羚羊角散 治小儿斑疹后余毒不解，上攻眼目，生翳羞明，眵泪俱多，红赤肿闭。
羚羊角（镑） 黄芩 黄 草决明 车前子 升麻 防风 大黄 芒硝（各等分）
作一服，水一盏，煎半盏，去滓，稍热服。
上方以羚羊角主明目为君。升麻补足太阴以实内，逐其毒也；黄 补手太阴以实外，
御其邪也，为臣。防风升清阳，车前子泻浊阴为佐。草决明疗赤痛泪出，黄芩、大黄、芒
硝用以攻其锢热为使。然大黄、芒硝乃大苦寒之药，智者当量其虚实以为加减。未满二
十一日而目疾作者，消毒化斑汤主之。
消毒化斑汤 治小儿斑疹未满二十一日而目疾作者，余治同上。
羌活 升麻 防风 麻黄（各五分） 黄连 当归 酒黄柏 连翘（各三分） 本 酒黄
芩生地黄 苍术（泔浸炒） 川芎 柴胡（各二分） 细辛 白术 生芩 陈皮 生甘草 苏
木葛根（各一分） 吴茱萸 红花（各半分）
作一服，水二盏，煎至一盏，去滓，稍热服。
上方功非独能于目，盖专于斑者而置也。今以治斑之剂治目者，以其毒尚炽盛，又旁
害于目也。夫斑疹之发，初则膀胱壬水克小肠丙火，羌活、 本乃治足太阳之药；次则
肾经癸水又克心火，细辛主少阴之药，故为君。终则二火炽盛，反制寒水，故用黄芩、黄
连、黄柏以疗二火，酒制者，反治也；生地黄益寒水，故为臣。麻黄、防风、川芎升发
阳气，祛诸风邪，葛根、柴胡解利邪毒，升麻散诸郁结，白术、苍术除湿和胃，生甘草
大退诸热，故为佐。气不得上下，吴茱萸、陈
皮通之；血不得流行，苏木、红花顺之；当归愈恶疮；连翘除客热，故为使。此方君臣
佐使，逆从反正，用药治法具备，通造化，明药性者，能知也。如未见斑疹之前，小儿耳
尖冷，呵欠，睡中惊，嚏喷眼涩，知其必出斑者，急以此药投之，甚者则稀，稀者立已，
已后无二出之患。
决明散 治小儿痘疹入眼。
决明子 赤芍药 炙甘草（各二钱五分） 天花粉（五钱）
上为末，麝香少许和剂，三岁半钱，米泔调，食后服。
密蒙散 治小儿痘疹，并诸毒入眼。
密蒙花（二钱半） 青葙子 决明子 车前子（各五分）
上为末，羊肝一片，切开作三片，掺药，合作一片，湿纸裹，于灰火中煨熟，空心食之。
蛇皮散 治小儿痘疮，入眼成翳。
蛇皮（炙黄） 天花粉（各等分）
上为末，三岁一钱，掺入羊肝内，米泔水煮食之。
又方，蝉蜕为末，羊肝汤调下。
蝉蜕散 治小儿痘疮入眼，半年已里者，一月取效。
猪悬蹄甲（二两，烧存性，为末） 蝉蜕（一两，为末） 羯羊肝（焙干，末。二钱半）
上药，三岁一钱，猪肝汤调下，食后，一日四服。一年外难治。
浮萍散 治豌豆疮入眼疼痛，恐伤目。
上以浮萍草，阴干为末，三岁一钱，羊肝一片，盏内杖子刺碎，入沸汤半盏绞汁调
下，食后，三两服立效。
泻青丸（见头痛。）
退翳散 治目内翳障，或疮疹后余毒不散。
真蛤粉（另研） 谷精草（生研为末。各一两）
上研匀，每服二钱，用猪肝三指大一片，批开掺药在上，卷定，再用麻线扎之，浓米
泔一碗，煮肝熟为度，取出放冷，食后临睡细嚼，却用元煮米泔送下。忌一切毒物。如
斋素，只用白柿同煎前药令干，去药食白柿。
孙盈仲云∶凡痘疮不可食鸡、鸭子，必生翳膜。钱季华之女，年数岁，疮疹后两眼
皆生翳，只服此药，各退白膜三重，瞳子方了然也。
谷精散 治 疮翳膜眼。
谷精草 猪蹄蜕（炒） 绿豆皮 蝉蜕（各等分）
上为末，每服三钱，食后米泔调下。
神功散 治证同上。
蛤粉 谷精草（各一两） 绿豆皮 羌活 蝉蜕（各五钱）
上为末，每服三钱，用猪肝一具，入药末，线缝，煮汁同服。
通神散 治斑疮入目内生翳障。
白菊花 绿豆皮 谷精草（各等分）
上为末，每服一钱，干柿一个，米泔一盏同煎，候水干吃柿，不拘时，吃三五七次，
七日得效，远者不过半月。
鳝血方 治痘疮入眼生翳膜。
鳝鱼系其尾，倒垂之，从项下割破些少，取生血点之于翳上，白鳝鱼尤佳。若翳已凝，
即用南硼砂末，以灯芯蘸点翳上。仍用威灵仙、仙灵脾洗晒等分，为末，每一钱，米泔水调服。
〔通治目疾诸方〕
蝉花无比散（《和剂》） 治大人小儿远年近日一切风眼、气眼攻注，眼目昏暗，睑生风
粟，或痛或痒，渐生翳膜遮睛，视物不明。及久患偏正头风，牵搐两眼，渐渐细小，连眶
赤烂。小儿疮疹入眼，白膜遮睛，赤涩隐痛。常服驱风、退翳、明目。
