此眼初患之时。皆因肝家受热。膈内风虚。眼多泪出。或痒或疼。乍好乍恶。以手措摩。致令睫毛倒拳。刺隐瞳人。
碜涩睛上。白膜遮满。不宜镰洗出血熨烙。切恐眼皮渐小急。开合稍难。然后宜服细辛散、补肾丸立效。
诗曰∶
若因风赤泪涓涓 翳膜潜生碧渐满 乍好乍恶多年后 眼皮急小欲开难
倒睫拳挛如刺碜 摩应瞳人岂可安 医者去毛根永断 太阳针血最为先
汤药入除风与热 铍镰数数点朱煎
细辛散
细辛 防风 知母 茺蔚子（各二两） 黑参 桔梗 大黄 羚羊角（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温温服之。
补肾丸
五味子 人参 泽泻 干山药 车前子 茯苓 细辛 黄芩（各一两） 干地黄（三分）
上为末。炼蜜为丸如桐子大。每服十丸。空心茶清下。
此眼初患之时。乍好乍恶。发歇无时。多因泪流不止。盖因胃气受风。肝膈积热，壅毒在睑。皆致使眼皮翻出。切
宜镰洗散去瘀血。熨烙三五度。然后服黄 汤。煎摩风膏摩之。睑内涂白蔹膏即瘥。
诗曰∶
一般风热入双眸 此眼缘何患异殊 脾脏毒风翻出睑 肾因传送入为珠
若是睑翻还易疗 毒风入黑即难除 铜篦轻熨摩风药 白蔹为膏睑内涂
黄 汤
黄 茺蔚子（各二两） 防风（一两半） 地骨皮 茯苓 川大黄 人参 黄芩（各一两） 甘草（五钱）
上为末。以水一盏，散一钱，煎至五分。食后去渣温服。
摩风膏
黄 细辛 当归 杏仁（各一两） 白芷（一两半） 防风 松脂 黄蜡（各一两） 小麻油（四两）
上捣罗为末。煎成膏涂之。
白蔹膏
白蔹 白芨 白芷（各一两） 突厥子（两半）
上为细末。用牛酥五两煎为膏。早晨涂在眼睛内。夜半涂亦得。
【四十四·倒睫拳毛外障】
眼睛刚发病的时候，都是因为肝脏受热，膈间风邪虚损。导致眼泪多流出，或者发痒或者疼痛，病情时好时坏。用手擦拭揉摩，致使睫毛倒卷弯曲，刺入并隐藏在瞳孔部位。
感觉异物感涩滞于眼球表面，白色膜状物遮盖满布。不宜使用镰刀清洗出血或进行烙烫治疗，切恐眼皮逐渐变小紧缩，开合稍微困难。此后适宜服用细辛散、补肾丸，立见功效。
诗曰：
若因风赤泪涓涓，翳膜潜生碧渐满。
乍好乍恶多年后，眼皮急小欲开难。
倒睫拳挛如刺碜，摩应瞳人岂可安。
医者去毛根永断，太阳针血最为先。
汤药入除风与热，铍镰数数点朱煎。
细辛散
药材组成：细辛、防风、知母、茺蔚子（各二两），黑参、桔梗、大黄、羚羊角（各一两）。
制法用法：将上述药物研为细末。每次取药散一钱，用水一盏，煎至五分量，饭后去渣，温服。
补肾丸
药材组成：五味子、人参、泽泻、干山药、车前子、茯苓、细辛、黄芩（各一两），干地黄（三分）。
制法用法：将上述药物研为细末，用炼蜜制成如梧桐子大小的丸剂。每次服用十丸，空腹时用茶汁送下。
【四十五·风牵睑出外障】
这种眼病初起时，症状时好时坏，发作没有定时。多因为流泪不止，大概是因为胃气受风邪侵袭，肝膈积热，毒邪壅滞在眼睑，都致使眼皮翻出。
切宜使用镰刀清洗散去瘀血，进行三到五次烙烫治疗。然后服用黄耆汤，用摩风膏涂抹按摩。眼睑内侧涂白蔹膏即可痊愈。
诗曰：
一般风热入双眸，此眼缘何患异殊。
脾脏毒风翻出睑，肾因传送入为珠。
若是睑翻还易疗，毒风入黑即难除。
铜篦轻熨摩风药，白蔹为膏睑内涂。
黄耆汤
药材组成：黄耆、茺蔚子（各二两），防风（一两半），地骨皮、茯苓、川大黄、人参、黄芩（各一两），甘草（五钱）。
制法用法：将上述药物研为细末。每次取药散一钱，用水一盏，煎至五分量，饭后去渣温服。
摩风膏
药材组成：黄耆、细辛、当归、杏仁（各一两），白芷（一两半），防风、松脂、黄蜡（各一两），小麻油（四两）。
制法用法：将上述药物捣碎过筛为细末，煎制成膏状涂抹患处。
白蔹膏
药材组成：白蔹、白芨、白芷（各一两），突厥子（一两半）。
制法用法：将上述药物研为细末，用牛酥五两煎制成膏。早晨涂在眼睛内，半夜涂也可以。
[Chapter 44: External Obstruction of Inverted Cilia and Curled Eyelashes]
At the initial stage of this eye disease, it is caused by heat accumulating in the Liver (Gan) and wind deficiency in the diaphragm. This leads to excessive tearing, itching or pain, and fluctuating symptoms that improve and worsen intermittently. Rubbing the eyes with hands causes the eyelashes to invert and curl, piercing and hiding behind the pupil.
