第六十三问。患瞑目之疾者何也。答曰。瞑者流也。风邪客于目则昏，精液不足。目 常散痒。冷泪不绝。遂成瞑
目也。宜用当归散（方见十一问下）、艾煎丸（方见十问下）。
第六十四问。目常脓漏者何也。答曰。目者五脏之宗。六腑之华。津液之道。风邪客于两目。冷泪相攻，瞳人内损。
故成此患。宜用救睛丸、琥珀膏（方俱见十九问下）。
第六十五问。妇人目生偏视者何也。答曰。此是阴阳之邪气攻冲。发于目内。脏腑偏衰。阴阳不和。或一日二日见。
宜用救睛丸（方见十九问下）。
第六十六问。目生得大小不均者何也。答曰。目者脏腑之精华，血脉之宗源。风邪客于目。冲于经络。肌肉痞涩。
血气凝滞。故使两目大小不匀。遂成此状。宜用省风散（方见三十九问下）。
第六十七问。目患或青或赤者何也。答曰。此邪热冲肝。攻于五脏之内。上运于目。使瞳人溃注。灌经于外。或青
或赤。或黄或黑。往来不定故也。宜用羊肝丸（方见七问下）、三黄丸（方见四问下）、三白散（方见六十问下）。
第六十八问。目患或针或割。或取翳障。全痛不止者何也。答曰。目者经络之苗。五脏之精华。经络之道路。既而
割损。痛不止。出血不定。宜用牡丹煎（方见四十二问下）、三白散（方见六十问下）。
第六十九问。目中多眵泪者何也。答曰。此乃经络蕴热。因食煎爆太过。故目多眵泪也。宜用洗心散（方见二十九
问下）、连翘散（方见十二问下）。
第七十问。目中常流泪者何也。答曰。乃肝经之虚也。经曰。肝虚则本枯，故流冷泪不止也。宜用洗心散（方见二
十九问下）。羊肝丸（方见七问下）。此外又有二说，一说老人冷泪不止。乃精血俱虚。宜用秘方胡椒丸。一说有头风。
目中常流冷泪者。宜用许学士方。一方治老人冷泪不止。
胡椒丸 用胡椒一味为末。黄蜡溶化为丸。如绿豆大。每服五七丸。食后茶清下。
白术散方（许学士方）
白术 川芎 羌活 细辛 白芷 荆芥 菊花 决明子（各五钱）
菊花散方
菊花 川芎 细辛 白芷 白术（各等分）
上为细末。炼蜜为丸如桐子大。每服三十丸。食后白滚水下。
第七十一问。如目打损被物伤者何也，答曰。此乃瘀血流聚于上而攻目。可以散其血脉。宜用郁金散（方见二十六
问下）、蟹黄散（方见二十八问下）、羚羊角散、五退散。
羚羊角散方
羚羊角 甘草 黄连 栀子 川升麻 车前子（各十两） 龙胆草 决明子（各二十两）
上为细末。每服三钱。米饮汤调下。若小儿可服半钱。日进三服。
五蜕散方
蛇蜕 凤凰蜕（即鸡卵壳） 人蜕（即指甲） 佛蜕（即蚕蜕） 蝉蜕（各等分同烧灰研细和匀一处再研百遍）
上为极细末。每服二钱。猪肝蘸吃。不拘时。日进三服。
第七十二问。目中有翳。往来不定者何也。答曰。此乃是血所病也。盖心能生血。肝能藏血。肝受血则能视物。治
目病不可不治血。此五灵脂入肝。最宜用明目灵脂丸。
明目灵脂丸
五灵脂（二两） 川乌（一两半炮去皮） 没药（二两） 乳香（二两）
上为细末，滴水丸如弹子大，每服一丸生姜酒磨下。
第六十三问。患闭目之疾的原因是什么？答曰：瞑，意为流溢。风邪侵袭眼部则视物昏花，精液不足，眼睛常感散痒，冷泪不断流出，于是形成闭目之症。适宜使用当归散（方剂见第十一问下）、艾煎丸（方剂见第十问下）。
第六十四问。眼睛经常化脓渗漏的原因是什么？答曰：眼睛是五脏的宗主，六腑的光华所在，津液运行的通道。风邪客居双眼，冷泪相互攻冲，导致瞳仁内部受损，因此形成此患。适宜使用救睛丸、琥珀膏（方剂均见第十九问下）。
第六十五问。妇女眼睛出现偏斜视物的原因是什么？答曰：这是阴阳邪气相互攻冲，发作于眼内，脏腑功能偏衰，阴阳失调。有时一天或两天发作一次。适宜使用救睛丸（方剂见第十九问下）。
第六十六问。眼睛出现大小不一的原因是什么？答曰：眼睛是脏腑精华汇聚之处，血脉的根源。风邪侵袭眼部，冲击经络，导致肌肉痞塞涩滞，气血凝滞，从而使两眼大小不均匀，遂成此状。适宜使用省风散（方剂见第三十九问下）。
第六十七问。眼睛患病时而发青、时而发红的原因是什么？答曰：这是邪热冲击肝脏，攻入五脏内部，向上运行至眼部，使瞳仁溃烂注水，灌注经脉于外，所以颜色或青或赤，或黄或黑，变化不定。适宜使用羊肝丸（方剂见第七问下）、三黄丸（方剂见第四问下）、三白散（方剂见第六十问下）。
第六十八问。眼睛患病经过针刺或切割，或去除翳障后，疼痛仍不止的原因是什么？答曰：眼睛是经络的外候，五脏精华所在，也是经络运行的道路。既然经过切割损伤，疼痛不止，出血无定势。适宜使用牡丹煎（方剂见第四十二问下）、三白散（方剂见第六十问下）。
第六十九问。眼中分泌物多且流泪的原因是什么？答曰：这是经络蕴积热气，因食用煎炸爆炒食物过多所致，所以眼中多眵（眼屎）和泪。适宜使用洗心散（方剂见第二十九问下）、连翘散（方剂见第十二问下）。
第七十问。眼中经常流泪的原因是什么？答曰：这是肝经虚损所致。医经说：肝虚则根本枯槁，所以流出冷泪不止。适宜使用洗心散（方剂见第二十九问下）、羊肝丸（方剂见第七问下）。此外还有两种说法，一说老人冷泪不止，是精血俱虚所致，适宜使用秘方胡椒丸；一说有头风病，眼中常流冷泪者，适宜使用许学士的方子。一方治疗老人冷泪不止。
胡椒丸 用胡椒一味研为细末，黄蜡溶化后制成丸药，如绿豆大小。每次服用五到七丸，饭后用茶清送服。
白术散方（许学士方）
白术 川芎 羌活 细辛 白芷 荆芥 菊花 决明子（各五钱）
菊花散方
菊花 川芎 细辛 白芷 白术（各等分）
以上药物研为细末，炼蜜制成丸药，如梧桐子大小。每次服用三十丸，饭后用白开水送服。
