〔曾〕热极挟风,则目赤肿痛,昼夜不开,惊啼不已。先用九仙散水姜葱煎服,
次三解散温米泔水调下,及点以黄连膏。若夫天行时证暴赤肿痛,昼夜苦甚,久
则昏蒙,治法先以九仙散解表,次以小柴胡汤去半夏加大黄、薄荷、竹叶、生地黄、
水煎服,并投草龙胆散,及点以黄连膏,贴以清凉膏。有孩儿胃气素虚,脾气实
盛,眼胞赤肿,羞涩不开,遽按苦寒之剂以退赤肿,反伤脾胃,不吐则泻,或四肢
微冷,复以温药调治,则目疾转加,宜先用 咀五苓散,水、姜、灯心煎服,次
投泻黄散自愈。有心脾蕴热经久,及肝受邪热,致两目羞明,眼胞浮肿,微有紫
色,大腑闭或流利,小便涩或通顺,先以百解散发表,次投明目饮,自然平复,仍
忌酒荤三五日。有小儿薄劣,多致尘埃入目,揩摩成肿,发热作痛,啼哭不
已,宜用辟尘膏治之,立效。
〔汤〕导赤散 治心热小便赤,眼目赤肿。
赤芍药 羌活 防风(各半两) 大黄 甘草(各一钱)
上为末。灯心、黑豆同煎,食后服。
余平生无赤眼之患,用之如神,大人小儿可通用。凡眼赤涩之初,只用自己小便,
张目溺出,用一指接抹眼中,便闭目,少顷即效,此以真气逼去邪热也。
〔本〕治小儿赤热肿眼。
大黄 白矾(各等分)
上为末。同冷水调作罨子、贴眼,立效。
小防风汤 治小儿热毒眼患。
大黄(蒸) 山栀子 甘草(炙) 赤芍药 川当归(洗) 防风 羌活(各等分)
上锉碎。每服五钱,水一钟,煎至五分,食后服。
小流气饮 治小儿风毒眼患。
蝉蜕(去足) 甘草 羌活 天麻 川当归 防风 大黄 薄荷 赤芍药 杏仁(各等分)
上锉碎。每服五钱,水一钟,煎至五分,食后服。
小菊花膏 治小儿积毒眼患。
黄连 黄芩 大黄 菊花 羌活 苍术(米泔浸) 荆芥穗 防风
上,各等分,为末,炼蜜和膏,如小指顶大。每服一饼,细嚼,白汤咽下,不拘时服。
通顶散 治眼疼,风热肿胀作楚。
瓜蒂 藜芦(各一钱) 皂角肉(半钱) 麝香(少许研)
上为细末,研匀。每少许,吹入鼻中。
九仙散 解诸目疾,不拘岁月远近,并宜先服。
柴胡(去芦) 苍术(米泔浸,刮去粗皮,锉,炒燥。各二两) 赤芍药 荆芥 甘草(各六钱半)
麻黄(锉去节,汤泡滤,焙干) 川芎 薄荷(连梗。各半两) 旋复花(去老梗,三钱)
上碎。每服二钱,水一盏,姜二片,葱一根,煎七分,不拘时、温服。
三解散(一名宁心汤) 主上焦蕴热,伤风面红,目赤狂躁,气急渴水,惊啼烦闷,丹
毒口疮,痰嗽搐掣。
人参(去芦) 防风(去芦) 天麻 茯神(去皮木) 郁金(无,以山栀仁代) 白附子
大黄(各二钱半) 赤芍药 黄芩 僵蚕(各五钱) 全蝎(十五尾,去尖毒) 枳壳(水浸去瓤,
麸炒,二钱) 粉草(六钱)
上,焙为末。每服半钱至一钱,用温薄荷汤无时调下,或灯心汤。
草龙胆散 治暴赤火眼,昼夜涩痛,作肿泪多。
草龙胆 木贼(去节) 荆芥 菊花 防风(去芦) 草决明(半生半炒) 甘草(七味。各半两)
上锉。每服二钱,水一盏,煎七分,无时温服。痛甚加羌活、乳香同煎。
明目饮 治心脾蕴热,肝受风邪,致两目羞明,经久不愈。
山栀仁 净香附(各一两) 夏枯草(去梗,半两)
上锉。每服二钱,水一盏,蜜一匙,煎七分,无时温服。
金波散 治时行赤眼,肿痛成翳,有热多泪。
净黄连(一两) 硼砂 寒水石 大黄(各二钱) 海螵蛸 铜青(各一钱) 玄明粉(二钱半)
全蝎(去尖毒,七枚) 麝香(一字)
上,除玄明粉、麝香,余七味锉、晒为末,仍入玄明粉、麝香,乳钵内同前药
末杵匀。每用一字至半钱,温净汤或凉水调化,澄清去滓,无时频洗。有风夹虫
作痒,入轻粉取效。仍忌酒荤三五日。
黄连膏 治时行火眼,赤肿涩痛,昼夜烦啼。
净黄连(二钱半)
上件,细锉。鸡子一枚,箸嘴札开一头大处,取清,瓦盏盛,入黄连和匀,酿
一时,见黄色,以绢滤过成膏。患者仰面卧,外令人挑一字许频点目内,觉口中
有苦味满舌上,药之验也。豆疮余毒攻眼,眵多有热,用之验。
清凉膏 治暴赤火眼肿痛,及血疖作疼发热。
大黄 净黄连 黄柏 赤葛 细辛(和叶) 薄荷叶 风化朴硝(七味。各一两)
上,前六味或晒或焙,为末,临入朴硝,乳钵内同杵匀。每用一钱至二钱,冷
水加姜汁调,涂太阳,或新汲井水调妙,热疖以凉米汤水调搽患处。
辟尘膏 治小儿尘埃入目,揩成肿热作痛,啼哭不已。
上,以油烟细墨,新汲井水浓磨,入玄明粉半钱和匀为膏。用笔多点目内,三
五次即效。仍忌饮酒一昼宵。
速效饮 治长成小儿,因他物或跌着触损两目,血胀肿痛。
荆芥穗 薄荷叶(微炒) 草决明(微炒。各一两) 甘草(三钱,生用)
上为粗末,和半生半炒芝麻等分。抄二钱,掌中盛,干嚼之,味尽,吐去滓。
如此法投三五次即效。
〔薛〕小儿目赤作痛,切牙寒热。余谓肝经风热。用柴胡饮子一剂,而赤痛止,
又用四物、参、 、白术、柴胡而寒热退,又用补中益气汤而饮食加。一小儿
眼素白或青,患眼赤作痛,服降火之剂,眼如血贯,脉洪大或浮缓,按之皆微细。
用十全大补汤加柴胡、山栀,数剂,外证渐退而脉渐敛,又数剂而愈。一小儿患
眼赤痛,服大黄之药,更加寒热如疟。余谓脾胃复伤。用四君、升麻、柴胡、炮姜、
钓藤钩而寒热愈,又用补中益气汤间服,而目疾痊。一小儿目痛,恪服泻火治
肝之药,反加羞明隐涩,睡中惊悸悲啼。此肝经血虚,火动伤肺也。用五味异功散
加山栀补脾肺清肺金,用地黄丸滋肾水生肝血而安,仍兼服四味肥儿丸而瘥。
龙胆泻肝汤(方见疝) 生犀饮(方见心)
生熟地黄散 治眼初患之时,因误筑打蹙,肝受惊风,致目肿赤痛痒。
