〔无〕蛤粉丸 治雀目，日落不见物。
蛤粉（细研） 黄蜡（等分）
上溶蜡搜粉为丸，如枣大。每用猪肝一片，二两许，批开，裹药一丸，麻线缠入瓮内，水一碗，煮熟，取
出乘热熏目，至温吃肝，以愈为度，神效。
〔《千》〕雀目方
地肤子（五钱） 决明子（一升）
上二味为末，以米饮汁和丸。食后服二十丸至三十丸，日日服至瘥止。
〔世〕治雀目。用苍术四两，米泔水浸一宿，切作片，焙干为末，每服三钱，猪肝二两，批开糁药在内，
用麻线系定，粟米一合，水一碗，砂锅内煮熟，熏眼，候温，临卧服之，大效。
〔《圣》〕治雀目眼，不计时月。用苍术一两，捣罗为末，每服一钱，不计候。
〔《心》〕雀目不能夜视∶神庭、上星、前顶、百会（各出血，以盐涂之，立愈。）又法∶照海、肝俞。
〔《素》〕厥则目无所见，夫人厥则阳气并于上，阴气并于下。阳并于上，则火独光也。阴并于下，则足寒，
足寒则胀也。夫一水不胜五火，故目 盲，是以气冲风泣下而不止。夫风之中目也，阳气内守于精，是火气燔
目，故见风则泣下也。有以比之，夫火疾风生乃能雨，此之类也。（解精微论）
〔子和〕凡风冲泪出，俗言作冷泪者，非也。风冲于内，火发于外，风热相搏，由是泪出。内外皆治，可愈。
治外以贝母一枚白腻者，加胡椒七粒，不犯铜铁，研细，临卧点之。治内以当归饮子服之。
当归 大黄 柴胡 人参 黄芩 甘草 芍药（各一两） 滑石（半两）
上切碎，每服三钱至五钱，水一盏，生姜三片，同煎七分，去渣，温服。
肝为泪。（全文见五脏。）
〔垣〕水附木势，上为眼涩，为眵，为冷泪，此皆由肺金之虚，而肝木寡于畏也。
〔孙〕英宗朝国婆婆患眼冷泪，眼科医官，治二三年，不能疗，上召孙。孙至曰∶臣非眼科，但有药耳，
容进方。用石决明一两，赤小豆一两半，半夏五钱，生斑蝥二十一粒，炒去头足，木贼五钱，为末，姜汁丸，
如桐子大，每服二十丸，姜汤下。方进，圣旨下眼科详定，眼科医官奏曰∶此方于眼科甚不相涉，斑蝥有毒，
恐伤脏腑，不敢用。合再取圣旨，国婆婆闻之，曰∶眼科医官不惟不能，亦不愿使我治也，但合此药，纵伤无
怨。上闻之，孙自进药服，经十余日愈八分，二十日全愈。时眼科并降两官，孙赏钱三十万。
《银海》止泪方
苍术（米泔浸，一两半） 木贼（去节，二两） 香附子（炒，去毛）
上为末，炼糊丸，如桐子大。食后，盐汤下三丸。
经云∶风气与阳明入胃，循脉而上至目内 ，则寒中而泣出，此中风寒泪出也。
〔河〕当归汤 治风邪所伤，寒中目，泪自出，肌瘦，汗不止。
当归 人参（各三两） 官桂（一两） 干姜（炮） 白术 白茯苓 甘草 川芎 细辛 白芍药（
各半两） 陈皮（一两）
上为末，每服二钱，水一盏，生姜三片，枣二枚，同煎至八分，去渣，热服，不计时，并三服。
〔《本》〕治头风冷泪，庞安常二方。
甘菊 决明子（各二钱） 白术 羌活 川芎 细辛 白芷 荆芥穗（各半两）
上为细末，每服一钱，温汤调下，食后，日三服。
又方
川芎 甘菊 细辛 白术 白芷（以上各等分）
上为末，蜡丸，如黍米大。夜卧服一丸，日中一时辰，换一丸。
〔《本》〕治风盛膈壅，鼻塞清涕，热气攻眼，下泪多眵，齿间紧急，作头痛，川芎丸。
川芎 柴胡（各一两） 半夏曲 甘草（炙） 甘菊 人参 前胡 防风（各半两）
上每服四钱，水一盏，生姜四片，薄荷五叶，同煎七分，去渣，温服。
〔《灵》〕五脏六腑，心为之主，耳为之听，目为之视，肺为之相，肝为之荣，脾为之卫，肾为之主外。
故五脏六腑之津液，尽上渗于目。心悲气并，则心系急，心系急则肺举，肺举则液上溢。夫心系与肺，不能常
举，乍上乍下，故咳而泣出矣。
〔丹〕妇人患眼眵，不思食。
四物汤加白术、陈皮、黄芩、连翘，分六帖煎，食前热服。又灸合谷。
〔《肘》〕治眼泪出不止，用黄连浓渍，绵干拭目。
〔《山》〕风泪眼。九节黄连和槐树皮灰粗末，熬汤澄清频洗。
〔垣〕神效明目汤连翘饮子 治泪不止。（二方并风倒睫拳毛。）
运气 泪出皆从风热。经曰∶厥阴司天之政，三之气，天政布，风乃时举，民病泣出是也。
〔《集》〕迎风冷泪，眵 黑花∶大骨空 小骨空（如上法灸之，吹火灭。）二间（一分，沿皮向
后刺五分，灸之。）合谷（针灸）
[No Source] Ge Fen Wan (Clam Powder Pill): Treats night blindness (que mu), characterized by the inability to see after sunset.
Ingredients: Ge Fen (Clam Powder, finely ground), Huang La (Beeswax) in equal parts.
Preparation and Administration: Melt the beeswax and mix with the clam powder to form pills the size of a jujube. Take one slice of pig liver, approximately 100g, slice it open, wrap one pill inside, tie it with hemp thread, and place it in a jar. Add one bowl of water and boil until cooked. Remove and use the steam to fumigate the eyes while hot. When warm enough, eat the pig liver. Continue until cured; this is highly effective.
