论曰诸脉皆属于目，目者、血之腑，故人卧则血归于肝，肝受血而能视，血气和调，则
上助于目力而能瞻视，若肝脏有热，血脉壅燥，则津液不能荣润，故目中干痛而碜涩也，圣
惠方、论悲哀内动，液道开而泣下，其液枯燥，则致目涩痛者，亦一证也。
治肝脏风热，冲目赤涩痛，风泪肿合。防风汤方
防风（去叉） 甘菊花 葳蕤 旋复花 升麻 决明子（微炒） 秦皮（去粗皮锉） 黄
连（
去须） 栀子仁 麦门冬（去心焙） 甘草（炙令赤锉各一两）
上一十一味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓食后临卧温服。
治目睛如针刺疼痛，目系急，碜涩疼痛。麦门冬汤方
麦门冬（去心焙） 旋复花 木通（锉） 黄芩（去黑心） 茯神（去木各一两） 大
黄（锉炒
三分）
上六味。粗捣筛，每服五钱匕，水一盏半，煎至六分，去滓投地黄汁一合，更煎三两沸
，放温入芒硝半钱匕，食后临卧服。
治肝肺风热壅目涩痛。羚羊角汤方
羚羊角屑 玄参 甘菊花 黄芩（去黑心各一两） 蔓荆实（三分） 赤芍药（一两半）
防
风（去叉一两）
上七味。粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓入芒硝半钱匕，放温食后临
卧服。
治风目痛赤碜涩。玄参汤方
玄参（二两） 升麻（一两） 防风（去叉一两） 羊角（镑一两半） 秦艽（去苗
土一两半）
紫菀（去苗土一两半） 赤芍药（一两半） 茯神（去木二两）
上八味。粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓食后临卧温服。
治脾肺热，目赤痒，小 赤，碜涩痛。芦根汤方
芦根（锉） 木通（锉各一两半） 栀子仁 桔梗（锉炒） 黄芩（去黑心） 甘草（炙
锉各一
两）
上六味。粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓入地黄汁半合，芒硝半钱匕
，放温食后服。
治目赤昏暗涩痛，心躁恍惚。决明子丸方
决明子（炒一两半） 秦皮（去粗皮锉一两） 甘菊花（一两） 升麻（一两半） 黄
芩（去黑
心一两） 车前子（一两半） 白茯苓（去黑皮一两半） 秦艽（去苗土一两） 赤芍药 地
骨皮
山栀子仁 黄连（去须） 青葙子 葳蕤 牵牛子（炒） 蕤仁（去皮各一两半） 大黄
（锉炒一
两） 甘草（炙锉一两）
上一十八味。捣罗为末，炼蜜丸如梧桐子大，每服二十丸，食后温水下，临卧再服。
治目赤肿涩痛，或生翳膜，兼时疾后，余毒攻目。蝉蜕散方
蝉蜕 地骨皮 黄连（去须） 牡丹（去心） 白术 苍术（米泔浸一宿切焙） 菊花
（各一
两） 龙胆（半两） 甜瓜子（半升）
上九味。捣罗为散，每服一钱半匕，甜瓜子荆芥，同煎汤调下，食后服。
治风毒瓦斯攻眼，昏涩疼痛。甘菊散方甘菊花 羌活（去芦头） 木贼 荆芥穗 芎
（各四两） 甘草（炙锉） 防风（酒浸一宿）
黄 （切） 附子（炮过用） 蝉壳（洗） 蛇蜕（一条卷在青竹上炙） 白蒺藜（去角）
旋复花
石决明（泥裹烧令通赤别研以上各一两）
上十四味。内除附子蛇蜕决明外，余皆锉碎，于新瓦上，烙令燥，一时捣罗为细散，每
服二钱匕，用第二米泔煎熟后调下，空心日午夜卧，各一服，此药神效无比。
治眼目涩痛诸疾。大效光明散方
苍术（一斤米泔浸七日去皮切焙干） 蛤粉（四两腻者） 木贼（四两）
上三味。捣罗为末，每服一钱匕，茶酒调下。
治眼赤涩疼痛不开。黄连膏点眼方
黄连（一两去须） 黄柏（半两） 川升麻（半两） 蕤仁（一两去赤皮研） 细辛（一
两） 石
胆（一豆大别研）
上六味。五味细锉，水三大盏，煎至一盏半，绵滤去滓，入白蜜四两相和，煎令汁稠
，入研了石胆，拌令极匀，每日点少许，于两目 上。
治风毒上攻，眼目赤涩，或 肉侵睛，头旋心闷。前胡汤方
前胡（去芦头） 旋复花（各二两） 桔梗（锉炒） 犀角（镑） 羌活（去芦头） 杏
