黄膜下垂者，脾胃热，风结血凝气滞，膏脂窒塞，血运不能通，故生是疾，发歇无时，
痛涩泪出，渐生黄膜下垂，发则膜舒，退则膜卷，胞皮下垂，羞明怕日，虽举不张，黄膜渐
长，遮瞒瞳仁也，甚至满目皆黄，难辨人物。治法∶虽不是拳毛倒睫之症，亦可夹些眼皮，
使露黑睛，黄膜气舒发歇年久可夹，乍发不宜夹。治宜通脾泻胃拨云八正之剂以对，充之丹
片脑少许，如有泪退之速，无泪退之迟，忌口斋戒，使衰其血易于调理也，又有一症，黄膜
从下生上，为之黄膜上充，大抵治同，浓者宜挑剪。
\r黄膜下垂图\p05-c20a41.bmp\r
问曰∶白睛黄赤生翳如赤膜者何也？答曰∶脾胃得肝木克土之候也。治宜省味金花丸去
其黄膜，后用针沙平胃丸收功，点用重药，脑不可用，少下。
针沙平胃丸 久服平胃气，去肝邪。
苍术 浓朴 陈皮 甘草 针沙
上各等分， 咀为末，炼蜜为丸，如绿豆大。每服五十丸，空心米汤下。
省味金花丸 治脾胃积热，致生黄膜。
栀子 黄芩 黄柏 桑白皮 地骨皮 桔梗 知母 甘草
上为细末，炼蜜为丸。清茶送下。
眼胞下生赤膜垂下，遮于黑睛疼痛者，乃胃热也。治法∶红痛甚者服郁金酒调散、大黄
当归散，微退后，用拨云汤、生地黄散，点用重药加清凉散药，以上方俱在前。
\r赤膜下垂图\p05-c20a42.bmp\r
大黄当归散 治胃中有热，生膜疼痛。
当归 芍药 川芎 菊花 大黄 黄芩 杏仁 薄荷
上各等分， 咀。食后水煎温服。
生地黄散 治眼下赤膜，发歇无时，久服则不发。
生地黄 黄柏 知母 防风 荆芥 升麻 干葛 天花粉 黄芩 甘草 桑白皮 白茯
苓赤芍药
上 咀。每服七八钱重，水煎食后服。
黄膜下垂，是由于脾胃有热，风邪结聚、血液凝滞、气机阻滞，导致膏脂（眼内脂质分泌物）阻塞，血运无法通畅，因而产生此病。病情发作和停止没有固定时间，伴有疼痛、涩感及流泪，逐渐形成黄膜下垂。发作时膜舒展，消退时膜卷曲，眼睑皮肤下垂，畏光怕日，虽然努力睁眼也无法张开，黄膜逐渐生长，遮蔽瞳孔，甚至满眼皆黄，难以分辨人物。治疗方法：虽然不是拳毛倒睫之症，但也可通过夹治眼皮的方法，使黑睛（角膜）显露出来。黄膜之气舒缓、发作间歇已久者可进行夹治，刚发作时不宜夹治。治疗宜用通脾泻胃拨云八正汤剂来应对，并加入少许丹片脑（冰片）。若有泪则消退快，无泪则消退慢。需忌口斋戒，使血气衰减，易于调理。又有一种病症，黄膜从下向上生长，称为黄膜上充，大体治疗方法相同，膜厚者宜挑剪。
问：白睛发黄赤色，生出翳障如赤膜状，是什么原因？答：这是脾胃受肝木克制（木克土）的征候。治疗宜用省味金花丸去除黄膜，后用针沙平胃丸收功。点眼药需用重药，但冰片不可多用，应少量使用。
针沙平胃丸：久服可平复胃气，祛除肝邪。
药材：苍术、浓朴、陈皮、甘草、针沙。
以上各等分，切碎成末，炼蜜为丸，如绿豆大小。每次服用五十丸，空腹时用米汤送服。
省味金花丸：治疗脾胃积热，导致生黄膜。
药材：栀子、黄芩、黄柏、桑白皮、地骨皮、桔梗、知母、甘草。
以上研为细末，炼蜜为丸。用清茶送服。
眼睑下方生出赤膜垂下，遮蔽黑睛并引起疼痛的，是胃热所致。治疗方法：红痛严重者服用郁金酒调散、大黄当归散；症状微退后，用拨云汤、生地黄散，点眼用药中加入清凉散药。以上方剂均在前文提及。
大黄当归散：治疗胃中有热，生膜疼痛。
药材：当归、芍药、川芎、菊花、大黄、黄芩、杏仁、薄荷。
以上各等分，切碎。饭后水煎温服。
生地黄散：治疗眼下赤膜，发作停止无定时，久服则不再发作。
药材：生地黄、黄柏、知母、防风、荆芥、升麻、干葛、天花粉、黄芩、甘草、桑白皮、白茯苓、赤芍药。
以上切碎。每次服用七八钱重，水煎，饭后服用。
Yellow membrane drooping is caused by heat in the Spleen and Stomach, wind pathogen accumulation, blood stasis, and Qi stagnation. This leads to obstruction of the "gao zhi" (lipid secretions within the eye), preventing smooth blood circulation, thus resulting in this disease. The onset and remission occur without fixed timing. Symptoms include pain, astringency, and tearing. Gradually, a yellow membrane forms and droops; when active, the membrane spreads out, and when receding, it curls up. The eyelid skin droops, causing photophobia and fear of sunlight. Although one tries to open the eyes, they cannot be fully opened. The yellow membrane grows gradually, obscuring the pupil, and may even turn the entire eye yellow, making it difficult to distinguish people or objects. Treatment method: Although this is not the condition of inverted cilia (quan mao dao jie), the eyelids can be mechanically adjusted (jia) to expose the cornea (hei jing). Mechanical adjustment is suitable only when the pathogenic qi of the yellow membrane has subsided and the intervals between attacks have been long; it should not be performed during acute onset. The treatment should employ the Tong Pi Xie Wei Bo Yun Ba Zheng formula to clear the Spleen and purge Stomach heat, with a small amount of Bing Pian (Borneolum Syntheticum) added. If tears are present, the condition resolves quickly; if absent, it resolves slowly. Dietary restrictions and fasting are required to reduce blood excess and facilitate regulation. Another variant involves the yellow membrane growing from below upwards, termed "yellow membrane filling upwards." The general treatment is similar, but for thick membranes, incision and trimming are appropriate.