[Qian Jin Fang] Prescription for Night Blindness:
Ingredients: Di Fu Zi (Kochia Fruit, 5 qian), Jue Ming Zi (Cassia Seed, 1 sheng).
Preparation and Administration: Grind the two ingredients into powder. Mix with rice water juice to form pills. Take 20-30 pills after meals. Take daily until recovery.
[Shi Yi Fang] Treatment for Night Blindness:
Ingredients: Cang Zhu (Atractylodes Rhizome, 4 liang).
Preparation and Administration: Soak in rice washing water overnight, slice, dry by baking, and grind into powder. Take 3 qian of powder per dose. Take 2 liang of pig liver, slice open, sprinkle the powder inside, tie securely with hemp thread. Add 1 he of millet and 1 bowl of water. Boil in a clay pot. Fumigate the eyes first. Take when warm before bedtime. Highly effective.
[Sheng Ji Zong Lu] Treatment for Night Blindness, regardless of duration:
Ingredients: Cang Zhu (Atractylodes Rhizome, 1 liang).
Preparation and Administration: Pound and sieve into powder. Take 1 qian per dose at any time.
[Zheng Zhi Zhun Sheng] Night Blindness, inability to see at night:
Acupoints: Shen Ting, Shang Xing, Qian Ding, Bai Hui (Prick each to bleed, apply salt to the wound, immediate cure.)
Alternative method: Zhao Hai, Gan Shu.
[Su Wen] Jue syndrome causes blindness. When a person suffers from Jue (reversal of qi), Yang qi gathers in the upper part, and Yin qi gathers in the lower part. Yang gathering in the upper part means Fire alone shines; Yin gathering in the lower part means cold feet, and cold feet lead to abdominal distension. Since Kidney Water cannot control the Fire of the Five Zang organs, blindness occurs. Thus, there is Qi rushing and continuous tearing. When Wind pathogen invades the eyes, Yang qi guards internally within the Essence. This is Fire burning the eyes, so tears flow upon exposure to wind. This can be compared to: strong wind generates rain; this is of the same category. (From "Jie Jing Wei Lun")
[Zhang Hezi] Any tearing caused by Wind impact, commonly called "Cold Tears," is incorrect. Wind impacts internally, Fire erupts externally. Wind and Heat struggle together, causing tears. Treating both internal and external aspects leads to cure.