蛇蜕（微炙，一两） 蝉蜕（去头足翅，二两） 羌活 当归（洗，焙） 石决明（用盐入东流水煮一伏
时，漉出捣如粉） 川芎（各三两） 防风（去杈） 茯苓（去皮） 甘草（各四两，炙） 赤芍药（十三两） 蒺藜
（炒，去刺，半斤） 苍术（浸，去皮炒，十五两）
上为末，每服三钱，食后米泔调服，茶清亦得。忌食发风毒等物。
还睛丸（《和剂》） 治男妇风毒上攻，眼目赤肿，怕日羞明，多饶眵泪，隐涩难开，眶
痒赤痛，睑 红烂，瘀肉侵睛。或患暴赤眼，睛痛不可忍者，并服立效。又治偏正头痛，一
切头风，头目眩晕。
白术（生用） 菟丝子（酒浸，另研） 青葙子（去土） 防风（去芦） 甘草（炙） 羌活（去苗） 白蒺藜
（炒，去尖） 密蒙花 木贼（去节。各等分）
为细末，炼蜜丸，如弹子大。每服一丸，细嚼，白汤下，空心食前，日三。
七宝散 治风眼，除瘀热。
当归 芍药 黄连 铜绿（各二钱，细研） 杏仁（七粒，去皮） 白矾 甘草（各一钱）
上 咀，以水同放瓷盏内，于锅中顿煎至八分，去滓澄清，临卧洗之。
拨云散 治男妇风毒上攻，眼目昏暗，翳膜遮障，羞明热泪，隐涩难开，眶痒赤痛，睑
红烂，瘀肉侵睛。
羌活 防风 柴胡 甘草（炒。各一两）
上为细末，每服二钱，水一盏半，煎至七分，食后薄荷茶清调服，菊花汤调亦可。忌
腌藏鱼 、盐、酱、湿面、炙爆发风等毒物。
蝉壳散 治眼目风肿，及生翳膜等疾。
蝉壳 地骨皮 黄连（宣州者，去须） 牡丹皮（去木） 白术 苍术（米泔浸，切、焙） 菊花（各一
两） 龙胆草（半两） 甜瓜子（半升）
上为细末，每服一钱，荆芥煎汤调下，食后、临卧各一服。大治时疾后余毒上攻眼目，
甚效。忌热面、炒豆、醋、酱等。
《局方》密蒙花散 治风气攻注，两眼昏暗，眵泪羞明，并暴赤肿。
羌活 白蒺藜（炒） 木贼 密蒙花 石决明（各一两） 菊花（二两）
上为末，每服二钱，食后茶清调下。
《三因》羌活散 治风毒上攻，眼目昏涩，翳膜生疮。及偏正头风，目黑花累累者。
羌活 川芎 天麻 旋复花 青皮 南星（炮） 本（各一两）
上为末，每服二钱，水煎，入姜三片，薄荷七叶。
《本事方》羊肝丸
菟丝子 车前子 麦门冬 决明子 茯苓 五味子 枸杞子 茺蔚子 苦葶苈 蕤
仁地肤子 泽泻 防风 黄芩 杏仁（炒） 细辛 桂心 青葙子（各一两） 白羯羊肝（用子
肝一片，薄切，新瓦上炒干） 熟地黄（一两半）
上为细末，炼蜜为丸，如梧子大。每服三四十丸，温汤下，日三。
地黄散 治心肝壅热，目赤肿痛，赤筋白膜遮睛，散在四边易治，若遽遮黑睛，多
致失明。及治疹痘入目者。
生地黄 熟地黄 当归 大黄（各七钱半） 谷精草 蒺藜 木通 黄连 防风 生犀
角木贼 玄参 羌活 蝉蜕 粉草（各半两）
上为末，每服半钱，煮猪、羊肝汁，食后调服。
补肝散 治三十年失明。
上用七月七日收蒺藜子，阴干捣末，食后水服方寸匕。
治积年失明方
上以决明子杵为末，食后以粥饮服方寸匕。
羚羊角散：治疗小儿斑疹之后，余毒未能清除，向上攻冲眼目，导致眼睑生翳、畏光羞明、眼屎和泪水俱多，眼睛红赤肿胀甚至闭合难睁。
配方：羚羊角（镑成薄片）、黄芩、甘草、草决明、车前子、升麻、防风、大黄、芒硝（以上各等分）。
用法：取上述药材为一剂，加水一盏，煎煮至半盏，滤去药渣，趁稍热时服用。
方解：上方以羚羊角为主药（君药），主要功效是明目。升麻补益太阴经之气以充实内部，驱逐体内的毒素；甘草补益手太阴肺经以充实外部，抵御外邪，这两味药作为臣药。防风提升清阳之气，车前子泻除浊阴之气，作为佐药。草决明治疗眼红疼痛流泪，黄芩、大黄、芒硝用来攻逐顽固的热邪，作为使药。但是，大黄和芒硝是大苦大寒的药物，明智的医生应当根据患者体质的虚实来进行加减调整。如果未满二十一日就出现眼部疾病的，用消毒化斑汤主治。
消毒化斑汤：治疗小儿斑疹未满二十一日就出现眼部疾病的，其他症状和治疗同上。
配方：羌活、升麻、防风、麻黄（各五分）、黄连、当归、酒黄柏、连翘（各三分）、藁本、酒黄芩、生地黄、苍术（用淘米水浸泡后炒制）、川芎、柴胡（各二分）、细辛、白术、生黄芩、陈皮、生甘草、苏木、葛根（各一分）、吴茱萸、红花（各半分）。