Question: What causes the white sclera to appear yellowish-red with an opacity resembling a red membrane? Answer: This is a sign of the Liver Wood overacting on the Spleen Earth (Wood overcoming Earth). Treatment should utilize Sheng Wei Jin Hua Wan to remove the yellow membrane, followed by Zhen Sha Ping Wei Wan to consolidate the cure. For eye drops, potent medications should be used, but Borneolum Syntheticum (Bing Pian) should be used sparingly.
Zhen Sha Ping Wei Wan: Long-term use stabilizes Stomach Qi and eliminates Liver pathogenic factors.
Ingredients: Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhen Sha (Cinnabar).
All ingredients in equal parts are chopped into powder, mixed with refined honey to form pills the size of mung beans. Take 50 pills per dose, swallowed with rice water on an empty stomach.
Sheng Wei Jin Hua Wan: Treats accumulated heat in the Spleen and Stomach that causes yellow membrane formation.
Ingredients: Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), Huang Bai (Phellodendri Cortex), Sang Bai Pi (Mori Cortex), Di Gu Pi (Lycii Cortex), Jie Geng (Platycodonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Grind all ingredients into fine powder, mix with refined honey to form pills. Swallow with clear tea.
When a red membrane generates below the eyelid, droops, covers the cornea, and causes pain, it is due to Stomach heat. Treatment method: For severe redness and pain, administer Yu Jin Jiu Tiao San or Da Huang Dang Gui San. After slight remission, use Bo Yun Tang or Sheng Di Huang San. For eye drops, add cooling dispersing agents. All aforementioned formulas are cited earlier in the text.
Da Huang Dang Gui San: Treats heat in the Stomach causing membrane formation and pain.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba/Rubra), Chuan Xiong (Chuanxiong Rhizoma), Ju Hua (Chrysanthemi Flos), Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix), Xing Ren (Armeniacae Semen Amarum), Bo He (Menthae Haplocalycis Herba).
All ingredients in equal parts are chopped. Decoct in water and take warm after meals.
Sheng Di Huang San: Treats red membrane under the eyes, which appears and disappears irregularly. Long-term use prevents recurrence.
Ingredients: Sheng Di Huang (Rehmanniae Radix), Huang Bai (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Sheng Ma (Cimicifugae Rhizoma), Gan Ge (Puerariae Radix), Tian Hua Fen (Trichosanthis Radix), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sang Bai Pi (Mori Cortex), Bai Fu Ling (Poria), Chi Shao Yao (Paeoniae Radix Rubra).
Chop all ingredients. Each dose weighs approximately 7-8 qian. Decoct in water and take after meals.