生地黄(洗) 熟地黄(各一两) 麦门冬(去心,五钱) 当归 枳壳(米泔浸,去瓤,麸
炒) 甘草(炙) 防风 杏仁(汤泡,去皮尖,麸炒赤) 赤芍药(各二钱半)
上,每服一钱,黑豆七粒,水煎服。
犀角饮 治脾火眼疼。
犀角(一两,镑) 射干 草龙胆(炒) 黄芩(炒。各五钱) 人参(二两) 茯苓(二钱五分)
钓藤钩(七钱半) 甘草(三钱)
上,每服一钱。水煎。
〔东垣〕广大重明汤 治两睑或两 赤烂,热肿疼痛,及眼胞痒极,抓之至破烂赤肿,
眼楞生疮痂,目多眵泪,隐涩难开。
草龙胆 防风 生甘草根 细辛苗叶(各一钱)
上,用水一碗半,煎龙胆至七分,入余药再煎至半碗。热洗,日五七次。洗毕,
合眼须臾,瘥。
〔东垣〕助阳和血补气汤 治发后热壅,白睛红多,眵泪瘾涩,此过服凉药而真气不
能通九窍也。
防风(七分) 黄 (一钱) 蔓荆子 白芷(各二分) 升麻(七分) 炙甘草 柴胡
当归身(酒洗。各五分)
水一钟,煎至半钟。稍热服。
洁古方 治眼赤暴发肿。
防风 羌活 黄芩(炒) 黄连(炒。各等分)
上锉。每服一钱,水煎。如大便秘,加大黄二分,痛甚,加川当归、地黄(各二分),烦
躁不得卧,加栀子仁(三分)。
《保命》点眼药 除昏退翳,截赤定痛。
当归 黄连(各二钱) 防风(二钱五分) 细辛(五分) 甘草(一钱)
上,水一大碗,文武火熬,滴水中不散为度,入熟蜜少许,点用。
柴胡复生汤 治红赤羞明,泪多眵少,脑顶沉重,睛珠痛应太阳,眼睫无力,常欲
垂闭,久视则酸疼,翳下陷者。
本 蔓荆子 川芎 羌活 独活 白芷(各二分半) 白芍药(炒) 炙甘草 薄荷 桔
梗(各四分) 苍术 茯苓 黄芩(炒。各五分) 柴胡(六分) 五味子(十二粒,杵)
上,每服二钱,水煎,食后服。
黄连羊肝丸 治目中赤脉洪甚,眵多。
黄连(为末,不以多少) 白羊肝(一具)
先以竹刀将羊肝刮下如糊,除去筋膜,再擂细,入黄连末、丸桐子大。每服十丸,茶清送下。
【曾世荣】热邪极盛兼夹风邪,会导致眼睛红赤肿痛,白天黑夜都无法睁开,孩子惊恐啼哭不止。治疗时先用九仙散,用水、生姜、葱白煎服;接着用三解散,用温热的米泔水调服,并外用黄连膏点眼。如果是时行疫病引起的暴发性红赤肿痛,昼夜疼痛剧烈,时间久了会导致视力昏蒙,治疗方法是先以九仙散解表,接着用小柴胡汤去掉半夏,加入大黄、薄荷、竹叶、生地黄,水煎服,同时服用草龙胆散,并外用黄连膏点眼,贴敷清凉膏。有的孩子胃气素来虚弱,但脾气(此处指脾经邪气)实盛,导致眼睑红赤肿胀,畏光羞明无法睁开,如果突然使用苦寒药物来消退红赤肿胀,反而会损伤脾胃,导致呕吐或腹泻,或者四肢微微发冷,此时再用温药调理,则眼疾反而加重,这种情况宜先用五苓散,用水、生姜、灯心草煎服,接着投用泻黄散即可自愈。有心脾蕴积热邪经久不愈,以及肝脏受邪热侵袭,导致双眼怕光,眼睑浮肿,微带紫色,大便闭结或通畅,小便涩滞或通利,先以百解散发表,接着投用明目饮,自然平复,期间仍忌食酒和荤腥三五天。有体质瘦弱的孩子,多因尘埃进入眼中,揉擦后导致肿胀,发热作痛,啼哭不止,宜用辟尘膏治疗,立即见效。
【汤】导赤散:治疗心经热盛导致的小便赤红,以及眼睛红赤肿胀。
处方:赤芍药、羌活、防风(各半两),大黄、甘草(各一钱)。
制法:以上药材研为细末。用灯心草、黑豆同煎,饭后服用。
我平生没有患过红眼病,使用此方如神效,大人小孩均可通用。凡是眼睛刚出现红涩症状的初期,只用自己的小便,睁大眼睛排尿,用手指接取尿液涂抹在眼中,随即闭上眼睛,片刻即见效,这是用真气逼迫去除邪热的方法。
【本】治疗小儿红热肿胀的眼病。
处方:大黄、白矾(各等分)。
制法:以上药材研为细末。用冷水调成糊状作为敷贴,贴在眼部,立即见效。
小防风汤:治疗小儿热毒引起的眼患。
处方:大黄(蒸制)、山栀子、甘草(炙制)、赤芍药、川当归(洗净)、防风、羌活(各等分)。
制法:以上药材切碎。每次服用五钱,加水一钟,煎至五分,饭后服用。
小流气饮:治疗小儿风毒引起的眼患。
处方:蝉蜕(去足)、甘草、羌活、天麻、川当归、防风、大黄、薄荷、赤芍药、杏仁(各等分)。
制法:以上药材切碎。每次服用五钱,加水一钟,煎至五分,饭后服用。
小菊花膏:治疗小儿积毒引起的眼患。
处方:黄连、黄芩、大黄、菊花、羌活、苍术(用米泔水浸泡)、荆芥穗、防风。
制法:以上药材各等分,研为细末,用炼蜜调和成膏,大小如小指顶。每次服用一饼,细细咀嚼,用白开水送下,不限时间服用。
通顶散:治疗眼疼,风热肿胀造成的痛苦。
处方:瓜蒂、藜芦(各一钱),皂角肉(半钱),麝香(少许,研细)。
制法:以上药材研为细末,混合均匀。每次取少量,吹入鼻中。
九仙散:解除各种眼疾,不论发病时间长短,都适宜先服用此方。
处方:柴胡(去芦头)、苍术(用米泔水浸泡,刮去粗皮,切碎,炒干,各二两),赤芍药、荆芥、甘草(各六钱半),麻黄(切碎去节,用热水泡后滤出,焙干),川芎、薄荷(连梗,各半两),旋复花(去老梗,三钱)。
制法:以上药材切碎。每次服用二钱,加水一盏,生姜两片,葱一根,煎至七分,不限时间,温服。
三解散(又名宁心汤):主治上焦蕴积热邪,伤风导致的面部发红,眼睛红赤狂躁,气急口渴想喝水,惊恐啼哭烦闷,丹毒口疮,痰嗽抽搐。
处方:人参(去芦头)、防风(去芦头)、天麻、茯神(去皮木)、郁金(若无,可用山栀仁代替)、白附子、大黄(各二钱半),赤芍药、黄芩、僵蚕(各五钱),全蝎(十五尾,去尖毒),枳壳(用水浸泡去瓤,麸炒,二钱),粉草(六钱)。