用法：取上述药材为一剂，加水二盏，煎煮至一盏，滤去药渣，趁稍热时服用。
方解：上方的功效不仅仅局限于眼部，而是专门针对斑疹而设立的。现在用治疗斑疹的方剂来治疗眼病，是因为毒素依然炽盛，并且波及到了眼部。斑疹的发生，起初是膀胱壬水克制小肠丙火，羌活、藁本是治疗足太阳膀胱经的药物；接着肾经癸水又克制心火，细辛是主入少阴肾经的药物，所以细辛作为君药。最终则是两火（心火、小肠火）炽盛，反过来克制寒水，所以使用黄芩、黄连、黄柏来治疗两火，这些药物经过酒制，属于反治法；生地黄滋养寒水，所以作为臣药。麻黄、防风、川芎升发阳气，祛除各种风邪，葛根、柴胡解除并疏导邪毒，升麻疏散各种郁结，白术、苍术除湿并调和胃气，生甘草大幅退除各种热邪，这些作为佐药。气机不能上下通畅，用吴茱萸、陈皮来疏通；血液不能流行顺畅，用苏木、红花来理顺；当归治愈恶疮；连翘清除客居之热，这些作为使药。此方的君臣佐使配伍，逆从反正，用药治法完备，通晓造化规律、明了药性的人才能理解。如果在未见斑疹之前，小儿耳尖发冷，打哈欠，睡眠中惊悸，打喷嚏，眼睛干涩，可以知道必然会出现斑疹，此时紧急投以此药，病情重的会变轻，轻的会立即痊愈，此后不会再有二次发作的祸患。
决明散：治疗小儿痘疹侵入眼目。
配方：决明子、赤芍药、炙甘草（各二钱五分）、天花粉（五钱）。
用法：以上药材研为细末，加入少许麝香调和，三岁的儿童服用半钱，用米泔水调服，饭后服用。
密蒙散：治疗小儿痘疹，以及各类毒邪侵入眼目。
配方：密蒙花（二钱半）、青葙子、决明子、车前子（各五分）。
用法：以上药材研为细末，取羊肝一片，切开分成三片，撒上药物，再合拢成一片，用湿纸包裹，在灰烬的火中煨熟，空腹食用。
蛇皮散：治疗小儿痘疮侵入眼目形成翳膜。
配方：蛇皮（炙至黄色）、天花粉（各等分）。
用法：以上药材研为细末，三岁儿童服用一钱，掺入羊肝内，用米泔水煮后食用。
又一方：蝉蜕研为细末，用羊肝汤送服。
蝉蜕散：治疗小儿痘疮侵入眼目，病程在半年以内的，一个月可见效。
配方：猪悬蹄甲（二两，烧至存性，研为细末）、蝉蜕（一两，研为细末）、羯羊肝（焙干，研为细末，二钱半）。
用法：以上药物，三岁儿童服用一钱，用猪肝汤调服，饭后服用，每日四次。超过一年的难以治疗。
浮萍散：治疗豌豆疮（天花）侵入眼目疼痛，担心损伤视力。
用法：取浮萍草，阴干后研为细末，三岁儿童服用一钱，取羊肝一片，用筷子在盏内捣碎，加入沸水半盏，绞取汁液调服药末，饭后服用，三两服后即可见效。
泻青丸（参见头痛章节）。
退翳散：治疗眼内翳障，或疮疹后余毒未散。
配方：真蛤粉（另研）、谷精草（生研为细末，各一两）。
用法：以上药物研匀，每次服用二钱，取三指宽大的猪肝一片，剖开将药物撒在上面，卷定，再用麻线扎紧，用浓米泔水一碗，煮肝至熟透为止，取出放凉，饭后临睡前细细咀嚼，然后用原煮的米泔水送下。忌食一切有毒食物。如果吃斋素食，只用红柿子同煎前面的药物令其干燥，去掉药渣只吃红柿子。
孙盈仲说：凡是痘疮患者不可吃鸡、鸭肉，否则必定生翳膜。钱季华的女儿，几岁大，疮疹后两眼都生了翳膜，只服用此药，每眼退去了三重白膜，瞳孔才清晰明亮。
谷精散：治疗痘疮翳膜眼。
配方：谷精草、猪蹄蜕（炒）、绿豆皮、蝉蜕（各等分）。
用法：以上药材研为细末，每次服用三钱，饭后用米泔水调服。
神功散：治疗的证候同上。
配方：蛤粉、谷精草（各一两）、绿豆皮、羌活、蝉蜕（各五钱）。
用法：以上药材研为细末，每次服用三钱，取一个猪肝，放入药末，用线缝合，煮汁连同药液一起服用。
通神散：治疗斑疮侵入眼内生翳障。
配方：白菊花、绿豆皮、谷精草（各等分）。
用法：以上药材研为细末，每次服用一钱，用一个干柿子，加米泔水一盏同煎，待水干后吃柿子，不限时间，吃三到七次，七天见效，病程长的不超过半个月。
鳝血方：治疗痘疮侵入眼内生翳膜。
用法：系住黄鳝的尾巴，倒挂起来，从颈部下方割破少许，取生血点涂在翳膜上，白鳝鱼尤佳。如果翳膜已经凝固，就用南硼砂末，用灯芯蘸取点涂在翳膜上。仍然使用威灵仙、仙灵脾洗净晒干等分，研为细末，每一钱，用米泔水调服。
