论曰白睛肿胀者，肝肺之候也，目者肝之外候，白睛者，肺气之所主也，若肺气壅滞，
肝经不利，为邪热所乘，不得宣泄，则毒瓦斯上攻于目，故白睛肿起，或疼痛也，治宜宣利脏
腑，外敷 肿药，及镰去恶血，无不瘥也。
治肝肺风热，白睛肿胀，侵盖黑睛。犀角汤方
犀角（生者镑） 黄芩（去黑心） 葳蕤 防风（去叉） 地肤子 羚羊角（镑） 甘
草（炙锉
各半两） 麦门冬（去心焙） 黄连（去须各三分）
上九味。粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓入马牙硝末半钱匕，食后临
卧温服。
治肝肺热毒攻眼，白睛肿起。羚羊角汤方
羚羊角（镑） 桑根白皮（锉） 木通（锉） 旋复花 葳蕤 升麻（各一两半） 茯
神（去木
一两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至七分，下芒硝末半钱匕，食后临卧温服。
治白睛肿胀，痛不可忍。大黄丸方
大黄（锉炒） 蔓荆实（去皮） 丹参 吴蓝 土瓜根（锉） 防风（去叉） 甘菊花 秦
皮（
去粗皮） 黄连（去须） 葳蕤 陈橘皮（去白焙） 前胡（去芦头各一两） 决明子（微
炒） 冬
瓜子 青葙子 地肤子 车前子（各一两半）
上一十七味。捣罗为末。炼蜜和丸，如梧桐子大，每服三十丸，食前温酒下、日再。
治白睛肿起，如水泡者。木通犀角散方
木通（锉） 犀角（镑） 桑根白皮（锉） 黄芩（去黑心） 大黄（锉炒） 玄参 茯
神（去木）
旋复花（各一两） 甘菊花（半两） 甘草（炙锉一分）
上一十味。捣罗为散，每服三钱匕，水一盏，煎至六分，不去滓，食后温服。
治肝肺热甚上攻，白睛复盖瞳仁。大青散方
大青 栀子仁 羊角（镑） 大黄（锉炒） 桑根白皮（锉各一两）
上五味。捣罗为粗散，每服三钱匕，水一盏，煎至五分，去滓入生地黄汁半合、服之。
治眼忽然白睛肿胀，如水泡者。宜服桑根白皮散方
桑根白皮（锉） 木通（锉） 犀角屑 黄芩 旋复花 茯神 玄参 川大黄（锉碎炒
以上
各一两） 甘菊花（半两） 甘草（一分炙赤锉）
上一十味。捣筛为粗散，每服三钱匕，水一盏，煎至六分，去滓食后温服。
治肝肺大热，白睛肿胀，盖复瞳仁疼痛，宜服大黄散方
川大黄（锉碎炒） 黄连（各一两） 羊角屑（一两）
上三味。捣筛为粗散，每服三钱匕，水一盏，煎至六分，去滓食后温服、日二。
Discourse states: Swelling of the sclera (white part of the eye) is a manifestation of the Liver and Lung. The eyes are the external manifestation of the Liver, and the sclera is governed by the Lung Qi. If Lung Qi becomes stagnant and obstructed, and the Liver meridian fails to circulate freely, pathogenic heat invades, preventing the dispersion of toxins. Consequently, toxic vapors attack upward to the eyes, causing swelling of the sclera or pain. Treatment should focus on promoting the free flow and unblocking of the Zang-Fu organs, applying external anti-swelling medicaments, and using a lancet to drain bad blood; there will be no case that does not heal.
Xijiao Tang (Rhinoceros Horn Decoction), for treating wind-heat in the Liver and Lung causing swelling of the sclera covering the cornea:
Xi Jiao (Raw Rhinoceros Cornu, shaved) Huang Qin (Scutellariae Radix, remove black heart) Wei Yu (Polygonati Odorati Rhizoma) Fang Feng (Saposhnikoviae Radix, remove forked tips) Di Fu Zi (Kochiae Fructus) Ling Yang Jiao (Saiga Tataricae Cornu, shaved) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, each half liang) Mai Men Dong (Ophiopogonis Tuber, remove heart and roast) Huang Lian (Coptidis Rhizoma, remove whiskers, each three qian)
The above nine herbs. Coarsely crush and sieve. Take five qian bi per dose, add one dan and a half sheng of water, decoct until seven fen remains, strain, add Ban Ma Ya Xiao (Natrii Sulfas) powder half qian bi, take warm after meals and before bed.