制法:以上药材焙干后研为细末。每次服用半钱至一钱,用温薄荷汤随时调服,或用灯心草汤调服。
草龙胆散:治疗暴发性红赤火眼,昼夜涩痛,肿胀流泪多。
处方:草龙胆、木贼(去节)、荆芥、菊花、防风(去芦头)、草决明(一半生用一半炒用)、甘草(七味药各半两)。
制法:以上药材切碎。每次服用二钱,加水一盏,煎至七分,随时温服。疼痛剧烈者加羌活、乳香同煎。
明目饮:治疗心脾蕴积热邪,肝脏受风邪侵袭,导致双眼怕光,经久不愈。
处方:山栀仁、净香附(各一两),夏枯草(去梗,半两)。
制法:以上药材切碎。每次服用二钱,加水一盏,蜂蜜一匙,煎至七分,随时温服。
金波散:治疗时行红眼,肿痛形成翳膜,热多泪多。
处方:净黄连(一两),硼砂、寒水石、大黄(各二钱),海螵蛸、铜青(各一钱),玄明粉(二钱半),全蝎(去尖毒,七枚),麝香(一字量)。
制法:除了玄明粉、麝香外,其余七味药材切碎、晒干后研为细末,再加入玄明粉、麝香,在乳钵中与前药末一同杵匀。每次取一字至半钱,用温净水或凉水调化,澄清去渣,随时频繁清洗眼部。若有风夹虫作痒,加入轻粉可取效。期间仍忌食酒和荤腥三五天。
黄连膏:治疗时行火眼,红赤肿胀涩痛,昼夜烦躁啼哭。
处方:净黄连(二钱半)。
制法:将上述药材细切。取鸡蛋一枚,在一端大头处扎开孔,取出蛋清,盛于瓦盏中,加入黄连搅拌均匀,酿置一时辰,待呈黄色,用绢布过滤制成膏状。患者仰卧抬头,旁人挑取一字许药膏频繁点入眼中,若感觉口中满舌皆苦,即为药效验证。痘疮余毒攻眼,眵多且有热,使用此方有效。
清凉膏:治疗暴发性红赤火眼肿痛,以及血疖作痛发热。
处方:大黄、净黄连、黄柏、赤葛、细辛(含叶)、薄荷叶、风化朴硝(七味药各一两)。
制法:前六味药材或晒或焙干,研为细末,临用时加入朴硝,在乳钵中一同杵匀。每次取一钱至二钱,用冷水加姜汁调匀,涂敷太阳穴;或用新汲井水调匀妙用,热疖用凉米汤水调匀搽患处。
辟尘膏:治疗小儿尘埃入目,揉擦后成肿热作痛,啼哭不止。
制法:用油烟细墨,在新汲井水中浓磨,加入玄明粉半钱和匀制成膏。用笔多点入眼中,三五次即见效。期间仍忌饮酒一昼夜。
速效饮:治疗长大的孩子,因异物或跌打触损双眼,血胀肿痛。
处方:荆芥穗、薄荷叶(微炒)、草决明(微炒,各一两),甘草(三钱,生用)。
制法:以上药材为粗末,与半生半炒的芝麻等分混合。取二钱,捧在掌中,干嚼,味道尽后,吐出残渣。按此法服用三五次即见效。
【薛己】小儿眼睛红赤作痛,咬牙伴有寒热。我认为这是肝经风热。使用柴胡饮子一剂,红痛停止,又用四物汤加人参、[缺字]、白术、柴胡,寒热退去,又用补中益气汤,饮食增加。一个小孩眼睛平时白色或青色,患病后眼睛红赤作痛,服用降火药物后,眼睛像被血贯穿一样,脉象洪大或浮缓,重按皆微细。使用十全大补汤加柴胡、山栀,数剂后,外证逐渐消退而脉象逐渐收敛,又数剂后痊愈。一个小孩患眼红痛,服用大黄类药物后,更加寒热如疟疾。我认为这是脾胃再次受伤。使用四君子汤加升麻、柴胡、炮姜、钓藤钩,寒热痊愈,又间服补中益气汤,眼疾痊愈。一个小孩眼痛,严格服用泻火治肝的药物,反而加重怕光隐涩,睡中惊悸悲啼。这是肝经血虚,火动伤肺所致。使用五味异功散加山栀补脾肺清肺金,用地黄丸滋肾水生肝血而安宁,仍兼服四味肥儿丸而痊愈。
龙胆泻肝汤(方见疝症章节) 生犀饮(方见心病章节)
生熟地黄散:治疗眼病初起之时,因误被击打挤压,肝脏受惊风侵袭,导致眼睛肿胀红赤痛痒。
处方:生地黄(洗净)、熟地黄(各一两),麦门冬(去心,五钱),当归、枳壳(用米泔水浸泡,去瓤,麸炒)、甘草(炙制)、防风、杏仁(热水泡,去皮尖,麸炒至红)、赤芍药(各二钱半)。
制法:以上药材,每次服用一钱,加黑豆七粒,水煎服。
犀角饮:治疗脾火引起的眼疼。
处方:犀角(一两,镑片),射干、草龙胆(炒制)、黄芩(炒制,各五钱),人参(二两),茯苓(二钱五分),钓藤钩(七钱半),甘草(三钱)。
制法:以上药材,每次服用一钱,水煎服。
【李东垣】广大重明汤:治疗上下眼睑或两侧眼睑红烂,热肿疼痛,以及眼睑极度瘙痒,抓挠至破烂红赤肿胀,眼角生疮痂,眼睛多眵泪,隐涩难开。
处方:草龙胆、防风、生甘草根、细辛苗叶(各一钱)。
制法:用水一碗半,煎龙胆至七分,加入其余药材再煎至半碗。趁热洗眼,每天五到七次。洗完后,合眼片刻,即可痊愈。
【李东垣】助阳和血补气汤:治疗发汗后热邪壅盛,白睛红赤多,眵泪瘾涩,这是因为过服凉药导致真气不能通达九窍。
处方:防风(七分),黄芪(一钱),蔓荆子、白芷(各二分),升麻(七分),炙甘草、柴胡、当归身(酒洗,各五分)。
制法:水一钟,煎至半钟。稍热时服用。
洁古方:治疗眼睛红赤暴发肿胀。
处方:防风、羌活、黄芩(炒制)、黄连(炒制,各等分)。
制法:以上药材切碎。每次服用一钱,水煎。如果大便秘结,加大黄二分,疼痛剧烈,加川当归、地黄(各二分),烦躁不得卧,加栀子仁(三分)。
《保命》点眼药:除去昏蒙退去翳膜,截断红赤定止疼痛。
处方:当归、黄连(各二钱),防风(二钱五分),细辛(五分),甘草(一钱)。
制法:以上药材,用水一大碗,用文武火熬煮,滴入水中不散为度,加入少许熟蜜,用于点眼。
柴胡复生汤:治疗红赤怕光,泪多眵少,脑顶沉重,眼球疼痛放射至太阳穴,眼睑无力,常欲垂闭,久视则酸疼,翳膜下陷者。
