小儿不与大人同 翳疗之源别有宗 神气未全难保惜 铍镰炙烙哭伤瞳
等闲痛药勿令点 啼叫劳他病转浓 更若手揉难禁词 因兹睛破永夭终
欲求稳便全双目 苦药煎淋洗避风 服药养肝须见效 免教昏暗一生中
凡眼病多因五脏壅热上冲使然，故汤饮之剂。不可见火。盖药性得火则热。投之脏腑。恰如扬汤止沸。非谓无益。
又且害之。须是净洗向日。如遇阴雨。亦当风干。若食前补实等药。或炮或炙。一根据方法。今具于左。
乌头、附子，生用去皮尖。熟则用灰火炮裂去皮尖。牡蛎生用则去泥。熟用盐泥固济。炭火烧通赤取净。须左顾者。
诸角先镑治为细末。然后入药和合。宝石亦然。
大黄。古方亦用湿纸裹煨。或甑上蒸。近世生用。当量虚实生熟用之。
天麦二门冬、牡丹、巴戟天、远志、地骨皮、皆去心。茯苓去皮。芍药去心。补药用白者。泻药用赤者。当归去芦
净洗。入补药则用水洗。烈日晒干。入汤饮酒浸十宿。羌活、黄连、藜芦。去根芦净洗。
矾石。须于新瓦上或铜器中熬令沸。汁尽即止。石南。剔去叶嫩茎去大枝。
菟丝子。酒浸曝干火焙。亦得用纸条子同碾即为末。又用盐拌碾则易碎。但只用酒浸烂而碾为膏。却焙再碾。念老
鹰声不辄则易碎。
杏仁、蕤仁湿去皮尖。柴胡、 本、前胡去苗洗净。桂心、陈皮去皮。枳壳去瓤麸炒。诸花去萼及梗洗净。香附子
麸炒舂去毛。白僵蚕直者去丝嘴炒。防风去叉股者。蝎虫去足翅毒微炒。荆芥、白芷、白芨、白蔹不见火。蝉蜕洗去土
晒干。微炒。细辛去叶洗净。
乳香。寻常用。指甲爪、灯心草、糯米之类同研及水浸。乳钵研之皆费力，惟纸裹放壁隙中。良久碎。即粉碎。麝
香须着少水研之。自然碎极细。不必罗也。
炼蜜法。称蜜十两。水十两。同煎去沫。准令水尽。取出稀。称得净蜜十两。则是水耗而蜜在。庶不焦损。又每蜜
一斤。只炼得十二两半或一分是实数。若火少火多。并用不得。
凡膏中用蜡。皆烊搅调以和药。
凡膏中用脂。皆先炼去草方可用。
凡膏中有用雄黄、朱砂辈。皆别捣细研。飞过如面。绞膏毕。乃投膏中。以物疾搅。勿使凝强不调。
凡膏中用水银。须于凝膏中研令消散。胡粉亦然。若水银误倾在地不可收。宜以雉尾收之。川椒亦嘉。
凡药中用蜜。先称药末两数若干。次称炼了蜜与药等分。方可搜。搜毕。更于石臼中捣百数杵。视其色理协议为嘉。
丸药末须用密绢作罗底。锉散药用竹筛筛过。方得药汁清利。
小儿的生理病理特点与成人不同，翳障和疳积等眼病的成因也有其特殊性。小儿神气尚未完全充盈，难以精心呵护保护；若使用铍针、镰刀切割或艾灸、烙烫等疗法，易因哭闹而损伤瞳孔。
轻易不要使用刺激性强的滴眼药，否则患儿啼哭会加重病情，使病症更加严重。如果再用手指揉搓眼睛，恐怕难以忍受，甚至导致眼球破裂，造成终身残疾甚至夭折。
想要稳妥便利地保全双眼视力，应用苦味药物煎汤熏洗，并注意避风。服用调理肝脏的药物必须见效，以免患者终生遭受视力昏暗之苦。
凡是眼病，大多是因为五脏壅滞蕴热，热气上冲所致，所以治疗多用汤剂、饮剂。这些药剂不可直接见火（指煎煮时火候不当或药性受热过度）。因为药物性质遇火则变热，投入脏腑后，就像扬汤止沸一样，虽然看似在降温，实则不仅无益，反而有害。因此，药材必须经过净洗并在阳光下晾晒。如果遇到阴雨天气，也应当在通风处晾干。如果是饭前服用的补益充实类药方，或者需要炮制、炙烤的药物，都应根据具体方法处理。现将具体方法列于下方：
乌头、附子：生用时需去皮尖；熟用时可用灰火煨裂后去皮尖。牡蛎：生用时需去除泥土；熟用时需用盐泥封固，用炭火烧至通红，然后取用纯净部分，且须选用左侧有纹理的。
各种角类药材：先镑刮成细末，然后与其他药物混合。宝石类药物也是如此。
大黄：古方中常用湿纸包裹煨熟，或在蒸笼上蒸熟。近代多生用，应当根据患者虚实情况决定生用还是熟用。
天门冬、麦门冬、牡丹皮、巴戟天、远志、地骨皮：均需去心。茯苓：去皮。芍药：去心。补药用白芍，泻药用赤芍。当归：去芦头，洗净。入补药方用水洗，烈日下晒干；入汤剂或酒剂则浸泡十宿。羌活、黄连、藜芦：去根和芦头，洗净。
矾石：必须在新瓦上或铜器中熬煮至沸腾，汁液干尽即停止。石南藤：剔除嫩叶，去掉大枝。
菟丝子：用酒浸泡后曝晒干燥，也可用火焙干。也可以用纸条包裹同碾成末。如果用盐拌和后碾磨则容易粉碎。但通常只用酒浸泡烂后碾成膏状，再焙干重新碾磨。念老鹰叫声不停则容易粉碎（此处原文可能有误或为特定经验描述，依字面翻译）。
杏仁、蕤仁：湿法去皮尖。柴胡、藁本、前胡：去苗头洗净。桂心、陈皮：去皮。枳壳：去瓤，麸炒。各种花类：去萼片和梗，洗净。香附子：麸炒后舂去毛。白僵蚕：选直者，去丝嘴后炒制。防风：去叉股部分。蝎虫（全蝎）：去足翅，微炒。荆芥、白芷、白芨、白蔹：不见火。蝉蜕：洗去泥土，晒干，微炒。细辛：去叶洗净。
乳香：寻常用指甲爪、灯心草、糯米等一同研磨及水浸。用乳钵研磨都很费力，只有用纸包裹放在墙壁缝隙中，放置良久使其碎裂，即可粉碎。麝香：须加少量水研磨，自然碎成极细粉末，不必过筛。
炼蜜法：称取蜂蜜十两，水十两，共同煎煮去除浮沫。等到水分刚好烧干，取出稀蜜，称得净蜜十两，这样就是水耗损而蜜保留下来，不至于焦损。另外，每斤蜜只炼得十二两半或一分是实数。如果火太小或太大，都不适用。
凡是膏药中使用蜡，都要熔化搅拌调和以配合药物。
凡是膏药中使用脂（动物油脂），都要先炼制去除草杂后方可使用。
