论曰目者、腑脏之精华，肝之外候，津液之道也，若腑脏挟热，内熏于肝，冲发于目，
使液道热涩结滞于 睑，则成眵 。
治脏腑挟热，冲发于目，津液结滞而成眵 ，泽泻丸方
泽泻 茺蔚子 菟丝子（酒浸别捣） 石斛（去根） 地肤子 五味子 生干地黄（焙
各一
两） 山芋（一两半） 细辛（去苗叶半两）
上九味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心温热水下，临卧再服。
治风热冲肝，上熏于目，结成眵 ，羚羊角散方
羚羊角（镑二两） 犀角（镑一两） 防风（去叉） 牛膝（去苗） 羌活（去芦头） 桑
根白
皮（锉） 五味子 生干地黄（焙） 白蒺藜（炒去角） 芍药（各三分）
上一十味，捣罗为散，每服二钱匕，水一盏，煎至六分，不去滓，食后临卧温服。
治目生眵 ，淋洗秦皮汤方
秦皮（去粗皮） 柴胡（去苗） 黄柏（去粗皮） 黄连（去须） 蛇衔（各二两） 苦
竹叶（二
握） 细辛（去苗叶一两）
上七味，粗捣筛拌匀，每用二两，以水六盏，煎取三盏，去滓热淋，冷即再暖。
治目生眵 ，曾青散点方
曾青 水精（各一两） 龙脑 真珠（各等分） 琥珀（半两）
上五味，研如粉，以铜器收盛，临卧用铜箸，点如黍米许。
治目生眵 ，蕤仁膏点方
蕤仁（研） 马蹄决明（捣末） 黄连（去须捣末各一两） 黄柏（去粗皮捣末三分）
上四味，各为细末，用白蜜清者二升和匀，入铜器中，以油单密封，于饭上蒸之，饭熟
为度，取出以绵绞去滓后，入轻粉二钱，龙脑末一分搅和，再入铜器中，以蜡封口，旋取如
麻子大，点 头日再。
治风热冲目，多生眵 ，黄柏膏点方
黄柏（去粗皮锉一两） 蕤仁（半两） 大枣（青州者三枚劈）
上三味，以水三升，同内瓷器中，慢火煎至一升，去滓取清汁，再以净瓷瓶子收，每用
铜箸点眼，日三五度。
治目多眵 ，黄连膏点方
黄连（去须为末） 蕤仁（研各三分） 干姜（为末） 腻粉（各一分）
上四味，除腻粉外，以牛乳三合，渍之一宿，明旦于微火上，煎取一合，去滓取清汁，
入腻粉搅和，每用铜箸，点如黍米许，安 头，日三。
Discussion: The eyes are the gathering place of the essence and vitality of the Zang-Fu organs, the external manifestation of the Liver (Gan), and the pathway for body fluids (Jin-Ye). If the Zang-Fu organs harbor heat pathogens that internally steam the Liver, causing heat to surge upward to the eyes, it leads to a hot, astringent, and stagnant condition in the fluid pathways, resulting in accumulation at the eyelids. This manifests as ocular discharge (Chi).
Formula for Ze Xie Wan (Alisma Pill) to treat ocular discharge caused by heat pathogens in the Zang-Fu organs surging upward to the eyes and stagnating body fluids:
Ze Xie (Rhizoma Alismatis), Chong Wei Zi (Fructus Leonuri), Tu Si Zi (Semen Cuscutae, soaked in wine and pounded separately), Shi Hu (Caulis Dendrobii, roots removed), Di Fu Zi (Fructus Kochiae), Wu Wei Zi (Fructus Schisandrae), Sheng Gan Di Huang (Radix Rehmanniae Preparata, baked) each 1 liang; Shan Yu (Radix Dioscoreae) 1.5 liang; Xi Xin (Herba Asari, seedlings and leaves removed) 0.5 liang.
The above nine ingredients are pounded, sifted into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 20 pills per dose, swallowed with warm water on an empty stomach, and repeat before bedtime.