A gritty sensation occurs on the eyeball surface, covered by a white membrane. It is contraindicated to use a lancet for bleeding or cauterization, as this may cause the eyelids to shrink and tighten, making opening and closing difficult. Subsequently, it is advisable to administer Xixin San (Asarum Powder) and Bushen Wan (Kidney-Nourishing Pill), which yield immediate effects.
Poem says:
If wind-heat causes redness and continuous tears,
Opacity grows slowly, filling the vision greenish-black.
Fluctuating symptoms persist for years,
Eyelids shrink tight, hard to open.
Inverted cilia curl like thorns causing grittiness,
Rubbing against the pupil, how can one be at ease?
The physician removes the hair root permanently,
Needling blood from Taiyang (Bladder Meridian) is paramount.
Decoctions eliminate wind and heat,
Pili lance repeatedly applies vermilion decoction.
Xixin San (Asarum Powder)
Ingredients: Asari Radix (Xixin), Saposhnikoviae Radix (Fangfeng), Anemarrhenae Rhizoma (Zhimu), Vernoniae Semen (Chongweizi) (each 2 liang); Black Ginseng (Heishen), Platycodonis Radix (Jiegeng), Rheum Palmatum Rhizoma et Radix (Dahuang), Antelopis Cornu (Lingyangjiao) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1 qian of the powder, add 1 sheng of water, boil down to 0.5 sheng. Strain and take warm after meals.
Bushen Wan (Kidney-Nourishing Pill)
Ingredients: Schisandrae Fructus (Wuweizi), Ginseng Radix (Renshen), Alisma Rhizoma (Zexie), Dioscoreae Rhizoma Dryum (Ganshanyao), Plantaginis Semen (Cheqianzi), Poria (Fuling), Asari Radix (Xixin), Scutellariae Radix (Huangqin) (each 1 liang); Rehmanniae Radix Preparata (Shengdihuang) (3 fen).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of tung tree seeds. Take 10 pills per dose, swallowed with tea infusion on an empty stomach.
[Chapter 45: External Obstruction of Wind-Induced Ectropion]
At the onset of this eye condition, symptoms fluctuate without fixed timing. It is often due to continuous tearing, generally caused by wind invading the Stomach Qi, accumulation of heat in the Liver and Diaphragm, and toxic stagnation in the eyelids, all leading to the eversion of the eyelid.
It is essential to use a lancet to drain stasis and perform cauterization three to five times. Then, administer Huangqi Tang (Astragalus Decoction), massage with Mofeng Gao (Wind-Massaging Ointment). Applying Bailian Gao (Ampelopsis Ointment) inside the eyelid will lead to recovery.
Poem says:
Generally, wind-heat enters both eyes,
Why does this eye suffer differently?
Toxic wind of the Spleen causes eyelid eversion,
Kidney transmission turns it into a pearl.
If only eyelid eversion, treatment is easy;
Once toxic wind enters the black part, it is hard to remove.
Lightly cauterize with a copper comb, apply wind-massaging medicine,
Apply Ampelopsis ointment inside the eyelid.
Huangqi Tang (Astragalus Decoction)
Ingredients: Astragali Radix (Huangqi), Vernoniae Semen (Chongweizi) (each 2 liang); Saposhnikoviae Radix (Fangfeng) (1.5 liang); Cortex Lycii (Digupi), Poria (Fuling), Rheum Palmatum Rhizoma et Radix (Chuan Dahuang), Ginseng Radix (Renshen), Scutellariae Radix (Huangqin) (each 1 liang); Glycyrrhizae Radix et Rhizoma (Gancao) (5 qian).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1 qian of the powder, add 1 sheng of water, boil down to 0.5 sheng. Strain and take warm after meals.
Mofeng Gao (Wind-Massaging Ointment)
Ingredients: Astragali Radix (Huangqi), Asari Radix (Xixin), Angelicae Sinensis Radix (Danggui), Armeniacae Semen Amarum (Xingren) (each 1 liang); Angelicae Dahuricae Radix (Baizhi) (1.5 liang); Saposhnikoviae Radix (Fangfeng), Pinicola Resina (Songzhi), Apis Cera (Huangla) (each 1 liang); Sesamum Oleum (Xia Mayou) (4 liang).
Preparation and Administration: Pound and sieve the above ingredients into fine powder, decoct to form an ointment for topical application.
Bailian Gao (Ampelopsis Ointment)
Ingredients: Ampelopsis Rhizoma (Bailian), Bletillae Rhizoma (Baiji), Angelicae Dahuricae Radix (Baizhi) (each 1 liang); Turkestan Fruit (Tujuézi) (1.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder, decoct with 5 liang of Butter (Niusu) to form an ointment. Apply inside the eye in the morning; applying at midnight is also acceptable.