[总诀]眼皮肿痛贵分观，按经清散自然安。若还云雾晕花见，补泻随宜属肾肝。
大眼角肿，或兼头痛恶寒者，太阳经风热也。宜加减败毒散。
羌活（一钱） 独活（一钱） 柴胡（三钱） 前胡（二钱） 赤芍（二钱） 黄芩（三钱） 玉竹（三
钱） 归尾（三钱） 木贼（一钱） 花粉（三钱） 甘草（一钱） 连翘（一钱） 银花（一钱） 蝉蜕（七个）
歌曰∶眼肿兼寒属太阳，柴前羌独芍芩详。
银蝉木贼天花粉，甘草翘归玉竹襄。
小眼角肿，或兼口苦耳鸣者，少阳经风火也。宜加减柴胡汤。
沙参（三钱） 白芍（三钱） 柴胡（三钱） 黄芩（三钱） 当归（三钱） 胆草（三钱） 牡蛎（三
钱） 木贼（一钱） 青皮（一钱） 蝉蜕（七个） 银花（一钱） 菊花（二钱） 甘草（一钱） 生姜（三片）
歌曰∶眼伤风火耳兼鸣，木贼柴芩参芍清。
胆草归蝉银菊蛎，青皮姜引使肝平。
下眼皮肿，以及绕眼红锁者，阳明经风热也。宜加味银翘汤。
连翘（一钱） 葛根（二钱） 白芍（三钱） 甘草（一钱） 黄芩（三钱）
生地（三钱） 枳壳（一钱） 银花（一钱） 白芷（三钱） 花粉（三钱） 蝉蜕（七个） 青葙（三
钱） 石膏（三钱） 红花（一钱）
歌曰∶阳明风热眼皮伤，芩葛银翘芷芍将。
草地蝉花和枳壳，石膏花粉共青葙。
（伯未按∶蜀刻本无连翘、红花、枳壳、多大力子。）
（又按∶赤眼以黄丹、白蜜调贴太阳穴，亦能止痛。）
目内痒痛，以及赤白云翳者，肝经风湿热也。宜加减泻肝汤。
归尾（三钱） 元参（三钱） 栀子（二钱） 黄芩（二钱） 胆草（二钱） 蝉蜕（七个） 木贼（一
钱） 木通（一钱） 银花（二钱） 赤芍（二钱） 泽泻（二钱） 柴胡（二钱） 防风（二钱） 车前子（
二钱） 荆芥（二钱） 青皮（一钱） 枳壳（一钱） 细辛（五分） 酒军（五分） 红花（一钱） 甘草（一钱）
歌曰∶目中痛翳芍芩栀，柴泽荆防辛枳皮。
通贼银蝉归胆草，花前参草酒军施。
目光晦涩，恍惚不能近视者，肝肾真阴虚也。宜杞菊地黄汤。
人参（三钱） 白术（三钱） 远志（一钱） 黄 （三钱） 当归（三钱） 磁石（ ，三钱） 枣仁
（三钱） 龙眼（三枚） 益智（一钱） 五味（五分） 甘草（一钱） 朱砂（研，一钱）
歌曰∶不能远视缺真阳，参术磁朱远志良。
益智枣仁龙眼并，草归 味细推详。
[General Principle] Swelling and pain of the eyelids should be carefully differentiated; clearing heat and dispersing pathogenic factors according to the affected meridian will naturally bring relief. If accompanied by visual obscurations, misty vision, or blurred sight, tonification or purgation should be applied appropriately, with the pathology located in the Kidney and Liver.
Swelling at the inner canthus (large corner of the eye), possibly accompanied by headache and aversion to cold, indicates Wind-Heat invading the Taiyang Meridian (Taiyang Channel). The appropriate formula is Jiawei Baidu San (Modified Decoction for Defeating Toxins).
Qiang Huo (Notopterygii Rhizoma et Radix, 1 qian) Du Huo (Angelicae Pubescentis Radix, 1 qian) Chai Hu (Bupleuri Radix, 3 qian) Qian Hu (Peucedani Radix, 2 qian) Chi Shao (Paeoniae Radix Rubra, 2 qian) Huang Qin (Scutellariae Radix, 3 qian) Yu Zhu (Polygonati Odorati Rhizoma, 3 qian) Gui Wei (Angelicae Sinensis Radix, caudex portion, 3 qian) Mu Zei (Equiseti Herba, 1 qian) Hua Fen (Trichosanthis Radix, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Lian Qiao (Forsythiae Fructus, 1 qian) Yin Hua (Lonicerae Japonicae Flos, 1 qian) Chan Tui (Cicadae Periostracum, 7 pieces)
Verse: Eye swelling with cold signs belongs to the Taiyang channel; examine Chai Hu, Qian Hu, Qiang Huo, Du Huo, Chi Shao, and Huang Qin.
Yin Hua, Chan Tui, Mu Zei, Tian Hua Fen, assisted by Gan Cao, Lian Qiao, Gui Wei, and Yu Zhu.
Swelling at the outer canthus (small corner of the eye), possibly accompanied by bitter taste in the mouth and tinnitus, indicates Wind-Fire invading the Shaoyang Meridian (Shaoyang Channel). The appropriate formula is Jiawei Chai Hu Tang (Modified Bupleurum Decoction).