蝉花无比散（出自《太平惠民和剂局方》）：治疗大人小孩远年近日一切风眼、气眼攻注，眼目昏暗，眼睑生风粟，或痛或痒，渐渐生翳膜遮睛，视物不明。以及久患偏正头风，牵引抽搐两眼，渐渐细小，连眼眶红烂。小儿疮疹入眼，白膜遮睛，红涩隐痛。常服可驱风、退翳、明目。
配方：蛇蜕（微炙，一两）、蝉蜕（去头足翅，二两）、羌活、当归（洗，焙）、石决明（用盐入东流水煮一伏时，捞出捣如粉）、川芎（各三两）、防风（去杈）、茯苓（去皮）、甘草（各四两，炙）、赤芍药（十三两）、蒺藜（炒，去刺，半斤）、苍术（浸，去皮炒，十五两）。
用法：以上药材研为细末，每次服用三钱，饭后用米泔水调服，茶清也可以。忌食发风毒等物。
还睛丸（出自《太平惠民和剂局方》）：治疗男女风毒上攻，眼目赤肿，怕日羞明，多眵泪，隐涩难开，眼眶痒赤痛，眼睑红烂，瘀肉侵睛。或者患暴赤眼，睛痛不可忍者，并服立效。又治疗偏正头痛，一切头风，头目眩晕。
配方：白术（生用）、菟丝子（酒浸，另研）、青葙子（去土）、防风（去芦）、甘草（炙）、羌活（去苗）、白蒺藜（炒，去尖）、密蒙花、木贼（去节，各等分）。
用法：研为细末，炼蜜为丸，如弹子大小。每次服用一丸，细细咀嚼，白开水送下，空腹食前，每日三次。
七宝散：治疗风眼，去除瘀热。
配方：当归、芍药、黄连、铜绿（各二钱，细研）、杏仁（七粒，去皮）、白矾、甘草（各一钱）。
用法：切碎，与水同放瓷盏内，在锅中隔水炖煎至八分，滤去药渣澄清，临睡前清洗眼部。
拨云散：治疗男女风毒上攻，眼目昏暗，翳膜遮障，羞明热泪，隐涩难开，眼眶痒赤痛，眼睑红烂，瘀肉侵睛。
配方：羌活、防风、柴胡、甘草（炒，各一两）。
用法：以上药材研为细末，每次服用二钱，水一盏半，煎至七分，饭后用薄荷茶清调服，菊花汤调服也可以。忌腌藏鱼、盐、酱、湿面、炙爆发风等毒物。
蝉壳散：治疗眼目风肿，及生翳膜等疾病。
配方：蝉壳、地骨皮、黄连（宣州产的，去须）、牡丹皮（去木）、白术、苍术（米泔浸，切、焙）、菊花（各一两）、龙胆草（半两）、甜瓜子（半升）。
用法：以上药材研为细末，每次服用一钱，荆芥煎汤调服，饭后、临睡前各服一次。对时行疾病后余毒上攻眼目，非常有效。忌热面、炒豆、醋、酱等。
《局方》密蒙花散：治疗风气攻注，两眼昏暗，眵泪羞明，并暴赤肿。
配方：羌活、白蒺藜（炒）、木贼、密蒙花、石决明（各一两）、菊花（二两）。
用法：以上药材研为细末，每次服用二钱，饭后用茶清调服。
《三因方》羌活散：治疗风毒上攻，眼目昏涩，翳膜生疮。以及偏正头风，眼前黑花累累者。
配方：羌活、川芎、天麻、旋复花、青皮、南星（炮）、藁本（各一两）。
用法：以上药材研为细末，每次服用二钱，水煎，加入姜三片，薄荷七叶。
《本事方》羊肝丸
配方：菟丝子、车前子、麦门冬、决明子、茯苓、五味子、枸杞子、茺蔚子、苦葶苈、蕤仁、地肤子、泽泻、防风、黄芩、杏仁（炒）、细辛、桂心、青葙子（各一两）、白羯羊肝（用子肝一片，薄切，新瓦上炒干）、熟地黄（一两半）。
用法：以上药材研为细末，炼蜜为丸，如梧桐子大小。每次服用三四十丸，温开水送下，每日三次。
地黄散：治疗心肝壅热，目赤肿痛，赤筋白膜遮睛，散在四边易治，若突然遮住黑睛，多致失明。以及治疗疹痘入目者。
配方：生地黄、熟地黄、当归、大黄（各七钱半）、谷精草、蒺藜、木通、黄连、防风、生犀牛角、木贼、玄参、羌活、蝉蜕、粉草（各半两）。
用法：以上药材研为细末，每次服用半钱，煮猪、羊肝汁，饭后调服。
Lingyang Jiao San (Antelope Horn Decoction): Treats residual toxins in children after variola or varicella that fail to resolve, attacking upwards to the eyes, causing corneal opacity (翳), photophobia (羞明), excessive discharge and tearing, redness, swelling, and inability to open the eyes.