仁（去皮
尖双仁炒黄） 玄参生干地黄（焙） 半夏（为末生姜汁制作饼曝干） 黄芩（去黑心） 甘
草（炙
锉） 防风（去叉各一两）
上一十二味。粗捣筛，每服五钱匕，水一盏半，生姜一分拍碎，煎至八分，去滓食后温
服。
治肝脏有热，血脉壅滞，津液不荣，目中干涩碜痛。点眼金华水方
黄连末（一分） 杏仁（七枚去皮尖双仁细研） 砂（豌豆大一块研） 乳香（黑豆
大一块
研） 铜绿（一字 过） 腻粉（一钱匕研） 青古老钱（三文与诸药同浸） 龙脑（半钱
匕研）
滑石（半钱匕研） 艾灰（半钱匕研）
上一十味细研九味令匀，与古老钱，入在绵子内，用井华水浸三七日后，点目 头。
治目赤涩痛。青葙子丸方
青葙子 蕤仁 人参 地骨皮 麦门冬（去心焙） 赤茯苓（去黑皮各半两） 泽泻 前
胡
（去芦头） 枳壳（去瓤麸炒） 甘草（炙锉） 菊花 防风（去叉各一两半） 黄连（去
须二两）
上一十三味。捣罗为末，炼蜜和捣一千下，丸如梧桐子大，每服三十丸，食后温汤下。
治肝脏热壅，目赤涩痛。石决明散方
石决明 井泉石 石膏（碎各一两） 黄连（去须） 菊花（各二两） 甘草（生锉一
两）
上六味。捣罗为散，每服二钱匕，浓煎竹叶熟水调下。
治肝热目涩碜痛，昏暗视物不明。密蒙花散方
密蒙花（一两） 楮实 蒺藜子（炒去角） 甘菊花 防风（去叉） 蛇蜕（各半两） 甘
草（
炙锉一分）
上七味。捣罗为散，每服一钱匕，临卧食后，温水调下。日三。
治肝热目赤，干涩碜痛。点眼黄连煎方
黄连（去须半两）
上一味。锉如麻豆，分作二分，一分瓷器内炒紫色，一分生用、同和，别以木炭灰二
钱匕，与黄连，同用沸汤半盏浸良久，以细熟绢滤过取汁，瓷器盛，就冷水内，沉令极冷，
点眼中，或更细研少龙脑相和，尤佳。
治眼多泪，碜痛。洗眼玉明散方
秦艽（刮锉作片子温水中浴四十九遍捣二千杵） 白滑石（打碎） 青盐（二味同研如
粉）
上三味等分。再同研匀，每用一字，热汤浸，放温洗眼，切避风少时。
治眼赤涩。玄精石散方
玄精石（半两研如粉无以马牙硝代之） 黄柏（去粗皮炙捣末一两）
上二味。和研令极细，点两 头。
[Discussion]
All meridians converge upon the eyes; the eyes are the "storehouse" (Fu) of blood. Therefore, when a person rests, blood returns to the Liver. The Liver receives blood and thereby enables vision. When Qi and Blood are harmonious, they ascend to assist the eyes, enabling clear sight. If there is heat in the Liver, causing stagnation and dryness of the blood vessels, body fluids fail to nourish and moisten the eyes, resulting in dryness, pain, and a gritty sensation (Chen Se) in the eyes. The *Shenghui Fang* discusses that internal movement caused by grief opens the fluid pathways, leading to tearing; once these fluids become depleted, it also causes eye dryness and pain, which constitutes another syndrome pattern.
