论曰目赤烂者，睑 俱赤且烂，见风益甚，又谓之风赤眼，此由冲冒风日，风热之气，
伤于睑 ，与津液相搏，故令赤烂也，迎风则作痒泪出，遇热则伤烂眵多，治宜镇平肝气，
涤洗睑肤，则清净之窍，自然明了矣。
治眼赤风泪，烂痒翳膜。 砂煎方
砂（半分研） 石决明（为末） 盐绿（研） 乌贼鱼骨（为末） 马牙硝（研） 石
蟹（为末）
龙脑（研） 曾青（研） 硝石（研各一分）
上九味。以腊月水两碗，浸二七日，每日搅一度，候日满，以绵滤去滓，用银石器盛，
日点三两度。
治风毒瓦斯攻眼，生疮烂痛。菊花汤方
菊花 升麻 黄连（去须） 防风（去叉） 木通（锉） 白茯苓（去黑皮） 葳蕤 地
骨皮
（各一两）
上八味。粗捣筛，每服五钱匕，以水一盏半，入竹叶十片，煎至八分，滤去滓放温，空
心日午临卧服。
治一切风目赤烂，怕见风日，疼不可忍。点眼黄连煎方
胡黄连 牛黄（别研） 黄柏（去粗皮各一两） 龙脑（别研） 麝香（别研各一钱） 熊
胆（
别研一分） 乌豆（一合） 乳梨汁（半升）
上八味。先捣胡黄连黄柏乌豆，筛为粗散，以水三盏，就银器中煎至一半，绵滤去滓
，入梨汁并牛黄龙脑麝香熊胆，以文武火煎成煎。倾入于瓷器内盛，入地埋四十九日取出，
每点如半米大。
治眼连睑赤烂涩痛羞明。四物澄波散方
胆矾（走水洗去沙土四钱） 干姜（炮裂半两） 滑石（研） 秦皮（去粗皮各一两）
上四味。捣研为散，每用半钱匕，以沸汤浸，澄清洗之。
治风眼两睑赤烂。蕤仁膏方
蕤仁（二七枚去皮） 杏仁（十枚汤浸去皮尖双仁） 腻粉（一钱匕） 龙脑（半钱）
上四味同研令极细，入好酥少许，再研成膏，每临卧，先以温浆水洗眼，拭干用药。如
面油涂之。
治眼赤痛微肿， 赤烂多时。柴胡洗眼汤方
柴胡（去苗） 蕤仁（去皮研） 黄连（去须） 升麻（各一两）
上四味。粗捣筛，以水三升，煎取一升半，滤去滓，微热淋洗，如冷再暖，洗三两遍。
治风毒瓦斯、攻眼目连睑赤烂，及暴赤眼疼痛，不可忍者。当归散方
当归（洗锉焙干） 赤芍药（洗锉） 黄连（去须锉各一两）
上三味，捣罗为散，每用一钱匕，沸汤浸去滓，乘热洗，如冷用石器内再暖，洗两三遍
治睑烂风眼疾。整睫散方
白善土 胆矾（各半钱匕）
上二味生为散。沸汤浸，洗眼睑，不要洗入眼里。
治风毒眼痒痛，连睑赤烂，并暴赤眼。胜金丸方
铜绿 白矾（各等分）
上二味。以炭火烧令烟尽为度，细研如粉，用沙糖和为丸，如豌豆大，于南粉末内滚过
，每用二丸，热汤半盏，浸化，洗眼，如冷更暖，洗三五次。
治风赤障眼，四边肉烂，冷泪常出不止。一捻金散方
朴硝（半两）
上一味细研，水调点之。
治睑 赤烂，迎风泪出，或痒或痛。金波膏方
黄连（四两） 黄柏皮（三两二味椎碎以水二碗浸一宿于银器内熬取半碗去滓） 蕤仁
（去
皮研半两） 杏仁（去皮尖双仁炒黄研四十九粒）
上四味。以蕤仁杏仁，入前药汁内，同熬及一大盏，更滤过，入好蜜及药九分，更入麝
香一钱，白矾 砂各一字，并飞研空青三钱，如无只以生青代之，略椎碎，龙脑二钱，以绢
袋子盛，在药内又熬及一半，箸滴少许于冷水内，不散即止，用小瓶子密封，再于饭甑上蒸
三遍，逐次于井内沉过令冷，银器内收，如常点之。
治目赤 烂生疮，冲风泪出。黄连散方
黄连（去须） 雄黄（研各一两半） 细辛（去苗叶） 黄柏（去粗皮各三分） 干姜
（一分）
上五味。捣罗为散，研令至细，以密器盛，每取二黍米许，点两目 ，日二度。
治目赤 烂，痒痛不可忍。白龙散方
龙脑（一字） 马牙硝（一两）
上二味。用纸一张，裹迭牙硝按实，常在着肉衣下，养一
百二十日为度，取出细研如粉，
取四钱龙脑，同研令细，不计年岁深远，眼内或生翳膜，渐渐昏暗，远视不明，但瞳仁不
破散者，并皆治之，每用两米大、点之。
治风毒攻眼 赤烂，见风泪出痒痛。洗轮散方
仙灵脾 秦皮（锉） 黄连（去须） 槐花（等分） 犀角（镑少许）
上五味。捣罗为散，每用半钱匕，以新水调，澄清洗之。
治久患赤眼， 烂痒痛，泪下不止，视物昏暗。点眼方
铅丹（研罗过一分） 朴硝（细研半两） 蜜（五两）
上三味。于铜器内，慢火煎三十沸，不住手搅，乘热以绵滤过，候冷点眼。
