论曰人因风热痰饮，攻渍腑脏，阴阳不和，肝气蕴积，热毒之气，上冲于目，使目睛疼
痛，甚者突出，治宜先服寒药，以泻肝气，然后调治，勿求卒效，惟渐治之，仍须微针，引
出恶汁也。
治眼睛突起。桔梗汤方
桔梗（锉炒） 大黄（锉炒） 玄参 芍药 防风（去叉） 黄芩（去黑心各一两） 茺
蔚子
（二两）
上七味。粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓入芒硝末半钱匕。食后临
卧温服。治风热攻目赤痛，目睛欲凸出者。麦冬茺蔚饮方 麦门冬（去心焙） 茺蔚子（各
二
两） 桔梗（锉炒） 防风（去叉） 玄参 知母（焙各一两） 黄芩（去黑心） 麦门冬
（去心焙各
一两半）上八味。粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后临卧温服。
治目珠子卒脱出，并有青翳。点眼丹砂膏方丹砂（研） 干姜（炮捣） 越燕屎（研各
一分）
上三味。合研如粉。以人乳调。点目中。日三。又一方、用干姜燕屎之半。无丹砂。
治风毒冲眼赤肿，睛欲突出。洗眼黄连汤方
黄连（去须） 秦皮（去粗皮） 黄柏（去粗皮各一两） 蕤仁（三分） 干枣（十枚
去核）
上五味。 咀如麻豆拌匀，每用一两半，以水四盏，煎至二盏半，去滓稍热抄洗，
冷即
治眼睛忽然突出一二寸者。冷水灌方
上急取冷水灌眼中，数数换水，须臾睛当自收。
Discussion: When a person is affected by wind-heat, phlegm-fluids (Phlegm and Fluid Retention), these pathogens attack the fu-organs and zang-organs, causing an imbalance of Yin and Yang. The Liver Qi becomes stagnant and accumulated, and toxic heat rushes upward to the eyes, causing pain in the eyeballs. In severe cases, the eyeballs may protrude. Treatment should first involve administering cold-natured medicines to purge the Liver Qi, followed by regulation. One should not seek immediate results but treat gradually. Additionally, fine needles should be used to puncture and drain the foul fluids.
Treatment for protruding eyes: Jiegeng Tang (Platycodon Decoction)
Jiegeng Radix (Crushed and stir-fried), Dahuang Radix et Rhizoma (Crushed and stir-fried), Xuanshen Radix, Shaoyao Radix, Fangfeng Radix (Devoid of forked roots), Huangqin Cortex (Devoid of black heart, each 1 liang), Chongweizi Fructus Viticis Negundo (2 liang).
The above seven ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.7 sheng remains, filter out the dregs, and add Banxia powder (Mangxiao Natrii Sulfas) half a qianbi. Take warm after meals and before bedtime. This treats redness and pain caused by wind-heat attacking the eyes, where the eyeballs desire to protrude.
Maidong Chongwei Yin (Ophiopogon and Viticis Decoction):
Maimendong Tuber (Heart removed, baked), Chongweizi Fructus Viticis Negundo (each 2 liang), Jiegeng Radix (Crushed and stir-fried), Fangfeng Radix (Devoid of forked roots), Xuanshen Radix, Zhimu Cortex (Baked, each 1 liang), Huangqin Cortex (Devoid of black heart), Maimendong Tuber (Heart removed, baked, each 1.5 liang). Note: The original text lists Ophiopogon twice with different dosages; recorded here as eight ingredients based on the source.
The above eight ingredients are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, filter out the dregs, and take warm after meals and before bedtime.
Treatment for sudden protrusion of the eyeball accompanied by Qingyi (a type of eye opacity): Dianyan Dansha Gao (Eye-drop Cinnabar Ointment):
Dansha Mineral (Ground), Ganjiang Rhizoma (Roasted and pounded), Yueyanshi Swallow Droppings (Ground, each 1 fen).
The above three ingredients are mixed and ground into powder. Mix with human milk and apply to the eyes. Three times daily. Another prescription uses half the amount of Ganjiang Rhizoma and Swallow Droppings. If Dansha Mineral is unavailable, it may be omitted.
Treatment for wind-toxicity rushing to the eyes causing redness and swelling, with eyeballs desiring to protrude: Xieyan Huanglian Tang (Eye-washing Coptis Decoction):
Huanglian Rhizoma (Devoid of mustache), Qinpi Cortex (Devoid of rough bark), Huangbai Cortex (Devoid of rough bark, each 1 liang), Ruiren Seed (3 fen), Ganzao Fructus Jujubae (10 pieces, pitted).
The above five ingredients are chopped like hemp or beans and mixed evenly. Take 1.5 liang per use, add 4 sheng of water, decoct until 2.5 sheng remains, filter out the dregs, and wash the eyes while slightly warm. Stop if it becomes cold.
Treatment for eyes suddenly protruding one or two cun: Lengshui Guan Fang (Cold Water Irrigation Method):
Immediately take cold water and irrigate the eyes, changing the water frequently. Within a short time, the eyeballs should retract naturally.