**Fangfeng Tang (Saposhnikovia Decoction)** for treating Liver Wind-Heat rushing upward, causing redness, grittiness, pain, tearing, and swelling of the eyes:
*Saposhnikoviae Radix* (Fangfeng, remove twigs), *Chrysanthemi Flos* (Gan Juhua), *Polygonati Rhizoma* (Weirui), *Inulae Flos* (Xuanjinfhua), *Cimicifugae Rhizoma* (Shengma), *Cassiae Semen* (Juemingzi, lightly stir-fried), *Fraxini Cortex* (Qinpi, remove rough bark and chop), *Coptidis Rhizoma* (Huanglian, remove roots), *Gardeniae Fructus* (Zhizi Ren), *Ophiopogonis Radix* (Maimendong, remove heart and bake), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted until reddish-brown and chopped). Each ingredient weighs 1 liang.
Crush and sieve the above eleven ingredients. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, filter dregs, and take warm after meals and before bed.
**Maimendong Tang (Ophiopogon Decoction)** for treating eye pain like needle pricking, tension in the eye system, and gritty pain:
*Ophiopogonis Radix* (Maimendong, remove heart and bake), *Inulae Flos* (Xuanjinfhua), *Akebia Caulis* (Mutong, chopped), *Scutellariae Radix* (Huangqin, remove black heart), *Poria Cum Radix Xylomi* (Fushen, remove wood, each 1 liang), *Rhei Radix et Rhizoma* (Dahuang, chopped and stir-fried, 3 fen).
Crush and sieve the above six ingredients. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 0.6 zhan, filter dregs, add 1 he of *Rehmanniae Juice*, boil three more times, let cool slightly, add 0.5 qianbi of *Natrii Sulfas* (Mangxiao), and take after meals and before bed.
**Lingyangjiao Tang (Antelope Horn Decoction)** for treating Liver and Lung Wind-Heat stagnation causing eye dryness and pain:
*Lyncis Cornu* (Lingyangjiao xie), *Scrophulariae Radix* (Xuanshen), *Chrysanthemi Flos* (Gan Juhua), *Scutellariae Radix* (Huangqin, remove black heart, each 1 liang), *Viticis Fructus* (Manjingzi, 3 fen), *Paeoniae Radix Rubra* (Chishaoyao, 1.5 liang), *Saposhnikoviae Radix* (Fangfeng, remove twigs, 1 liang).
Crush and sieve the above seven ingredients. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, filter dregs, add 0.5 qianbi of *Natrii Sulfas* (Mangxiao), let cool slightly, and take after meals and before bed.
**Xuanshen Tang (Scrophularia Decoction)** for treating Wind-induced eye pain, redness, grittiness, and dryness:
*Scrophulariae Radix* (Xuanshen, 2 liang), *Cimicifugae Rhizoma* (Shengma, 1 liang), *Saposhnikoviae Radix* (Fangfeng, remove twigs, 1 liang), *Ovis Cornu* (Yangjiao, shaved, 1.5 liang), *Gentianae Radix* (Qinjiao, remove seedlings and soil, 1.5 liang), *Asturi Herba* (Ziwan, remove seedlings and soil, 1.5 liang), *Paeoniae Radix Rubra* (Chishaoyao, 1.5 liang), *Poria Cum Radix Xylomi* (Fushen, remove wood, 2 liang).
Crush and sieve the above eight ingredients. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, filter dregs, and take warm after meals and before bed.
**Lugen Tang (Reed Root Decoction)** for treating Spleen and Lung Heat causing eye redness, itching, scanty red urine, and gritty pain:
*Phragmitis Rhizoma* (Lugen, chopped), *Akebia Caulis* (Mutong, chopped, each 1.5 liang), *Gardeniae Fructus* (Zhizi Ren), *Platycodonis Radix* (Jiegeng, chopped and stir-fried), *Scutellariae Radix* (Huangqin, remove black heart), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted and chopped, each 1 liang).
