陈文宿先生云∶痘疮十二日至十三日，疮痂渐落，其瘢犹黯，或凹或凸，肌肉尚嫩，不可澡洗，并忌五辛煎 之
物，恐热毒上熏肝膈，眼生障翳。或有是患，用谷精草散治之。窃谓前症∶目为肝之窍，或肝经风热，或肝经血虚，或
肝经风热相搏，或肝疳内热，或乳母肝经有热，或食膏粱浓味，故多犯其目。若失于早治，多成废疾。
一小儿出痘，两目不开，先君谓肝经有热。用消毒化 汤，母子服之而愈。
一小儿两目不开，先君谓肝经热毒。先用柴胡麦门冬散，又用四物汤加山栀而愈。
一小儿痘疮，目赤肿痛，此肝火为患，用柴胡麦门冬散、谷精散而愈。
一小儿痘将靥，目不开，脉浮而无力，右关按之缓弱，此脾气虚耳，用补中益气汤加蔓荆子二剂，去蔓荆子又数剂
而愈。后每劳役，目中作胀不能开合，朝用补中益气汤，夕用五味异功散而愈。
一小儿眼痛不开，属肝经风热，用柴胡麦门冬散、犀角地黄汤加柴胡各一剂，开而见赤翳迷漫，仍用前药加谷精草
而愈。
一小儿出痘，目闭二十余日，用清肝解热之药，两目虽开其睛已伤，此失于早治也。
一小儿目中出痘作痛，肝脉弦洪有力，先用小柴胡加龙胆草、生地黄一剂，而痛稍止，乃用四物、柴胡、山栀一
剂，痛全止，再用加味逍遥散、蝉菊散而愈。
一小儿目中出痘，肝脉弦数，此木火相搏，用四物、山栀、牡丹皮、柴胡二剂，再用加味逍遥散二剂，肝脉平和，
又用四物、牡丹皮而靥。但目有青翳，用蛇蜕散、三味谷精草散而痊。
一小儿素食膏粱，目中出痘作痛，口渴、大便坚实，左右关洪数有力弦长，此形病脉俱实，先用柴胡栀子散、泻黄
散各一服，又用柴胡栀子散、柴胡麦门冬散而痊。
一痘儿眼不开，肝脉数，按之有力，用柴胡栀子散，子母服之眼渐开。又因母劳怒仍闭，用加味逍遥散而愈。后复
闭，用柴胡麦门冬散而痊。
一小儿目中生翳，诊其肝肾疳症，用九味芦荟丸、六味地黄丸及粉丹散，翳渐退，又用柴胡麦门冬散而痊。
羊肝散 治痘疮入眼，或无辜疳入目。
密蒙花 青箱子 决明子 车前子
上为末，用密蒙花末三钱，余药各一钱，以羊肝一叶，薄批掺上湿，用纸裹煨熟。空心食之。
蛇蜕散 治痘毒目翳。
蛇蜕（二钱，为末） 栝蒌仁（五钱，研烂）
上为末，用羊肝一片，批开入末二钱，用线扎紧，米泔煮熟，频与儿食，外用粉丹散。
三味谷精草散 治痘疹翳膜遮睛瘴瞳子。
谷精草（一两） 蛤粉 黑豆（各二两）
上为末，用雄猪肝一叶，竹刀批开，掺药在内，以麻线缚定，入砂罐内水煮熟，令儿食之。
蝉菊散 治斑痘入眼，或病后生翳障。
蝉蜕（洗） 白菊花（各等分）
上每服一钱，水煎入蜜少许，量儿服。
二味谷精草散 治痘疮已靥，目翳膜障，瞳神隐涩泪出，久而不退。
谷精草（一两） 生蛤粉（二两）
上为末，用 猪肝一叶，竹刀批片子掺药在内，以绵扎入砂器内，水煮。令儿熟食之。
粉丹散（即吹耳丹） 治眼生翳膜。
轻粉 黄丹
上为末，竹筒吹耳内，左眼有翳吹右耳，右患吹左耳，即退。
通神散 治 疮入目，内生翳障。
白菊花 绿豆末（生用） 谷精草（各等分）
上为末，每服一钱，干柿一个，米泔水一盏煮干末，不拘时但食柿饼五七次，至七日可见效。
黄柏膏 治痘疮初出就涂面，则痘疮不生于面目，用之若迟，虽出亦稀。
黄柏（一两） 绿豆 甘草（各四两，生用）
上为细末，清油调如膏，从耳前眼唇面并涂之，日三五度。
羊肝丸 治痘疮入目不能开。
羯羊肝（一具生用） 黄连（炒，为末）
上先将羊肝去筋膜，于石器内捣烂，入黄连末丸如桐子大。每服二三十丸，食后茶清送下。
蝉蜕散 治 疹入目，半年已过者，一月取效。
蝉蜕（一两） 猪悬蹄甲（二两，瓦罐内用盐泥封，烧存性）
上二味为末，入羚羊角末五钱，每服五分，白汤调下。
九味芦荟丸 治肝经积热，面目生翳，耳中出水，大便不调，肢体消瘦等症。（方见疳蚀症）
小柴胡汤（方见 症）
柴胡麦门冬散（方见作痒搔破）
四物汤（方见痘疮出迟）
六味地黄丸（方见痘疮发热属阴属阳）
泻黄散（方见靥后发热咽痛）
消毒化 汤（即消毒救苦汤，方见夹疹痘）
加味逍遥散（方见欲靥不靥）
柴胡栀子散（即柴胡清肝散，方见作痒搔破）
补中益气汤
五味异功散（二方见寒战切牙，一名小异功散）
Mr. Chen Wensu said: On the twelfth to thirteenth day of smallpox, the scabs gradually fall off, but the scars remain dark, with some areas depressed and others raised. The muscle tissue is still tender; bathing and washing should be avoided, as well as the consumption of five pungent spices (Wuxin) and fried foods. This is to prevent heat toxins from ascending to熏 (fuming/heating) the liver and diaphragm, which could cause opacities (zhangyi) to form in the eyes. If such a condition occurs, it is treated with Gujingcao San (Valerian Flower Powder). I