凡是膏药中有使用雄黄、朱砂等矿物药的，都要另外捣细研飞，如面粉般细腻。绞取膏汁完毕后，再投入膏中，用器具快速搅拌，防止凝结强硬不调匀。
凡是膏药中使用水银，必须在凝固的膏体中研磨使其消散。胡粉也是如此。如果水银不慎倾洒在地上无法回收，宜用野鸡尾羽收集。川椒也可以。
凡是药中使用蜂蜜，先称量药末若干两，再称取炼好的蜜与药等分，方可揉合。揉合完毕后，再在石臼中捣打数百杵，观察其色泽纹理协调即为佳。
丸药粉末必须用密绢做筛底过滤。锉散药用竹筛筛过，才能使药汁清利。
The physiological and pathological characteristics of children differ from those of adults; the origins of nebula (corneal opacity) and phthisis (eye wasting disease) have distinct sources. Since the divine qi (vital spirit) is not yet fully developed, it is difficult to protect carefully. The use of plica (a surgical knife), scythes, moxibustion, or cauterization may cause crying that injures the pupil.
Do not casually apply irritating eye drops, as crying will exhaust the patient and worsen the condition. If further rubbed by hand, the pain may be unbearable, potentially leading to eyeball rupture and permanent disability or early death.
To seek a stable and convenient method to preserve both eyes, bitter medicines should be decocted for washing/fumigation while avoiding wind. Medicines that nourish the liver must take effect to avoid lifelong dimness of vision.
Generally, eye diseases are mostly caused by the upward rush of heat stagnating in the five zang organs, hence decoctions and infusions are used. These preparations should not be directly exposed to excessive fire. Because medicinal properties become hot when subjected to fire, administering them to the zang-fu organs is like stirring boiling water with a ladle—it appears to cool but is actually ineffective and even harmful. Therefore, herbs must be thoroughly washed and sun-dried. In case of rainy weather, they should be air-dried in the wind. For tonifying and solidifying prescriptions taken before meals, or those requiring frying or roasting, methods must be strictly followed. The specific methods are listed below:
Aconitum carmichaelii (Wutou) and Aconitum lateralare preparatum (Fuzi): When used raw, remove skin and tips. When prepared, crack using ash-fire and remove skin and tips. Ostrea concha (Muli): When used raw, remove mud. When prepared, seal with salt-mud, burn with charcoal until red-hot, then take the pure part. Those with left-facing patterns are preferred.