Crush and sieve the above six ingredients. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, filter dregs, add 0.5 he of *Rehmanniae Juice* and 0.5 qianbi of *Natrii Sulfas* (Mangxiao), let cool slightly, and take after meals.
**Juemingzi Wan (Cassia Seed Pill)** for treating eye redness, dim vision, dryness, pain, restlessness, and mental confusion:
*Cassiae Semen* (Juemingzi, stir-fried, 1.5 liang), *Fraxini Cortex* (Qinpi, remove rough bark and chop, 1 liang), *Chrysanthemi Flos* (Gan Juhua, 1 liang), *Cimicifugae Rhizoma* (Shengma, 1.5 liang), *Scutellariae Radix* (Huangqin, remove black heart, 1 liang), *Plantaginis Semen* (Cheqianzi, 1.5 liang), *Poria* (Baifuling, remove black skin, 1.5 liang), *Gentianae Radix* (Qinjiao, remove seedlings and soil, 1 liang), *Paeoniae Radix Rubra* (Chishaoyao), *Lycii Cortex* (Digupi), *Gardeniae Fructus* (Shanzhizi Ren), *Coptidis Rhizoma* (Huanglian, remove roots), *Celosiae Semen* (Qingxiangzi), *Polygonati Rhizoma* (Weirui), *Semen Persicae* (Qianniuzi, stir-fried), *Prunus Armeniaca Semen* (Ruiren, remove skin, each 1.5 liang), *Rhei Radix et Rhizoma* (Dahuang, chopped and stir-fried, 1 liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted and chopped, 1 liang).
Grind the above eighteen ingredients into powder, mix with refined honey to make pills the size of *Koelreuteriae Fructus* (Wutongzi). Take 20 pills after meals with warm water, and again before bed.
**Chantui San (Cicada Slough Powder)** for treating eye redness, swelling, dryness, pain, pterygium formation, and residual toxins attacking the eyes after epidemic diseases:
*Periostracum Cicadae* (Chantui), *Lycii Cortex* (Digupi), *Coptidis Rhizoma* (Huanglian, remove roots), *Moutan Cortex* (Mudan, remove heart), *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Atractylodis Rhizoma* (Cangzhu, soaked in rice wash overnight, sliced and baked), *Chrysanthemi Flos* (Juhua, each 1 liang), *Gentiana Radix* (Longdan, 0.5 liang), *Benincasae Semen* (Tianguazi, 0.5 sheng).
Grind the above nine ingredients into powder. Take 1.5 qianbi per dose, decoct with *Benincasae Semen* (Tianguazi) and *Schizonepetae Spica* (Jingjie) in water to mix the powder, and take after meals.
**Ganju San (Chrysanthemum Powder)** for treating Wind-Toxic Qi attacking the eyes, causing dimness, dryness, and pain:
*Chrysanthemi Flos* (Gan Juhua), *Notopterygii Rhizoma et Radix* (Qianghuo, remove rhizome head), *Equiseti Herba* (Muzei), *Schizonepetae Spica* (Jingjiesui), *Ligustici Chuanxiong Rhizoma* (Chuanxiong, each 4 liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted and chopped), *Saposhnikoviae Radix* (Fangfeng, soaked in wine overnight), *Phellodendri Cortex* (Huangbai, sliced), *Aconiti Lateralis Radix Praeparata* (Fuzi, processed), *Periostracum Cicadae* (Chanke, washed), *Ophichthidis Cutis Coriacea* (Shetui, one strip grilled on green bamboo), *Tribuli Fructus* (Bajili, remove spines), *Inulae Flos* (Xuanjinfhua), *Concha Arcae* (Shijueming, wrapped in mud and burned red, separately ground, each 1 liang).
