夫眼者。脏腑之精茎。肝之外候也。伤寒热毒壅滞。熏蒸于肝。上攻于目。则令目赤肿
痛。若毒瓦斯盛者。眼生翳膜也。
治伤寒热毒。气攻眼昏暗。及有热泪。睑下涩痛。渐渐至重。宜服麦门冬散方。
麦门冬（去心） 羚羊角屑 防风（去芦头）（以上各一两） 赤茯苓（三分） 决明
子（一
两） 赤芍药（半两） 甘草（一两炙微赤锉） 蕤仁（半两） 地骨皮（半两）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒热毒。气攻眼。赤涩浮翳。宜服此方。
川升麻（二两） 黄芩（三分） 甘草〔三（二）分炙微赤锉〕 川朴硝（一两）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候温服。
治伤寒热毒攻眼。障翳赤肿。宜服蕤仁散方。
蕤仁 漏芦 黄芩 犀角屑 连翘 川升麻 甘草（炙微赤锉） 川大黄（锉碎微炒）
（以
上各一两） 栀子仁（半两） 枳实（半两麸炒微黄）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候温服。
治伤寒热毒瓦斯攻眼。障翳赤涩疼痛。宜服柴胡散方。
柴胡（三分去苗） 地骨皮（三分） 玄参（半两） 黄芩（三分） 石膏（一两） 甘
菊花（三
分） 甘草（半两炙微赤锉） 羌活（半两） 防风（半两去芦头） 川朴硝（一两半）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候温服。
治伤寒热毒攻眼。赤涩昏暗疼痛。宜服羚羊角散方。
羚羊角屑（一两） 栀子仁（半两） 决明子（一两） 芎 （一两） 羌活（一两） 石
膏（一
两） 柴胡（一两去苗） 黄芩（一两） 人参（一两去芦头） 川大黄（一两锉碎微炒）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候温服。
治伤寒。热毒瓦斯攻眼。翳膜赤痛。宜服黄芩散方。
黄芩 黄连（去须） 决明子 玄参 柴胡（去苗）（以上各一两）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候温服。
治伤寒热毒瓦斯攻眼。忽生赤翳。疼痛不可视明。或眼外浮肿。宜服秦皮散方。
秦皮 前胡（去芦头） 蕤仁 黄芩 川升麻 赤芍药 白薇 枳壳（麸炒微黄去瓤） 甘
草（炙微赤锉）（以上各一两） 栀子仁（半两） 川大黄（二两锉碎微炒） 川芒硝（二
两）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒热毒攻眼。生翳赤痛。不得见明。心神烦闷。宜用此方。
秦皮 川升麻 黄连（去须）（以上各一两）
上件药。捣筛为散。以水三大盏。煎至一大盏。去滓。候冷。每用三合。仰卧。以绵缠
箸头取汁。滴眼中。如屋漏状。尽三合止。须臾复用。日五六度乃佳。
治伤寒未解。热毒瓦斯上冲。头痛目赤涩。宜服石膏散方。
石膏（一两） 葛根（半两锉） 赤芍药（半两） 柴胡（一两去苗） 甘草（一分炙
微赤锉）
黄芩（半两） 栀子仁（半两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。葱白二茎。豉五十粒。煎
至六分。去滓。不计时候温服。
治伤寒热毒瓦斯攻眼。生赤脉白翳。涩痛不可忍。宜服决明子散方。
决明子 川升麻 黄柏（锉） 秦皮 川芒硝（以上各一两） 蕤仁（半两） 黄连（一
两半
去须） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服五钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒热毒攻眼。生翳。宜服升麻散方。
川升麻（一两） 黄芩〔一（二）两〕 黄连（三分去须） 青葙子（三分） 甘草（三
分炙微
赤锉） 川芒硝（二两）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒热毒攻眼。赤痛兼白翳晕。宜服青葙子丸方。
青葙子 川大黄（锉碎微炒） 黄连（去须） 黄芩 川升麻 栀子仁（以上各一两） 兔
肝
（三分微炙） 川朴硝（二两） 苦参〔三分（一两）锉〕
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以温浆水下三十丸。
治伤寒热毒瓦斯攻眼。生赤白翳。宜用此方。
乌贼鱼骨（一两不用大皮）
上捣细罗为散。入少许龙脑。更研令细。日三四度。取少许点眼。
治伤寒大病后。热毒瓦斯攻眼方。
露蜂房（二两）
上以水三大盏。煎至二大盏。去滓。放温。洗眼。日三五度。
治伤寒。热毒攻眼生翳方。
豉（三七粒烧为灰）
上细研如粉。以少许点翳上。日三四度。即瘥。
The eyes are the gathering place of the essence of the Zang-Fu organs and serve as the external manifestation of the Liver. In the context of Shanghan (Cold Damage), heat-toxin pathogens stagnate within the body, steaming and scorching the Liver, and attacking upwards to the eyes, resulting in redness, swelling, and pain of the eyes. If the toxic qi is vigorous, it may cause the formation of nebulae (corneal opacities or neovascularization) in the eyes.
