲证。肝是厥阴经，风邪内外相攻，风热相传，导致气血痞塞涩滞。时常气邪相动，所以作痒且涩。适宜使用二处膏（方剂见第十三问下）。
第三十五问：眼睑两边发红溃烂，是怎么回事？
回答：这是风湿气所致。眼睛是精华之宫，魂魄聚集之处，血脉之源，阴阳之首，经络之源。风邪客居在腠理，湿气相争，停滞在眼睑。所以眼睛时常发红溃烂，这是湿气的缘故。适宜使用洗心散（方剂见第二十九问下）、艾煎丸（方剂见第十问下）、二处膏（方剂见第十三问下）。
第三十六问：眼珠通体发黄，是怎么回事？
回答：这是酒毒所致。或者在口渴时，饮酒如流水般豪饮。或者喜好饮酒，酒气侵入四肢，随之进入经络，流注往来上下。致使血潮涌于眼睛。酒的湿热流注于眼睛，使眼睛全部发黄。适宜使用局方三黄丸（方剂见第四问下）。
第三十七问：眼睛不能远视，是怎么回事？
回答：这是营气受损于五脏六腑之间。眼睛是肝之外候，风邪客居其中，使精华之府衰弱。肝气不足，就不能远视。适宜使用蝉花散（方剂见第十二问下）、羊肝丸（方剂见第七问下）。
第三十八问：眼睛患病每年常复发，是怎么回事？
回答：此证随天地节气变化。少阳旺复得甲子，阳明旺复得甲子，太阳旺复得甲子，太阴旺复得甲子。六十日，三百六十日，其气循环一周。现在太阳经受病，再过来年六十日就会发作。应当令其泻下。如太阳经受病，只需泻太阳经膀胱即可。
第三十九问：眼中拳毛倒睫，是怎么回事？
回答：这是脾脏损伤。脾主肌肉，肌肉消瘦，则饮食不能进。外感风邪，克制腠理。所以毒生于眼睛。适宜使用局方省风汤、猪苓汤（方剂见第九问下）。
局方省风汤方
防风（去苗）四两，南星（各四两生用），半夏（白好者生用浸洗），甘草二两，黄芩二两。
将药材切碎。每次服用四钱。加水二钟，生姜十片，煎煮至一钟。去渣温服。不拘时候服用。
第四十问：眼中漏睛脓出，是怎么回事？
回答：这是五脏冷热相攻，肾脏败坏。适宜服用宝光散。
宝光散方
大黄、龙胆、赤芍药、川芎、白芷、牛蒡子、防风、防己、黄芩、当归、甘草、栀子、生地黄、细辛、羌活、荆芥（各等分）。
将药材切碎。用水一钟半，煎煮至一钟。去渣饭后温服。
第四十一问：眼中肉侵睛，是怎么回事？
回答：这是脾实证。脾是仓廪之官，肌肉之府。毒瓦斯攻冲，风邪之气冲肺，肺受脾邪，传之于眼睛。所以肉侵睛。适宜使用羊肝丸（方剂见第七问下）、三黄丸（方剂见第四问下）、拨云散（方剂见第二问下）、局方紫金膏。
局方紫金膏方
朱砂（另研）、乳香（另研）、硼砂（另研）、赤芍药、当归（各二两洗），雄黄二钱（水飞），麝香半两（另研），黄连五钱。
研成细末，加入研好的药拌匀，再擂碎。用炼蜜制成皂角子大小的丸药。每次用一丸，放在干净的盏内，用沸水泡开。在无风处洗眼。药冷后闭目片刻。等候两三小时再加热使其变热。按照前面方法清洗。一帖可洗三五次。不可在铜铁器内清洗。如果是暴赤眼及瞳人受损，不可清洗。
第四十二问：眼睛多次出现红点，是怎么回事？
回答：风邪伤肝，主风目胡则伤目昏赤，肌肉虚热则邪气肝之故目病积年不瘥也。适宜使用省风汤（方剂见第四问下）、活血煎（方剂见第三问下）、牡丹煎丸。
牡丹煎丸方
延胡索半两，砂仁半两（各半两），赤芍药一两，牡丹皮一两，山茱萸半两，干姜半两（炮），龙骨（细研），熟地黄（酒浸），槟榔三两，羌活三两，五味子一两，人参一两，白芷一两，当归（酒浸），干山药一两，肉桂（去皮），白茯苓一两，白术一两，本一两，附子（炮去皮脐），木香一两，牛膝（酒浸），荜茇一两（各一两水泡），石斛三两（酒浸）。
研成细末。用炼蜜制成梧桐子大小的丸药。每次服用二十丸。温酒或醋汤空腹服用。每天进三服。孕妇不可服用。
第四十三问：两眼非时肿赤，是怎么回事？
回答：这是风肿证。眼睛是肝之候，肝虚不足，冷热相争，邪主于目及睑，结而邪热不散，因风而发，眼肿故也。适宜使用洗肝散（方剂见第二十一问下）、秘方犀角消毒饮子。
秘方犀角消毒饮方
防风、荆芥穗、鼠粘子、甘草（各等分）。
将药材切碎。每次服用三钱。加水一盏，煎煮至七分，去渣温服。不拘时候。
第四十四问：眼珠脱出，是怎么回事？
回答：这是脏腑阴阳不和证。眼睛是阴阳之精，魂魄之宗，肝之候。阴阳不和，蕴积生热痰饮，五脏之中攻冲于目。所以使眼疼甚，则珠脱出者。适宜使用救睛丸（方剂见第十九问下）。
第四十五问：常见黑花，是怎么回事？
回答：这是肝虚证。眼睛是肝之候，脏腑之精华，气血津液之宗。气血不足，虚不能荣于神，目常昏暗，时时见如黑绵羊胎毛。适宜服用羊肝丸（方剂见第七问下）。
第四十六问：目中瘀肉血潮于睛，是怎么回事？
回答：这是厥阴旺证。肝之脉，起于大指聚毛之际云云。肝上连目系，本经血气大旺，风热攻盛，或赤或白，或往或来，皆于血所使也。适宜使用退赤散（方剂见第二问下）、椒红丸。
椒红丸方
沉香五钱，莪术五钱，诃黎勒（去核），椒红（微炒去汗），丁香五钱，高良姜五钱，麻油五钱（各五钱炒），附子（炮去皮），当归（酒浸），白术一两（各一两），麝香一钱，肉豆蔻（炮各一钱）。
研成细末。加入麝香令匀。酒煮糊为丸如桐子大。每次服用三十丸。温酒下无时。