Ingredients: Lingyang Jiao (Antelope Horn, *Saiga Tataricae Cornu*, shaved), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Cao Jueming (Cassia Seed, *Cassiae Semen*), Che Qian Zi (Plantago Seed, *Plantaginis Semen*), Sheng Ma (Cimicifuga Rhizome, *Cimicifugae Rhizoma*), Fang Feng (Saposhnikovia Root, *Saposhnikoviae Radix*), Da Huang (Rhubarb Root and Rhizome, *Rhei Radix et Rhizoma*), Mang Xiao (Mirabilite, *Natrii Sulfas*). All in equal parts.
Usage: Take one dose, add one cup of water, decoct until half a cup remains, strain, and take while slightly warm.
Analysis: In this formula, Lingyang Jiao is the Sovereign herb (Jun), primarily for brightening the eyes. Sheng Ma tonifies the Taiyin meridian to solidify the interior and expel toxins; Gan Cao tonifies the Hand-Taiyin Lung meridian to solidify the exterior and resist pathogens, serving as Ministers (Chen). Fang Feng raises clear yang, and Che Qian Zi drains turbid yin, serving as Assistants (Zuo). Cao Jueming treats redness, pain, and tearing; Huang Qin, Da Huang, and Mang Xiao attack entrenched heat, serving as Guides (Shi). However, Da Huang and Mang Xiao are greatly bitter and cold; wise physicians should adjust dosages based on deficiency or excess. If eye disease occurs within twenty-one days post-rash, Xiaodu Huaban Tang (Detoxification and Macule-Dispersing Decoction) is indicated.
Xiaodu Huaban Tang (Detoxification and Macule-Dispersing Decoction): Treats eye diseases arising in children before twenty-one days have passed since the onset of macules/rashes; other symptoms and treatments are the same as above.
Ingredients: Qiang Huo (Notopterygium Rhizome and Root, *Notopterygii Rhizoma et Radix*), Sheng Ma, Fang Feng, Ma Huang (Ephedra Stem, *Ephedrae Herba*) (each 5 fen); Huang Lian (Coptis Rhizome, *Coptidis Rhizoma*), Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Jiu Huang Bo (Phellodendron Bark processed with wine, *Phellodendri Cortex*), Lian Qiao (Forsythia Fruit, *Forsythiae Fructus*) (each 3 fen); Ben Cao (Ligusticum Rhizome, *Ligustici Rhizoma*), Jiu Huang Qin (Scutellaria Root processed with wine), Sheng Di Huang (Rehmannia Root, *Rehmanniae Radix*), Cang Zhu (Atractylodes Rhizome, *Atractylodis Rhizoma* soaked in rice wash and stir-fried), Chuan Xiong (Ligusticum Rhizome, *Chuanxiong Rhizoma*), Chai Hu (Bupleurum Root, *Bupleuri Radix*) (each 2 fen); Xi Xin (Asarum Root and Rhizome, *Asari Radix et Rhizoma*), Bai Zhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Sheng Huang Qin, Chen Pi (Tangerine Peel, *Citri Reticulatae Pericarpium*), Sheng Gan Cao, Su Mu (Sappan Wood, *Sappan Lignum*), Ge Gen (Pueraria Root, *Puerariae Lobatae Radix*) (each 1 fen); Wu Zhu Yu (Evodia Fruit, *Evodiae Fructus*), Hong Hua (Carthamus Flower, *Carthami Flos*) (each 0.5 fen).
Usage: Take one dose, add two cups of water, decoct until one cup remains, strain, and take while slightly warm.
Analysis: This formula’s efficacy is not limited to the eyes but is specifically established for macules. It is used for eye conditions because the toxin is still vigorous and has spread to the eyes. The eruption of macules begins with Bladder Ren Water overcoming Small Intestine Bing Fire; Qiang Huo and Ben Cao treat the Foot-Taiyang bladder meridian. Next, Kidney Gui Water overcomes Heart Fire; Xi Xin enters the Shaoyin kidney meridian, thus serving as the Sovereign herb. Finally, the two fires become vigorous and counteract Cold Water; thus, Huang Qin, Huang Lian, and Huang Bo are used to treat the two fires (processed with wine for reverse treatment); Sheng Di Huang nourishes Cold Water, serving as a Minister. Ma Huang, Fang Feng, and Chuan Xiong raise yang qi and dispel wind pathogens; Ge Gen and Chai Hu resolve and guide out toxic pathogens; Sheng Ma disperses stagnation; Bai Zhu and Cang Zhu remove dampness and harmonize the stomach; Sheng Gan Cao greatly reduces various heats, serving as Assistants. When qi fails to circulate up and down, Wu Zhu Yu and Chen Pi unblock it; when blood fails to flow smoothly, Su Mu and Hong Hua regulate it; Dang Gui heals malignant sores; Lian Qiao removes guest heat, serving as Guides. The Sovereign-Minister-Assistant-Guide structure here follows reverse and direct principles, embodying complete therapeutic methods; only those who understand cosmic transformation and drug properties can comprehend it. Before macules appear, if a child has cold ear tips, yawning, sleep startles, sneezing, and dry eyes, one knows macules will emerge; administer this medicine urgently. Severe cases will become mild, mild cases will resolve immediately, preventing secondary outbreaks.