For treating Shanghan heat-toxin where qi attacks the eyes causing dim vision, tearing, astringency and pain under the eyelids, with symptoms gradually worsening, the Maidong San (Ophiopogon Powder) formula is suitable.
Maidong (Ophiopogonis Radix, heart removed) Lingyangjiao (Saiga Antelope Horn) Fangfeng (Saposhnikoviae Radix, radix head removed) [each 1 liang] Chifuling (Polyporus) Juemingzi (Cassiae Semen) Chishao (Paeoniae Radix Rubra) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Ruiren (Pruni Semen) Digupi (Lycii Cortex) [each 0.5 liang]
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen (approx. 200ml) of water until reduced to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin where qi attacks the eyes, causing redness, dryness, and floating nebulae, this formula is suitable.
Chuan Shengma (Bupleuri Radix var.) Huangqin (Scutellariae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Chuan Puxiao (Natrii Sulfas)
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, add about 30 leaves of Zhuye (Bambusae Folium), reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing cataracts/nebulae and redness/swelling, the Ruren San (Pruni Semen Powder) formula is suitable.
Ruiren (Pruni Semen) Loulu (Euphorbiae Humifusae Herba) Huangqin (Scutellariae Radix) Xijiao (Rhinocerotis Cornu) Lianqiao (Forsythiae Fructus) Chuan Shengma (Bupleuri Radix var.) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly stir-baked) Zhizi Ren (Gardeniae Semen) Zhishi (Aurantii Fructus Immaturus, bran-fried until slightly yellow) [each 1 liang except Zhizi Ren and Zhishi which are 0.5 liang]
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, add about 30 leaves of Zhuye (Bambusae Folium), reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing cataracts/nebulae, redness, dryness, and pain, the Chaihu San (Bupleuri Powder) formula is suitable.
Chaihu (Bupleuri Radix, radix head removed) Digupi (Lycii Cortex) Xuanshen (Scrophulariae Radix) Huangqin (Scutellariae Radix) Shigao (Gypsum Fibrosum) Gan Juhua (Chrysanthemi Flos) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix, radix head removed) Chuan Puxiao (Natrii Sulfas)
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, add about 30 leaves of Zhuye (Bambusae Folium), reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing redness, dryness, dim vision, and pain, the Lingyangjiao San (Saiga Antelope Horn Powder) formula is suitable.
Lingyangjiao (Saiga Antelope Horn) Zhizi Ren (Gardeniae Semen) Juemingzi (Cassiae Semen) Xiong (Ligustici Chuanxiong Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Shigao (Gypsum Fibrosum) Chaihu (Bupleuri Radix, radix head removed) Huangqin (Scutellariae Radix) Renshen (Ginseng Radix et Rhizoma, radix head removed) Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly stir-baked)
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, add about 30 leaves of Zhuye (Bambusae Folium), reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan where heat-toxin attacks the eyes, causing nebulae, redness, and pain, the Huangqin San (Scutellaria Powder) formula is suitable.
Huangqin (Scutellariae Radix) Huanglian (Coptidis Rhizoma, fibrous roots removed) Juemingzi (Cassiae Semen) Xuanshen (Scrophulariae Radix) Chaihu (Bupleuri Radix, radix head removed)
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, add about 30 leaves of Zhuye (Bambusae Folium), reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, suddenly causing red nebulae, severe pain preventing clear vision, or external eye swelling, the Qinpi San (Phellodendri Cortex Powder) formula is suitable.