Formula for Ling Yang Jiao San (Antelope Horn Powder) to treat ocular discharge caused by wind-heat attacking the Liver and steaming upward to the eyes:
Ling Yang Jiao (Cornu Saigae Tataricae, shaved) 2 liang; Xi Jiao (Cornu Rhinocerotis, shaved) 1 liang; Fang Feng (Radix Saposhnikoviae, forked parts removed); Niu Xi (Radix Achyranthis Bidentatae, seedlings removed); Qiang Huo (Rhizoma et Radix Notopterygii, rhizome head removed); Sang Bai Pi (Cortex Mori Radicis, chopped); Wu Wei Zi (Fructus Schisandrae); Sheng Gan Di Huang (Radix Rehmanniae Preparata, baked); Bai Ji Li (Fructus Tribuli, stir-fried and thorns removed); Shao Yao (Radix Paeoniae Alba or Rubra) each 3 fen.
The above ten ingredients are pounded, sifted into powder. Take 2 qian bi (approx. 6-9 grams) per dose, decoct with one cup of water until reduced to 0.6 cups. Do not filter the dregs. Take warm after meals and before bedtime.
Formula for Qin Pi Tang (Bark of Ash Tree Decoction) for washing eyes affected by ocular discharge:
Qin Pi (Cortex Fraxini, coarse bark removed); Chai Hu (Radix Bupleuri, seedlings removed); Huang Bo (Cortex Phellodendri, coarse bark removed); Huang Lian (Rhizoma Coptidis, roots removed); She Xian (Herba Patriniae) each 2 liang; Ku Zhu Ye (Folium Bambusae) two handfuls; Xi Xin (Herba Asari, seedlings and leaves removed) 1 liang.
The above seven ingredients are coarsely pounded, sieved, and mixed evenly. Use 2 liang per dose, decoct with six cups of water until three cups remain. Filter and wash the eyes while hot; re-warm if cooled.
Formula for Zeng Qing San (Azurite Powder) for instilling into eyes affected by ocular discharge:
Zeng Qing (Chalcanthum) 1 liang; Shui Jing (Quartz) 1 liang; Long Nao (Borneolum Syntheticum) equal amount; Zhen Zhu (Margarita) equal amount; Hu Po (Electrum) 0.5 liang.
The above five ingredients are ground into fine powder and stored in a copper vessel. Before bedtime, use copper tweezers to apply a quantity the size of a millet grain into the eye.
Formula for Rui Ren Gao (Prunus Persica Kernel Ointment) for instilling into eyes affected by ocular discharge:
Rui Ren (Semen Pruni Persicae, pounded); Ma Ti Jue Ming (Fructus Cassiae obtusifoliae, pounded into powder); Huang Lian (Rhizoma Coptidis, roots removed, pounded into powder) each 1 liang; Huang Bo (Cortex Phellodendri, coarse bark removed, pounded into powder) 3 fen.
The above four ingredients are each made into fine powder. Mix with 2 sheng of clear white honey. Place in a copper vessel, seal tightly with oil paper, and steam over rice until the rice is cooked. Remove, squeeze out the dregs using cotton cloth, then add Qing Fen (Calomel) 2 qian and Long Nao powder 1 fen, mixing well. Re-seal with wax in a copper vessel. Apply a quantity the size of a sesame seed to the corner of the eye as needed, twice daily.
Formula for Huang Bo Gao (Phellodendron Bark Ointment) for instilling into eyes affected by wind-heat and excessive ocular discharge:
Huang Bo (Cortex Phellodendri, coarse bark removed, chopped) 1 liang; Rui Ren (Semen Pruni Persicae) 0.5 liang; Da Zao (Fructus Jujubae, from Qingzhou, three pieces, split).
The above three ingredients are placed together in a porcelain vessel with 3 sheng of water. Simmer over low heat until reduced to 1 sheng. Filter and collect the clear liquid. Store in a clean porcelain bottle. Instill into the eyes using copper tweezes, 3 to 5 times daily.
Formula for Huang Lian Gao (Coptis Ointment) for instilling into eyes with excessive ocular discharge:
Huang Lian (Rhizoma Coptidis, roots removed, powdered); Rui Ren (Semen Pruni Persicae, pounded) each 3 fen; Gan Jiang (Rhizoma Zingiberis Recens, dried, powdered); Ni Fen (Calomel) 1 fen.
The above four ingredients, except Ni Fen, are soaked in 3 he of cow's milk overnight. Next morning, simmer over low heat until reduced to 1 he. Filter and collect the clear liquid. Add Ni Fen and mix well. Instill a quantity the size of a millet grain into the corner of the eye using copper tweezes, three times daily.