Jueming San (Cassia Seed Powder): Treats smallpox/chickenpox invading the eyes.
Ingredients: Jueming Zi (Cassia Seed, *Cassiae Semen*), Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*), Zhi Gan Cao (Honey-fried Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (each 2.5 qian); Tian Hua Fen (Trichosanthes Root, *Trichosanthis Radix*) (5 qian).
Usage: Grind into powder, mix with a little She Xiang (Musk, *Moschus*), take 0.5 qian for three-year-olds, mixed with rice wash, taken after meals.
Mimeng San (Mimosa Flower Powder): Treats smallpox/chickenpox in children and various toxins invading the eyes.
Ingredients: Mimeng Hua (Descurainiae Flos, *Descurainiae Flos*) (2.5 qian); Qing Xiang Zi (Celosia Seed, *Celosiae Semen*), Jueming Zi, Che Qian Zi (each 5 fen).
Usage: Grind into powder. Take one slice of sheep liver, cut into three pieces, sprinkle medicine on them, reassemble, wrap in wet paper, and bake in ash fire until cooked. Eat on an empty stomach.
She Pi San (Snake Skin Powder): Treats smallpox/chickenpox invading the eyes and forming opacities.
Ingredients: She Pi (Snake Skin, *Bungarus multicinctus skin* or similar, roasted yellow), Tian Hua Fen (each equal parts).
Usage: Grind into powder. For three-year-olds, take 1 qian, insert into sheep liver, boil in rice wash, and eat.
Another prescription: Chan Tui (Cicada Slough, *Cryptotympanae Pupa*) ground into powder, taken with sheep liver soup.
Chan Tui San (Cicada Slough Powder): Treats smallpox/chickenpox invading the eyes; effective within six months, results seen in one month.
Ingredients: Zhu Xuan Ti Jia (Pig Hoof Claws, *Sus Scrofa Domesticus ungula*, burned to retain charred nature, ground) (2 liang); Chan Tui (1 liang, ground); Jie Yang Gan (Ram Liver, *Ovis Aries liver*, baked dry, ground) (2.5 qian).
Usage: For three-year-olds, take 1 qian, mixed with pig liver soup, taken after meals, four times daily. Cases older than one year are difficult to treat.
Fuping San (Duckweed Powder): Treats pain from pox entering the eyes, fearing damage to vision.
Usage: Yin-dry Fuping Cao (Lemna Minor, *Lemna minor*), grind into powder. For three-year-olds, take 1 qian. Take one slice of sheep liver, crush with chopsticks in a cup, add half a cup of boiling water, squeeze out juice, mix with powder, take after meals. Three doses yield immediate results.
Xie Qing Wan (Drain Green Pill) (See Headache section).
Tui Yi San (Remove Opacity Powder): Treats intraocular opacities or residual toxins after rash failing to disperse.
Ingredients: Zhen Ga Fen (Real Shell Lime, *Concha Margaritifera*), Gu Jing Cao (Spikemoss Spore, *Equiseti Spora*) (raw ground, each 1 liang).
Usage: Mix evenly. Take 2 qian per dose. Take a piece of pig liver about three fingers wide, split it, place medicine on top, roll it up, tie with hemp thread. Boil in one bowl of thick rice wash until liver is cooked. Remove, cool, chew thoroughly before bed, and swallow with the original rice wash. Avoid all toxic foods. If vegetarian, boil dried persimmon with the medicine until dry, discard medicine, and eat the persimmon.
Sun Yingzhong said: Patients with smallpox/chickenpox must not eat chicken or duck meat, or opacities will form. Qian Jihua’s daughter, aged several years, developed opacities in both eyes after rash. Only by taking this medicine did she shed three layers of white membrane from each eye, restoring clear vision.
Gu Jing San (Spikemoss Spore Powder): Treats pockmark opacities in eyes.
Ingredients: Gu Jing Cao, Zhu Ti Tui (Pig Trotter Hoof Castings, *Sus Scrofa Domesticus ungula castings*, fried), Lv Dou Pi (Mung Bean Skin, *Phaseoli Radiati Testa*), Chan Tui (each equal parts).
Usage: Grind into powder. Take 3 qian per dose, mixed with rice wash after meals.
Shen Gong San (Divine Efficacy Powder): Treats the same syndrome as above.
Ingredients: Ga Fen (Shell Lime, *Concha Margaritifera*), Gu Jing Cao (each 1 liang); Lv Dou Pi, Qiang Huo, Chan Tui (each 5 qian).