Qinpi (Fraxini Cortex) Qianhu (Peucedani Radix, radix head removed) Ruiren (Pruni Semen) Huangqin (Scutellariae Radix) Chuan Shengma (Bupleuri Radix var.) Chishao (Paeoniae Radix Rubra) Baiwei (Cynanchi Atrati Radix) Zhike (Aurantii Fructus, bran-fried until slightly yellow and pith removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Zhizi Ren (Gardeniae Semen) Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly stir-baked) Chuan Mangxiao (Natrii Sulfas)
Coarsely crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing nebulae, redness, pain, inability to see clearly, accompanied by mental restlessness and oppression, use this formula.
Qinpi (Fraxini Cortex) Chuan Shengma (Bupleuri Radix var.) Huanglian (Coptidis Rhizoma, fibrous roots removed)
Crush and sieve the above herbs into a powder, decoct with three da zhen of water until reduced to one da zhen, strain, and let cool. Take 3 he per application, lie supine, wrap cotton around the tip of a chopstick to dip up the liquid, and drip into the eyes like water dripping from a leaking roof. Use up 3 he, then repeat after a short while. Do this five or six times a day for best results.
For treating Shanghan where pathogenic factors have not resolved, and heat-toxin attacks upwards causing headache, redness, and dryness of the eyes, the Shigao San (Gypsum Powder) formula is suitable.
Shigao (Gypsum Fibrosum) Gegen (Puerariae Lobatae Radix, chopped) Chishao (Paeoniae Radix Rubra) Chaihu (Bupleuri Radix, radix head removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Huangqin (Scutellariae Radix) Zhizi Ren (Gardeniae Semen)
Coarsely crush and sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhong zhen of water, add half a piece of Shengjiang (Zingiberis Rhizoma Recens), two stalks of Congbai (Allii Fistulosi Bulbus), and 50 grains of Chi (Sojae Semnis Preparatum), reduce to 0.6 zhong zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing red vessels and white nebulae, with unbearable astringency and pain, the Juemingzi San (Cassiae Semen Powder) formula is suitable.
Juemingzi (Cassiae Semen) Chuan Shengma (Bupleuri Radix var.) Huangbai (Phellodendri Cortex, chopped) Qinpi (Fraxini Cortex) Chuan Mangxiao (Natrii Sulfas) Ruiren (Pruni Semen) Huanglian (Coptidis Rhizoma, fibrous roots removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped)
Coarsely crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one zhong zhen of water, reduce to 0.5 zhong zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing nebulae, the Shengma San (Bupleuri Powder) formula is suitable.
Chuan Shengma (Bupleuri Radix var.) Huangqin (Scutellariae Radix) Huanglian (Coptidis Rhizoma, fibrous roots removed) Qingxiangzi (Celosiae Semen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and chopped) Chuan Mangxiao (Natrii Sulfas)
Coarsely crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one da zhen of water, reduce to 0.5 da zhen, strain, and take warm at any time.
For treating Shanghan heat-toxin attacking the eyes, causing redness, pain, and white nebulae halos, the Qingxiangzi Wan (Celosia Pill) formula is suitable.
Qingxiangzi (Celosiae Semen) Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly stir-baked) Huanglian (Coptidis Rhizoma, fibrous roots removed) Huangqin (Scutellariae Radix) Chuan Shengma (Bupleuri Radix var.) Zhizi Ren (Gardeniae Semen) Tugan (Leporis Hepatis) Chuan Puxiao (Natrii Sulfas) Kushen (Sophorae Flavescentis Radix)
Grind the above herbs into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 30 pills at any time, washed down with warm Jiangshui (fermented rice liquid).
For treating Shanghan heat-toxin attacking the eyes, causing red and white nebulae, use this formula.
Wuzeiyu Gu (Sepiae Endoconcha, outer skin removed)
Grind finely and sieve into a powder, add a small amount of Longnao (Borneolum Syntheticum), and grind again until fine. Apply a small amount to the eyes three to four times daily.
For treating Shanghan after a major illness, where heat-toxin attacks the eyes.
Lufengfang (Vespa Crabronis Nidus)
Decoct with three da zhen of water until reduced to two da zhen, strain, let cool to warm temperature, and wash the eyes. Do this three to five times daily.
For treating Shanghan where heat-toxin attacks the eyes causing nebulae.
Chi (Sojae Semnis Preparatum, 3-7 grains, burned to ash)
Grind finely into powder, apply a small amount to the nebulae three to four times daily, and recovery will occur.