条文：辘轳转关肝风盛，旋转睛珠辘轳同，轻则瞳斜重反背，初起钩藤饮蝎芎，
参防二麻僵蚕草，后服天冬饮赤令，羌活大冬五味子，人参知母蔚防风。
方剂：钩藤饮
钩藤五分 全蝎（炒去毒）一钱 川芎 人参 防风各七分 麻黄三分
天麻七分 僵蚕（炒）一钱二分 甘草（灸）三分
右为粗末，以水二盏，煎至一盏，去渣，不拘时服。
天门冬饮
赤茯芩七分 羌活七分 天门冬一钱 五味子五分 人参七分 知母一钱
茺蔚子一钱 防风五分
右为粗末，以水二盏，煎至一盏，食后去渣温服。
【注】[1]辘轳转关之证，因肝经风邪壅盛，以致二目睛珠旋转不定，与辘轳相
同，轻则瞳人偏斜，重则瞳人反背。
[2]初起宜用钩藤饮，疏散风邪；定后用天门冬饮，调理即愈。
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条文：蟹睛努出蟹睛形，乌珠极痛涩羞明，肝胆积热肾虚热，虚软不疼实硬疼。
实者泻肝车地骨，硝黄知知母黑柴茺，虚宜镇肾味知地，山药兔辛石决灵
。
方剂：泻肝汤方
车前子 地骨皮 芒硝各一钱 大黄 知母各一钱半 黑参一钱 柴胡二
钱 茺蔚子二钱
右为粗末，以水二盏，煎至八分，去渣，空心温服。
镇肾决明丸方
五味子半两 知母（炒） 生地黄 山药（炒）各一两半 菟丝子一两
细辛半两 石决明（□）一两
右为细末，炼蜜为丸，桐子大，空心茶清送三钱。
【注】[1]蟹睛之证，乌睛努出如珠，形似蟹睛，疼痛极甚，涩泪羞明，初起为
实，硬而极痛；久则为虚，软而不疼。
[2]总因肝、胆积热冲睛，肾中虚热注目所致。
[3]实者宜泻肝汤，虚者用镇肾决明丸。
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Translation:
Article: Lu-lu Zhuan-guan (Pulley-like Rotating Eye) is caused by an excess of wind-pathogen in the Liver Meridian, resulting in the eyeballs rotating不定ly, similar to a pulley. Mild cases present with strabismus (deviation of the pupil), while severe cases present with the pupil turning backward. In the initial stage, Gouteng Yin (Uncaria Decoction) should be used, which contains Quanxie (Scorpion), Chuanxiong, Renshen (Ginseng), Fangfeng, Mahuang, Tianma, Jiangcan, and Gancao. Later, Tiandong Yin (Asparagus Decoction) should be taken, which contains Qianghuo, Tiandong, Wuweizi, Renshen, Zhimu, Chongweizi, and Fangfeng.
Formula: Gouteng Yin (Uncaria Decoction)
Gouteng (Uncariae Ramulus cum Uncis) 5 fen; Quanxie (Scorpio, processed to remove toxicity) 1 qian; Chuanxiong (Ligustici Rhizoma et Radix), Renshen (Ginseng Radix), and Fangfeng (Saposhnikoviae Radix) each 7 fen; Mahuang (Ephedrae Herba) 3 fen; Tianma (Gastrodiae Rhizoma) 7 fen; Jiangcan (Bombyx Batryticatus, processed) 1.2 qian; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 3 fen.
Grind the above into coarse powder. Add two cups of water, decoct until one cup remains, strain, and take at any time.
Tiandong Yin (Asparagus Decoction)
Chifu Ling (Poria with Red Hosta Root) and Huangqin (Scutellariae Radix) each 7 fen; Qianghuo (Notopterygii Rhizoma et Radix) 7 fen; Tiandong (Asparagi Radix) 1 qian; Wuweizi (Schisandrae Fructus) 5 fen; Renshen (Ginseng Radix) 7 fen; Zhimu (Anemarrhenae Rhizoma) 1 qian; Chongweizi (Leonuri Fructus) 1 qian; Fangfeng (Saposhnikoviae Radix) 5 fen.
Grind the above into coarse powder. Add two cups of water, decoct until one cup remains, strain after meals, and take warm.
Note [1]: The condition of Lu-lu Zhuan-guan is due to the accumulation and excess of wind-pathogen in the Liver Meridian, causing the eyeballs in both eyes to rotate不定ly, resembling a pulley. Mild cases involve deviation of the pupil, while severe cases involve the pupil turning backward.
Note [2]: In the initial stage, Gouteng Yin is suitable to disperse wind-pathogen; once stabilized, Tiandong Yin is used for regulation, leading to recovery.
Article: Xie-jing (Crab Pupil) presents with the black part of the eye protruding like a bead, resembling a crab's eye. It is characterized by extreme pain, dryness, tearing, and photophobia. This is caused by accumulated heat in the Liver and Gallbladder and deficiency-heat in the Kidney. Deficiency types are soft and painless, while excess types are hard and painful.
For excess types, Xiegan Tang (Liver-Purging Decoction) is indicated, containing Cheqianzi, Dihuang, Digupi, Mangxiao, Dahuang, Zhi mu, Heishen, Chaihu, and Chongweizi. For deficiency types, Zhen Shen Wan (Kidney-Calming Pill) is indicated, containing Wuweizi, Zhimu, Dihuang, Shanyao, Tusizi, Xixin, Shijueming, and Lingzhi (Note: Text says "Ling", Formula says "Shijueming". Based on formula, entity is Shijueming).
Formula: Xiegan Tang (Liver-Purging Decoction)
Cheqianzi (Plantaginis Semen), Digupi (Daphnes Cortex), and Mangxiao (Natrii Sulfas) each 1 qian; Dahuang (Rhei Radix et Rhizoma) and Zhimu (Anemarrhenae Rhizoma) each 1.5 qian; Heishen (Polygonati Rhizoma, blackened) 1 qian; Chaihu (Bupleuri Radix) 2 qian; Chongweizi (Leonuri Fructus) 2 qian.
Grind the above into coarse powder. Add two cups of water, decoct until 0.8 cup remains, strain, and take warm on an empty stomach.
Zhen Shen Jueming Wan (Kidney-Calming and Vision-Clarifying Pill)
Wuweizi (Schisandrae Fructus) 0.5 liang; Zhimu (Anemarrhenae Rhizoma, processed), Shengdihuang (Rehmanniae Radix), and Shanyao (Dioscoreae Rhizoma, fried) each 1.5 liang; Tusizi (Cuscutae Semen) 1 liang; Xixin (Asari Radix et Rhizoma) 0.5 liang; Shijueming (Haliotidis Concha) 1 liang.
Grind the above into fine powder. Make pills using refined honey, size of wu-tong seeds. Take 3 qian with clear tea on an empty stomach.
Note [1]: The condition of Xie-jing involves the black part of the eye protruding like a bead, resembling a crab's eye, with extreme pain, dryness, tearing, and photophobia. Initially, it is an excess type, hard and extremely painful; after a long time, it becomes a deficiency type, soft and painless.
Note [2]: The root cause is generally accumulated heat in the Liver and Gallbladder rushing up to the eyes, and deficiency-heat in the Kidney affecting the eyes.
Note [3]: Excess types should use Xiegan Tang, while deficiency types should use Zhen Shen Jueming Wan.