Except for *Aconiti Lateralis Radix Praeparata* (Fuzi), *Ophichthidis Cutis Coriacea* (Shetui), and *Concha Arcae* (Shijueming), chop the remaining herbs, roast them on new tiles until dry, grind into fine powder. Take 2 qianbi per dose, mix with the second rice wash water after boiling. Take on an empty stomach, at noon, midnight, and before bed. This medicine is extremely effective.
**Daxiao Guangming San (Great Efficacy Brightening Powder)** for treating various eye dryness and pain conditions:
*Atractylodis Rhizoma* (Cangzhu, 1 jin, soaked in rice wash for 7 days, peeled, sliced, and baked dry), *Calaminae Pulvis* (Gafen, 4 liang, fine quality), *Equiseti Herba* (Muzei, 4 liang).
Grind the above three ingredients into powder. Take 1 qianbi per dose, mix with tea or wine.
**Huanglian Gao (Coptis Ointment)** for eye application treating eye redness, dryness, pain, and inability to open eyes:
*Coptidis Rhizoma* (Huanglian, 1 liang, remove roots), *Phellodendri Cortex* (Huangbai, 0.5 liang), *Cimicifugae Rhizoma* (Chuan Shengma, 0.5 liang), *Prunus Armeniaca Semen* (Ruiren, 1 liang, remove red skin and grind), *Asari Radix et Rhizoma* (Xixin, 1 liang), *Lapis Melanterii* (Shidan, bean-sized, separately ground).
Chop the first five ingredients finely, add 3 zhan of water, decoct to 1.5 zhan, filter through cotton cloth, add 4 liang of white honey, boil until thick, add ground *Lapis Melanterii* (Shidan), mix well. Apply a small amount to the canthi of both eyes daily.
**Qianhu Tang (Peucedani Radix Decoction)** for treating Wind-Toxic Qi attacking upward, causing eye redness and dryness, pterygium invading the cornea, dizziness, and chest oppression:
*Peucedani Radix* (Qianhu, remove rhizome head), *Inulae Flos* (Xuanjinfhua, each 2 liang), *Platycodonis Radix* (Jiegeng, chopped and stir-fried), *Rhinoceoris Cornu* (Xijiao, shaved), *Notopterygii Rhizoma et Radix* (Qianghuo, remove rhizome head), *Semen Persicae* (Xingren, remove skin and tips, double-kernel stir-fried yellow), *Scrophulariae Radix* (Xuanshen), *Rehmanniae Radix Preparata* (Sheng Gan Dihuang, baked), *Pinelliae Tuber* (Banxia, made into cakes with ginger juice and dried), *Scutellariae Radix* (Huangqin, remove black heart), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted and chopped), *Saposhnikoviae Radix* (Fangfeng, remove twigs, each 1 liang).
Crush and sieve the above twelve ingredients. Take 5 qianbi per dose, add 1.5 zhan of water and 1 fen of crushed fresh ginger, decoct to 0.8 zhan, filter dregs, and take warm after meals.
**Jinhua Shui (Golden Flower Water)** for eye application treating Liver Heat, blood vessel stagnation, lack of fluid nourishment, and eye dryness/grittiness/pain:
*Coptidis Rhizoma* (Huanglian, 1 fen), *Semen Persicae* (Xingren, 7 seeds, remove skin/tips/double-kernel, finely grind), *Natrii Chloratum Crystallisatum* (Naosha, pea-sized, grind), *Boswelliae Resina* (Ruxiang, black bean-sized, grind), *Viriditas Cupri* (Tonglu, one zi, calcined), *Hydrargyri Bichloridum* (Nifen, 1 qianbi, grind), *Ancient Green Copper Coin* (Qing Lao Gu Qian, 3 coins, soak with other drugs), *Borneolum Syntheticum* (Longnao, 0.5 qianbi, grind), *Talcum* (Huashi, 0.5 qianbi, grind), *Artemisiae Cinereae Cineres* (Aihui, 0.5 qianbi, grind).
Finely grind the nine ingredients (excluding the ancient coin), mix evenly with the ancient coin, place in a cotton bag, soak in well water for 21 days, then apply to the eyes.
