此眼初患之时。或因伤寒起早。热病后脏气未全。六腑之热未尽。体虚易损。过食热物过多。致令患眼。或见黑花。
瞳人开大。发歇不定。赤肿泪出。宜令镰出瘀血。服熊胆丸、生犀角饮子、泻肝汤。切不可点药。恐损睛也。
诗曰∶
热病伤寒可后虚 因餐壅热患双 睛疼一日先昏暗 不久相牵左右拘
红肿必须镰睑内 生犀饮子最能驱 次服决明丸半剂 免教白肉更须瘀
未宜点眼缘何事 却恐生疮败黑珠 瞳子忽然开黑大 旧来肝肾有风虚
神方用胆点和服 双目光明却复初 若是眼前花出现 三年两载始能除
熊胆丸
熊胆（一个） 石决明 车前子 泽泻 细辛（各一两） 干地黄 茺蔚子（各二两） 黄牛胆（一个）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
生犀角饮子
生犀角 桔梗（各二两） 羚羊角 人参 茯苓 黄芩 知母 防风（各一两）
上为细末，以水一盏。散一钱。煎至五分。去渣温服。
泻肝汤
石决明 川大黄 桔梗 车前子 芒硝（各一两） 羚羊角 防风（各两半）
上为极细末。以水一盏。散一钱。煎至五分。去渣温服之。
此眼初患之时。先疼后痒。碜涩泪出。怕日羞明。白睛先赤。发歇无定。渐渐眼内赤脉横立遮睛。如隔纱看物。难
以辨明。此是毒风在肝脏。积血睑 之间然也。初患宜令镰洗钩割。莫熨烙。去除根本。然后宜服凉肝散。点七宝膏。
服退翳丸。立效。
诗曰∶
白睛先赤作根基 痛痒风吹泪出眵 碜涩难开旬日内 发无定体有瘳时
年深渐变时为碧 满目凝眵如觉之 赤脉如丝横与竖 混睛外障莫狐疑
毒风赤血成其量 如此谁言可易医 冷涩药中须得妙 点摩翳膜尽为期
频镰双睑同篦烙 风热平时即住之 汤药稍和年岁服 要除根本莫镰迟
凉肝散
川大黄 桔梗（各半两） 黄芩 羚羊角 黑参 人参 茯苓（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
七宝膏
珍珠 水晶 贝齿（各一两） 琥珀 石决明（各三分） 空青 玛瑙 龙脑（各半两）
上为末。研令细匀。水五升。石器内煎至一升。去渣煎至一盏。入蜜半两。煎和为膏。每至夜卧时点之。早晨不得
点。
退翳丸
白芷 细辛 五味子 枳壳（各一两去瓤麸炒） 牡蛎 茺蔚子（各二两）
上为末。炼蜜为丸如桐子大。空心米饮汤下十丸。
此病在眼睛初发之时，可能是因为伤寒早起受寒，或者热病之后脏腑之气尚未恢复，六腑的热邪未尽。身体虚弱容易受损，如果过食辛辣燥热的食物过多，就会导致眼部患病。症状可能包括眼前出现黑花、瞳孔散大且大小不定、眼睛红肿流泪。此时应当用镰刀放出瘀血，服用熊胆丸、生犀角饮子或泻肝汤。切不可使用眼药水点眼，恐怕会损伤眼球。
诗曰：
热病和伤寒后身体往往虚弱，因饮食壅滞热邪而患双眼病。
眼睛疼痛一天后先感到昏暗，不久牵连左右眼睑拘挛。
红肿必须用镰刀切开眼睑内部，生犀饮子最能驱除病邪。
其次服用半剂决明丸，避免白肉（翳膜）再次形成瘀滞。
为什么暂时不宜点眼药？却恐生出疮疡败坏黑珠（瞳孔）。
瞳孔忽然开大变黑，是因为旧日肝肾有风虚之症。
神方用熊胆调和内服，双眼光明便可恢复如初。
若是眼前出现黑花，三年两载才能消除。
熊胆丸
配方：熊胆（一个）、石决明、车前子、泽泻、细辛（各一两）、干地黄、茺蔚子（各二两）、黄牛胆（一个）。
制法与用法：将上述药材研为细末，用炼蜜制成如梧桐子大小的丸药。空腹时以茶水送服十丸。
生犀角饮子
配方：生犀角、桔梗（各二两）、羚羊角、人参、茯苓、黄芩、知母、防风（各一两）。
制法与用法：将上述药材研为细末，取水一盏（约200毫升），放入药散一钱（约3-5克），煎煮至五分（约100毫升），去渣后温服。
泻肝汤
配方：石决明、川大黄、桔梗、车前子、芒硝（各一两）、羚羊角、防风（各一两半）。
制法与用法：将上述药材研为极细末，取水一盏，放入药散一钱，煎煮至五分，去渣后温服。
此病在眼睛初发之时，先疼痛后瘙痒，感觉异物感涩并流泪，怕光羞明。白睛（巩膜）先发红，发作没有规律，渐渐眼内赤脉横立遮挡视线，如同隔着纱看东西，难以辨清。这是毒风在肝脏，积血在眼睑之间所致。初发时应当用镰刀清洗、钩割治疗，不要熨烫烙灼，以去除病根。然后宜服用凉肝散，点涂七宝膏，服用退翳丸，疗效显著。
诗曰：
白睛先红作为病根，疼痛瘙痒风吹泪出且有眼屎。
涩难睁开十日内，发作无定体但有痊愈之时。
年深日久渐变颜色如碧色，满眼凝滞眼屎如觉视不清。
赤脉如丝横竖交错，混睛外障不必怀疑。
毒风赤血形成其量，如此谁说容易医治。
冷涩药物中须得妙用，点摩翳膜直到痊愈为止。
频繁镰切双眼睑同用篦烙，风热平时即停止。
汤药稍温和年龄服用，要除根本不要延迟镰治。
凉肝散
配方：川大黄、桔梗（各半两）、黄芩、羚羊角、黑参、人参、茯苓（各一两）。
制法与用法：将上述药材研为细末，取水一盏，放入药散一钱，煎煮至五分，饭后去渣温服。
七宝膏
配方：珍珠、水晶、贝齿（各一两）、琥珀、石决明（各三分）、空青、玛瑙、龙脑（各半两）。