Treating the exterior: Use one piece of white, fine-grained Bei Mu (Fritillaria Bulb), add seven grains of Hu Jiao (Pepper). Do not touch copper or iron. Grind finely and apply to the eye before sleep.
Treating the interior: Take Dang Gui Yin Zi (Angelica Decoction).
Ingredients: Dang Gui (Angelica Sinensis), Da Huang (Rhubarb Root), Chai Hu (Bupleurum Root), Ren Shen (Ginseng Root), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root), Shao Yao (Peony Root) (each 1 liang), Hua Shi (Talcum, half liang).
Preparation and Administration: Cut into pieces. Take 3-5 qian per dose. Add one bowl of water and three slices of Sheng Jiang (Fresh Ginger). Decoct to 70% volume, strain, and take warm.
Theory: The Liver governs tears. (See full text in the Five Zang section.)
[Li Geng (Yuan)] Water follows Wood's tendency to rise upwards, causing eye dryness, discharge, and cold tears. All these are due to deficiency of Lung Metal, leading to Liver Wood lacking restraint.
[Sun Simiao] During the reign of Emperor Yingzong, Guo Po Po suffered from cold tears. Ophthalmologists treated her for two or three years without success. The Emperor summoned Sun Simiao. Upon arrival, Sun said, "I am not an ophthalmologist, but I have medicine. Allow me to present a prescription." The prescription used: Shi Jue Ming (Abalone Shell, 1 liang), Chi Xiao Dou (Adzuki Bean, 1.5 liang), Ban Xia (Pinellia Tuber, 5 qian), Sheng Ban Mao (Mylabris Beetle, 21 grains, stir-fried to remove head and feet), Mu Zei (Equisetum Rami, 5 qian). Grind into powder, make pills with ginger juice, size of paulownia seeds. Take 20 pills per dose with ginger soup. After presenting the formula, the Emperor ordered the ophthalmologists to review it. They reported, "This formula is irrelevant to ophthalmology. Ban Mao is toxic and may damage the viscera. We dare not use it." They requested further imperial instruction. Guo Po Po heard this and said, "The ophthalmologists not only cannot cure but also do not wish for my cure. Just prepare this medicine; even if injured, I bear no resentment." Hearing this, the Emperor allowed Sun Simiao to test the medicine on himself. After more than ten days, she improved by 80%; after twenty days, she was fully cured. The ophthalmologists were demoted two ranks, and Sun Simiao was rewarded with 300,000 coins.
[Yin Hai Jing Wei] Stop Tears Formula:
Ingredients: Cang Zhu (Atractylodes Rhizome, soaked in rice water, 1.5 liang), Mu Zei (Equisetum Rami, nodes removed, 2 liang), Xiang Fu Zi (Cyperus Rhizome, stir-fried, hairs removed).
Preparation and Administration: Grind into powder. Make pills with refined honey paste, size of paulownia seeds. Take 3 pills after meals with salt water.
Classic Statement: The Classics say: "Wind Qi enters the stomach with the Yangming channel, travels up along the vessel to the inner canthus of the eye, causing cold accumulation and tearing." This is tearing caused by Wind-Cold.
[Wang Haogu (He)] Dang Gui Tang (Angelica Decoction): Treats injury by Wind pathogen, Cold accumulating in the eyes, spontaneous tearing, emaciation, and continuous sweating.
Ingredients: Dang Gui (Angelica Sinensis), Ren Shen (Ginseng Root) (each 3 liang), Guan Gui (Cinnamon Twig, 1 liang), Gan Jiang (Dried Ginger, processed), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai Fu Ling (Poria), Gan Cao (Licorice Root), Chuan Xiong (Ligusticum Rhizome), Xi Xin (Asarum Root), Bai Shao Yao (White Peony Root) (each half liang), Chen Pi (Citrus Reticulata Peel, 1 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose. Add one bowl of water, three slices of Sheng Jiang (Fresh Ginger), and two dates. Decoct to 80% volume, strain, and take hot. Take at any time, total three doses.
[Ben Cao Yan Yi] Treatment for Head Wind Cold Tears, two formulas by Pang Anchang.