处方:藁本、蔓荆子、川芎、羌活、独活、白芷(各二分半),白芍药(炒制)、炙甘草、薄荷、桔梗(各四分),苍术、茯苓、黄芩(炒制,各五分),柴胡(六分),五味子(十二粒,捣碎)。
制法:以上药材,每次服用二钱,水煎,饭后服用。
黄连羊肝丸:治疗眼中红脉洪盛,眵多。
处方:黄连(研为细末,用量不限),白羊肝(一副)。
制法:先用竹刀将羊肝刮下如糊状,除去筋膜,再擂细,加入黄连末,制成梧桐子大小的丸剂。每次服用十丸,茶清送下。
[Zeng Shirong] When heat pathogen is extreme and accompanied by wind, it causes redness, swelling, and pain in the eyes, preventing them from opening day or night, with incessant crying due to fright. Initially, use Jiuxian San (Nine Immortals Powder) decocted with water, ginger, and scallion for oral administration; subsequently, use Sandjie San (Three-Release Powder) mixed with warm rice wash water, and apply Huanglian Gao (Coptis Ointment) topically to the eyes. If it is a sudden onset of redness, swelling, and pain caused by epidemic pathogens, suffering severely day and night, leading to visual blurring over time, the treatment method is first to release the exterior with Jiuxian San, then administer Xiaochaihu Tang (Minor Bupleurum Decoction) with Banxia (Pinellia Rhizome) removed, plus Dahuang (Rhubarb Root), Bohe (Mint), Zhuye (Bamboo Leaf), and Shengdihuang (Rehmannia Root), decocted in water. Concurrently, administer Caolongdan San (Gentian Powder) and apply Huanglian Gao, as well as paste Qingliang Gao (Cooling Ointment). In children with inherently weak Stomach Qi but excessive Spleen pathogenic factors, causing red and swollen eyelids and photophobia preventing opening, if bitter-cold herbs are suddenly used to reduce redness and swelling, it will instead damage the Spleen and Stomach, leading to vomiting or diarrhea, or slightly cold limbs. Re-treating with warm herbs will exacerbate the eye disease; in such cases, use Wuling San (Five-Ling Powder) decocted with water, ginger, and Jixin (Centipede Grass) first, followed by Xiehuang San (Drain Yellow Powder) for spontaneous recovery. For chronic accumulation of heat in the Heart and Spleen, and Liver affected by pathogenic heat, causing photophobia, swollen eyelids, slight purplish discoloration, constipation or normal bowel movements, and dysuria or normal urination, first release the exterior with Baijie San (Hundred-Release Powder), then administer Mingmu Yin (Bright-Eye Drink) for natural recovery, while avoiding alcohol and meat for three to five days. Children with frail constitutions often suffer from dust entering the eyes, rubbing causing swelling, fever, pain, and incessant crying; use Bicong Gao (Dust-Repelling Ointment) for immediate effect.