制法与用法：将上述药材研为细末，均匀混合。用水五升，在石器中煎煮至一升，去渣后再煎至一盏，加入蜂蜜半两，煎和成膏状。每晚睡前点眼，早晨不得点眼。
退翳丸
配方：白芷、细辛、五味子、枳壳（各一两，去瓤麸炒）、牡蛎、茺蔚子（各二两）。
制法与用法：将上述药材研为细末，用炼蜜制成如梧桐子大小的丸药。空腹时以米汤送服十丸。
At the initial onset of this eye disease, it may be due to rising early with Shanghan (Cold Damage), or because the Qi of the Zang and Fu organs has not fully recovered after a Re Bing (Heat Disease), leaving residual heat in the Six Fu organs. The body is deficient and easily damaged; excessive consumption of hot/spicy foods can lead to eye pathology. Symptoms may include seeing black flowers before the eyes, dilation of the pupil with irregular size, redness, swelling, and tearing. At this stage, bloodletting using a lancet should be performed to release stasis, followed by administration of Xiongdan Wan (Bear Bile Pill), Shengxijiao Yinzi (Raw Rhinoceros Horn Decoction), or Xiegan Tang (Drain Liver Decoction). Eye drops must strictly be avoided to prevent damage to the eyeball.
Poem:
After Heat Disease and Cold Damage, deficiency often lingers;
Dietary stagnation and heat cause bilateral eye afflictions.
Pain precedes dimness within a day;
Soon, spasms牵涉 (involve) both sides of the eyelids.
Redness and swelling require lancing inside the eyelid;
Shengxi Yinzi (Raw Rhinoceros Horn Decoction) best expels the pathogen.
Next, take half a dose of Jueming Wan (Cassia Seed Pill) to prevent new membranes from forming stasis.
Why are eye drops temporarily contraindicated? Fear of sores damaging the black pearl (pupil).
Sudden dilation of the pupil indicates wind-deficiency in the Liver and Kidney.
The divine formula uses Bear Bile taken internally;
Vision returns to its original clarity.
If black flowers appear before the eyes,
It may take two or three years to clear them.
Xiongdan Wan (Bear Bile Pill)
Ingredients: Xiong Dan (Bear Gallbladder, 1 unit), Shijueming (Haliotidis Concha), Cheqianzi (Plantaginis Semen), Zexie (Alismatis Rhizoma), Xixin (Asari Radix et Rhizoma) (each 1 liang); Gan Dihuang (Rehmanniae Radix Preparata), Chongweizi (Leonuri Fructus) (each 2 liang); Huangniu Dan (Bovis Gallbladder, 1 unit).