Lingyangjiao Tang (Saiga Tataricae Cornu Decoction), for treating heat-toxin in the Liver and Lung attacking the eyes, causing swelling of the sclera:
Ling Yang Jiao (Saiga Tataricae Cornu, shaved) Sang Bai Pi (Mori Cortex, chopped) Mu Tong (Akebiae Caulis, chopped) Xuan Fu Hua (Inulae Flos) Wei Yu (Polygonati Odorati Rhizoma) Sheng Ma (Cimicifugae Rhizoma, each one liang and half) Fu Shen (Poria with Hostwood, remove wood, one liang)
The above seven herbs. Coarsely crush and sieve. Take five qian bi per dose, add one dan and a half sheng of water, decoct until seven fen remains, add Mang Xiao (Natrii Sulfas) powder half qian bi, take warm after meals and before bed.
Dahuang Wan (Rhei Radix et Rhizoma Pills), for treating swelling of the sclera with unbearable pain:
Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Man Jing Shi (Viticis Semen Periplocae) Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) Wu Lan (Isatidis Folium) Tu Gua Gen (Trichosanthis Radix, chopped) Fang Feng (Saposhnikoviae Radix, remove forked tips) Gan Ju Hua (Chrysanthemi Flos) Qin Pi (Fraxini Cortex, remove rough bark) Huang Lian (Coptidis Rhizoma, remove whiskers) Wei Yu (Polygonati Odorati Rhizoma) Chen Pi (Citri Reticulatae Pericarpium, remove white pith and roast) Qian Hu (Peucedani Radix, remove rhizome head, each one liang) Jue Ming Zi (Cassiae Semen, lightly stir-fried) Dong Gua Zi (Benincasae Semen) Qing Xiang Zi (Celosiae Semen) Di Fu Zi (Kochiae Fructus) Che Qian Zi (Plantaginis Semen, each one liang and half)
The above seventeen herbs. Pound and sift into powder. Mix with refined honey to form pills the size of wutong seeds. Take thirty pills per dose, swallow with warm wine before meals, twice daily.
Mutong Xijiao San (Akebiae Caulis and Rhinoceros Horn Powder), for treating swelling of the sclera resembling blisters:
Mu Tong (Akebiae Caulis, chopped) Xi Jiao (Rhinoceros Cornu, shaved) Sang Bai Pi (Mori Cortex, chopped) Huang Qin (Scutellariae Radix, remove black heart) Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Xuan Shen (Scrophulariae Radix) Fu Shen (Poria with Hostwood, remove wood) Xuan Fu Hua (Inulae Flos, each one liang) Gan Ju Hua (Chrysanthemi Flos, half liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, one fen)
The above ten herbs. Pound and sift into powder. Take three qian bi per dose, add one sheng of water, decoct until six fen remains, do not strain, take warm after meals.
Daqing San (Isatidis Folium Powder), for treating excessive heat in the Liver and Lung attacking upward, causing the sclera to cover the pupil:
Da Qing (Isatidis Folium) Zhi Zi Ren (Gardeniae Fructus) Yang Jiao (Capris Cornu, shaved) Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried) Sang Bai Pi (Mori Cortex, chopped, each one liang)
The above five herbs. Pound and sift into coarse powder. Take three qian bi per dose, add one sheng of water, decoct until five fen remains, strain, add Sheng Di Huang汁 (Rehmanniae Radix juice) half he, and take.
Sangbai Pi San (Mori Cortex Powder), for sudden swelling of the sclera resembling blisters:
Sang Bai Pi (Mori Cortex, chopped) Mu Tong (Akebiae Caulis, chopped) Xi Jiao Xie (Rhinoceros Cornu shavings) Huang Qin (Scutellariae Radix) Xuan Fu Hua (Inulae Flos) Fu Shen (Poria with Hostwood) Xuan Shen (Scrophulariae Radix) Chuan Da Huang (Rhei Radix et Rhizoma, chopped, crushed, and stir-fried, each one liang above) Gan Ju Hua (Chrysanthemi Flos, half liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, one fen, honey-fried until red and chopped)
The above ten herbs. Pound and sieve into coarse powder. Take three qian bi per dose, add one sheng of water, decoct until six fen remains, strain, take warm after meals.
Dahuang San (Rhei Radix et Rhizoma Powder), for excessive heat in the Liver and Lung causing swelling of the sclera covering the pupil with pain:
Chuan Da Huang (Rhei Radix et Rhizoma, chopped, crushed, and stir-fried) Huang Lian (Coptidis Rhizoma, each one liang) Yang Jiao Xie (Capris Cornu shavings, one liang)
The above three herbs. Pound and sieve into coarse powder. Take three qian bi per dose, add one sheng of water, decoct until six fen remains, strain, take warm after meals, twice daily.