Usage: Grind into powder. Take 3 qian per dose. Take one pig liver, insert powder, sew with thread, boil juice, and take together.
Tong Shen San (Penetrate Spirit Powder): Treats macules/pox entering eyes and forming internal opacities.
Ingredients: Bai Ju Hua (White Chrysanthemum Flower, *Chrysanthemi Flos*), Lv Dou Pi, Gu Jing Cao (each equal parts).
Usage: Grind into powder. Take 1 qian per dose. Boil one dried persimmon with one cup of rice wash until water is dry. Eat the persimmon at any time, 3 to 7 times. Effective in 7 days, no more than half a month for chronic cases.
Shan Xue Fang (Loach Blood Prescription): Treats smallpox/chickenpox entering eyes and forming opacities.
Usage: Tie the tail of a loach, hang upside down, make a small incision below the neck, collect fresh blood, and apply to the opacity. White loaches are best. If the opacity is hardened, use Nan Peng Sha (Borax, *Borax*) powder, dip a rush pith into it, and apply to the opacity. Also, use Wei Ling Xian (Clematis Root, *Clematidis Radix et Rhizoma*) and Xian Ling Pi (Epimedium Herb, *Epimedii Folium*) washed, dried, equal parts, ground into powder. Take 1 qian, mixed with rice wash.
[General Prescriptions for Eye Diseases]
Chan Hua Wu Bi San (Cicada Flower Matchless Powder) (from *Heji Juzheng Fanglun*): Treats wind-eye and qi-eye in adults and children, old or recent, attacking and penetrating, causing dim vision, wind-millet bumps on eyelids, pain or itching, gradual formation of opacities obscuring vision, and blurred sight. Also treats chronic lateral/central headache, pulling/twitching of both eyes, gradually shrinking, with red/rotten eye sockets. Children’s rash entering eyes, white membrane obscuring vision, redness/astringency/hidden pain. Regular use dispels wind, removes opacities, and brightens eyes.
Ingredients: She Tui (Snake Slough, *Bungarus multicinctus skin*, lightly roasted, 1 liang); Chan Tui (remove head, feet, wings, 2 liang); Qiang Huo, Dang Gui (wash, roast) (each 3 liang); Shi Jue Ming (Abalone Shell, *Haliotidis Concha* boiled in salted east-flowing water for one *fu shi*, drained and ground to powder); Chuan Xiong (each 3 liang); Fang Feng (remove branches); Fu Ling (Poria, *Poria*; remove peel); Gan Cao (roast, each 4 liang); Chi Shao Yao (13 liang); Ji Li (Tribulus Fruit, *Tribuli Fructus* roasted, thorns removed, 0.5 jin); Cang Zhu (soaked, peeled, roasted, 15 liang).
Usage: Grind into powder. Take 3 qian per dose, mixed with rice wash after meals, tea infusion is also acceptable. Avoid wind-inducing toxic foods.
Huan Jing Wan (Restore Vision Pill) (from *Heji Juzheng Fanglun*): Treats wind-toxin attacking upwards in men and women, causing red/swollen eyes, photophobia, excessive discharge/tearing, astringency/difficulty opening, itchy/red/painful eye sockets, red/rotten eyelids, and fleshy growths invading the pupil. Also treats acute red eye with unbearable pain; immediate effect upon administration. Also treats lateral/central headaches, all types of wind-headache, dizziness.
Ingredients: Bai Zhu (raw), Tu Si Zi (Dodder Seed, *Cuscutae Semen* soaked in wine, separately ground), Qing Xiang Zi, Fang Feng (remove radix), Gan Cao (roast), Qiang Huo (remove sprouts), Bai Ji Li (white Tribulus, roasted, remove sharp points), Mimeng Hua, Mu Zei (Horsetail Stem, *Equiseti Hirsuti Caulis* remove nodes, each equal parts).
Usage: Grind to fine powder, refine honey into pills like bullet size. Take one pill per dose, chew thoroughly, swallow with white water, on empty stomach before meals, three times daily.
Qi Bao San (Seven Treasures Powder): Treats wind-eye, removes stasis-heat.
Ingredients: Dang Gui, Shao Yao, Huang Lian, Tong Lu (Malachite, *Malachite*), Xing Ren (Almond Seed, *Armeniacae Semen Amarum*, peel off, seven kernels) (each 2 qian, finely ground); Bai Fan (Alum, *Alumen*), Gan Cao (each 1 qian).
Usage: Cut into pieces, place in porcelain cup with water, stew in pot until 80% remains, strain and clarify, wash eyes before sleep.
Bo Yun San (Part Cloud Powder): Treats wind-toxin attacking upwards in men and women, causing dim vision, opacities obscuring vision, photophobia/tears, astringency/difficulty opening, itchy/red/painful eye sockets, red/rotten eyelids, fleshy growths invading pupil.
Ingredients: Qiang Huo, Fang Feng, Chai Hu, Gan Cao (roast, each 1 liang).
Usage: Grind to fine powder. Take 2 qian per dose, add 1.5 cups water, decoct to 0.7 cup. Take after meals mixed with mint tea infusion; chrysanthemum soup is also acceptable. Avoid pickled fish, salt, soy sauce, wet dough, roasted/spicy wind-inducing toxic foods.