[Tang] Daochi San (Guide Out Red Powder): Treats Heart heat causing red urine, and red, swollen eyes.
Ingredients: Chishao Yao (Red Peony Root), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root) (each 0.5 liang); Dahuang (Rhubarb Root), Gancao (Licorice Root) (each 1 qian).
Preparation: Grind into powder. Decoct with Jixin (Centipede Grass) and Heidou (Black Soybean), take after meals.
I have never suffered from red eye disease in my life, and this formula works like magic; it can be used for both adults and children. At the initial stage of red and dry eyes, simply use one's own urine, open the eyes wide to urinate, catch some urine on a finger, smear it into the eye, then close the eye; relief occurs shortly. This uses true Qi to expel pathogenic heat.
[Ben] Treats pediatric red, hot, and swollen eyes.
Ingredients: Dahuang (Rhubarb Root), Baifan (Alum) (equal parts).
Preparation: Grind into powder. Mix with cold water to make a poultice, apply to the eyes for immediate effect.
Xiao Fengfang Tang (Minor Wind-Expelling Decoction): Treats pediatric eye diseases caused by heat toxicity.
Ingredients: Dahuang (Steamed), Shanzhizi (Gardenia Fruit), Gancao (Roasted), Chishao Yao (Red Peony Root), Chuandonggui (Angelica Sinensis Root), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome) (equal parts).
Preparation: Chop finely. Take 5 qian per dose, add 1 zhong of water, decoct to 0.5 zhong, take after meals.
Xiao Liuqi Yin (Minor Flow-Qi Drink): Treats pediatric eye diseases caused by wind toxicity.
Ingredients: Chantui (Cicada Slough, feet removed), Gancao (Licorice Root), Qianghuo (Notopterygium Rhizome), Tianma (Gastrodia Rhizome), Chuandonggui (Angelica Sinensis Root), Fangfeng (Saposhnikovia Root), Dahuang (Rhubarb Root), Bohe (Mint), Chishao Yao (Red Peony Root), Xingren (Apricot Seed) (equal parts).
Preparation: Chop finely. Take 5 qian per dose, add 1 zhong of water, decoct to 0.5 zhong, take after meals.
Xiao Juhua Gao (Minor Chrysanthemum Ointment): Treats pediatric eye diseases caused by accumulated toxicity.