Various horn materials: First scrape into fine powder, then mix with other medicines. Gemstones are treated similarly.
Rhei Radix et Rhizoma (Dahuang): Ancient formulas also used wet-paper-wrapped baked versions or steamed ones. Modern usage often employs raw material; one should judge based on deficiency or excess whether to use raw or prepared forms.
Asparagi Radix (Tianmendong) and Ophiopogonis Radix (Xiaomendong), Paeonia suffruticosa bark (Mudanpi), Morinda officinalis root (Bajitian), Polygala root (Yuanzhi), and Lycium bark (Digupi): All require removal of the heart/core. Poria cocos (Fuling): Remove skin. Paeonia lactiflora (Shaoyao): Remove core. Use white shaoyao for tonification, red shaoyao for purging. Angelica sinensis (Danggui): Remove rhizome head, wash clean. For tonics, wash with water and dry under the sun; for decoctions or wine infusions, soak for ten nights. Notopterygium root (Qianghuo), Coptis rhizome (Huanglian), and Veratrum nigrum (Lilu): Remove roots and heads, wash clean.
Alumen (Fanshi): Must be boiled on new tiles or in copper vessels until bubbling; stop when juices are exhausted. Pyracantha fortuneana stem (Shinan): Remove tender leaves and large branches.
Cuscutae Semen (Tusizi): Soak in wine, expose to sun until dry, or bake. Alternatively, grind with paper strips into powder. Grinding with salt makes it easier to crush. However, usually soak in wine until soft, grind into paste, bake again, and grind. (Note: "Nian old eagle sound" seems to be a specific empirical note or textual error, translated literally).
Prunus armeniaca seed (Xingren) and Prunus persica kernel (Ruiren): Wet method to remove skin and tips. Bupleurum root (Chaihu), Ligusticum chuanxiong (Ben), and Peucedanum root (Qianhu): Remove sprouts, wash clean. Cinnamon twig (Guixin) and Citrus reticulata peel (Chenpi): Remove skin. Aurantium fruit (Zhiqiao): Remove pulp, stir-fry with bran. Various flowers: Remove calyx and stems, wash clean. Cyperi Rhizoma (Xiangfuzi): Stir-fry with bran, pound to remove hairs. Bombyx batryticatus (Baijiangcan): Select straight ones, remove silk mouth, fry. Saposhnikovia root (Fangfeng): Remove forked parts. Scorpio (Xiescorpion): Remove legs, wings, and poison sac, lightly fry. Schizonepeta spike (Jingjie), Angelica dahurica (Baizhi), Bletilla rhizome (Baiji), and Ampelopsis radix (Bailian): Do not expose to fire. Cicada slough (Chantui): Wash off soil, dry, lightly fry. Asarum root (Xixin): Remove leaves, wash clean.
Boswellia carterii resin (Ruxiang): Commonly ground with fingernails, Juncus effusus (Dengxincao), glutinous rice, etc., and soaked in water. Grinding in a mortar is laborious; instead, wrap in paper and place in wall crevices for a long time until brittle, then crush easily. Moschus (Shexiang): Grind with a little water until extremely fine naturally; no need for sieving.
Refining honey method: Weigh 10 liang of honey and 10 liang of water. Boil together to remove foam. Cook until water is just consumed. Take out the thin residue. Weigh to obtain 10 liang of pure honey. This ensures water loss while preserving honey without burning. Additionally, per jin of honey, only 12.5 liang or slightly less is the actual yield. Fire too weak or too strong renders it unusable.
For plasters using wax: Melt and stir to mix with medicines.
For plasters using animal fat: Refine first to remove grass impurities before use.
For plasters containing realgar (Xionghuang) or cinnabar (Zhusha): Grind separately until fine and sifted like flour. After extracting the plaster juice, add these powders to the plaster and stir rapidly with utensils to prevent hardening or uneven mixing.
For plasters containing mercury (Shuiyin): Grind within the coagulated plaster until dissolved. Baihua (lead carbonate) is treated similarly. If mercury spills on the ground and cannot be collected, use pheasant tail feathers to gather it. Sichuan pepper (Chuanjiao) is also effective.
When using honey in medicines: First weigh the powdered medicine. Then weigh refined honey equal to the weight of the medicine. Knead together. After kneading, pound hundreds of times in a stone mortar. Observe color and texture; harmony indicates success.
Powders for pills must be sifted through fine silk mesh. Powders for decoction pieces must be sifted through bamboo sieves to ensure clear and smooth medicinal liquids.