目者肝之窍也，肝胆属风木二经，兼为相火。肝藏血，血不足则风火内生，故目睛为之 动
。经曰∶曲直动摇风之象也。宜用四物益其血，柴胡、山栀清其肝，阴血内荣，则虚风自息
矣。若因肝经血燥而目病者，用六味丸以滋其源。因肺金克肝木者，用泻白散以平金邪。若
眼眶 动者，肝木乘脾土也，用抱龙丸。若愈后惊悸不寐，或寐中发搐切牙，目睛 动者，
血虚不能荣筋脉也，用补中益气汤或归脾汤加茯苓、五味。盖有余者，邪气实也，不足者，
真气虚也。凡病气有余当认为不足，况此症兼属肝脾，多为慢惊之渐，尤当审之。
治验
一小儿三岁，因惊抽搐发热，久服抱龙丸等药，面色或赤或青。余曰∶始因肝有实邪，故宜
用前药，今面色青赤，乃肝经虚热传心矣。遂用六味丸以养肝肾，佐以六君、升麻、柴胡，
以补脾胃，诸症顿痊。
大尹周应昌子，患瘰 ，恪服化痰之剂，虚宜用六君子汤。
泻青丸（方见肝脏）
六味丸（方见肾脏）
四君子汤（方见天钓）
泻白散（方见肺脏）
唇为脾之华，口乃肺之窍，又阳明之脉，环唇口而交人中阳明胃也。是以脾胃虚者，多有此
症，不独病后而已。夫脾主涎，脾虚则不能收摄，多兼流涎，或误认为痰，而用祛逐之药，
则津液益枯，不能滋养筋脉，遂致四肢抽搐，病势愈甚。原其治法与慢脾风相同，当用大补
脾胃之药，加升麻、柴胡，切勿用青皮、龙胆草之类。兼察其色，黄者脾弱也，青者肝胜也
，青黄不泽，木来克土也，青赤相兼，木火风热也。黑为寒水反来侮土；白为气虚亡阳，凡
此宜用六君子汤加小柴胡汤。若四肢微搐，或潮热往来，或泄泻呕吐，面色痿黄，皆脾胃有
伤也，宜用白术、黄 、川芎、当归、人参、陈皮、肉豆蔻、神曲、甘葛、白芍药、黄连、
炙甘草、白茯苓，以补胃气。若脾胃虚弱者，用五味异功散，虚寒加木香、炮姜。若脾气下
陷者，用补中益气汤以升其阳。作渴者，用七味白术散以生津液。若肝木侮脾者，用补中益
气汤加茯苓、半夏、芍药，以治肝补脾。
治验
一小儿伤食发热唇动，或用养胃汤、枳实、黄连、山楂之类，更加腹胀，午后发热，按其腹
不痛。余以为服前药，饮食虽化而脾胃复伤也，用六君子汤数剂而痊。
一小儿伤食发热，呕吐唇动，服消导清热之剂，饮食已消，热亦如故。余曰∶此胃经虚热耳
。用四君子、升麻、柴胡，四剂而愈。
一小儿素面白，忽然目唇微动，时面色黄青，良久其唇口、手足亦微动，此脾虚而肝侮之也
，用五味异功散加钩藤钩、白附子一剂，而面青少退；再二剂，唇口动亦止；又用异功散加
升麻、柴胡四剂而痊。
一小儿暑月吐泻，目唇微动，面色青白，手足并冷，仍用玉露散。余谓∶已变慢脾风也，当
温补脾肾。不信，后果殁。
五味异功散（方见天钓、内钓）
补中益气汤（方见虚羸）
七味白术散（方见积痛）
六君子汤（方见天钓）
小柴胡汤（方见 症）
四君子汤（方见天钓）
The eyes are the orifices of the Liver. The Liver and Gallbladder belong to the Wind-Wood meridians and also involve Ministerial Fire (Xiang Huo). The Liver stores Blood; when Blood is insufficient, internal Wind and Fire arise, causing the eyeballs to move. The Classics state: "Bending, straightening, shaking, and moving are manifestations of Wind." It is appropriate to use Siwu Tang (Four Substances Decoction) to nourish Blood, and Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus) to clear the Liver. When Yin-Blood is internally nourished, deficient Wind will naturally subside. If the eye disease is due to dryness of Blood in the Liver meridian, Liuwei Wan (Six-Ingredient Pill with Rehmannia) should be used to nourish its source. If Lung Metal overacts on Liver Wood, Xiebai San (Drain White Powder) should be used to pacify the pathogenic factor of Lung Metal. If the eye sockets twitch, this indicates Liver Wood encroaching upon Spleen Earth; Baolong Wan (Embrace Dragon Pill) should be used. If after recovery there is palpitation and insomnia, or convulsions with teeth grinding and eyeball movement during sleep, this is because Blood deficiency fails to nourish the sinews and vessels; Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) or Guipi Tang (Restore the Spleen Decoction) added with Fuling (Poria) and Wuweizi (Schisandrae Fructus) should be used. Generally, excess refers to the fullness of pathogenic factors, while insufficiency refers to the deficiency of True Qi. In cases where Qi appears excessive, it should be diagnosed as insufficient. Moreover, since this syndrome involves both Liver and Spleen, it is often a precursor to Slow Convulsion (Man Jing); thus, careful examination is essential.
Case Record 1
A three-year-old child suffered from convulsions and fever due to fright. After long-term administration of Baolong Wan and other medicines, the complexion was alternately red and cyanotic. I stated: Initially, there were excess pathogens in the Liver, so the aforementioned medicines were appropriate. Now, with a cyanotic-red complexion, it indicates that deficient heat from the Liver meridian has transmitted to the Heart. Consequently, Liuwei Wan was used to nourish the Liver and Kidney, assisted by Liujunzi Tang (Six Gentlemen Decoction), Shengma (Cimicifugae Rhizoma), and Chaihu, to tonify the Spleen and Stomach. All symptoms resolved immediately.