Chan Ke San (Cicada Shell Powder): Treats wind-swelling of eyes and generation of opacities.
Ingredients: Chan Ke (Cicada Shell, *Cryptotympanae Pupa*), Di Gu Pi (Lycium Bark, *Lycii Cortex*), Huang Lian (Xuanzhou origin, remove roots), Mu Dan Pi (Tree Peony Bark, *Moutan Cortex* remove wood), Bai Zhu, Cang Zhu (rice wash soak, slice, roast), Ju Hua (Chrysanthemum Flower, *Chrysanthemi Flos*) (each 1 liang); Long Dan Cao (Gentian Root, *Gentianae Radix et Rhizoma*) (0.5 liang); Tian Gua Zi (Melon Seed, *Trichosanthis Semen*) (0.5 sheng).
Usage: Grind to fine powder. Take 1 qian per dose, mixed with Schizonepeta (*Schizonepetae Spica*) decoction, after meals and before sleep. Highly effective for residual toxins attacking eyes after epidemic diseases. Avoid hot noodles, fried beans, vinegar, soy sauce.
*Ju Fang* Mimeng Hua San (Mimosa Flower Powder from *Official Formulary*): Treats wind-qi attacking, dim vision, discharge/photophobia, acute red/swollen eyes.
Ingredients: Qiang Huo, Bai Ji Li (roast), Mu Zei, Mimeng Hua, Shi Jue Ming (each 1 liang); Ju Hua (2 liang).
Usage: Grind to powder. Take 2 qian per dose, mixed with tea infusion after meals.
*Sanyin* Qiang Huo San (Notopterygium Powder from *Three Causes*): Treats wind-toxin attacking upwards, dim/astringent eyes, opacities/sores. Also treats lateral/central headache, numerous black spots in vision.
Ingredients: Qiang Huo, Chuan Xiong, Tian Ma (Gastrodia Rhizome, *Gastrodiae Rhizoma*), Xuan Fu Hua (Inula Flower, *Inulae Flos*), Qing Pi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*), Nan Xing (Pinellia Tuber, *Pinelliae Rhizoma* roasted), Ben Cao (each 1 liang).
Usage: Grind to powder. Take 2 qian per dose, decoct in water, add 3 slices ginger, 7 leaves mint.
*Benshi Fang* Yang Gan Wan (Sheep Liver Pill from *Capable Prescriptions*)
Ingredients: Tu Si Zi, Che Qian Zi, Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*), Jueming Zi, Fu Ling, Wu Wei Zi (Schisandra Fruit, *Schisandrae Chinensis Fructus*), Gou Qi Zi (Goji Berry, *Lycii Fructus*), Chong Wei Zi (Leonurus Fruit, *Leonuri Fructus*), Ku Ting Li (Thlaspi Seed, *Thlaspidis Semen*), Rui Ren (Prunus Kernel, *Amygdalus Persicae Semen* or *Pruni Armeniacae Semen* - note: usually Prunus armeniaca kernel in this context, *Pruni Armeniacae Semen*), Di Fu Zi (Kochia Fruit, *Kochiae Fructus*), Ze Xie (Alisma Rhizome, *Alismatis Rhizoma*), Fang Feng, Huang Qin, Xing Ren (roast), Xi Xin, Gui Xin (Cinnamon Twig Heart, *Cinnamomi Ramulus*), Qing Xiang Zi (each 1 liang); Bai Jie Yang Gan (White Ram Liver, use female liver slice, thinly sliced, dry-roasted on new tile), Shu Di Huang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*) (1.5 liang).
Usage: Grind to fine powder, refine honey into pills like wu zi size. Take 30-40 pills per dose, swallow with warm water, three times daily.
Di Huang San (Rehmannia Powder): Treats heart/liver congestion-heat, red/swollen painful eyes, red veins/white membranes obscuring vision. Easy to treat if scattered on four sides; if suddenly covering the black pupil (cornea), often leads to blindness. Also treats rash/pox entering eyes.
Ingredients: Sheng Di Huang, Shu Di Huang, Dang Gui, Da Huang (each 7.5 qian); Gu Jing Cao, Ji Li, Mu Tong (Akebia Stem, *Akebiae Caulis*), Huang Lian, Fang Feng, Sheng Xi Jiao (Raw Rhinoceros Horn, *Rhinocerotis Cornu* - substitute with Niuxi/Jiaogu or keep as historical term), Mu Zei, Xuan Shen (Scrophularia Root, *Scrophulariae Radix*), Qiang Huo, Chan Tui, Fen Cao (Licorice, *Glycyrrhizae Radix et Rhizoma*) (each 0.5 liang).
Usage: Grind to powder. Take 0.5 qian per dose, mixed with boiled pig/sheep liver juice, taken after meals.
Bu Gan San (Tonify Liver Powder): Treats thirty-year blindness.
Usage: Collect Ji Li seeds on the 7th day of the 7th lunar month, dry in shade, grind to powder. Take after meals with water, one *fang cun bi* (measure approx. 1 cubic inch).
Prescription for Chronic Blindness
Usage: Crush Jueming Zi to powder. Take after meals with porridge drink, one *fang cun bi*.