Discussion states: "Mu Chi Lan" (Red and Ulcerated Eyes) refers to the condition where the eyelids are entirely red and ulcerated, with symptoms worsening upon exposure to wind. It is also known as "Feng Chi Yan" (Wind-Red Eye). This condition arises from invasion by wind and sun, where Wind-Heat pathogenic factors damage the eyelids and contend with body fluids, leading to redness and ulceration. Exposure to wind triggers itching and tearing, while heat exacerbates ulceration and increases discharge. Treatment should focus on pacifying Liver Qi and cleansing the eyelid skin, so that the clear orifices will naturally become bright and clear.
Formula for Treating Red Eyes, Wind-Teary Eyes, Ulceration, Itching, and Membranes: Sha Jian Fang (Sand Decoction)
Sha Sand (0.5 fen, ground) Shijueming (Concha Haliotidis, ground to powder) Yán Lǜ (Salt Green, ground) Wū Zéi Gǔ (Cuttlefish Bone, ground to powder) Mǎ Yá Xiāo (Sal Nitrati, ground) Shí Xiè (Stone Crab, ground to powder)
Lóng Nǎo (Borneolum Syntheticum, ground) Céng Qīng (Chalcanthite, ground) Xiāo Shí (Natrii Sulfas, ground, each 1 fen)
The above nine ingredients. Soak in two bowls of water collected in the twelfth lunar month for fourteen days (two seven-day periods), stirring once daily. When the time is up, filter out the dregs using cotton cloth, and store in a silver or ceramic vessel. Instill into the eyes three to five times daily.
Formula for Treating Wind-Toxic Qi attacking the eyes, causing sores, ulceration, and pain: Ju Hua Tang (Chrysanthemum Decoction)
Ju Hua (Flos Chrysanthemi) Shēng Má (Rhizoma Cimicifugae) Huáng Lián (Rhizoma Coptidis, remove stamens) Fáng Fēng (Radix Saposhnikoviae, remove cross-bars) Mù Tōng (Caulis Akebiae, chopped) Bái Fú Líng (Poria, remove black skin) Wēi Rú (Herba Polygonati Odorati) Dì Gǔ Pí (Cortex Lycii)
(each 1 liang)
The above eight ingredients. Coarsely crush and sieve. Take 5 qian bi per dose, add one and a half bowls of water and ten leaves of Zhu Ye (Bambusae Folium), decoct until reduced to 80%, filter out dregs, let cool to warm temperature, and take on an empty stomach at noon and before bed.