第四十七问：眼睛干涩，是怎么回事？
回答：这是动脏腑证。或者啼哭泣出太过，冷泪不止，液通开而不闭，液道枯干，脏腑邪热传于卫，真气不荣于目，故目涩也。根据用羊肝丸（方剂见第七问下）、三黄丸（方剂见第四问下）、二处膏（方剂见第十三问下）。
第四十八问：凡大病后，眼睛昏昏，是怎么回事？
回答：五脏不调，阴阳之闭塞，血气不牢，神光则落落昏溃，乃血气虚极也。适宜使用黄 丸（方剂见第三问下）。
第四十九问：阳毒病后眼睛微昏，是怎么回事？
回答：下元极虚证。五脏为阴，六腑为阳。六经宣利，即脏腑虚弱，脾胃不和，肌肉未复，劳动血气，肝脏虚弱，肝气内虚，以攻双目微昏也。适宜使用黄 丸（方剂见第三问下）、椒红丸（方剂见第四十六问下）、秘方柴胡汤。
秘方柴胡汤方
柴胡、胡黄连、黄连、浓朴、半夏（各等分）。
研成粉末。每次服用二钱。加水一钟半，煎煮至一钟。饭后服用。
第五十问：阴毒病后眼睛微昏，是怎么回事？
回答：或者服毒热药，或者针或灸，火气 痛，风邪冲击，新病后起早，肝气大盛，风火相并，故目昏也。适宜使用三黄丸（方剂见第四问下）、菊花散（方剂见第四问下）。
第五十一问：遇水眼睛昏花，是怎么回事？
回答：这是冷气攻肝证。水者先入两足令肿也。而足经足经少阴肾之井穴名曰涌泉，乃肾经所起。水入膀胱，真荣被伤，上攻于肝，水气侵及于足，邪气攻冲，故目昏也。适宜使用猪苓汤（方剂见第九问下）、艾煎丸（方剂见第十问下）。
第五十二问：孕妇眼睛昏花，是怎么回事？
回答：这是血气之候。妊孕少血气，胎气不荣于肝，肝气不足，故昏也。适宜使用椒红丸（方剂见第四十六问下）、牡丹煎丸（方剂见第四十二问下）、羊肝丸（方剂见第七问下）。
第五十三问：妇人产后眼睛昏花，是怎么回事？
回答：这是五脏之虚证。妇人妊孕时，当出血一斗三升，肌肉气宽缓，骨节筋脉其神气已虚，五脏不牢，六腑未安，自赖五脏六腑为根，根乏则苗衰，故目昏也。适宜使用椒红丸（方剂见第四十六问下）、菊花散（方剂见第二十九问下）、活血煎（方剂见第三问下）。
第五十四问：初生小儿未经两月眼睛溃烂，是怎么回事？
回答：这是胎热证。小儿初生之时，浴汤已冷，秽浊浴之未尽，拭之未干，两月胞睑之间，感于外风，以致赤烂也。适宜使用连翘散（方剂见第十二问下）。
第五十五问：小儿出疮疹，初发于目中，是怎么回事？
回答：子在母腹中，饮其血气，其胎胞秽浊，以生故发疮于目。适宜使用犀角消毒饮（方剂见第四十三问下）、密蒙花散（方剂见第七问下）。
第五十六问：小儿眼中生白，是怎么回事？
回答：这是肺壅痰实热证。热伤于肝，肝属于木，木者清秀之物也。痰实热气攻冲，灌注瞳人，瞳人损动，黑睛白交，散漫于两间为障也。适宜使用救睛丸（方剂见第十九问下）、柴胡汤（方剂见第四十九问下）、顺肝散（方剂见第二问下）、琥珀膏（方剂见第十九问下）。
第五十七问：小儿睛生翳障，是怎么回事？
回答：脏腑之间，精华之气，小儿纯阳，感于风热，内有热痰，散于肝经，冲攻于目，故以交变，变生翳障。适宜使用蝉花散（方剂见第十二问下）、菊花散（方剂见第二十九问下）。
第五十八问：小儿雀目，是怎么回事？
回答：小儿蕴积于热，风邪客于肝经，肝血凝滞不散，阴阳不和，荣卫不通，使目夜昏，有如雀目也。适宜使用三黄丸（方剂见第四问下）、复明散。
复明散方
苍术一两（去皮），谷精草一两，地肤子，决明子，黄芩（各半两）。
将药材切碎。每次服用五钱。入荆芥少许，水一盏，煎至七分，去渣，食后服。
第五十九问：小儿目患青盲，是怎么回事？
回答：脏腑虚弱证。因伤冷物至极，气不能宣通，赤而不痛，全无障翳，致使白日视物不见也。适宜使用蟹黄散（方剂见第二十八问下）、菊花散（方剂见第二十九问下）、犀角消毒饮（方剂见第四十三问下）。
第六十问：眼中生疮，是怎么回事？
回答：这是风邪客于腠理，风血散传。盖因浴洗之时，拭之未干，秽污侵溃，受风即发如粟米之状，连眶赤烂，遂成疮疾，名宿 风。适宜使用省风汤（方剂见第三十九问下）、局方三白散。
局方三白散方
白牵牛二两，桑白皮（微炒），木通，陈皮（各半两去白）。
研成细末。每次服用三钱。空心煎生姜汤调下。
第六十一问：眼睑生粟，是怎么回事？
回答：这是脾肺受邪证。脾者肌肉之府，腑者皮毛之源，邪气相搏，肝经虚弱，风盛，即发于两目睑之间，状如粟米之形，遂成此症也。适宜使用省风汤（方剂见第三十九问下）。
第六十二问：目患青盲翳，是怎么回事？
回答：肝乃木之原，津液之道路，五脏风热甚，发于目睑如粟米之状，是以如此也。适宜使用省风汤（方剂见第三十九问下）。
Xiangfu Zi (Stir-fried Cyperi Rhizoma) 1 liang, Gancao (Licorice Root) 1 liang, Cangzhu (Atractylodis Rhizoma) 1 liang, Huixiang (Foeniculi Fructus) 1 liang.