believe that regarding the aforementioned symptoms: the eyes are the orifices of the Liver. Conditions may arise due to Wind-Heat in the Liver channel, Blood deficiency in the Liver channel, the interplay of Wind-Heat in the Liver channel, internal Heat from Liver Gan (malnutrition syndrome), Heat in the mother's Liver channel (if breastfeeding), or the consumption of rich and greasy foods. Therefore, the eyes are frequently affected. If early treatment is neglected, disability often results.
A child with smallpox had eyes that would not open. My father attributed this to Heat in the Liver channel. We used Xiaodu Huatang (Detoxification Decoction), taken by both mother and child, resulting in recovery.
Another child with eyes that would not open was diagnosed by my father with Heat-Toxin in the Liver channel. Chaihu Maidong San (Bupleurum and Ophiopogon Powder) was used first, followed by Siwu Tang (Four Substances Decoction) added with Zhizi (Gardenia Fruit), resulting in recovery.
A child with smallpox presented with red, swollen, and painful eyes, attributed to Fire in the Liver. Chaihu Maidong San and Gujing San were used, resulting in recovery.
A child whose smallpox was about to crust over had eyes that would not open. The pulse was floating and weak; pressing the Right Guan position revealed a slow and weak quality, indicating Spleen Qi deficiency. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Manjingzi (Vittex Seed) was administered for two doses. Manjingzi was then removed, and several more doses were given, resulting in recovery. Later, whenever he exerted himself physically, his eyes felt distended and could not open or close. He took Buzhong Yiqi Tang in the morning and Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) in the evening, resulting in recovery.
A child with eye pain and inability to open his eyes was diagnosed with Wind-Heat in the Liver channel. Chaihu Maidong San and Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) added with Chaihu (Bupleurum Root) were each administered for one dose. Upon opening, red opacities were seen spreading across the eye. The previous prescription was continued with the addition of Gujingcao (Valerian Flower), resulting in recovery.