The son of Dayin Zhou Yingchang suffered from scrofula (Luoli) and strictly took phlegm-resolving agents. For deficiency patterns, Liujunzi Tang (Six Gentlemen Decoction) is appropriate.
Xieqing Wan (Formula seen in Liver Chapter)
Liuwei Wan (Formula seen in Kidney Chapter)
Sijunzi Tang (Four Gentlemen Decoction) (Formula seen in Tiandiao Chapter)
Xiebai San (Drain White Powder) (Formula seen in Lung Chapter)
The lips are the bloom of the Spleen, and the mouth is the orifice of the Lung. Furthermore, the Yangming meridian circles the lips and mouth and intersects at the Renzhong acupoint (belonging to the Yangming Stomach meridian). Therefore, individuals with Spleen and Stomach deficiency often present with these symptoms, not only post-illness. The Spleen governs saliva; when Spleen Qi is deficient, it cannot retain fluids, often accompanied by drooling. This may be mistaken for Phlegm, leading to the use of phlegm-draining medicines, which further depletes Body Fluids, failing to nourish the sinews, resulting in limb convulsions and worsening condition. The treatment principle is identical to that of Slow Spleen Wind (Man Pi Feng): one should use strong Spleen and Stomach-tonifying medicines, adding Shengma and Chaihu, and absolutely avoid Qingpi (Citri Reticulatae Pericarpium Viride) and Longdancao (Gentianae Radix et Rhizoma). One must also observe the complexion: yellow indicates Spleen weakness; cyanotic indicates Liver excess; dull cyanotic-yellow indicates Wood overacting on Earth; mixed cyanotic-red indicates Wood-Fire Wind-Heat. Black indicates Cold Water counter-acting to insult Earth; white indicates Qi deficiency and collapse of Yang. In all such cases, Liujunzi Tang (Six Gentlemen Decoction) combined with Xiaochaihu Tang (Minor Blue Green Decoction) is appropriate. If there are slight limb convulsions, alternating tidal fever, diarrhea, vomiting, and sallow complexion, it indicates damage to the Spleen and Stomach. Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Roudoukou (Myristicae Semen), Shen Qu (Massa Medicata Fermentata), Gan Gen (Puerariae Lobatae Radix), Bai Shao (Paeoniae Radix Alba), Huang Lian (Coptidis Rhizoma), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), and Bai Fu Ling (Poria) should be used to tonify Stomach Qi. For Spleen and Stomach weakness, Wuyi Yigong San (Five-Ingredient Extraordinary Efficacy Powder) is used; for deficiency-cold, add Muxiang (Aucklandiae Radix) and Pao Jiang (Prepared Zingiberis Rhizoma). For sinking of Spleen Qi, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is used to raise Yang. For thirst, Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) is used to generate Body Fluids. If Liver Wood insults the Spleen, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fuling, Banxia (Pinelliae Rhizoma), and Shaoyao (Paeoniae Radix) is used to treat the Liver and tonify the Spleen.
Case Record 2
A child suffered from food stagnation-induced fever and lip twitching. Someone administered Yangwei Tang (Nourish Stomach Decoction), Zhishi (Aurantii Fructus Immaturus), Huanglian (Coptidis Rhizoma), and Shanzha (Crataegi Fructus), which exacerbated abdominal distension and afternoon fever. Palpation of the abdomen revealed no pain. I believed that although the previous medicines digested the food, they re-injured the Spleen and Stomach. Several doses of Liujunzi Tang (Six Gentlemen Decoction) led to recovery.
Case Record 3
A child suffered from food stagnation-induced fever, vomiting, and lip twitching. After taking digestive and heat-clearing agents, the food was digested, but the fever persisted. I stated: This is merely deficient heat in the Stomach meridian. Four Junzi Tang (Four Gentlemen Decoction), Shengma, and Chaihu were administered for four doses, resulting in cure.
Case Record 4
A child, who usually had a pale complexion, suddenly exhibited slight twitching of the eyes and lips. Occasionally, the face appeared yellow and cyanotic. After a while, the lips, mouth, hands, and feet also twitched slightly. This indicated Spleen deficiency with Liver insulting the Spleen. Wuyi Yigong San (Five-Ingredient Extraordinary Efficacy Powder) added with Goutenggou (Uncariae Ramulus cum Uncis) and Baifuzi (Typhonii Rhizoma) was given for one dose, reducing the facial cyanosis slightly; two more doses stopped the lip and mouth twitching; finally, Yigong San added with Shengma and Chaihu for four doses resulted in complete recovery.
Case Record 5
A child suffered from vomiting and diarrhea in the summer months, with slight twitching of the eyes and lips, cyanotic-white complexion, and cold hands and feet. Yulu San (Jade Dew Powder) was still used. I stated: The condition has transformed into Slow Spleen Wind (Man Pi Feng); warm tonification of the Spleen and Kidney is required. The family did not believe me, and the child subsequently died.
Wuyi Yigong San (Five-Ingredient Extraordinary Efficacy Powder) (Formula seen in Tiandiao and Neidiao Chapters)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (Formula seen in Xu Lei Chapter)
Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) (Formula seen in Ji Tong Chapter)
Liujunzi Tang (Six Gentlemen Decoction) (Formula seen in Tiandiao Chapter)
Xiaochaihu Tang (Minor Blue Green Decoction) (Formula seen in Nue Syndrome Chapter)
Sijunzi Tang (Four Gentlemen Decoction) (Formula seen in Tiandiao Chapter)