小儿疳热，上攻于眼，故发时痒涩赤烂，眼胞肿疼，白睛生翳，渐渐遮满，不时流泪，闭目羞明诸病状，
古法主先用泻肝汤疏解之（如生地黄、当归、赤芍、川芎、连翘、生栀子、龙胆草、大黄、羌活、生甘草、防风，
引用灯芯）。
次用清热退翳汤消其翳（如微炒栀子、胡黄连、木贼草、生地、羚羊角、龙胆草、银柴胡、蝉壳、赤芍、
生甘草、菊花、蒺藜，引用灯芯）。
若日久不愈，法宜改用调补，古法主逍遥散（如茯苓、白术、当归、炒白芍、柴胡、薄荷、炙甘草、丹皮、
栀子，引用姜、枣）。
古法又主羊肝散〔如青羊肝（一具），去筋膜，切韭菜薄片。人参、羌活、土炒白术、蛤粉各等分，共为细
末，调匀，将药末置荷叶上，如钱浓一层，铺肝一层、包固，外以新青布包裹蒸熟，令儿食之，如不食者，及夏
月恐腐坏，则宜晒干为末），早晚白汤调服，服完再合，以好为度。
此散如系肝热，则减去人参不用。
〔真按〕眼疾失治，便成废人，泻肝散内之当归、羌活、防风等味，究不易用，但以龙胆草钱半，谷精草
二钱，净蝉蜕十个，赤芍药钱半，胡黄连五分，滁菊花二钱，霜桑叶钱半，潼蒺藜钱半，生甘草五分，鲜生地二
钱，引用羚羊片五分，先煎，后入各药再煎服。
外以真熊胆少许，用净水略润开，尽去筋膜尘土，入冰脑一二片，如泪痒则加生姜粉些少，以新牙箸点眼，
能退翳障，神效。
Infantile malnutrition with heat, where the pathogenic heat attacks upward to the eyes, thus causing symptoms upon onset such as itching, astringency, redness, and ulceration of the eyes; swelling and pain of the eyelids; formation of nebulae (opacities) on the sclera that gradually cover the pupil; frequent tearing; photophobia (aversion to light); and a preference for keeping the eyes closed.
Ancient methods primarily advocate using Xie Gan Tang (Liver-Draining Decoction) to disperse and resolve the condition first (ingredients include: Sheng Di Huang [Rehmanniae Radix], Dang Gui [Angelicae Sinensis Radix], Chi Shao [Paeoniae Radix Rubra], Chuan Xiong [Ligustici Chuanxiong Rhizoma], Lian Qiao [Forsythiae Fructum], Sheng Zhi Zi [Gardeniae Fructum], Long Dan Cao [Gentianae Radix et Rhizoma], Da Huang [Rhei Radix et Rhizoma], Qiang Huo [Notopterygii Rhizoma et Radix], Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma], Fang Feng [Saposhnikoviae Radix], with Deng Xin Cao [Junci Medulla] used as an guiding herb).
Subsequently, use Qing Re Tui Yi Tang (Heat-Clearing and Nebula-Dispelling Decoction) to eliminate the nebulae (ingredients include: Wei Chao Zhi Zi [Gardeniae Fructum, lightly stir-fried], Hu Huang Lian [Coptidis Rhizoma substitute: Picrorhizae Rhizoma], Mu Zei Cao [Equiseti Herba], Sheng Di [Rehmanniae Radix], Ling Yang Jiao [Saiga Tataricae Cornu], Long Dan Cao [Gentianae Radix et Rhizoma], Yin Chai Hu [Stellariae Radix], Chan Ke [Cicadae Periostracum], Chi Shao [Paeoniae Radix Rubra], Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma], Ju Hua [Chrysanthemi Flos], Ji Li [Tribuli Fructus], with Deng Xin Cao [Junci Medulla] used as an guiding herb).
If the condition persists for a long time without healing, the therapeutic method should be changed to regulation and tonification. Ancient methods primarily advocate using Xiao Yao San (Free and Easy Wanderer Powder) (ingredients include: Fu Ling [Poria], Bai Zhu [Atractylodis Macrocephalae Rhizoma], Dang Gui [Angelicae Sinensis Radix], Chao Bai Shao [Paeoniae Radix Alba, stir-fried], Chai Hu [Bupleuri Radix], Bo He [Menthae Haplocalycis Herba], Zhi Gan Cao [Glycyrrhizae Radix et Rhizoma, honey-fried], Dan Pi [Moutan Cortex], Zhi Zi [Gardeniae Fructum], with Sheng Jiang [Zingiberis Rhizoma Recens] and Da Zao [Jujubae Fructus] used as guiding herbs).
Ancient methods also advocate using Yang Gan San (Sheep Liver Powder) (ingredients such as: Qing Yang Gan [Caprae Hircae Hepatis, one whole liver], remove fascia and cut into thin slices similar to leek slices. Ren Shen [Ginseng Radix et Rhizoma], Qiang Huo [Notopterygii Rhizoma et Radix], Tu Chao Bai Zhu [Atractylodis Macrocephalae Rhizoma, stir-fried in earth powder], Ge Fen [Concha Meretricis et Cyprinis] each in equal parts, grind together into fine powder, mix evenly. Place the medicinal powder on a lotus leaf in a layer as thick as a coin, then lay a layer of liver, wrap securely, and further wrap in new blue cloth. Steam until cooked, and let the child eat it. If the child refuses to eat, or if there is fear of spoilage in summer, dry the ingredients and grind into powder instead). Take orally mixed with warm water morning and evening. After finishing one batch, prepare another, continuing until recovery.
If this powder is indicated for Liver Heat, Ren Shen [Ginseng Radix et Rhizoma] should be omitted.
[Author's Note] Eye diseases left untreated can lead to blindness and disability. The Dang Gui [Angelicae Sinensis Radix], Qiang Huo [Notopterygii Rhizoma et Radix], and Fang Feng [Saposhnikoviae Radix] in the original Xie Gan San are ultimately difficult to apply precisely. Instead, I recommend the following prescription: Long Dan Cao [Gentianae Radix et Rhizoma] 1.5 qian, Gu Jing Cao [Junci Effusi Spica] 2 qian, Jing Chan Tui [Cicadae Periostracum] 10 pieces, Chi Shao Yao [Paeoniae Radix Rubra] 1.5 qian, Hu Huang Lian [Picrorhizae Rhizoma] 5 fen, Chu Ju Hua [Chrysanthemi Flos] 2 qian, Shuang Sang Ye [Mori Folium, frosted] 1.5 qian, Tong Ji Li [Tribuli Fructus] 1.5 qian, Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma] 5 fen, Xian Sheng Di [Rehmanniae Radix Recens] 2 qian, with Ling Yang Pian [Saiga Tataricae Cornu slice] 5 fen used as a guiding herb, decocted first, followed by the addition of other herbs for further decoction.
Externally, use a small amount of real Xiong Dan [Ursi Fel], moisten slightly with clean water, thoroughly remove all fascia and dust, add Bing Nao [Borneolum Syntheticum] 1-2 pieces. If there is excessive tearing and itching, add a little Sheng Jiang Fen [Zingiberis Rhizoma Pulvis]. Apply to the eye using a new toothpick. This can dispel nebulae and opacities with miraculous efficacy.