A child with smallpox kept his eyes closed for over twenty days. Medicines clearing Liver Heat and resolving toxicity were used. Although the eyes opened, the eyeballs were damaged, a result of failing to treat early enough.
A child with smallpox in the eyes experienced pain. The Liver pulse was wiry, surging, and forceful. Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Longdancao (Gentian Root) and Sheng Dihuang (Raw Rehmannia Root) was administered for one dose, slightly stopping the pain. Then, Siwu Tang, Chaihu, and Zhizi were administered for one dose, completely stopping the pain. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Chanju San (Cicada Slough Powder) were then used, resulting in recovery.
A child with smallpox in the eyes presented with a wiry and rapid Liver pulse, indicating an interplay of Wood and Fire. Siwu Tang, Zhizi, Mudanpi (Moutan Cortex), and Chaihu were administered for two doses. Jiawei Xiaoyao San was then administered for two doses, bringing the Liver pulse to a peaceful state. Siwu Tang and Mudanpi were then used until crusting occurred. However, green opacities remained in the eyes. Shed Snake Powder (Shetui San) and Sanwei Gujingcao San (Three-Ingredient Valerian Flower Powder) were used, resulting in recovery.
A child who habitually consumed rich and greasy foods developed smallpox in the eyes with pain, thirst, and firm stools. The Left and Right Guan pulses were surging, rapid, forceful, wiry, and long. This indicated that both the physical signs and the pulse were excess patterns. Chaihu Zhizi San (Bupleurum and Gardenia Powder) and Xiehuang San (Drain the Yellow Powder) were each administered once. Then, Chaihu Zhizi San and Chaihu Maidong San were used, resulting in recovery.
An infant with smallpox had eyes that would not open. The Liver pulse was rapid and forceful upon pressure. Chaihu Zhizi San was administered to both mother and child, and the eyes gradually opened. Later, due to the mother's labor and anger, the eyes closed again. Jiawei Xiaoyao San was used, resulting in recovery. When they closed again, Chaihu Maidong San was used, resulting in recovery.
A child with opacities in the eyes was diagnosed with Gan syndrome involving the Liver and Kidneys. Jiwei Lushui Wan (Nine-Ingredient Aloe Pill), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), and Fendan San were used. The opacities gradually receded, and Chaihu Maidong San was then used, resulting in recovery.
Yanggan San (Sheep Liver Powder) treats smallpox entering the eyes or Wugu Gan (innocent malnutrition) entering the eyes.
Mimenghua (Prunella Fructus Immaturus), Qingxiangzi (Lycium Chinense Fruit), Juemingzi (Cassiae Semen), Cheqianzi (Plantaginis Semen).
Grind all into powder. Take three qian of Mimenghua powder and one qian of each of the other medicines. Slice one leaf of sheep liver thinly, sprinkle the powder on it, moisten, wrap in paper, and roast. Eat on an empty stomach.
Shetui San (Shed Snake Powder) treats opacities caused by smallpox toxin.
Shetui (Two qian, ground to powder), Gualouren (Trichosanthis Semen).
Grind all into powder. Take one piece of sheep liver, slice it open, insert two qian of powder, tie tightly with thread, and boil in rice water. Feed frequently to the child. Apply Fendan San externally.
Sanwei Gujingcao San (Three-Ingredient Valerian Flower Powder) treats opacities covering the pupil and dim vision caused by smallpox/rash.
Gu Jingcao (One liang), Ge Fen (Concha Arcae), Heidou (Sojae Semen Nigrum) (each two liang).
Grind all into powder. Take one leaf of male pig liver, slice open with a bamboo knife, insert the medicine inside, tie securely with hemp thread, place in a clay pot, and boil in water. Let the child eat it.
Chanju San (Cicada Slough Powder) treats rash/smallpox entering the eyes or opacities forming after illness.
Chantui (Cicada Slough, washed), Bai Juhua (White Chrysanthemum Flower) (equal parts).