Ingredients: Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root), Juhua (Chrysanthemum Flower), Qianghuo (Notopterygium Rhizome), Cangzhu (Atractylodes Rhizome, soaked in rice wash), Jingjiesui (Schizonepeta Spike), Fangfeng (Saposhnikovia Root).
Preparation: Equal parts, grind into powder, mix with refined honey to form an ointment, size of a little finger tip. Take one pill per dose, chew thoroughly, swallow with warm water, at any time.
Tongding San (Penetrating Crown Powder): Treats eye pain, suffering from wind-heat swelling.
Ingredients: Gudi (Momordica Seed), Lilu (Veratrum Rhizome) (each 1 qian), Zaorou (Soap Pod Flesh) (0.5 qian), Shexiang (Musk) (a small amount, ground).
Preparation: Grind into fine powder, mix evenly. Blow a small amount into the nose each time.
Jiuxian San (Nine Immortals Powder): Relieves various eye diseases, regardless of duration; suitable to take first.
Ingredients: Chaihu (Bupleurum Root, remove rhizome), Cangzhu (Atractylodes Rhizome, soaked in rice wash, scrape off coarse skin, chop, stir-fry dry, each 2 liang), Chishao Yao (Red Peony Root), Jingjie (Schizonepeta Herb), Gancao (Licorice Root) (each 6.5 qian), Mahuang (Ephedra Stem, chop off joints, soak in hot water, filter, bake dry), Chuanxiong (Ligusticum Rhizome), Bohe (Mint, with stem, each 0.5 liang), Xuanjinhua (Inula Flower, remove old stems, 3 qian).
Preparation: Chop finely. Take 2 qian per dose, add 1 zhan of water, 2 slices of ginger, 1 stalk of scallion, decoct to 0.7 zhan, take warm at any time.
Sanjie San (Three-Release Powder, also known as Ningxin Tang/Calm-Mind Decoction): Governs upper jiao heat accumulation, wind-strike causing facial redness, red eyes, mania, rapid breathing, thirst, fright crying, irritability, carbuncles, mouth ulcers, phlegm cough, and convulsions.
Ingredients: Renshen (Ginseng Root, remove rhizome), Fangfeng (Saposhnikovia Root, remove rhizome), Tianma (Gastrodia Rhizome), Fushen (Poria with Hostwood, remove wood core), Yujin (Curcuma Tuber, substitute with Shanzhiren/Gardenia Seed if unavailable), Baifu Zi (Aconitum Carleilii Lateral Root) (each 2.5 qian), Chishao Yao (Red Peony Root), Huangqin (Scutellaria Root), Jiangcan (Bombyx Batryticatus) (each 5 qian), Quanxie (Scorpion, 15 tails, remove toxic spine), Zhike (Bitter Orange Fruit, soak in water, remove pulp, stir-fry with bran, 2 qian), Fencao (Licorice Root, 6 qian).
Preparation: Bake and grind into powder. Take 0.5 to 1 qian per dose, mix with warm mint tea or centipede grass tea at any time.
Caolongdan San (Gentian Powder): Treats sudden red fire-eye, daytime and nighttime dryness and pain, swelling, and excessive tearing.
Ingredients: Caolongdan (Gentiana Root), Muze (Equisetum Hiemale), Jingjie (Schizonepeta Herb), Juhua (Chrysanthemum Flower), Fangfeng (Saposhnikovia Root, remove rhizome), Caojueming (Cassia Seed, half raw half roasted), Gancao (Licorice Root) (seven ingredients, each 0.5 liang).
Preparation: Chop finely. Take 2 qian per dose, add 1 zhan of water, decoct to 0.7 zhan, take warm at any time. Add Qianghuo (Notopterygium Rhizome) and Rushxiang (Frankincense) if pain is severe.
Mingmu Yin (Bright-Eye Drink): Treats Heart and Spleen heat accumulation, Liver affected by wind pathogen, causing photophobia, persisting for a long time.
Ingredients: Shanzhiren (Gardenia Seed), Jing Xiangfu (Cyperi Rhizome, cleaned) (each 1 liang), Xiakucao (Prunella Vulgaris) (remove stem, 0.5 liang).
Preparation: Chop finely. Take 2 qian per dose, add 1 zhan of water, 1 spoon of honey, decoct to 0.7 zhan, take warm at any time.
Jinbo San (Golden Wave Powder): Treats epidemic red eye, swelling and pain forming nebula, with much heat and tearing.
Ingredients: Jing Huanglian (Coptis Rhizome, cleaned, 1 liang), Pengsha (Borax), Hanshuishi (Calcitrite), Dahuang (Rhubarb Root) (each 2 qian), Haipiaoxiao (Cuttlefish Bone), Tongqing (Malachite) (each 1 qian), Xuanmingfen (Mirabilite, 2.5 qian), Quanxie (Scorpion, remove toxic spine, 7 pieces), Shexiang (Musk, 1 zi measure).
Preparation: Except for Xuanmingfen and Shexiang, chop and sun-dry the other seven ingredients, grind into powder, then add Xuanmingfen and Shexiang, pound uniformly in a mortar. Use 1 zi to 0.5 qian each time, dissolve in warm clean water or cool water, clarify and remove dregs, rinse frequently at any time. If wind and parasites cause itching, add Qingfen (Calomel) for effect. Avoid alcohol and meat for three to five days.
Huanglian Gao (Coptis Ointment): Treats epidemic fire-eye, redness, swelling, dryness, pain, daytime and nighttime irritability and crying.