第七十一问。如眼睛被打伤或被物体击伤的原因是什么？答曰：这是瘀血流聚于头部上方而攻击眼部，可以消散其血脉瘀滞。适宜使用郁金散（方剂见第二十六问下）、蟹黄散（方剂见第二十八问下）、羚羊角散、五退散。
羚羊角散方
羚羊角 甘草 黄连 栀子 川升麻 车前子（各十两） 龙胆草 决明子（各二十两）
以上药物研为细末。每次服用三钱，用米饮汤调服。如果是小儿可服用半钱，每日进服三次。
五蜕散方
蛇蜕 凤凰蜕（即鸡卵壳） 人蜕（即指甲） 佛蜕（即蚕蜕） 蝉蜕（各等分同烧灰研细混合均匀，再研磨百遍）
以上制成极细粉末。每次服用二钱，蘸猪肝吃，不限时间，每日进服三次。
第七十二问。眼中生有翳障，位置往来不定的原因是什么？答曰：这乃是血液病变所致。因为心能生血，肝能藏血，肝得到血液滋养就能视物，治疗眼病不可不治血。这里五灵脂入肝经，最适宜使用明目灵脂丸。
明目灵脂丸
五灵脂（二两） 川乌（一两半，炮制去皮） 没药（二两） 乳香（二两）
以上药物研为细末，滴水制成丸药，如弹子大小。每次服用一丸，用生姜酒磨开送服。
Question 63. What is the cause of the disease characterized by closing the eyes? Answer: "Ming" (closing eyes/tearing) implies flowing. When wind pathogen invades the eyes, vision becomes dim; due to insufficiency of essence and fluids, the eyes often feel itchy, and cold tears flow incessantly, thus forming this condition. It is appropriate to use Danggui San (Angelica Decoction) (formula see Question 11 below) and Aijian Wan (Mugwort Paste Pill) (formula see Question 10 below).
Question 64. What is the cause of eyes constantly oozing pus? Answer: The eyes are the masters of the five zang organs, the splendor of the six fu organs, and the pathways for body fluids. When wind pathogen lodges in both eyes, cold tears attack each other, causing internal damage to the pupil, thus resulting in this affliction. It is appropriate to use Jiujing Wan (Eye-Saving Pill) and Hupo Gao (Amber Ointment) (formulas see Question 19 below).
Question 65. What is the cause of women experiencing strabismus or oblique vision? Answer: This is caused by the attacking and clashing of yin and yang pathogens, manifesting internally in the eyes. There is partial deficiency of the zang-fu organs and disharmony of yin and yang. It may occur once or twice a day. It is appropriate to use Jiujing Wan (Eye-Saving Pill) (formula see Question 19 below).
Question 66. What is the cause of the eyes appearing unequal in size? Answer: The eyes are the gathering place of the essence of the zang-fu organs and the source of blood vessels. When wind pathogen invades the eyes and impacts the meridians, muscles become obstructed and astringent, and qi and blood stagnate. Thus, the two eyes become uneven in size, forming this appearance. It is appropriate to use Shengfeng San (Wind-Dispelling Powder) (formula see Question 39 below).