Take one qian per dose, decoct in water, add a little honey, and administer according to the child's capacity.
Erwei Gujingcao San (Two-Ingredient Valerian Flower Powder) treats opacities and membrane barriers after smallpox crusting, with dim vision, dryness, tearing, persisting for a long time without receding.
Gu Jingcao (One liang), Sheng Ge Fen (Raw Concha Arcae) (two liang).
Grind all into powder. Take one leaf of pig liver, slice with a bamboo knife, insert the medicine inside, wrap in cotton, place in a clay vessel, and boil in water. Let the child eat it cooked.
Fendan San (also known as Chuier Dan / Ear-Blowing Powder) treats opacities forming in the eyes.
Qingfen (Calomelas), Huangdan (Lithargyrum).
Grind all into powder. Use a bamboo tube to blow the powder into the ear. If the left eye has opacity, blow into the right ear; if the right eye is affected, blow into the left ear. The opacity will recede immediately.
Tongshen San (Spirit-Penetrating Powder) treats smallpox entering the eyes, causing internal opacities.
Bai Juhua (White Chrysanthemum Flower), Lv Dou Mo (Green Bean Powder, raw), Gu Jingcao (each equal part).
Grind all into powder. Take one qian per dose. With one dried persimmon and one cup of rice water, boil the powder until dry. Eat the persimmon cake at any time, five to seven times. Effect can be seen by the seventh day.
Huangbai Gao (Phellodendron Ointment) applied to the face when smallpox first appears prevents smallpox from growing on the face and eyes. If used late, even if smallpox appears, it will be sparse.
Huangbai (Phellodendri Cortex, one liang), Lv Dou (Green Bean), Gancao (Licorice Root) (each four liang, raw).
Grind all into fine powder. Mix with clear oil to form an ointment. Apply to the area from the front of the ears, eyes, lips, and face. Apply three to five times daily.
Yanggan Wan (Sheep Liver Pill) treats smallpox entering the eyes preventing them from opening.
Jie Yanggan (Male Sheep Liver, one whole, raw), Huanglian (Coptidis Rhizoma, stir-fried, ground to powder).
First remove the fascia from the sheep liver, pound it thoroughly in a stone mortar, mix with Huanglian powder, and form pills the size of paulownia seeds. Take twenty to thirty pills per dose, swallowed with tea infusion after meals.
Chantui San (Cicada Slough Powder) treats smallpox/rash entering the eyes, effective within one month even if half a year has passed.
Chantui (Cicada Slough, one liang), Zhu Xuanti Jia (Pig Suspended Hoof Nail, two liang, sealed in a clay jar with salt mud, burned until carbonized/charred).
Grind these two ingredients into powder, add five qian of Lingyangjiao (Saiga Antelope Horn) powder. Take five fen per dose, mixed with warm water.
Jiuwei Lushui Wan (Nine-Ingredient Aloe Pill) treats accumulation of Heat in the Liver channel, opacities on the face and eyes, discharge from the ears, irregular bowel movements, emaciation of limbs, etc. (Formula see Gan Shi Syndrome).
Xiao Chaihu Tang (Minor Bupleurum Decoction) (Formula see relevant symptom).
Chaihu Maidong San (Bupleurum and Ophiopogon Powder) (Formula see Itching and Scratching).
Siwu Tang (Four Substances Decoction) (Formula see Delayed Smallpox Eruption).
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (Formula see Fever in Smallpox Yin/Yang differentiation).
Xiehuang San (Drain the Yellow Powder) (Formula see Fever and Sore Throat After Crusting).
Xiaodu Huatang (Detoxification Decoction) (i.e., Xiaodu Jiuku Tang, Formula see Complicated Rash/Smallpox).
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (Formula see Failure to Crust).
Chaihu Zhizi San (Bupleurum and Gardenia Powder) (i.e., Chaihu Qinggan San, Formula see Itching and Scratching).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) (Both formulas see Cold Tremors and Teeth Grinding, also named Xiao Yigong San).