Grind the above ingredients into a fine powder. Take 3 qian per dose. Mix with salt water for administration.
Question 25: What is the cause of red eyes without heat or pain?
Answer: This is Blood Excess syndrome. The meridians belong to Yang, and the collaterals belong to Yin. The meridians govern Qi, and the collaterals govern Blood. When Qi is excessive, it becomes stagnant; when Blood is excessive, the Liver becomes full. This manifests in the eyes, causing redness without heat or pain. This is Blood Excess syndrome. It is appropriate to take Danggui San (Formula seen in Question 11 below).
Question 26: What causes blood to invade the eyeball?
Answer: This is Liver Meridian Deficient Heat syndrome. The Liver opens into the eyes and is the residence of body fluids, as well as the gathering place of the Zong Mai (Major Collaterals). Pathogenic heat invades the Liver Meridian, leading to deficiency and abnormal blood flow, which flows into both eyes. Thus, the eyes become red and the blood invades the eyeball. It is appropriate to use Liaoqiao San (Formula seen in Question 12 below), Shun Gan San (Formula seen in Question 2 below), and Michuan Yujin San.
Michuan Yujin San Formula
Yujin (Curcumae Radix), Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas) in equal proportions.
Grind these three herbs into powder. Administer mixed with natural juice from peach branches and fresh Rehmanniae Radix. Apply drops to the pupil.
Question 27: What causes chronic blurriness as if something is obstructing vision?
Answer: This is an Excess syndrome. Ying (Nutritive) Qi governs Blood, and Wei (Defensive) Qi governs Qi. The upper part corresponds to Heaven, and the lower part to Earth. The *Neijing* states: Clear Qi is Heaven, Turbid Qi is Earth. Clear Yang moves through the couli (interstices), while Turbid Yin moves into the Zang organs. The Zang organs correspond to the Heart, Liver, Spleen, Lung, and Kidney. Affected by the flow of Wei Qi into the eyes, vision becomes blurry as if obstructed. Use Zhuling Tang (Formula seen in Question 19 below) and Liaoqiao San (Formula seen in Question 12 below).