Formula 1:
Ingredients: Gan Ju (Chrysanthemum Flower), Jue Ming Zi (Cassia Seed) (each 2 qian), Bai Zhu (Atractylodes Macrocephala Rhizome), Qiang Huo (Notopterygium Rhizome), Chuan Xiong (Ligusticum Rhizome), Xi Xin (Asarum Root), Bai Zhi (Angelica Dahurica Root), Jing Jie Sui (Schizonepeta Spike) (each half liang).
Preparation and Administration: Grind into fine powder. Take 1 qian per dose, mixed with warm water. Take after meals, three times daily.
Formula 2:
Ingredients: Chuan Xiong (Ligusticum Rhizome), Gan Ju (Chrysanthemum Flower), Xi Xin (Asarum Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai Zhi (Angelica Dahurica Root) (all in equal parts).
Preparation and Administration: Grind into powder. Make wax pills, size of millet grains. Take one pill before sleep. Change one pill every hour during the day.
[Ben Cao Yan Yi] Treatment for Excessive Wind causing Phlegm Obstruction, nasal congestion with clear discharge, Heat attacking the eyes, excessive tearing with discharge, tightness between teeth, and headache. Chuan Xiong Wan (Ligusticum Pill).
Ingredients: Chuan Xiong (Ligusticum Rhizome), Chai Hu (Bupleurum Root) (each 1 liang), Ban Xia Qu (Pinellia Fermented Paste), Gan Cao (Licorice Root, roasted), Gan Ju (Chrysanthemum Flower), Ren Shen (Ginseng Root), Qian Hu (Peucedanum Root), Fang Feng (Saposhnikovia Root) (each half liang).
Preparation and Administration: Take 4 qian per dose. Add one bowl of water, four slices of Sheng Jiang (Fresh Ginger), and five leaves of Bo He (Mint). Decoct to 70% volume, strain, and take warm.
[Ling Shu] Among the Five Zang and Six Fu organs, the Heart is the master, the Ears are the listeners, the Eyes are the viewers, the Lungs are the ministers, the Liver provides glory/nourishment, the Spleen provides defense, and the Kidneys govern the exterior.
Therefore, the fluids of all Five Zang and Six Fu organs seep upwards into the eyes. If the Heart is sad and Qi merges, the Heart Tie (Heart Connection) becomes tense. When the Heart Tie is tense, the Lung rises. When the Lung rises, fluids overflow upwards. Since the Heart Tie and Lung cannot remain constantly raised, they fluctuate up and down, causing coughing and tearing.
[Zhu Danxi] Women suffering from eye discharge and loss of appetite.
Formula: Si Wu Tang (Four Substances Decoction) plus Bai Zhu (Atractylodes Macrocephala Rhizome), Chen Pi (Citrus Reticulata Peel), Huang Qin (Scutellaria Root), Lian Qiao (Forsythia Fruit). Divide into six portions, decoct, and take hot before meals. Additionally, moxa the Hegu acupoint.
[Zhou Hou Bei Ji Fang] Treatment for continuous tearing: Use Huang Lian (Coptis Rhizome) steeped thickly. Dip dry cotton wool and wipe the eyes.
[Shan Tian Fang] Wind Tear Eye: Nine-section Huang Lian (Coptis Rhizome) and Sophora Bark Ash coarse powder. Boil in water, clarify, and wash frequently.
[Li Geng (Yuan)] Shen Xiao Ming Mu Tang (Divine Effect Bright Eye Decoction) and Lian Qiao Yin Zi (Forsythia Drink): Treat continuous tearing. (Both formulas also treat Wind-induced inverted eyelashes and curled lashes.)
Pathogenic Mechanism: Tearing is always due to Wind-Heat. The Classics state: "When Jueyin governs the Heaven's policy, in the third Qi period, the Heaven's policy spreads, Wind arises timely, and the people suffer from tearing."
[Ji Cheng) Wind-facing Cold Tears, excessive discharge and black spots:
Acupoints: Da Gu Kong, Xiao Gu Kong (Moxibustion as above method, extinguish fire). Er Jian (Insert 1 fen, insert obliquely backwards 5 fen, moxibustion). He Gu (Acupuncture and Moxibustion).