Formula for Pointing/Eye Drops for All Wind-Induced Red and Ulcerated Eyes, Fear of Wind and Sun, Unbearable Pain: Dian Yan Huang Lian Jian (Eye-Drop Coptis Decoction)
Hú Huáng Lián (Rhizoma Coptidis, separate grinding) Niú Huáng (Calculus Bovis, separate grinding) Huáng Bǎi (Cortex Phellodendri, remove rough bark, each 1 liang) Lóng Nǎo (Borneolum Syntheticum, separate grinding) Shè Xiāng (Moschus, separate grinding, each 1 qian) Xióng Dǎn (Ursi Fel, separate grinding, 1 fen) Wū Dòu (Sojae Semen Nigrum, 1 he) Rǔ Lí Zhī (Pear Juice, half sheng)
The above eight ingredients. First, crush Hú Huáng Lián, Huáng Bǎi, and Wū Dòu, sieve into coarse powder. Add three bowls of water, decoct directly in a silver vessel until reduced by half. Filter out dregs with cotton cloth. Add Lí Zhī, Niú Huáng, Lóng Nǎo, Shè Xiāng, and Xióng Dǎn. Decoct over alternating mild and strong fire until it becomes a thick paste. Pour into a ceramic vessel, bury underground for forty-nine days, then retrieve. Instill half a grain size per application.
Formula for Treating Eyes Connected to Eyelids with Redness, Ulceration, Dryness, Pain, and Photophobia: Si Wu Cheng Bo San (Four-Substance Clear Wave Powder)
Dǎn Fán (Chalcanthite, wash with running water to remove sand/dirt, 4 qian) Gān Jiāng (Rhizoma Zingiberis Preparatum, roasted/cracked, 0.5 liang) Huá Shí (Talcum, ground) Qín Pí (Cortex Fraxini, remove rough bark, each 1 liang)
The above four ingredients. Crush and grind into powder. Use half a qian bi per application, soak in boiling water, allow to settle/clear, and use to wash the eyes.
Formula for Treating Wind-Eyes with Bilateral Eyelid Redness and Ulceration: Ruí Ren Gao (Prunus Persica Kernel Ointment)
Ruì Rén (Semen Pruni Persicae, 27 seeds, remove skin) Xìng Rén (Semen Armeniacae Amarum, 10 seeds, soaked in hot water, remove skin/tips/double-kernel ones) Nì Fěn (Calomelas, 1 qian bi) Lóng Nǎo (Borneolum Syntheticum, 0.5 qian)
The above four ingredients. Grind together extremely finely. Add a small amount of good butter/suet, grind again into an ointment. Before sleep, first wash eyes with warm rice water, dry them, then apply medication. Apply like face cream.
Formula for Treating Red, Painful, Slightly Swollen Eyes with Long-standing Redness and Ulceration: Chai Hu Xi Yan Tang (Bupleurum Eye-Wash Decoction)
Chái Hú (Radix Bupleuri, remove seedlings) Ruì Rén (Semen Pruni Persicae, remove skin/grind) Huáng Lián (Rhizoma Coptidis, remove stamens) Shēng Má (Rhizoma Cimicifugae, each 1 liang)
The above four ingredients. Coarsely crush and sieve. Add three sheng of water, decoct to obtain one and a half sheng. Filter out dregs. Wash with slightly warm liquid; if it cools, re-warm. Wash three to five times.
Formula for Treating Wind-Toxic Qi Attacking Eyes, Causing Eyelid Redness/Ulceration, and Sudden Red Eye Pain Unbearable: Dang Gui San (Angelica Sinensis Powder)
Dāng Guī (Radix Angelicae Sinensis, wash/chop/bake dry) Chì Sháo Yào (Radix Paeoniae Rubra, wash/chop) Huáng Lián (Rhizoma Coptidis, remove stamens/chop, each 1 liang)
The above three ingredients. Crush and sieve into powder. Use 1 qian bi per dose, soak in boiling water, filter out dregs. Wash while hot; if it cools, re-warm in a stone vessel. Wash two to three times.
Formula for Treating Eyelid Ulceration and Wind-Eye Disease: Zheng Jie San (Eyelash-Aligning Powder)
Bái Shàn Tǔ (White Kaolin Clay) Dǎn Fán (Chalcanthite, each 0.5 qian bi)
The above two ingredients. Use raw, grind into powder. Soak in boiling water, wash eyelids. Do not let it enter the eye globe.
Formula for Treating Wind-Toxic Eye Itching/Pain, Connected Eyelid Redness/Ulceration, and Sudden Red Eye: Sheng Jin Wan (Winning Gold Pill)
Tóng Lǜ (Verdigris) Bái Fán (Alumen, equal parts)
The above two ingredients. Burn over charcoal until smoke ceases. Grind finely to powder. Mix with rock sugar to form pills the size of peas. Roll in Nan Fen (likely a specific talc or starch powder). Use two pills per dose, dissolve in half a bowl of hot water, wash eyes. Re-warm if cooled. Wash three to five times.