Question 28: What causes eye pain accompanied by aversion to cold?
Answer: This is a Deficiency syndrome. Wei Qi belongs to Yin but lacks Yang; Ying Qi belongs to Yang but lacks Yin. The classics state: Ying Qi is governed by the Liver, and Wei Qi resides in the Kidney. The Kidney belongs to the North and Water. If Water is attacked by pathogens, the Ying and Wei of one organ are affected, leading to pain and aversion to cold. Use the Secret Recipe Xiehuang San.
Secret Recipe Xiehuang San Formula
Huanglian (Coptidis Rhizoma) 5 qian, Huangqin (Scutellariae Radix) 5 qian, Puhuang (Pollen Typhae) 5 qian, Yujin (Curcumae Radix) 5 qian, Zhizi (Gardeniae Fructus) 5 qian, Qinpi (Fraxini Cortex) 5 qian, Danggui (Angelicae Sinensis Radix) 5 qian, Huashi (Talcum) 5 qian, Bai Jiangcan (Bombyx Batryticatus) 5 qian, Wubeizi (Galla Chinensis) 5 qian, Bohe (Menthae Haplocalycis Herba) 5 qian, Baixingren (Pruni Semen) 5 qian (each 5 qian), Tonglv (Chalcostyrum) 1 qian, Xingren 7 pieces (washed, skin and tips removed, ground separately).
Cut the herbs. Take 3 qian per dose. Add 1.5 zhong of water, decoct until 1 zhong remains. Wash the eyes frequently while warm. Reheat if cooled. Wash at any time.
Question 29: What causes eye pain accompanied by body fever?
Answer: This is Ying Qi Excess syndrome. Ying Qi belongs to Yang and can cause fever; Wei Qi belongs to Yin and can cause chills. Ying and Wei are the pathways of Yin and Yang. In the upper part, they belong to the Heart; in the lower part, to the Liver and Kidney. Eye pain with body fever indicates pathology in the Heart. This is the transformation of Shaoyin Junhuo (Ministerial Fire). It is appropriate to use Secret Recipe Xixin San and Juhua San.
Secret Recipe Xixin San
Jingjie (Schizonepetae Herba), Gancao (Licorice Root), Juhua (Chrysanthemi Flos), Dahuang (Rhei Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba) in equal proportions.
Cut the herbs. Take 3 qian per dose. Add 1.5 zhong of water, decoct until 1 zhong remains. After meals, add a little fresh ginger and mint, decoct together. Strain and take warm.
Secret Recipe Juhua San
Juhua (Chrysanthemi Flos), Gancao (Licorice Root), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Chantui (Cicadae Periostracum), Dahuang (Rhei Radix et Rhizoma), Shijueming (Argonauris Concha) in equal proportions.
Grind these seven herbs into a fine powder. Take 3 qian per dose. Mix with 1 zhong of water. Tea may also be used. Take after meals or before bed.
Question 30: What causes sudden dimming of vision?
Answer: This is simultaneous deficiency of Ying and Wei Qi. Ying and Wei are the pathways of Yin and Yang and the source of the Heart and Liver. When Ying and Wei flow, Qi and Blood move. If Ying and Wei contend and fail to reach the Wei level, vision will intermittently brighten and suddenly dim. It is appropriate to use Huoxue Jian (Formula seen in Question 3 below) and Ai Jian Wan (Formula seen in Question 10 below).
Question 31: What causes redness starting in the left eye and spreading to the right?
Answer: This is excessive activity of the Yang meridians. The Heart is Yang within Yin, and the Liver is Yin within Yang. Evil heat in the Heart accumulates in the Liver. Liver Qi connects with the Heart, and evil transmits to the root. The left eye belongs to the Taiyang Meridian, and the right eye to the Taiyin Meridian. This indicates excessive activity of the Taiyang Meridian. It is appropriate to use Xixin San (Formula seen in Question 29 below) and Sanhuang Wan (Formula seen in Question 4 below).
Question 32: What causes redness starting in the right eye and spreading to the left?
Answer: This is also excessive activity of the Yang meridians. The eyes have Yang collaterals and Yang meridians, as well as Yin collaterals and Yin meridians. Yin meridians govern Blood. If redness spreads from the right eye to the left, it is due to evil heat in the Liver Meridian and excessive activity of the meridians. It is appropriate to use Xiefei Tang (Formula seen in Question 6 below) and Tui Chi San (Formula seen in Question 2 below).
Question 33: What causes mutual transmission of redness between the left and right eyes?
Answer: This is attack by evil Qi in the Blood, insufficiency of the Lung Zang, manipulation by Wind Evil, and contention of hot Qi. It is appropriate to use Mimenghua San (Formula seen in Question 7 below) and Michuan Zhenzhu Gao.