Ingredients: Jing Huanglian (Coptis Rhizome, cleaned, 2.5 qian).
Preparation: Finely chop. Take one egg, poke a hole at the large end, extract the white, place in a clay cup, mix with Huanglian, let stand for one shichen (two hours), until yellow, filter through silk to form ointment. Patient lies supine with head tilted back; assistant applies a small amount (1 zi) frequently into the eye. A bitter taste filling the mouth and tongue indicates efficacy. Effective for residual toxicity from smallpox attacking the eyes, with much discharge and heat.
Qingliang Gao (Cooling Ointment): Treats sudden red fire-eye swelling and pain, and blood boils causing pain and fever.
Ingredients: Dahuang (Rhubarb Root), Jing Huanglian (Coptis Rhizome, cleaned), Huangbai (Phellodendron Bark), Chige (Polygonum Multiflorum Vine), Xixin (Asarum Root/Leaf including leaf), Boheye (Mint Leaf), Fenghua Puxiao (Weathered Niter) (seven ingredients, each 1 liang).
Preparation: Sun-dry or bake the first six ingredients, grind into powder, add Puxiao just before use, pound uniformly in a mortar. Use 1 to 2 qian each time, mix with cold water and ginger juice, apply to Taiyang acupoint; or mix with fresh well water for妙用 (wonderful use); for hot boils, mix with cool rice soup water and apply to the affected area.
Bicong Gao (Dust-Repelling Ointment): Treats pediatric dust entering the eye, rubbing causing swelling, heat, pain, and incessant crying.
Preparation: Use fine soot ink, grind thickly in fresh well water, add 0.5 qian of Xuanmingfen (Mirabilite), mix evenly to form ointment. Apply frequently into the eye with a brush; effective after three to five times. Avoid alcohol for one day and night.
Suxiao Yin (Rapid-Effect Drink): Treats older children whose eyes are injured by foreign objects or blows, causing blood stasis, swelling, and pain.
Ingredients: Jingjiesui (Schizonepeta Spike), Boheye (Mint Leaf, lightly stir-fried), Caojueming (Cassia Seed, lightly stir-fried, each 1 liang), Gancao (Licorice Root, 3 qian, raw).
Preparation: Make into coarse powder, mix equally with half-raw half-roasted sesame seeds. Take 2 qian, hold in palm, chew dry, spit out residue when flavor is exhausted. Repeat three to five times for effect.
[Xue Ji] Pediatric red, painful eyes with teeth grinding and chills/fever. I diagnosed Liver channel wind-heat. Used Chaihu Yinzi (Bupleurum Potion) for one dose, stopping redness and pain; then used Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng Root), [missing character], Baizhu (Atractylodes Macrocephala Rhizome), and Chaihu (Bupleurum Root) to resolve chills and fever; then used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to improve appetite. One child with normally white or blue eyes developed red, painful eyes; after taking fire-draining herbs, the eyes appeared blood-filled, pulse was surging or floating-slow, but faint and thin upon pressure. Used Shiquan Dabu Tang (Ten-Tonics Great Supplement Decoction) plus Chaihu (Bupleurum Root) and Shanzhi (Gardenia Fruit); after several doses, external symptoms receded and pulse converged; after more doses, cured. One child with red, painful eyes took Dahuang (Rhubarb Root) medicines, worsening chills and fever like malaria. I diagnosed secondary Spleen-Stomach injury. Used Sijunzi Tang (Four Gentlemen Decoction) plus Shengma (Cimicifuga Rhizome), Chaihu (Bupleurum Root), Paojiang (Roasted Ginger), and Diaotenggou (Uncaria Hook) to resolve chills and fever; then alternately used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to cure the eye disease. One child with eye pain strictly took fire-draining Liver-treating herbs, worsening photophobia and dryness, with fright crying during sleep. This was Liver blood deficiency with fire disturbing the Lung. Used Wuwei Yigong San (Five-Ingredient Extraordinary Skill Powder) plus Shanzhi (Gardenia Fruit) to tonify Spleen-Lung and clear Lung metal; used Dihuang Wan (Rehmannia Pill) to nourish Kidney water to generate Liver blood for peace; concurrently used Simei Fei'er Wan (Four-Ingredient Fat-Child Pill) for recovery.
Longdan Xiegan Tang (Gentian Liver-Draining Decoction) (Formula see Hernia section) Shengxi Yin (Raw Rhinoceros Horn Drink) (Formula see Heart Disease section)
Shengshu Dihuang San (Raw and Cooked Rehmannia Powder): Treats early-stage eye disease caused by accidental beating or crushing, Liver affected by fright-wind, resulting in swollen, red, painful, and itchy eyes.
Ingredients: Shengdihuang (Raw Rehmannia Root, washed), Shudihuang (Cooked Rehmannia Root) (each 1 liang), Maimendong (Ophiopogon Tuber, remove heart, 5 qian), Danggui (Angelica Sinensis Root), Zhike (Bitter Orange Fruit, soaked in rice wash, remove pulp, stir-fry with bran), Gancao (Licorice Root, roasted), Fangfeng (Saposhnikovia Root), Xingren (Apricot Seed, soaked in hot water, remove skin and tips, stir-fry until red), Chishao Yao (Red Peony Root) (each 2.5 qian).
Preparation: Take 1 qian per dose, add seven black soybeans, decoct in water.
Xijiao Yin (Rhinoceros Horn Drink): Treats eye pain caused by Spleen fire.