Formula for Treating Wind-Obstruction Eye, Ulceration of Surrounding Flesh, Constant Cold Tears: Yi Nian Jin San (One-Pinch Gold Powder)
Pǔ Xiāo (Natrii Sulfas Crystallizatus, 0.5 liang)
The above single ingredient. Grind finely, mix with water, and instill.
Formula for Treating Eyelid Redness/Ulceration, Wind-Teary Eyes, Itching/Pain: Jin Bo Gao (Golden Wave Ointment)
Huáng Lián (Rhizoma Coptidis, 4 liang) Huáng Bǎi Pí (Cortex Phellodendri, 3 liang. Crush both, soak in two bowls of water overnight, decoct in silver vessel to half a bowl, filter dregs) Ruì Rén (Semen Pruni Persicae, remove skin/grind, 0.5 liang) Xìng Rén (Semen Armeniacae Amarum, remove skin/tips/double-kernel, roast yellow/grind, 49 seeds)
The above four ingredients. Add Ruì Rén and Xìng Rén to the previous decoction. Simmer until reduced to one large cup. Filter again. Add good honey and medicinal ingredients equivalent to 90% of the volume. Add Shè Xiāng (Moschus, 1 qian), Bái Fán (Alumen), and Náo Shā (Ammonium Chloride), each one zi. Fly-grind Kōng Qīng (Azurite, 3 qian); if unavailable, substitute with Shēng Qīng (Raw Azurite), slightly crushed. Add Lóng Nǎo (Borneolum Syntheticum, 2 qian). Place in a silk bag, return to the decoction, simmer until reduced by half. Test by dropping a little into cold water; if it does not disperse, stop heating. Seal in a small bottle. Steam over a rice steamer three times. After each steaming, submerge in a well to cool completely. Store in a silver vessel. Instill as usual.
Formula for Treating Red/Ulcerated Eyes with Sores, Wind-Induced Tearing: Huáng Lián San (Coptis Powder)
Huáng Lián (Rhizoma Coptidis, remove stamens) Xióng Huáng (Realgar, ground, each 1.5 liang) Xì Xīn (Radix Asari, remove seedlings/leaves) Huáng Bǎi (Cortex Phellodendri, remove rough bark, each 3 fen) Gān Jiāng (Rhizoma Zingiberis Preparatum, 1 fen)
The above five ingredients. Crush, sieve, and grind extremely fine. Store in a sealed container. Take the size of two millet grains per application, instill into both eyes, twice daily.
Formula for Treating Red/Ulcerated Eyes with Unbearable Itching/Pain: Bai Long San (White Dragon Powder)
Lóng Nǎo (Borneolum Syntheticum, one zi) Mǎ Yá Xiāo (Sal Nitrati, 1 liang)
The above two ingredients. Wrap Mǎ Yá Xiāo tightly in paper, keep under inner clothing for 120 days. Remove, grind fine to powder. Mix with 4 qian of Lóng Nǎo, grind finely. Regardless of disease duration, if membranes form in the eye, vision gradually dims, or distant vision is unclear, provided the pupil is intact, this treats all such conditions. Use the size of two rice grains per application.
Formula for Treating Wind-Toxic Qi Attacking Eyes with Redness/Ulceration, Wind-Induced Tearing/Itching/Pain: Xi Lun San (Washing Wheel Powder)
Xiān Líng Pí (Herba Epimedii) Qín Pí (Cortex Fraxini, chopped) Huáng Lián (Rhizoma Coptidis, remove stamens) Huái Huā (Flos Sophorae, equal parts) Xī Jiǎo (Cornu Rhinocerotis, shaved slightly)
The above five ingredients. Crush, sieve into powder. Use 0.5 qian bi per dose, mix with fresh water, allow to settle, and wash eyes.
Formula for Treating Chronic Red Eyes, Redness/Ulceration/Itching/Pain, Continuous Tearing, and Dim Vision: Dian Yan Fang (Eye-Drop Formula)
Qiān Dān (Lithargyrum, sifted, 1 fen) Pǔ Xiāo (Natrii Sulfas Crystallizatus, finely ground, 0.5 liang) Mì (Mel, 5 liang)
The above three ingredients. In a copper vessel, slow-fire boil for thirty boils, stirring constantly. Filter while hot through cotton cloth. Cool before instilling into eyes.