Michuan Zhenzhu Gao Formula
Cangzhu (Atractylodis Rhizoma) 3 liang, Gujingcao (Eriocauli Flos), Gancao (Licorice Root), Muzei (Equiseti Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jingjie (Schizonepetae Herba), Caojueming (Vitricum), Chushizi (Euodiae Fructus), Qianghuo (Notopterygii Rhizoma et Radix) in equal proportions, Chantui (Cicadae Periostracum) 1 piece.
Grind into powder. Make pills the size of paulownia seeds using refined honey. Take 10 pills per dose, washed down with clear tea.
Question 34: What causes redness with itching and dryness?
Answer: This is attack by Wind Evil. The Liver is the Jueyin Meridian. Wind evil attacks internally and externally, transmitting wind-heat, causing Qi and Blood stagnation and涩 (astringency/stasis). Frequent movement of Qi evil causes itching and dryness. It is appropriate to use Erchu Gao (Formula seen in Question 13 below).
Question 35: What causes redness and ulceration of both eyelids?
Answer: This is caused by Wind-Damp Qi. The eyes are the palace of essence, gathering place of Hun and Po, source of blood vessels, head of Yin and Yang, and source of meridians. Wind evil lodges in the couli, and dampness contends, stopping in the eyelids. Thus, the eyes become red and ulcerated due to dampness. It is appropriate to use Xixin San (Formula seen in Question 29 below), Ai Jian Wan (Formula seen in Question 10 below), and Erchu Gao (Formula seen in Question 13 below).
Question 36: What causes the eyeballs to turn completely yellow?
Answer: This is caused by alcohol toxicity. Sometimes, during thirst, one drinks alcohol like water. Or, fondness for wine allows alcohol qi to invade the limbs, enter the meridians, and flow up and down. This causes blood to surge to the eyes. The damp-heat of alcohol flows into the eyes, turning them yellow. It is appropriate to use Ju Fang Sanhuang Wan (Formula seen in Question 4 below).
Question 37: What causes inability to see far?
Answer: This is injury to Ying Qi among the Zang and Fu organs. The eyes are the external manifestation of the Liver. Wind evil lodges there, weakening the palace of essence. Insufficiency of Liver Qi leads to inability to see far. It is appropriate to use Chan Hua San (Formula seen in Question 12 below) and Yanggan Wan (Formula seen in Question 7 below).
Question 38: What causes annual recurrence of eye disease?
Answer: This condition follows the changes of Heaven and Earth. Shaoyang peaks again after a Jiazi cycle, Yangming peaks again after a Jiazi cycle, Taiyang peaks again after a Jiazi cycle, and Taiyin peaks again after a Jiazi cycle. Sixty days, three hundred sixty days, its qi completes one cycle. Now, if the Taiyang meridian is diseased, it will recur in sixty days next year. It should be purged. If the Taiyang meridian is diseased, only purge the Taiyang Meridian Bladder.
Question 39: What causes inverted eyelashes (trichiasis)?
Answer: This is damage to the Spleen. The Spleen governs muscles. When muscles waste away, food intake decreases. External Wind Evil attacks the couli. Thus, toxin generates in the eyes. It is appropriate to use Ju Fang Shengfeng Tang and Zhuling Tang (Formula seen in Question 9 below).
Ju Fang Shengfeng Tang Formula
Fangfeng (Saposhnikoviae Radix, remove seedlings) 4 liang, Nanxing (Arisaematis Rhizoma, raw) 4 liang, Banxia (Pinelliae Rhizoma, white and good quality, raw, soaked and washed), Gancao (Licorice Root) 2 liang, Huangqin (Scutellariae Radix) 2 liang.
Cut the herbs. Take 4 qian per dose. Add 2 zhong of water and 10 slices of fresh ginger. Decoct until 1 zhong remains. Strain and take warm. Take at any time.
Question 40: What causes leakage of pus from the lacrimal sac (dacryocystitis)?
Answer: This is contention of cold and heat among the five Zang organs and failure of the Kidney. It is appropriate to take Baoguang San.
Baoguang San Formula
Dahuang (Rhei Radix et Rhizoma), Longdan (Gentianae Radix), Chishaoyao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Niubangzi (Arctii Fructus), Fangfeng (Saposhnikoviae Radix), Fangji (Stephaniae Tetrandrae Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root), Zhizi (Gardeniae Fructus), Shengdihuang (Rehmanniae Radix), Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Jingjie (Schizonepetae Herba) in equal proportions.
Cut the herbs. Add 1.5 zhong of water, decoct until 1 zhong remains. Strain and take warm after meals.
Question 41: What causes fleshy growth invading the eyeball (pterygium)?