Preparation and Administration: Grind all ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills on an empty stomach with tea water.
Shengxijiao Yinzi (Raw Rhinoceros Horn Decoction)
Ingredients: Sheng Xijiao (Rhinocerotis Cornu), Jiegeng (Platycodonis Radix) (each 2 liang); Lingyangjiao (Saigae Tataricae Cornu), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 1 liang).
Preparation and Administration: Grind into fine powder. Add 1 qian (approx. 3-5g) of powder to 1 sheng (approx. 200ml) of water. Boil down to 0.5 sheng (approx. 100ml). Strain and take warm.
Xiegan Tang (Drain Liver Decoction)
Ingredients: Shijueming (Haliotidis Concha), Chuan Dahuang (Rhei Radix et Rhizoma), Jiegeng (Platycodonis Radix), Cheqianzi (Plantaginis Semen), Mangxiao (Natrii Sulfas) (each 1 liang); Lingyangjiao (Saigae Tataricae Cornu), Fangfeng (Saposhnikoviae Radix) (each 1.5 liang).
Preparation and Administration: Grind into extremely fine powder. Add 1 qian of powder to 1 sheng of water. Boil down to 0.5 sheng. Strain and take warm.
In the initial stage of this eye disease, pain precedes itching, accompanied by a gritty sensation, tearing, and photophobia. The sclera (white part of the eye) turns red first, with paroxysmal symptoms occurring irregularly. Gradually, red vessels stand horizontally across the eye, obscuring vision like looking through gauze, making it difficult to see clearly. This is caused by toxic wind affecting the Liver and accumulated blood between the eyelids. Initially, treatment with a lancet for washing and hook-cutting is appropriate; moxibustion or cauterization should be avoided to remove the root cause. Subsequently, Liangan San (Cool Liver Powder) should be administered, Qibao Gao (Seven Treasures Ointment) applied topically, and Tuiyi Wan (Remove Membrane Pill) taken orally, yielding immediate results.
Poem:
Redness of the sclera serves as the foundation;
Pain, itching, wind exposure, tearing, and discharge occur.
Grittiness prevents opening for ten days;
Paroxysms vary but have times of remission.
Over years, the color gradually changes to greenish-blue;
Eyes filled with sticky discharge seem obstructed.
Red vessels like threads cross horizontally and vertically;
Do not doubt the diagnosis of Hunjing Waizhang (Mixed Corneal Opacity).
Toxic wind and red blood determine its severity;
Who says such cases are easy to treat?
Excellent cold/astringent medicines are required;
Apply and massage until the membrane is cleared.
Frequent lancing of both eyelids combined with combing/cauterization stops wind-heat when active.
Decoctions should be taken mildly according to age;
To remove the root, do not delay lancing.
Liangan San (Cool Liver Powder)
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma), Jiegeng (Platycodonis Radix) (each 0.5 liang); Huangqin (Scutellariae Radix), Lingyangjiao (Saigae Tataricae Cornu), Heishen (Polygonati Odorati Rhizoma - Black Ginseng), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (each 1 liang).
Preparation and Administration: Grind into powder. Add 1 qian of powder to 1 sheng of water. Boil down to 0.5 sheng. Strain and take warm after meals.
Qibao Gao (Seven Treasures Ointment)
Ingredients: Zhenzhu (Margarita), Shuijing (Quartz), Beichi (Concha Arcae) (each 1 liang); Hupo (Amber), Shijueming (Haliotidis Concha) (each 3 fen); Kongqing (Azurite), Manao (Chalcedony), Longnao (Borneolum Syntheticum) (each 0.5 liang).
Preparation and Administration: Grind all ingredients into fine, uniform powder. Add 5 sheng of water and boil in a stone vessel down to 1 sheng. Strain, then boil again down to 1 sheng. Add 0.5 liang of honey and boil to form an ointment. Apply at night before sleep; do not apply in the morning.
Tuiyi Wan (Remove Membrane Pill)
Ingredients: Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Chinensis Fructus), Zhike (Aurantii Fructus Immaturus) (each 1 liang, de-seeded and stir-fried with bran); Muli (Ostreae Concha), Chongweizi (Leonuri Fructus) (each 2 liang).
Preparation and Administration: Grind into powder. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills on an empty stomach with rice water decoction.