**Qingxiangzi Wan (Celosia Seed Pill)** for treating eye redness, dryness, and pain:
*Celosiae Semen* (Qingxiangzi), *Prunus Armeniaca Semen* (Ruiren), *Ginseng Radix* (Renshen), *Lycii Cortex* (Digupi), *Ophiopogonis Radix* (Maimendong, remove heart and bake), *Poria* (Chifuling, remove black skin, each 0.5 liang), *Alismatis Rhizoma* (Zexie), *Peucedani Radix* (Qianhu, remove rhizome head), *Aurantii Fructus Immaturus* (Zhike, remove pulp and bran, stir-fried), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted and chopped), *Chrysanthemi Flos* (Juhua), *Saposhnikoviae Radix* (Fangfeng, remove twigs, each 1.5 liang), *Coptidis Rhizoma* (Huanglian, remove roots, 2 liang).
Grind the above thirteen ingredients into powder, mix with refined honey and pound 1000 times, make pills the size of *Koelreuteriae Fructus* (Wutongzi). Take 30 pills after meals with warm water.
**Shijueming San (Concha Arcae Powder)** for treating Liver Heat stagnation causing eye redness, dryness, and pain:
*Concha Arcae* (Shijueming), *Lapis Fontinalis* (Jingquanshi), *Gypsum Fibrosum* (Shigao, crushed, each 1 liang), *Coptidis Rhizoma* (Huanglian, remove roots), *Chrysanthemi Flos* (Juhua, each 2 liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, raw and chopped, 1 liang).
Grind the above six ingredients into powder. Take 2 qianbi per dose, mix with strong decoction of *Phragmitis Cacumen* (Zhuyeye) water.
**Mimenghua San (Descurainiae Flos Powder)** for treating Liver Heat causing eye dryness, grittiness, pain, dim vision, and unclear sight:
*Descurainiae Flos* (Mimenghua, 1 liang), *Torreya Semen* (Chushi), *Tribuli Fructus* (Jilizi, stir-fried and remove spines), *Chrysanthemi Flos* (Gan Juhua), *Saposhnikoviae Radix* (Fangfeng, remove twigs), *Ophichthidis Cutis Coriacea* (Shetui, each 0.5 liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, roasted and chopped, 1 fen).
Grind the above seven ingredients into powder. Take 1 qianbi per dose, after meals before bed, mix with warm water. Three times daily.
**Huanglian Jian (Coptis Decoction)** for eye application treating Liver Heat causing eye redness, dryness, and grittiness:
*Coptidis Rhizoma* (Huanglian, remove roots, 0.5 liang).
Chop into hemp-seed size, divide into two parts. Roast one part in a porcelain vessel until purple, keep the other part raw. Mix them together. Add 2 qianbi of charcoal ash, mix with Huanglian, soak in half a zhan of boiling water for a long time, filter through fine silk to obtain juice, store in porcelain, and chill in cold water until very cold. Apply to eyes. Alternatively, mix with finely ground *Borneolum Syntheticum* (Longnao) for better effect.
**Yuming San (Jade Brightening Powder)** for washing eyes treating excessive tearing and grittiness/pain:
*Gentianae Radix* (Qinjiao, scraped and sliced, bathed in warm water 49 times, pounded 2000 times), *Talcum* (Baihuashi, crushed), *Natrii Chloratum* (Qingyan, grind the latter two into powder).
Mix equal parts of the three ingredients, grind uniformly. Use one zi amount, soak in hot water, let cool to warm, wash eyes, avoid wind for a short time.
**Xuanjingshi San (Xuanjing Stone Powder)** for treating eye redness and dryness:
*Xuanjingshi* (0.5 liang, grind to powder; if unavailable, substitute with *Natrii Nitras* (Mayaxiao)), *Phellodendri Cortex* (Huangbai, remove rough bark, roast, grind to powder, 1 liang).
Mix and grind extremely finely, apply to the canthi of both eyes.