Answer: This is Spleen Excess syndrome. The Spleen is the official of granaries and the residence of muscles. Toxin attacks, and Wind Evil Qi assaults the Lung. The Lung receives Spleen evil and transmits it to the eyes. Thus, fleshy growth invades the eyeball. It is appropriate to use Yanggan Wan (Formula seen in Question 7 below), Sanhuang Wan (Formula seen in Question 4 below), Boyun San (Formula seen in Question 2 below), and Ju Fang Zijin Gao.
Ju Fang Zijin Gao Formula
Zhusha (Cinnabaris, ground separately), Ruxiang (Olibanum, ground separately), Pengsha (Borax, ground separately), Chishaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix) each 2 liang (washed), Xionghuang (Realgar) 2 qian (water-ground), Shexiang (Moschus, half liang, ground separately), Huanglian (Coptidis Rhizoma) 5 qian.
Grind into fine powder. Mix with the ground medicines. Grind again. Make pills the size of soap pods using refined honey. Use one pill per application. Place in a clean cup, soak in boiling water. Wash the eyes in a draft-free place. Close eyes for a short time when medicine cools. Wait two to three hours, reheat, and wash again as before. One packet can be used 3-5 times. Do not wash in copper or iron vessels. Do not wash if eyes are violently red or if the pupil is damaged.
Question 42: What causes frequent red spots in the eyes?
Answer: Wind evil injures the Liver. Governing wind, if Hu (blurry/dizzy), it injures the eyes causing dimness and redness. Muscle deficiency heat causes evil Qi to affect the Liver, resulting in chronic eye disease that does not heal. It is appropriate to use Shengfeng Tang (Formula seen in Question 4 below), Huoxue Jian (Formula seen in Question 3 below), and Mudan Jian Wan.
Mudan Jian Wan Formula
Yanhusuo (Corydalis Rhizoma) half liang, Sharen (Amomi Fructus Rotundus) half liang (each half liang), Chishaoyao (Paeoniae Radix Rubra) 1 liang, Mudanpi (Moutan Cortex) 1 liang, Shanzhuyu (Corni Fructus) half liang, Ganjiang (Zingiberis Rhizoma) half liang (processed), Longgu (Fossilia Ossis Mastodi et Scapulae, finely ground), Shudihuang (Rehmanniae Radix Praeparata, soaked in wine), Binglang (Arecae Semen) 3 liang, Qianghuo (Notopterygii Rhizoma et Radix) 3 liang, Wuzhizi (Schisandrae Fructus) 1 liang, Renshen (Ginseng Radix) 1 liang, Baizhi (Angelicae Dahuricae Radix) 1 liang, Danggui (Angelicae Sinensis Radix, soaked in wine), Gansanyao (Dioscoreae Rhizoma) 1 liang, Rougui (Cinnamomi Cortex) peeled, Baifuling (Poria) 1 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Ben (Ligustici Wallichii Rhizoma) 1 liang, Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Muxiang (Aucklandiae Radix) 1 liang, Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Bibai (Piperis Kadsurae Fructus) 1 liang (each 1 liang soaked in water), Shihu (Dendrobii Caulis) 3 liang (soaked in wine).
Grind into powder. Make pills the size of paulownia seeds using refined honey. Take 20 pills per dose. Take on an empty stomach with warm wine or vinegar water. Take three doses daily. Pregnant women must not take this.
Question 43: What causes non-timely swelling and redness of both eyes?
Answer: This is Wind Swelling syndrome. The eyes are the manifestation of the Liver. Liver deficiency and insufficiency lead to contention of cold and heat. Evil dominates the eyes and eyelids. Knotting prevents evil heat from dispersing. Triggered by wind, the eyes swell. It is appropriate to use Xigan San (Formula seen in Question 21 below) and Secret Recipe Xijiao Xiaodu Yinzi.
Secret Recipe Xijiao Xiaodu Yin Formula
Fangfeng (Saposhnikoviae Radix), Jingjiesui (Schizonepetae Spica), Shuniu Zi (Arctii Fructus), Gancao (Licorice Root) in equal proportions.
Cut the herbs. Take 3 qian per dose. Add 1 zhan of water, decoct until 7 fen remains. Strain and take warm. Take at any time.
Question 44: What causes protrusion of the eyeball?
Answer: This is disharmony of Yin and Yang in the Zang and Fu organs. The eyes are the essence of Yin and Yang, the ancestor of Hun and Po, and the manifestation of the Liver. Disharmony of Yin and Yang leads to accumulation of heat, phlegm, and fluid retention. Attack from the five Zang organs to the eyes causes severe eye pain, leading to eyeball protrusion. It is appropriate to use Jiujing Wan (Formula seen in Question 19 below).
Question 45: What causes seeing black flowers constantly?
Answer: This is due to Liver deficiency. The eyes are the manifestation of the Liver, the essence of Zang and Fu organs, and the source of Qi, Blood, and body fluids. Insufficiency of Qi and Blood means deficiency cannot nourish Shen (Spirit). The eyes are often dim, occasionally seeing things like black sheep wool. It is appropriate to take Yanggan Wan (Formula seen in Question 7 below).
