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Heat from Gan syndrome (Gan accumulation disease) attacks the eyes upward, resulting in Eye Gan. During an episode, the eyelids are itchy and dry, the sclera is red and ulcerated, and the eyelids are swollen and painful. A nebula forms on the sclera, gradually covering the pupil, causing tearing, photophobia, and an inability to open the eyes.

Shujie Xiegan San (Draining Liver Powder for Dispersing and Resolving) is most effective for this condition; Qingre Tuiyi Tang (Clearing Heat and Removing Nebula Decoction) is potent for eliminating cloudiness. If the condition persists for a long time without improvement, nourishing methods should be employed, selecting either Xiaoyao San (Free and Easy Wanderer Powder) or Xiegan San (Draining Liver Powder).

[Note]
Eye Gan refers to heat from Gan attacking the eyes. Therefore, upon onset, symptoms include itching and dryness of the eyelids, redness and ulceration, swelling and pain of the eyelids, formation of nebulae on the sclera that gradually obscure vision, frequent tearing, photophobia, and closing of the eyes. Initially, Xiegan San should be used to disperse and clear the pathogen, followed by Qingre Tuiyi Tang to eliminate the nebula. If the condition does not improve after a long duration, the treatment method should shift to regulating and tonifying, using Xiaoyao San, or primarily treating with Yanggan San (Sheep Liver Powder).

(Xiegan San / Draining Liver Powder) Ingredients: Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lianqiao Forsythiae Fructus (heart removed), Zhizi Gardeniae Fructus (raw), Longdancao Gentianae Radix et Rhizoma, Dahuang Rheum Palmati Radix et Rhizoma, Qianghuo Notopterygii Rhizoma et Radix, Gancao Glycyrrhizae Radix et Rhizoma (raw), Fangfeng Saposhnikoviae Radix. Administration: Use Dengxincao Junci Medulla as a guide, decoct in water and take orally.

(Fangge / Formula Song)
Xiegan San treats liver heat congestion, containing Shengdi, Danggui, Chishao, and Chuanxiong, along with Lianqiao, Zhizi, Longdancao, Dahuang, Qianghuo, Gancao, and Fangfeng.

(Qingre Tuiyi Tang / Clearing Heat and Removing Nebula Decoction) Ingredients: Zhizi Gardeniae Fructus (lightly stir-fried), Huhuanglian Coptidis Rhizoma, Muzeicao Equiseti Herba, Shengdi Rehmanniae Radix, Lingyangjiao Saigai Tatarinae Cornu, Longdancao Gentianae Radix et Rhizoma, Yinchaihu Bupleuri Radix, Chantui Bombycis Cicadae Periostracum, Chishao Paeoniae Radix Rubra, Gancao Glycyrrhizae Radix et Rhizoma (raw), Juhua Chrysanthemi Flos, Jili Tribuli Fructus. Administration: Use Dengxincao Junci Medulla as a guide, decoct in water and take orally.

(Fangge / Formula Song)
Qingre Tuiyi Tang eliminates cloudiness, containing Zhilian, Muzei, Shaodi, and Shengdi, as well as Lingyang, Longdan, Yinchaihu, Chantui, Gancao, Juhua, and Jili.

(Xiaoyao San / Free and Easy Wanderer Powder) See the section on Liver Gan.

(Yanggan San / Sheep Liver Powder) Ingredients: One fresh sheep liver (remove fascia, cut into thick slices resembling leek leaves), Renshen Ginseng Radix et Rhizoma, Qianghuo Notopterygii Rhizoma et Radix, Baizhu Atractodis Macrocephalae Rhizoma (stir-fried with soil), Gafen Arcae Concha, all in equal proportions. Preparation: Grind the above ingredients into a fine powder and mix evenly. To use, place the powder on a lotus leaf in a layer as thick as a coin, then place a layer of liver on top, wrap securely, and further wrap in new green cloth. Steam until cooked. Allow the child to eat it.
If the child refuses to eat, or if there is concern about spoilage in summer, dry the mixture and grind it into powder. Take orally mixed with warm water morning and evening. Prepare another batch after finishing one, continuing until recovery. Reduce the dosage of Renshen if heat signs are present.

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Section on Gan Syndrome