Question 67. What is the cause of the eyes changing color between green/blue and red? Answer: This is due to evil heat impacting the liver, attacking the interior of the five zang organs, and ascending to the eyes. This causes the pupil to ulcerate and leak fluid, pouring into the meridians externally. Consequently, the color varies between blue/green, red, yellow, or black, changing unpredictably. It is appropriate to use Yanggan Wan (Sheep Liver Pill) (formula see Question 7 below), Sanhuang Wan (Three-Yellow Pill) (formula see Question 4 below), and Sanbai San (Three-White Powder) (formula see Question 60 below).
Question 68. What is the cause of persistent pain after acupuncture, cutting, or removal of nebulae in eye diseases? Answer: The eyes are the sprouts of the meridians, the essence of the five zang organs, and the pathways of the meridians. After surgical injury, if pain persists and bleeding is irregular, it is appropriate to use Mudan Jian (Peony Paste) (formula see Question 42 below) and Sanbai San (Three-White Powder) (formula see Question 60 below).
Question 69. What is the cause of excessive ocular discharge and tearing? Answer: This results from heat accumulating in the meridians, caused by excessive consumption of fried and roasted foods, leading to abundant eye discharge (discharge) and tears. It is appropriate to use Xixin San (Heart-Washing Powder) (formula see Question 29 below) and Liaoqiao San (Forsythia Powder) (formula see Question 12 below).
Question 70. What is the cause of constant tearing from the eyes? Answer: This is due to deficiency in the liver meridian. The classics state: "When the liver is deficient, its root withers," thus causing incessant flow of cold tears. It is appropriate to use Xixin San (Heart-Washing Powder) (formula see Question 29 below) and Yanggan Wan (Sheep Liver Pill) (formula see Question 7 below). Additionally, there are two other explanations: one states that incessant cold tears in the elderly are due to joint deficiency of essence and blood, suitable for using the secret formula Hujiao Wan (Pepper Pill); another states that those with head wind disease who frequently shed cold tears should use the prescription by Scholar Xu. One formula treats incessant cold tears in the elderly.
Hujiao Wan (Pepper Pill): Use only pepper ground into powder. Melt yellow wax and form pills the size of mung beans. Take 5–7 pills per dose, administered after meals with clear tea water.
Baizhu San Formula (Scholar Xu's Prescription):
Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Xixin (Asari Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Herba), Juhua (Chrysanthemi Flos), Juemingzi (Cassiae Semen) (each 5 qian).
Juhua San Formula (Chrysanthemum Powder):
Juhua (Chrysanthemi Flos), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (equal parts).
Grind all into fine powder. Form pills with refined honey, sized like paulownia seeds. Take 30 pills per dose, administered after meals with plain boiled water.
Question 71. What is the cause of eye injury from blows or foreign objects? Answer: This is caused by blood stasis pooling in the upper body and attacking the eyes. The blood vessels should be dispersed to resolve stasis. It is appropriate to use Yujin San (Curcuma Powder) (formula see Question 26 below), Xiehuang San (Crab Roe Powder) (formula see Question 28 below), Lingyangjiao San (Antelope Horn Powder), and Wutui San (Five-Shedding Powder).
Lingyangjiao San Formula (Antelope Horn Powder):
Lingyangjiao (Saigae Tataricae Cornu), Gancao (Glycyrrhizae Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), Chuan Shengma ( Cimicifugae Rhizoma), Cheqianzi (Plantaginis Semen) (each 10 liang), Longdancao (Gentianae Radix), Juemingzi (Cassiae Semen) (each 20 liang).
Grind into fine powder. Take 3 qian per dose, mixed with rice drink. For children, take half a qian, three times daily.
Wutui San Formula (Five-Shedding Powder):
Shetui (Bombyx Batryticatus), Fenghuangtui (Galli Ovi Testa - chicken eggshell), Rentu (Onychia Humanum - fingernail), Futui (Bombyx Batryticatus - silkworm skin/shed), Chantu (Mantis Oötheca - mantis egg case) (equal parts, burned to ash, ground finely, mixed uniformly, and ground again for a hundred times).
Make into an extremely fine powder. Take 2 qian per dose, eaten with pig liver. Time is not restricted; take three times daily.
Question 72. What is the cause of nebulae in the eyes that move unpredictably? Answer: This is a disorder of the blood. The heart generates blood, and the liver stores blood. When the liver receives blood, vision is possible. Therefore, treating eye diseases requires treating the blood. Wulingzhi enters the liver meridian and is most suitable for use in Mingmu Lingzhi Wan (Vision-Clearing Wulingzhi Pill).
Mingmu Lingzhi Wan (Vision-Clearing Wulingzhi Pill):
Wulingzhi (Trogopterori Faeces) (2 liang), Chuanwu (Aconiti Radix Praeparata) (1.5 liang, processed and peeled), Moyao (Myrrha), Ruxiang (Olibanum) (each 2 liang).
Grind into fine powder. Add drops of water to form pills the size of marbles. Take one pill per dose, ground down with ginger wine and swallowed.