Question 46: What causes stasis flesh and blood surging into the eyeball?
Answer: This is Jueyin Excess syndrome. The Liver Meridian originates at the junction of hair on the big toe... The Liver connects upward to the eye system. When the blood and Qi of this meridian are excessively abundant, wind-heat attacks vigorously. Whether red or white, coming or going, all are caused by Blood. It is appropriate to use Tui Chi San (Formula seen in Question 2 below) and Jiaohong Wan.
Jiaohong Wan Formula
Chenxiang (Aquilariae Lignum Resinatum) 5 qian, Ezhu (Curcumae Rhizoma) 5 qian, Helile (Terminaliae Chebulae Fructus, pitted), Jiaohong (Zanthoxyli Pericarpium, lightly stir-fried to remove sweat), Dingxiang (Caryophylli Flos) 5 qian, Gaoliangjiang (Alpiniae Officinarum Rhizoma) 5 qian, Mayou (Sesami Oleum) 5 qian (each 5 qian fried), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Danggui (Angelicae Sinensis Radix, soaked in wine), Baizhu (Atractylodis Macrocephalae Rhizoma) 1 liang (each 1 liang), Shexiang (Moschus) 1 qian, Roudoukou (Myristicae Semen, processed) 1 qian.
Grind into powder. Mix evenly with Shexiang. Make pills the size of paulownia seeds using wine-boiled paste. Take 30 pills per dose. Take with warm wine at any time.
Question 47: What causes dry eyes?
Answer: This involves disturbance of the Zang and Fu organs. Excessive crying or tearing causes continuous cold tears. The fluid channels open and do not close. The fluid channels become dry. Zang-Fu evil heat transmits to Wei Qi. True Qi fails to nourish the eyes. Thus, the eyes are dry. According to this, use Yanggan Wan (Formula seen in Question 7 below), Sanhuang Wan (Formula seen in Question 4 below), and Erchu Gao (Formula seen in Question 13 below).
Question 48: What causes dim vision after major illness?
Answer: Disharmony of the five Zang organs, blockage of Yin and Yang, insecurity of Qi and Blood. Shen Guang (Spiritual Light) becomes scattered and dim. This is extreme deficiency of Qi and Blood. It is appropriate to use Huang [Wan] (Formula seen in Question 3 below).
Question 49: What causes slight dimness after Yang Du disease?
Answer: Extreme deficiency of the Lower Yuan. The five Zang are Yin, the six Fu are Yang. If the six meridians are cleared and promoted, the Zang and Fu become weak. Spleen and Stomach are disharmonious, muscles have not recovered. Labor consumes Qi and Blood. Liver Qi is internally deficient, attacking both eyes causing slight dimness. It is appropriate to use Huang [Wan] (Formula seen in Question 3 below), Jiaohong Wan (Formula seen in Question 46 below), and Secret Recipe Chaihu Tang.
Secret Recipe Chaihu Tang Formula
Chaihu (Bupleuri Radix), Huhuanglian (Coptidis Rhizoma alternative), Huanglian (Coptidis Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Banxia (Pinelliae Rhizoma) in equal proportions.
Grind into powder. Take 2 qian per dose. Add 1.5 zhong of water, decoct until 1 zhong remains. Take after meals.
Question 50: What causes slight dimness after Yin Du disease?
Answer: Sometimes taking toxic hot medicines, or acupuncture/moxibustion, fire Qi causes pain. Wind evil impacts. Rising early after new illness, Liver Qi becomes excessive. Wind and Fire combine, causing dim vision. It is appropriate to use Sanhuang Wan (Formula seen in Question 4 below) and Juhua San (Formula seen in Question 4 below).
Question 51: What causes dim vision upon exposure to water?
Answer: This is Cold Qi attacking the Liver. Water first enters the feet causing swelling. The foot meridian's Shu-Stream point of the Shaoyin Kidney is named Yongquan. It is where the Kidney Meridian begins. Water enters the Bladder, injuring True Ying. It attacks upward to the Liver. Water Qi invades the feet. Evil Qi attacks, causing dim vision. It is appropriate to use Zhuling Tang (Formula seen in Question 9 below) and Ai Jian Wan (Formula seen in Question 10 below).
Question 52: What causes dim vision in pregnant women?
Answer: This is a sign of Qi and Blood. Pregnancy reduces Qi and Blood. Fetal Qi fails to nourish the Liver. Liver Qi is insufficient, causing dimness. It is appropriate to use Jiaohong Wan (Formula seen in Question 46 below), Mudan Jian Wan (Formula seen in Question 42 below), and Yanggan Wan (Formula seen in Question 7 below).
Question 53: What causes dim vision after childbirth in women?