Sha Shen (Glehniae Radix, 3 qian) Bai Shao (Paeoniae Radix Alba, 3 qian) Chai Hu (Bupleuri Radix, 3 qian) Huang Qin (Scutellariae Radix, 3 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian) Dan Cao (Gentianae Radix, 3 qian) Mu Li (Ostreae Concha, 3 qian) Mu Zei (Equiseti Herba, 1 qian) Qing Pi (Citri Reticulatae Pericarpium Viride, 1 qian) Chan Tui (Cicadae Periostracum, 7 pieces) Yin Hua (Lonicerae Japonicae Flos, 1 qian) Ju Hua (Chrysanthemi Flos, 2 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices)
Verse: Eye injury from Wind-Fire with ear ringing; Mu Zei, Chai Hu, Huang Qin, Sha Shen, and Bai Shao clear the pathogen.
Dan Cao, Dang Gui, Chan Tui, Yin Hua, Ju Hua, and Mu Li, guided by Qing Pi and Sheng Jiang, calm the Liver.
Swelling of the lower eyelid, along with redness encircling the eye like a lock, indicates Wind-Heat invading the Yangming Meridian (Yangming Channel). The appropriate formula is Jiawei Yinqiao Tang (Modified Honeysuckle and Forsythia Decoction).
Lian Qiao (Forsythiae Fructus, 1 qian) Ge Gen (Puerariae Lobatae Radix, 2 qian) Bai Shao (Paeoniae Radix Alba, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Huang Qin (Scutellariae Radix, 3 qian)
Sheng Di (Rehmanniae Radix Preparata, 3 qian) Zhi Ke (Aurantii Fructus Immaturus, 1 qian) Yin Hua (Lonicerae Japonicae Flos, 1 qian) Bai Zhi (Angelicae Dahuricae Radix, 3 qian) Hua Fen (Trichosanthis Radix, 3 qian) Chan Tui (Cicadae Periostracum, 7 pieces) Qing Xiang (Celosiae Semen, 3 qian) Shi Gao (Gypsi Fibrosus, 3 qian) Hong Hua (Carthami Flos, 1 qian)
Verse: Yangming Wind-Heat damages the lower eyelid; Huang Qin, Ge Gen, Yin Hua, Lian Qiao, Bai Zhi, and Bai Shao act as generals.
Di Gu Pi (or related herb implied by "Cao Di"), Chan Tui, and Tian Hua Fen combine with Zhi Ke; Shi Gao and Tian Hua Fen jointly work with Qing Xiang.
(Note by Bo An: The Shu edition lacks Lian Qiao, Hong Hua, and Zhi Ke, but includes Da Li Zi.)
(Another Note: For Red Eye disease, applying a paste of Huang Dan and Bai Mi to the Taiyang acupoint can also relieve pain.)
Itching and pain inside the eye, along with red or white nebulae (opacities), indicate Wind-Damp-Heat invading the Liver Meridian. The appropriate formula is Jiawei Xie Gan Tang (Modified Draining Liver Decoction).
Gui Wei (Angelicae Sinensis Radix, caudex portion, 3 qian) Yuan Shen (Scrophulariae Radix, 3 qian) Zhi Zi (Gardeniae Fructus, 2 qian) Huang Qin (Scutellariae Radix, 2 qian) Dan Cao (Gentianae Radix, 2 qian) Chan Tui (Cicadae Periostracum, 7 pieces) Mu Zei (Equiseti Herba, 1 qian) Mu Tong (Akebiae Caulis, 1 qian) Yin Hua (Lonicerae Japonicae Flos, 2 qian) Chi Shao (Paeoniae Radix Rubra, 2 qian) Ze Xie (Alismatis Rhizoma, 2 qian) Chai Hu (Bupleuri Radix, 2 qian) Fang Feng (Saposhnikoviae Radix, 2 qian) Che Qian Zi (Plantaginis Semen, 2 qian) Jing Jie (Schizonepetae Spica, 2 qian) Qing Pi (Citri Reticulatae Pericarpium Viride, 1 qian) Zhi Ke (Aurantii Fructus Immaturus, 1 qian) Xi Xin (Asari Radix et Rhizoma, 0.5 qian) Jiu Jun (Rhei Radix et Rhizoma processed with wine, 0.5 qian) Hong Hua (Carthami Flos, 1 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian)
Verse: Pain and nebulae in the eyes involve Bai Shao, Huang Qin, and Zhi Zi; Chai Hu, Ze Xie, Jing Jie, Fang Feng, Xi Xin, Zhi Ke, and Qing Pi are used.
Mu Tong, Mu Zei, Yin Hua, Chan Tui, Gui Wei, and Dan Cao are combined with Hua Fen, Che Qian Zi, Yuan Shen, Gan Cao, and Jiu Jun.
Dim, turbid vision and inability to focus on near objects indicate deficiency of True Yin in the Liver and Kidney. The appropriate formula is Qi Ju Di Huang Tang (Lycium, Chrysanthemum, and Rehmannia Pill Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 3 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 qian) Yuan Zhi (Polygalae Radix, 1 qian) Huang Qi (Astragali Radix, 3 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian) Ci Shi (Magnetitum, 3 qian) Zao Ren (Ziziphi Spinosae Semen, 3 qian) Long Yan Rou (Longan Arillus, 3 pieces) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, 1 qian) Wu Wei Zi (Schisandrae Chinensis Fructus, 0.5 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Zhu Sha (Cinnabaris, ground, 1 qian)
Verse: Inability to see far indicates lack of True Yang; Ren Shen, Bai Zhu, Ci Shi, Zhu Sha, and Yuan Zhi are beneficial.
Yi Zhi Ren, Zao Ren, and Long Yan Rou are combined; Gan Cao, Dang Gui, and Wu Wei Zi require careful consideration.