Ingredients: Xijiao (Rhinoceros Horn, 1 liang, shaved), Shegan (Belamcanda Rhizome), Caolongdan (Gentian Root, roasted), Huangqin (Scutellaria Root, roasted, each 5 qian), Renshen (Ginseng Root, 2 liang), Fuling (Poria, 2.5 qian), Diaotenggou (Uncaria Hook, 7.5 qian), Gancao (Licorice Root, 3 qian).
Preparation: Take 1 qian per dose, decoct in water.
[Li Dongyuan] Guangda Zhongming Tang (Great and Heavy Brightening Decoction): Treats red and ulcerated upper or lower eyelids, hot swelling and pain, extreme eyelid itching leading to broken, red, swollen skin from scratching, crusts at the eye corners, excessive discharge and tearing, difficulty opening eyes due to dryness.
Ingredients: Caolongdan (Gentian Root), Fangfeng (Saposhnikovia Root), Sheng Gancaogen (Raw Licorice Root), Xixin Miaoye (Asarum Sprout/Leaf) (each 1 qian).
Preparation: Use 1.5 bowls of water, decoct Longdan until 0.7 remains, add remaining herbs, decoct to half a bowl. Wash eyes while hot, 5-7 times daily. After washing, close eyes briefly for recovery.
[Li Dongyuan] Zhuyang Hexue Buqi Tang (Yang-Assisting, Blood-Harmonizing, Qi-Tonifying Decoction): Treats post-sweating heat congestion, excessive redness of sclera, sticky discharge and tearing, caused by overuse of cooling herbs preventing true Qi from unblocking the nine orifices.
Ingredients: Fangfeng (Saposhnikovia Root, 0.7 fen), Huangqi (Astragalus Root, 1 qian), Manjingzi (Viticis Fructus), Baizhi (Angelica Dahurica Root) (each 0.2 fen), Shengma (Cimicifuga Rhizome, 0.7 fen), Zhi Gancao (Honey-fried Licorice Root), Chaihu (Bupleurum Root), Dangguishen (Angelica Sinensis Root Body, wine-washed, each 0.5 fen).
Preparation: 1 zhong of water, decoct to half a zhong. Take slightly warm.
Jiegu Formula: Treats sudden red and swollen eyes.
Ingredients: Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Huangqin (Scutellaria Root, roasted), Huanglian (Coptis Rhizome, roasted, equal parts).
Preparation: Chop finely. Take 1 qian per dose, decoct in water. If constipated, add Dahuang (Rhubarb Root) 0.2 fen; if severe pain, add Chuandonggui (Angelica Sinensis Root) and Dihuang (Rehmannia Root) (each 0.2 fen); if irritability prevents lying down, add Shanzhiren (Gardenia Seed) 0.3 fen.
Baoming Eye-Drop Medicine: Removes blurriness, reduces nebula, stops redness, relieves pain.
Ingredients: Danggui (Angelica Sinensis Root), Huanglian (Coptis Rhizome) (each 2 qian), Fangfeng (Saposhnikovia Root, 2.5 qian), Xixin (Asarum Root, 0.5 fen), Gancao (Licorice Root, 1 qian).
Preparation: Decoct in one large bowl of water over mild heat until drops do not disperse in water, add a little cooked honey, use for eye drops.
Chaihu Fusheng Tang (Bupleurum Reviving Decoction): Treats redness, photophobia, excessive tearing, little discharge, heavy sensation at vertex, globe pain radiating to Taiyang, weak eyelids, desire to keep eyes closed, soreness after prolonged viewing, depressed nebula.
Ingredients: Bencao (Ligusticum Chuanxiong Rhizome? Note: Text says 'Ben', likely Guaben or similar root contextually, usually Ligusticum or Angelica species in this context, here translated as Bencao/Ligusticum Root based on common pairing, though strictly 'Ben' refers to Guaben/Aucklandiae Radix in some contexts, but in Chaihu formulas often implies Ligusticum or similar. Given 'Ben' alone, often refers to Guaben. However, standard Chaihu Fusheng Tang includes Guaben. Let's stick to literal 'Ben' or specify Guaben if implied. Actually, 'Ben' usually refers to Guaben (Aucklandiae Radix) in Dongyuan's formulas. I will use Aucklandiae Radix (Guaben)), Manjingzi (Viticis Fructus), Chuanxiong (Ligusticum Rhizome), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Baizhi (Angelica Dahurica Root) (each 0.25 fen), Baishao Yao (White Peony Root, roasted), Zhi Gancao (Honey-fried Licorice Root), Bohe (Mint), Jiegeng (Platycodon Root) (each 0.4 fen), Cangzhu (Atractylodes Rhizome), Fuling (Poria), Huangqin (Scutellaria Root, roasted, each 0.5 fen), Chaihu (Bupleurum Root, 0.6 fen), Wuweizi (Schisandra Berry, 12 grains, crushed).
Preparation: Take 2 qian per dose, decoct in water, take after meals.
Huanglian Yanggan Wan (Coptis Lamb Liver Pill): Treats prominent red vessels in eyes, excessive discharge.
Ingredients: Huanglian (Coptis Rhizome, ground, any amount), White Lamb Liver (one piece).
Preparation: Scrape lamb liver with bamboo knife into paste, remove fascia, grind fine, mix with Huanglian powder, roll into pills the size of tung tree seeds. Take ten pills per dose, swallow with clear tea.