Answer: This is deficiency of the five Zang organs. During pregnancy, women lose one dou and three sheng of blood. Muscles and Qi become loose. Bone joints, sinews, and vessels have depleted Shen Qi. The five Zang are insecure, and the six Fu are unsettled. They rely on the Zang and Fu as roots. If roots are lacking, shoots wither. Thus, vision dims. It is appropriate to use Jiaohong Wan (Formula seen in Question 46 below), Juhua San (Formula seen in Question 29 below), and Huoxue Jian (Formula seen in Question 3 below).
Question 54: What causes ulceration of eyes in newborns under two months old?
Answer: This is Fetal Heat syndrome. When newborns are bathed, the water has cooled. Filth is not fully washed off, and drying is incomplete. Between the eyelids, external wind is felt, causing redness and ulceration. It is appropriate to use Liaoqiao San (Formula seen in Question 12 below).
Question 55: What causes chickenpox/rash to start in the eyes of children?
Answer: While in the mother's womb, the child drinks her blood and Qi. The fetal membrane is filthy. Upon birth, sores erupt in the eyes. It is appropriate to use Xijiao Xiaodu Yin (Formula seen in Question 43 below) and Mimenghua San (Formula seen in Question 7 below).
Question 56: What causes white growth in children's eyes?
Answer: This is Lung congestion with Phlegm Excess Heat. Heat injures the Liver. The Liver belongs to Wood. Wood is a clear and elegant substance. Phlegm excess heat attacks and pours into the pupil. The pupil is damaged and moved. Black cornea and white sclera intersect, scattering between the two as an obstruction. It is appropriate to use Jiujing Wan (Formula seen in Question 19 below), Chaihu Tang (Formula seen in Question 49 below), Shun Gan San (Formula seen in Question 2 below), and Hupo Gao (Formula seen in Question 19 below).
Question 57: What causes nebula/opacity in children's eyes?
Answer: Among the Zang and Fu organs, the essence Qi. Children are Pure Yang. Contracting Wind-Heat, internal hot phlegm scatters into the Liver Meridian, attacking the eyes. Thus, changes occur, generating nebula/opacity. It is appropriate to use Chan Hua San (Formula seen in Question 12 below) and Juhua San (Formula seen in Question 29 below).
Question 58: What causes night blindness (nyctalopia) in children?
Answer: Children accumulate heat. Wind evil lodges in the Liver Meridian. Liver Blood stagnates and does not disperse. Yin and Yang are disharmonious. Ying and Wei do not communicate. This causes dim vision at night, resembling night blindness. It is appropriate to use Sanhuang Wan (Formula seen in Question 4 below) and Fuming San.
Fuming San Formula
Cangzhu (Atractylodis Rhizoma) 1 liang (peeled), Gujingcao (Eriocauli Flos) 1 liang, Difuzi (Kochiae Fructus), Juemingzi (Cassiae Semen), Huangqin (Scutellariae Radix) each half liang.
Cut the herbs. Take 5 qian per dose. Add a little Jingjie. Add 1 zhan of water, decoct until 7 fen remains. Strain and take after meals.
Question 59: What causes Qing Mang (blindness without opacity) in children?
Answer: Weakness of Zang and Fu organs. Caused by extreme consumption of cold substances. Qi cannot circulate freely. Red but not painful, no opacity. Causes inability to see objects during the day. It is appropriate to use Xiehuang San (Formula seen in Question 28 below), Juhua San (Formula seen in Question 29 below), and Xijiao Xiaodu Yin (Formula seen in Question 43 below).
Question 60: What causes sores in the eyes?
Answer: Wind evil lodges in the couli. Wind and Blood scatter and transmit. Because during bathing, wiping was incomplete, filth invaded and ulcerated. Exposure to wind triggers eruption like millet grains. Connected orbital redness and ulceration form sore disease, named Su Feng (Old Wind). It is appropriate to use Shengfeng Tang (Formula seen in Question 39 below) and Ju Fang Sanbai San.
Ju Fang Sanbai San Formula
Baiqianniu (Pharbitidis Semen) 2 liang, Sangbaipi (Mori Cortex, lightly fried), Mutong (Akebiae Caulis), Chenpi (Citri Reticulatae Pericarpium) each half liang (remove white pith).
Grind into fine powder. Take 3 qian per dose. Take on an empty stomach mixed with decocted fresh ginger water.
Question 61: What causes millet-like bumps on the eyelids?
Answer: This is pathogen invasion of the Spleen and Lung. The Spleen is the residence of muscles. The Fu organs are the source of skin and hair. Pathogens contend. Liver Meridian is weak. Wind is excessive. Thus, it erupts between the eyelids, shaped like millet grains, forming this condition. It is appropriate to use Shengfeng Tang (Formula seen in Question 39 below).
Question 62: What causes Qing Mang nebula?
Answer: The Liver is the origin of Wood and the pathway of body fluids. Severe Wind-Heat in the five Zang organs erupts in the eyelids like millet grains. Thus, it appears this way. It is appropriate to use Shengfeng Tang (Formula seen in Question 39 below).